4A (Expenses $ 70425821 including grants of $ 22600) (Revenue $ 75096007)
Operation of acute care hospital totaling 120 beds. During the current year there were 4,393 admissions resulting in 27,700 patient days and 23,788 outpatient visits.

Florida Hospital Dade City, Inc.
Part V, Section B, Line 5: Florida Hospital Dade City, Inc., d/b/a AdventHealth Dade City, (FHDC or the Hospital) is a 120-bed regional medical center located in East Pasco County in Florida. FHDC serves the eastern portion of Pasco County, which is comprised of primarily the cities of Zephyrhills, Dade City, and portions of Wesley Chapel. The Hospital serves a population that is primarily white, older, and underinsured. Many residents, particularly in two of the zip codes that comprise the Hospital's primary service area, are seniors, with more than 65% of the residents over the age of 65, many of whom may have chronic diseases due to age and/or lifestyle. The Hospital's primary service area is comprised of five zip codes in Pasco County, Florida. In conducting its 2019 Community Health Needs Assessment (CHNA), primary and secondary health data was collected and analyzed. Primary data was gathered based upon input from individuals representing the broad community, as well as low-income, minority, and other medically underserved populations. Primary data input was primarily gathered through a community survey, stakeholder interviews, and through the establishment of a Community Health Needs Assessment Committee (CHNAC). Community surveys were completed in collaboration with the Florida Department of Health Pasco County Community Health Collaborative partnership. Surveys were administered in paper format as well as on-line and were offered in English and Spanish. A total of 3,038 Pasco County residents participated in the collaborative Community Health Needs Assessment survey. FHDC also gathered primary data through stakeholder interviews. Interviews were conducted on-line by members of the CHNAC. Various sources of secondary data were reviewed to understand the larger issues plaguing the Hospital's primary service area. The Hospital formed a Community Health Needs Assessment Committee (CHNAC) that included representatives of the community and the Hospital, with a special focus on underserved populations. Many of the CHNAC members were selected because of their direct ties to the underserved and impoverished communities in the Hospital's primary service area. Key members of the CHNAC included representatives from Premier Community HealthCare, a federally qualified health care center, Sunrise of Pasco County Domestic and Sexual Violence Center, Pasco County Schools, Pasco County Alliance for Substance Abuse Prevention, the University of Florida Institute of Food and Agricultural Sciences Cooperative Extension Pasco County, the City of Zephyrhills, and First Church of Nazarene, a local community church.

Florida Hospital Dade City, Inc.
Part V, Section B, Line 6a: Florida Hospital Dade City, Inc. (FHDC) and Florida Hospital Zephyrhills, Inc. (FHZ) collaborated on their CHNA reports since they serve the same community. FHDC and FHZ are related tax-exempt hospital entities.

Florida Hospital Dade City, Inc.
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.

Florida Hospital Dade City, Inc.
"Part V, Section B, Line 11: Florida Hospital Dade City, Inc. d/b/a AdventHealth Dade City will be referred to in this document as AdventHealth Dade City or ""the Hospital"". The Hospital is a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the 501(c)(3) parent organization of a hospital and healthcare system known as AdventHealth. In January 2019, every wholly-owned entity of AHSSHC adopted the AdventHealth system brand. Our identity has been unified to represent the full continuum of care our system offers. Any references to our prior Community Health Needs Assessments (CHNAs) or prior Community Health Plans (CHPs) will utilize our new name for consistency. AdventHealth Dade City is part of the West Florida Division (the Division) of AdventHealth. The Division includes 11 hospital facilities. This is the second-year update for AdventHealth Dade City's 2020-2022 Community Health Plan/Implementation Strategy. The Hospital developed this plan and posted it in May 2020 as part of its 2019 Community Health Needs Assessment process. For the development of both the Community Health Needs Assessment and the Community Health Plan/Implementation Strategy, AdventHealth Dade City worked to define and address the needs of low-income, minority and underserved populations in its service area. The 2019 Community Health Needs Assessment used primary data interviews and surveys; secondary data from local, regional and national health-related sources; and Hospital prevalence data to help the Hospital determine the health needs of the community it serves. Once the data was gathered, the primary issues identified in the community health needs assessment were prioritized by community and Hospital stakeholders, who then selected key issues for the Hospital to address in its 2020-2022 Community Health Plan. The second-year progress on the Community Health Plan is noted below. The narrative describes the prioritized issues identified in 2019 and gives an update on the strategies addressing those issues. There is also a description of the identified issues that the Hospital did not address. AdventHealth Dade City chose five priorities for its 2020-2022 Community Health Plan: 1. Dental Health2. Heart Disease 3. Low Food Access (Social Determinant of Health) 4. Mental Health/Suicide/Depression 5. Obesity/Overweight Priority 1: Dental Health2019 Description of the Issue:Many oral diseases can be prevented with routine care and regular dental checkups. The health of the teeth, the mouth, and the surrounding craniofacial (skull and face) structures is central to a person's overall health and well-being. Lack of access to dental care for all ages remains a public health challenge. In the AdventHealth Dade City Primary Service Area (PSA) the access to dentists' rate is 33 per 100,000 population (in 2015), as compared to the state rate of 56. The AdventHealth Dade City Community Health Plan has two desired goal statements under the Dental Health priority. 1. Implement strategies to support community efforts to improve access to primary care and dental care providers2. Improve access to health education, early intervention programs and resources related to oral health preventative dental careGoal 1: Implement strategies to support community efforts to improve access to primary care and dental care providersObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. Their objective is to create a volunteer network of local dentists to volunteer at local community mobile dental clinics to provide free dental services to underinsured/uninsured adults residing in the Hospital's PSA by mobilizing three volunteer dentists from a baseline of zero by the end of year three. This objective is conducted through AdventHealth Dade City and outcomes reported are specific to the reporting Hospital. This initiative provides volunteer dentists to Premier Community HealthCare Group, Inc., a non-profit organization and Federally Qualified Health Center (FQHC) serving Pasco and Hernando Counties by providing quality, affordable and accessible healthcare services for all. The Hospital progressed on its set metric of recruiting three dentists by December 31st, 2022. 2021 Update:We have connected with the Florida Dental Association and had their president speak at a Dental Health Equity Summit that was hosted by AdventHealth Zephyrhills and AdventHealth Dade City. The Florida Dental Association has pledged their support to helping recruit dentists to this network and made a call to attendees of the summit to join this network. Money has also been budgeted to create incentives for dentists to join the network.Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase access to dental care among underinsured/uninsured adults residing in the Hospital's PSA by providing on-going donations of dental medical supplies to at least one local community mobile dental clinic from a baseline of zero by the end of year three. This objective is funded through AdventHealth Dade City and outcomes reported are specific to the reporting Hospital. AdventHealth Dade City has connected with Premier Community Healthcare, a 501(c)(3) nonprofit organization and the only Federally Qualified Health Center (FQHC) serving Pasco and Hernando Counties. By providing ongoing donations to Premier Community Healthcare, we increase the capacity for this community-based organization to provide additional services to the uninsured and underinsured residents and improve oral health outcomes for the community. 2021 Update:The Hospital progressed on its set metric of one mobile dental clinic supported by December 31st, 2022. Our team connected with the SmileFaith Foundation, Inc, a local non-profit that provides free and low-cost dental health services to residents. A donation will be made to this organization in 2022 to support their work. Goal 2: Improve access to health education, early intervention programs and resources related to oral health preventative dental careObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with MORE HEALTH, Inc. to offer oral health training workshops to staff from local community agencies to increase access to oral health education for parents and youth residing in the Hospital's PSA and sponsor the costs to train 45 community health providers from a baseline of zero by the end of year three. MORE HEALTH, Inc is a 501(c) 3 nonprofit organization, which develops effective health and safety lessons, trains high-quality instructors, and delivers lessons to students in Pre-K to 12th grade. This objective is managed through the Division however all funding and outcomes reported are specific to the reporting Hospital. This initiative will enable more lay educators who are trained on K-5 dental education to be able to teach in community spaces versus just in the school setting. 2021 Update:The Hospital progressed on its set metric of 45 community members trained by December 31st, 2022. Our team connected with the Pasco County Department of Parks and Recreation and scheduled a training for their 50 summer camp coaches in June of 2022. See Continuation 2"

Florida Hospital Dade City, Inc.
Part V, Section B, Line 13h: Effective March 1, 2020, the filing organization's hospital facility (or facilities) augmented their Financial Assistance Policy with a COVID-19 Financial Grace Addendum. Pursuant to the COVID-19 Financial Grace Addendum, uninsured patients treated for COVID-19 related evaluations are to receive free or discounted care depending on the patient's cooperation in submitting necessary financial assistance information. Insured patients tested for COVID-19 are not expected to have out-of-pocket expenses based on insurance community response to waive patient financial responsibility. If a payer unexpectedly fails to waive patient responsibility for COVID-19 related testing, the filing organization will not balance bill patients for any out-of-pocket expenses related to COVID-19. In addition, patients with existing payment plans are provided opportunities for reducing their monthly payments.

Schedule H, Part V, Section B, Line 11: Continuation 2
Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is a part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with Premier Community Healthcare to create a taskforce on dental care access in Pasco County and co-host with AdventHealth Zephyrhills at least two community summits from a baseline of zero summits to bring awareness, health education and develop action steps to address the problem of dental care access for underinsured/uninsured adults residing in the Hospital's PSA by the end of year three. This objective is managed by the Division, however the Hospital funds the objective. All outcomes reported represent both Hospitals. This initiative provides strategies to address the unmet dental health needs of underinsured and uninsured community members and create collaborative relationships between our team and local organizations. 2021 Update:The Hospitals progressed on their set metric of two summits convened by December 31st, 2022. On November 12th, 2021, AdventHealth Zephyrhills and AdventHealth Dade City partnered with Premier Community Healthcare to host the first Dental Health Equity Summit. Speakers for the event included the president of the Florida Dental Association, public health researchers, the dental director for a major insurance company, and leaders from various dental focused non-profits. The event had 36 attendees and all attendees received Amazon gift cards for attending. A second summit will be planned for November of 2022. Priority 2: Heart Disease 2019 Description of the Issue:Heart disease is the leading cause of death in the U.S., responsible for one in four deaths annually. The major risk factors for heart disease are high blood pressure, high cholesterol, being overweight/obese and having an unhealthy diet. One in four deaths in the U.S. are due to heart disease. By managing blood pressure and cholesterol, eating a healthy diet and incorporating physical activity daily, the risk of developing heart disease could be greatly reduced. In the AdventHealth Dade City PSA, the rate of death due to heart disease per 100,000 population is 156, which is higher than the state rate of 150. The AdventHealth Dade City Community Health Plan has two desired goal statements under the Heart Disease priority. 1. Improve access to health education, early intervention programs and resources related to prevention of heart disease2. Enhance community to clinical linkages between community organizations and stakeholders to promote coordinated patient care strategies to control high blood pressure and high cholesterolGoal 1: Improve access to health education, early intervention programs and resources related to prevention of heart diseaseObjective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase the number of Hospital sponsored American Heart Association (AHA) community CPR out-of-hospital bystander classes for adults and youth from a baseline of zero to three by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. This initiative provides training to lay community members to be able to save the lives of individuals experiencing a cardiac event by administering the two-step Hands-Only CPR. The Hospital progressed on its set metric of three classes sponsored by December 31st, 2022. 2021 Update:Our team identified several community partners to hold Hands-Only CPR classes with, including local churches, health departments, and schools. The state of Florida recently passed legislation requiring all 9th and 11th grade students to be trained in Hands-Only CPR. AdventHealth Zephyrhills, in conjunction with AdventHealth Dade City, met with school administrators to schedule CPR classes for 2022.Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. This objective is managed by the Division, however the Hospital funds the objective and all outcomes reported are specific to the reporting Hospital. The objective is to provide patient referrals at discharge to enroll in free Gulfcoast North Area Health Education Center (GNAHEC) tobacco cessation programs and receive free intervention therapies to quit smoking tobacco. Through a partnership with GNAHEC, a local chapter of the national Area Health Education Center (AHEC) organization, we will create an internal referral system to link adults residing in the Hospital's PSA to the programs, providing resources for 50 patients from a baseline of zero by end of year three. GNAHEC is a community focused organization that develops and implements community-based health promotion activities and education programs, which targets the underserved. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. 2021 Update:The Hospital progressed on its set metric of referring 50 patients by referring 12 patients in 2021. Additional staff training will help increase the number of referrals made in 2022. See Continuation 3

Schedule H, Part V, Section B, Line 11: Continuation 3
Objective 3:The third objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. This objective is managed by the Hospital and all funding and outcomes reported are specific to the reporting HospitalThe objective is to increase access to AHEC free tobacco cessation classes for adults residing in the Hospital's PSA by five classes from a baseline of zero by the end of year three. As it relates to our relationship with GNAHEC, we are partnering with GNAHEC to provide community members the tools and resources to assist with tobacco cessation. 2021 Update:The Hospital progressed on its set metric of increasing access to five tobacco cessation classes. AdventHealth Dade City worked with GNAHEC to promote their classes through social media outlets and through community distribution channels. AdventHealth Dade City will schedule free tobacco cessation classes to be held on campus at AdventHealth Dade City in 2022. Goal 2: Enhance community to clinical linkages between community organizations and stakeholders to promote coordinated patient care strategies to control high blood pressure and high cholesterolObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. This objective is managed by the Hospital and all funding and outcomes reported are specific to the reporting Hospital. The objective is to increase the number of underinsured/uninsured community members receiving linkages to follow up clinical care at Pioneer Medical Group by providing free biometric screenings and health education at a minimum of three Pioneer Medical Group free mobile clinic events for 75 patients from a baseline of zero patients by the end of year three. This initiative provides community members with access to free biometric health screenings and primary care follow up to identify, treat and manage potentially unknown chronic conditions, including heart disease. The Hospital progressed on its set metric of 75 community members linked by December 31st, 2022. Additionally, the Hospital has progressed on its second metric of supporting three Pioneer Medical Group free mobile clinic events by December 31st, 2022. 2021 Update:The Division team has identified several local churches in the PSA to act as host facilities for heart screening events which will be planned in 2022. We will also promote the events on our volunteer portal to encourage clinical and non-clinical staff to support these events through paid volunteer hours.Priority 3: Low Food Access (Social Determinant of Health)2019 Description of the Issue:Low food access is defined as living more than half a mile from the nearest supermarket, supercenter, or large grocery store. The ability to easily access and afford food greatly influences diet and overall health. People who have low food access face greater barriers to access affordable and healthy food, which can negatively affect health and wellness. In the AdventHealth Dade City PSA, 26% of the population has low food access.The AdventHealth Dade City Community Health Plan has two desired goal statements under the Low Food Access (Social Determinant of Health) priority. 1. Increase access to nutrition education by supporting community organizations and other community stakeholders offering health education and resources2. Implement strategies that support existing community initiatives aimed to address the problem of low food access in the Hospital's PSAGoal 1: Increase access to nutrition education by supporting community organizations and other community stakeholders offering health education and resourcesObjective 1: The first objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to provide the Food is Health program to low income families in the PSA by offering two class series from a baseline of zero by the end of year three. The program is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Food is Health program is an AdventHealth West Florida Division program which increases access to health education and healthy foods to improve the overall health of the communities the Hospital serves. Through collaboration with community partners the program connects with low income/low access communities and provides free health education, health screenings and produce vouchers which are used to purchase fresh fruits and vegetables. 2021 Update:The Hospital progressed on its set metric of two education class series by December 31st, 2022 by offering one class in 2021. The class was held virtually over Zoom with health education provided by the UF/IFAS Extension School. Participants were able to pick up produce at the UF/IFAS Extension School One-Stop Shop in Dade City, FL. Objective 2: The second objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase access to culturally appropriate nutritious food options among Food is Health program participants through the distribution of 80 produce vouchers from a baseline of zero produce vouchers by the end of year three. This objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. 2021 Update:The Hospital progressed on its set metric of distributing 80 produce vouchers by December 31st, 2022, by distributing 40 produce vouchers in 2021. Objective 3:The third objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase new partnerships with local community organizations in the Food is Health program to five partners from a baseline of zero partners by the end of year three. This objective is managed at the Divisional level; however, the Hospital funds the objective. All outcomes reported represent both AdventHealth Dade City and AdventHealth Zephyrhills. 2021 Update:The Hospital exceeded its set metric of establishing five new community partners by attaining six new community partners. AdventHealth has partnered with Pastor Nick Deford from the First Nazarene Church of Dade City and Nichole Dube from Dube's Mobile Market, who has helped us expand our Food is Health program throughout the Pasco County region. AdventHealth also partnered with Pastor Ray Pichette and the East Pasco Seventh-Day Adventist Church to act as a future community-based site. We have also partnered with the Pasco County Department of Parks and Recreation and the Lacoochee Boys & Girls Club. Our goal is to work with these organizations to schedule additional AdventHealth Food is Health classes in 2022. See Continuation 4

Schedule H, Part V, Section B, Line 11: Continuation 4
"Objective 4:The fourth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase participation in the Food is Health program among low-income families in the Hospital's PSA to 20 participants from a baseline of zero by the end of year three. The objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. 2021 Update:The Hospital progressed on its set metric of 20 new participants with 10 new participants in 2021.Objective 5:The fifth objective is a Divisional initiative and appears on multiple community health plans of Hospitals in the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is through the Food is Health program to increase access to health screenings among adults living in food deserts or low-income/low-access communities to 30 screenings from a baseline of zero screenings by the end of year three. The objective is managed at a Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. The Hospital progressed on its set metric of 30 health screenings conducted by December 31st, 2022. 2021 Update:Unfortunately, health screenings were unavailable throughout 2021 to reduce the risk of spreading COVID-19. Furthermore, community health nursing staff members were redeployed to hospital facilities to assist with treating patients diagnosed with COVID-19. Our team used 2021 to create new models of screening participants, including utilizing wellness center staff, to provide screenings when community health nurses are unavailable.Goal 2: Implement strategies that support existing community initiatives aimed to address the problem of low food access in the Hospital's PSAObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with the University of Florida/Institute of Food and Agricultural Sciences (UF/IFAS) Extension Pasco County to implement the ""Healthy Corner Stores in Pasco County"" initiative aimed at increasing the number of corner stores providing access to fresh produce to low-income/low-access communities in the Hospital's PSA by six from a baseline of zero by the end of year three. This objective is managed at the Divisional level; however, it is funded through AdventHealth Dade City and outcomes reported are specific to the reporting Hospital. This initiative provides fresh fruits and vegetables to community members living in food deserts by bringing the produce to a location that is convenient for them and profitable for store owners. 2021 Update: After deliberating with our Community Health Needs Assessment Committee, we have found that this objective may not be plausible. We have instead decided to shift this priority to become a one-time donation to an emergency food pantry to help re-stock stores that were depleted of food due to the increase in demand as a result of the COVID-19 pandemic. The Hospital is currently evaluating organizations for the donation and the amount of the contribution based on the resources originally allocated for the objective. Based on this new objective, AdventHealth Dade City met its goal of supporting one emergency food pantry. A cash donation was made to Farmworker's Self-Help to support the food pantry that they operate. This donation will help them purchase food to provide to the homeless, low-income, and food insecure residents of Dade City.Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase Hospital staff/team volunteer participation efforts with organizations addressing food security from a baseline of zero hours volunteered to 200 hours by the end of year three. This objective is funded and managed through AdventHealth Dade City. All funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of providing 200 paid staff hours by December 31st, 2022. 2021 Update:We created an online portal where team members can find local volunteer opportunities that focus on food insecurity. This portal markets events, tracks sign ups, and regularly notifies team members of new opportunities as they arise. The portal also notifies organizations that sponsor volunteer events about sign ups. A system wide marketing effort led many team members to sign up for the portal. However, no team members have volunteered at this time. Priority 4: Mental Health/Suicide/Depression2019 Description of the Issue:The burden of mental illness in the United States is among the highest of all diseases, and mental disorders are among the most common causes of disability for adults, children and adolescents. When mental health disorders are untreated, those affected are at high risk for many unhealthy and unsafe behaviors, including alcohol or drug abuse, violent or self-destructive behavior and suicide. Mental health disorders are the 11th leading cause of death in the United States for all age groups and the second leading cause of death among people age 25 to 34. In the AdventHealth Dade City PSA, the rate of death due to self-harm (suicide) is 19 per 100,000 population. Also, about 22% of the Medicare-fee-for-service PSA population are depressed, which is higher than the state average of 19%.The AdventHealth Dade City Community Health Plan has two desired goal statements under the Mental Health/Suicide/Depression priority. 1. Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disorders2. Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adultsGoal 1: Reduce the stigma associated with mental illness in youth and adults by providing access to health education to help communities better understand and respond to signs of mental illness and substance use disordersObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase the Hospital's support of local advocacy groups that provide resources, interventions and support to adults and youth who are affected by mental illness in the Hospital's PSA by supporting two advocacy groups from a baseline of zero advocacy groups by the end of year three. This objective is managed at the Divisional level, however all funding and outcomes reported are specific to the reporting Hospital. This initiative provides resources, interventions and support to adults and youth who are affected by mental illness in the Hospital's PSA. The Hospital met its set metric of supporting two advocacy groups by December 31st, 2022. 2021 Update:We connected with two advocacy groups that operate out of the East Pasco Seventh Day Adventist Church. AdventHealth Dade City provides monthly financial support to these groups to provide them with space to meet.See Continuation 5"

Schedule H, Part V, Section B, Line 11: Continuation 5
Objective 2: The second objective is to increase the number of Mental Health First Aid USA certification training classes provided for free to community members residing in the Hospital's PSA by three certification classes from a baseline of zero by the end of year three. The deployment of the Mental Health First Aid classes is a shared initiative between AdventHealth Dade City, AdventHealth Carrollwood, AdventHealth Connerton, AdventHealth Zephyrhills, AdventHealth North Pinellas, AdventHealth Tampa, AdventHealth Ocala, AdventHealth Wauchula, AdventHealth Lake Placid, AdventHealth Sebring and AdventHealth Wesley Chapel. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital. The initiative provides the Mental Health First Aid USA class to the community for free. The class is a course that teaches you how to help someone who may be experiencing mental health or substance use challenges. The training helps you identify, understand and respond to signs of addictions and mental illnesses.2021 Update:The Hospital progressed on its metric of providing three free Mental Health First Aid USA certification training classes to community members residing in the Hospital's PSA from a baseline of zero certification classes by the end of year three by providing one class in 2021. In 2021, four team members became certified instructors for Mental Health First Aid (adult curriculum). The class was held at the Zephyrhills First Assembly church where 19 church members were trained. Goal 2: Increase community-level partnerships to enhance existing efforts currently addressing factors that impact suicide/depression in youth and adultsObjective 1: The first objective is a shared initiative between AdventHealth Dade City, AdventHealth Wesley Chapel, AdventHealth Tampa, AdventHealth Carrollwood, AdventHealth Zephyrhills, AdventHealth Ocala and AdventHealth North Pinellas. These Hospitals are part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared CHNA priority. The initiative is managed at the Divisional level and funded through the Hospital and all reported outcomes are specific to the reporting Hospital. For this initiative, the Hospital decided to partner with the National Alliance on Mental Illness (NAMI) Pasco, the local affiliate of the National Alliance on Mental Illness. The objective is to increase the number of Pasco County NAMI Ending the Silence presentations provided for free to middle and high school-aged youth residing in the Hospital's PSA by three classes from a baseline of zero by the end of year three. Ending the Silence is a presentation that helps destigmatize mental illness by providing community members with education to recognize signs and symptoms of an individual dealing with a mental health condition, along with the action steps to help the individual suffering from a mental health crisis. 2021 Update:The Hospital progressed on its set metric of holding three Ending the Silence presentations by December 31st, 2022. We connected with the Pasco County School District and several youth focused organizations. We also appropriated funds to be able to provide financial support to Ending the Silence presentations. This will enable us to begin holding Ending the Silence presentations starting in 2022. Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing mental health from a baseline of zero hours volunteered to 200 hours by the end of year three. This objective is funded and managed through AdventHealth Dade City and all funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of serving 200 volunteer hours by December 31st, 2022. 2021 Update:Our team has worked together to develop a volunteer portal that markets volunteer opportunities to team members, tracks sign-ups and notifies sponsoring organizations when employees sign up. We have also partnered with United Way of Pasco to identify volunteer opportunities with organizations that address mental health issues. The portal currently has eight AdventHealth Dade City team members who are using the portal and we hope to recruit more team members onto the portal and have team members sign up throughout 2022. Priority 5: Obesity/Overweight2019 Description of the Issue:Obesity occurs when an individual's weight is higher than what is considered healthy. Obesity can be caused by behavioral and genetic factors. Other factors that contribute to obesity is the built environment, for example where you live and if you have access to healthy food and the ability to exercise outside. Obesity can cause serious health complications including high blood pressure, high cholesterol, heart disease, osteoarthritis and some cancers. From 2015 - 2016, obesity affected about 93 million adults and 13 million children in the U.S. In the AdventHealth Dade City PSA, 32% of adults are obese (BMI greater than 30), while 39% of adults in the PSA are considered overweight (BMI between 25 and 30). The AdventHealth Dade City Community Health Plan has two desired goal statements under the Obesity/Overweight priority. 1. Improve access to health education, support programs and resources related to the obesity2. Implement strategies that support existing community initiatives aimed to address the problem of obesity in the Hospital's Primary Service Area (PSA)Goal 1: Improve access to health education, support programs and resources related to the obesityObjective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with Premier Health Care to increase access to obesity programs among underserved youth and families residing in the Hospital's PSA by co-sponsoring with AdventHealth Zephyrhills the costs to implement one KidShape program, a family-based intervention for overweight children, community site from a baseline of zero sites by the end of year three. Although a shared initiative, the funding and outcomes reported are specific to the reporting Hospital. This initiative provides children with an opportunity to exercise in a fun and engaging environment, lose weight and develop healthy habits that will improve health outcomes in youth and adulthood. 2021 Update:The Hospital met its set metric of one community site for the KidShape program with one site established. Additionally, the Hospital enrolled 26 children into the KidShape program. AdventHealth Dade City worked with Premier Health Care to transform the KidShape program into a virtual format and executed this program over the course of 2021.Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to partner with MORE HEALTH, Inc. to offer nutrition and healthy lifestyles train-the-trainer workshops to members/staff from local community churches to increase access to nutrition education for underserved families residing in the Hospital's PSA by sponsoring costs to train 25 members/church staff members from a baseline of zero by the end of year three. Although a shared initiative, the funding and outcomes reported are specific to the reporting Hospital. The Hospital progressed on its set metric of training 25 church members by December 31st, 2022. This initiative helps community members become local leaders in nutrition and exercise for their churches to help their congregations develop healthier lifestyles and eating habits. See Continuation 6

Schedule H, Part V, Section B, Line 11: Continuation 6
2021 Update:MORE Health Inc. has developed the curriculum for this workshop and the AdventHealth Dade City marketing team is currently working on developing a flyer to promote the classes. A flyer has been developed and several church organizations were identified as potential sites for the nutrition workshop. Year 3 will be used to start scheduling classes and training community members. Goal 2: Implement strategies that support existing community initiatives aimed to address the problem of obesity in the Hospital's Primary Service Area (PSA)Objective 1: The first objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to sponsor the cost of registration fees for the Healthy Heart program, a 12-week exercise training program at AdventHealth Dade City Wellness Center (includes healthy eating classes, educational seminars and personal fitness assessments), by providing seven scholarship vouchers for underinsured/uninsured participants residing in the Hospital's PSA from a baseline of zero by end of year three. Although a shared initiative, the funding and outcomes reported are specific to the reporting Hospital. This initiative provides low-income community members with access to an exercise program that will help lower their risk of heart disease and improve overall health outcomes. 2021 Update:The Hospital progressed on its set metric of seven scholarship vouchers provided although in the current year zero scholarship vouchers were provided.AdventHealth Dade City is currently searching for a new team member to lead the Healthy Heart program. Once this new manager has been identified, our team will begin sponsoring the cost to enroll participants into this program. Objective 2: The second objective is a shared initiative with AdventHealth Zephyrhills. AdventHealth Zephyrhills is part of the West Florida Division of AdventHealth, the same division as the reporting Hospital. The Hospitals partnered on this initiative because of a shared primary service area. The objective is to increase the amount of paid staff time for Hospital staff/team members to volunteer with community organizations addressing obesity from a baseline of zero hours to 200 hours by the end of year three. Although a shared initiative, the funding and outcomes reported are specific to the reporting Hospital. The Hospital provides a paid volunteerism program through which AdventHealth employees are paid at their normal rate to volunteer at community organizations which are addressing this priority area. The Hospital progressed on its set metric of 200 paid staff hours by December 31st, 2022. 2021 Update:Our team has worked together to develop a volunteer portal that markets volunteer opportunities to team members, tracks sign ups, and notifies sponsoring organizations when employees sign up. We have also partnered with United Way of Pasco to identify volunteer opportunities with organizations that address food insecurity and obesity. The portal currently has eight AdventHealth Dade City team members who are using the portal and we hope to recruit more team members onto the portal and have team members sign up throughout 2022. Community Needs Not Chosen by AdventHealth Dade City:The primary and secondary data in the Community Health Needs Assessment identified multiple community issues. The Hospital and community stakeholders used the following criteria to narrow the larger list to the priority areas noted above:1. How acute is the need? (based on data and community concern)2. What is the trend? Is the need getting worse?3. Does the Hospital provide services that relate to the priority? 4. Is someone else - or multiple groups - in the community already working on this issue? 5. If the Hospital were to address this issue, are there opportunities to work with community partners? After review and discussion, the Community Health Needs Assessment Committee (CHNAC) agreed that the below issues would not be addressed due to the following: (1) The CHNAC felt that the issue/concern should not be addressed as an individual problem but can be indirectly impacted positively by first addressing multiple issues selected above by the Hospital CHNAC. (2) The CHNAC did not perceive the ability to have a measurable impact on the issue with the current resources available to the community and the Hospital.Based on the prioritization process discussed above, the Hospital did not choose the following community issues:1. Asthma - Asthma is a chronic condition when the airways in the lungs are always inflamed. The inflammation causes coughing, wheezing, chest tightness, and shortness of breath. In the AdventHealth Dade City PSA, 16% of adults aged 18 and above have asthma. 2. Poverty/Livable Wage (Social Determinant of Health) - One of the greatest public health challenges is addressing poverty. Poverty increases the likelihood of an individual developing poor health. In reverse, poor health can also trap an individual in poverty. For example, those living in poverty may face competing priorities between paying for basic needs such as housing and food or paying for medical care. In the AdventHealth Dade City PSA, 18% of the community is below 100% of the federal poverty level ($25,750 for a family of four in 2019). 3. Transportation (Social Determinant of Health) - A poor transportation system prevents those who do not own a car or have reliable transportation from accessing health care. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. In the AdventHealth Dade City PSA, less than 1% of the population uses public transportation as their primary means to commute to work. While the CHNAC agreed that this is an important barrier, the Hospital felt better equipped to address the issue of access through focusing on increasing access to healthy food, dental care, and preventative screenings. 4. Cervix, Colon and Rectum Cancer - Cancer is the second leading cause of death in the U.S. with more than 100 types. Many are preventable and research advances in detection and treatment have greatly improved survival rates. In the AdventHealth Dade City PSA, the rate of death due to cancer is 171 per 100,000 population.

Schedule H, Part V, Section B, Line 16a,b,c:
The Financial Assistance Policy can be found at URL:https://www.adventhealth.com/legal/financial-assistance The Financial Assistance Policy application can be found at:https://www.adventhealth.com/legal/financial-assistance The plain language summary is available at:https://www.adventhealth.com/legal/financial-assistance

Schedule H, Part V, Section B, Line 7a:
The CHNA report can be found at URL:https://www.adventhealth.com/community-health-needs-assessments

Schedule H, Part V, Section B, Line 10a:
The Hospital's most recently adopted implementation strategy can be found at URL:https://www.adventhealth.com/community-health-needs-assessments

Part I, Line 6a:
"The filing organization was a wholly owned subsidiary of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC) during its current tax year. During the current year, AHSSHC served as a parent organization to 30 tax-exempt 501(c)(3) hospital organizations and a number of other health care facilities that operated in 10 states within the U.S. The system of organizations under the control and ownership of AHSSHC is known as ""AdventHealth"".All hospital organizations within AdventHealth collect, calculate, and report the community benefits they provide to the communities they serve. AdventHealth organizations exist solely to improve and enhance the local communities they serve. AdventHealth has a system-wide community benefits accounting policy that provides guidelines for its health care provider organizations to capture and report the costs of services provided to the underprivileged and to the broader community. Each AdventHealth hospital facility reports their community benefits to their Board of Directors and strives to communicate their community benefits to their local communities."

Part I, Line 7:
The amounts of costs reported in the table in line 7 of Part I of Schedule H were determined by utilizing a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, contained in the Schedule H instructions.

Part III, Line 2:
The amount of bad debt expense reported on line 2 of Section A of Part III is recorded in accordance with Healthcare Financial Management Association Statement No. 15. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense.

Part III, Line 3:
Methodology for Determining the Estimated Amount of Bad Debt Expense that May Represent Patients who could Have Qualified under the Filing Organization's Financial Assistance Policy:Self-pay patients may apply for financial assistance by completing a Financial Assistance Application Form (FAA Form). If an individual does not submit a complete FAA Form within 240 days after the first post-discharge billing statement is sent to the individual, an individual may be considered for presumptive eligibility based upon a scoring tool that is designed to classify patients into groups of varying economic means. The scoring tool uses algorithms that incorporate data from credit bureaus, demographic databases, and hospital specific data to infer and classify patients into respective economic means categories. Individuals who earn a certain score on the scoring tool are considered to qualify as eligible for the most generous financial assistance under the filing organization's Financial Assistance Policy. As determined by the filing organization, a nominal amount of such a patient's bill is written off as bad debt expense, while the remaining portion of the patient's bill is considered non-state charity. The amount written off as bad debt expense for those patients who potentially qualify as non-state charity using the scoring tool is the amount shown on line 3 of Section A of Part III. Rationale for Including Certain Bad Debts in Community Benefit:The filing organization is dedicated to the view that medically necessary health care for emergency and non-elective patients should be accessible to all, regardless of age, gender, geographic location, cultural background, physician mobility, or ability to pay. The filing organization treats emergency and non-elective patients regardless of their ability to pay or the availability of third-party coverage. By providing health care to all who require emergency or non-elective care in a non-discriminatory manner, the filing organization is providing health care to the broad community it serves. As a 501(c)(3) hospital organization, the filing organization maintains a 24/7 emergency room providing care to all whom present. When a patient's arrival and/or admission to the facility begins within the Emergency Department, triage and medical screening are always completed prior to registration staff proceeding with the determination of a patient's source of payment. If the patient requires admission and continued non-elective care, the filing organization provides the necessary care regardless of the patient's ability to pay. The filing organization's operation of a 24/7 Emergency Department that accepts all individuals in need of care promotes the health of the community through the provision of care to all whom present. Current Internal Revenue Service guidance that tax-exempt hospitals maintain such emergency rooms was established to ensure that emergency care would be provided to all without discrimination. The treatment of all at the filing organization's Emergency Department is a community benefit. Under the filing organization's Financial Assistance Policy, every effort is made to obtain a patient's necessary financial information to determine eligibility for financial assistance. However, not all patients will cooperate with such efforts and a financial assistance eligibility determination cannot be made based upon information supplied by the individual. In this case, a patient's portion of a bill that remains unpaid for a certain stipulated time period is wholly or partially classified as bad debt. Bad debts associated with patients who have received care through the filing organization's Emergency Department should be considered community benefit as charitable hospitals exist to provide such care in pursuit of their purpose of meeting the need for emergency medical care services available to all in the community.

Part III, Line 4:
Financial Statement Footnote Related to Accounts Receivable and Allowance for Uncollectible Accounts:The financial information of the filing organization is included in a consolidated audited financial statement for the current year.The applicable footnote from the attached consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts can be found on pages 8-9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands.

Part III, Line 8:
Costing Methodology:Medicare allowable costs were calculated using a cost-to-charge ratio.

Part VI, Line 7
The filing organization does not file an annual community benefit report with any state agencies.

Part III, Line 9b:
The hospital filing organization's collection practices are in conformity with the requirements set forth in the 2014 Final Regulations regarding the requirements of Internal Revenue Code Section 501(r)(4) - (r)(6). No extraordinary collection actions (ECA's) are initiated by the hospital filing organization in the 120-day period following the date after the first post-discharge billing statement is sent to the individual (or, if later, the specified deadline given in a written notice of actions that may be taken, as described below). Individuals are provided with at least one written notice (notice of actions that may be taken) and a copy of the filing organization's Plain Language Summary of the Financial Assistance Policy that informs the individual that the hospital filing organization may take actions to report adverse information to credit reporting agencies/bureaus if the individual does not submit a Financial Assistance Application Form (FAA Form) or pay the amount due by a specified deadline. The specified deadline is not earlier that 120 days after the first post-discharge billing statement is sent to the individual and is at least 30 days after the notice is provided. A reasonable attempt is also made to orally notify an individual about the filing organization's Financial Assistance Policy and how the individual may obtain assistance with the Financial Assistance application process. If an individual submits an incomplete FAA Form during the 240-day period following the date on which the first post-discharge billing statement was sent to the individual, the hospital filing organization suspends any reporting to consumer credit reporting agencies/bureaus (or ceases any other ECA's) and provides a written notice to the individual describing what additional information or documentation is needed to complete the FAA Form. This written notice contains contact information including the telephone number and physical location of the hospital facility's office or department that can provide information about the Financial Assistance Policy, as well as contact information of the hospital facility's office or department that can provide assistance with the financial assistance application process or, alternatively, a nonprofit organization or governmental agency that can provide assistance with the financial assistance application process if the hospital facility is unable to do so. If an individual submits a complete FAA Form within a reasonable time-period as set forth in the notice described above, the hospital filing organization will suspend any adverse reporting to consumer credit reporting agencies/bureaus until a financial assistance policy eligibility determination can be made.

Part VI, Line 2:
The Hospital will conduct community health needs assessments (CHNA) every three years. Its 2019 CHNA was adopted by its governing board by December 31, 2019, the end of the Hospital's taxable year in which it conducted the CHNA. The Hospital's 2019 CHNA complied with the guidance set forth by the IRS in Final Regulation Section 1.501(r)-3. In addition to the CHNA discussed above, a variety of practices and processes are in place to ensure that the filing organization is responsive to the health needs of its community.Such practices and processes involve the following:1. A hospital operating/community board composed of individuals broadly representative of the community, community leaders, and those with specialized medical training and expertise;2. Post-discharge patient follow-up related to the on-going care and treatment of patients who suffer from chronic diseases; 3. Sponsorship and participation in community health and wellness activities that reach a broad spectrum of the filing organization's community; and 4. Collaboration with other local community groups to address the health care needs of the filing organization's community.

Part VI, Line 3:
The Financial Assistance Policy (FAP), Financial Assistance Application Form (FAA Form), and the Plain Language Summary of the Financial Assistance Policy (PLS) of the filing organization's hospital facility are transparent and available to all individuals served at any point in the care continuum. The FAP, FAA Form, PLS, and contact information for the hospital facility's financial counselors are prominently and conspicuously posted on the filing organization's hospital facility's website. The website indicates that a copy of the FAP, FAA Form, and PLS is available and how to obtain such copies in the primary languages of any populations with limited proficiency in English that constitute the lesser of 1,000 individuals or 5% of the members of the community served by the hospital facility (referred to below as LEP defined populations). Signage is displayed in public locations of the filing organization's hospital facility, including at all points of admission and registration and the Emergency Department. The signage contains the hospital facility's website address where the FAP, FAA Form, and PLS can be accessed and the telephone number and physical location that individuals can call or visit to obtain copies of the FAP, FAA Form and PLS or to obtain more information about the hospital facility's FAP, FAA Form and PLS. Paper copies of the hospital facility's FAP, FAA Form and PLS are available upon request and without charge, both in public locations in the hospital facility and by mail. Paper copies are made available in English and in the primary languages of any LEP defined populations. The filing organization's hospital facility's financial counselors seek to provide personal financial counseling to all individuals admitted to the hospital facility who are classified as self-pay during the course of their hospital stay or at time of discharge to explain the FAP and FAA Form and to provide information concerning other sources of assistance that may be available, such as Medicaid. A paper copy of the hospital facility's PLS will be offered to every patient as a part of the intake or discharge process. A conspicuous written notice is included on all billing statements sent to patients that notifies and informs recipients about the availability of financial assistance under the filing organization's financial assistance policy, including the following: 1) the telephone number of the hospital facility's office or department that can provide information about the FAP and the FAA Form; and 2) the website address where copies of the FAP, FAA Form and PLS may be obtained. Reasonable attempts are made to inform individuals about the hospital facility's FAP in all oral communications regarding the amount due for the individual's care. Copies of the PLS are distributed to members of the community in a manner reasonably calculated to reach those members of the community who are most likely to require financial assistance.

Part VI, Line 4:
Florida Hospital Dade City, Inc. d/b/a AdventHealth Dade City (AHDC) is a 120-bed, full-service acute-care facility that provides healthcare services to residents in central and eastern Pasco County. AHDC is the only hospital in Dade City and is located just 39 miles northeast of Tampa. As part of its patient-first focus, AHDC continues to expand its services so that patients and their families can receive unparalleled and compassionate treatment in their own community. During 2021, the Hospital's patient percentage population was made up of the below payors with the remaining percentage of the patients being covered under commercial insurance. In 2021, about 73.4% of the Hospital's in-patients were admitted through the Hospital's Emergency Department. - Medicare Patients 53.8% - Medicaid Patients 16.3% - Self-Pay Patients 5.7% The demographic makeup of the Hospital's community is as follows: - Population 93,227 - Population Over 65 30.61% - Poverty (Below 100% FPL) 17.5% - Unemployment Rate 6.8% - Violent Crime Rate (Per 100,000 Pop.) 295.2 - Pop. Age 25+ with No High School Diploma 16.1% - Uninsured Adults 18.11% - Uninsured Children 5.74% - Food Insecurity Rate 15.2% - Pop. with Low Food Access 25.95%

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 Hospital is a function of ""extending the healing ministry of Christ and embodies the Hospital's commitment to its values and principles. The Hospital commits substantial resources to provide a broad range of services to both the underprivileged as well as the broader community. In addition to the community benefit and community building information provided in Parts I, II and III of this Schedule H, the Hospital captures and reports the benefits provided to its community through faith-based care. Examples of such benefits include the cost associated with chaplaincy care programs and mission peer reviews and mission conferences. During the current year, the Hospital provided $89,407 of benefit with respect to the faith-based and spiritual needs of the community in conjunction with its operation of a community hospital.The Hospital also provides benefits to its community's infrastructure by investing in capital improvements to ensure that facilities and technology provide the best possible care to the community. During the current year, the Hospital expended $3,374,222 in new capital improvements. As a faith-based mission-driven community hospital, the Hospital is continually involved in monitoring its community, identifying unmet health care needs and developing solutions and programs to address those needs. In accordance with its conservative approach to fiscal responsibility, surplus funds of the Hospital are continually being invested in resources that improve the availability and quality of delivery of health care services and programs to its community."

Part VI, Line 6:
The filing organization is a part of a faith-based healthcare system of organizations whose parent is Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). The system is known as AdventHealth. AHSSHC is an organization exempt from federal income tax under IRC Section 501(c)(3). AHSSHC and its subsidiary organizations operate 48 hospitals throughout the U.S., primarily in the Southeastern portion of the U.S. AHSSHC and its subsidiaries also operate 10 nursing home facilities and other ancillary health care provider facilities, such as ambulatory surgery centers and diagnostic imaging centers. As the parent organization of AdventHealth, AHSSHC provides executive leadership and other professional support services to its subsidiary organizations. Professional support services include among others IT, corporate compliance, legal, reimbursement, risk management, and tax as well as treasury functions. Certain support services, such as human resources, payroll, A/P, and supply chain management are provided pursuant to a shared services model by AHSSHC to its subsidiary organizations. The provision of these executive and support services on a centralized basis by AHSSHC provides an appropriate balance between providing each AdventHealth subsidiary hospital organization with mission-driven consistent leadership and support while allowing the hospital organization to focus its resources on meeting the specific health care needs of the community it serves. The reader of this Form 990 should keep in mind that this reporting entity may differ in certain areas from that of a stand-alone hospital organization due to its inclusion in a larger system of healthcare organizations. As a part of a system of hospital and other health care organizations, the filing organization benefits from reduced costs due to system efficiencies, such as large group purchasing discounts, and the availability of internal resources such as internal legal counsel. Each AdventHealth subsidiary pays a management fee to AHSSHC for the internal services provided by AHSSHC. As a result, management fee expense reported by an AdventHealth subsidiary organization may appear greater in relation to management fee expense that may be reported by a single stand-alone hospital. The single stand-alone hospital would likely report costs associated with management and other professional services on various expense line items in its statement of revenue and expense as opposed to reporting such costs in one overall management fee expense. As the reporting of the Form 990 is done on an entity by entity basis, there is no single Form 990 that captures the programs and operations of AdventHealth as a whole. The reader is directed to visit the web-site of AdventHealth at www.adventhealth.com to learn more about the mission and operations of AdventHealth.