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Redmond Park Hospital LLC
Redmond, GA 30161
Bed count | 201 | Medicare provider number | 110168 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 84,542,363 Total amount spent on community benefits as % of operating expenses$ 7,608,545 9.00 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 3,134,093 3.71 %Medicaid as % of operating expenses$ 4,474,452 5.29 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 12,400,224 14.67 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 81018109 including grants of $ 35017) (Revenue $ 67379062) Prior to October 1, 2021, Redmond Park Hospital, LLC (the Company) was a disregarded single-member limited liability company of HTI Hospital Holdings, Inc., an entity owned directly or indirectly by HCA Healthcare, Inc. On October 1, 2021, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization, entered into an Equity Interest Purchase Agreement with HTI Hospital Holdings, Inc. whereby AHSSHC acquired an equity interest in Redmond Park Hospital, LLC. Consistent with Revenue Ruling 99-5, the sale of the membership interest in Redmond Park Hospital, LLC by HTI Hospital Holdings, Inc. is treated as an asset sale for federal income tax purposes. (Continued on Schedule O)The governing documents of Redmond Park Hospital, LLC were amended and restated effective October 1, 2021 to provide that the assets and operations of Redmond Park Hospital, LLC were converted to be consistent with classifying the Company as a 501(c)(3) organization. The Company derives its federal income tax exemption under Internal Revenue Code Section 501(c)(3) as a subordinate organization under the group ruling issued to the General Conference of Seventh-day Adventists. The sole member of the Company is AHSSHC which is the charitable organization parent to the healthcare system known as AdventHealth. Since October 1, 2021, the Company has been operated as an affiliated entity of AdventHealth and its health care operations are part of the system of medical institutions operated in furtherance of the health ministry of the Seventh-day Adventist Church. Redmond Park Hospital, LLC operates a 230-bed general acute-care hospital in Rome, Georgia. From October 1, 2021 to December 31, 2021, the Company admitted 2,967 inpatients, provided 21,356 outpatient visits and incurred 15,788 patient days.
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Facility Information
Redmond Park Hospital, LLC Part V, Section B, Line 2: Prior to October 1, 2021, Redmond Park Hospital, LLC (the Company or the Hospital) was a disregarded single-member limited liability company of HTI Hospital Holdings, Inc., an entity owned directly or indirectly by HCA Healthcare, Inc. On October 1, 2021, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization, entered into an Equity Interest Purchase Agreement with HTI Hospital Holdings, Inc. whereby AHSSHC acquired an equity interest in Redmond Park Hospital, LLC. Consistent with Revenue Ruling 99-5, the sale of the membership interest in Redmond Park Hospital, LLC by HTI Hospital Holdings, Inc. is treated as an asset sale for federal income tax purposes. The purchase price for the assets including closing costs was $644,799,665. The governing documents of Redmond Park Hospital, LLC were amended and restated effective October 1, 2021 to provide that the assets and operations of Redmond Park Hospital, LLC were converted to be consistent with classifying the Company as a 501(c)(3) organization. The Company derives its federal income tax exemption under Internal Revenue Code (IRC) Section 501(c)(3) as a subordinate organization under the group ruling issued to the General Conference of Seventh-day Adventists.
Redmond Park Hospital, LLC Part V, Section B, Line 13h: Pursuant to the filing organization's 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 16a, 16b, and 16c The Financial Assistance Policy can be found at URL:https://www.adventhealth.com/legal/financial-assistanceThe Financial Assistance Policy application can be found at:https://www.adventhealth.com/legal/financial-assistanceThe plain language summary is available at:https://www.adventhealth.com/legal/financial-assistance
Part V, Section B, Line 22: Persons eligible under the filing organization's Financial Assistance Policy (FAP) are provided a 100% reduction in total charges for emergency and other medically necessary care. Accordingly, no amounts are charged to FAP-eligible individuals for emergency and other medically necessary care. The filing organization will use a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers to determine amounts generally billed for its first 12-month taxable year ended December 31, 2022.
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Supplemental Information
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: Prior to October 1, 2021, Redmond Park Hospital, LLC (the Company or the Hospital) was a disregarded single-member limited liability company of HTI Hospital Holdings, Inc., an entity owned directly or indirectly by HCA Healthcare, Inc. On October 1, 2021, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization, entered into an Equity Interest Purchase Agreement with HTI Hospital Holdings, Inc. whereby AHSSHC acquired an equity interest in Redmond Park Hospital, LLC. Consistent with Revenue Ruling 99-5, the sale of the membership interest in Redmond Park Hospital, LLC by HTI Hospital Holdings, Inc. is treated as an asset sale for federal income tax purposes. The governing documents of Redmond Park Hospital, LLC were amended and restated effective October 1, 2021 to provide that the assets and operations of Redmond Park Hospital, LLC were converted to be consistent with classifying the Company as a 501(c)(3) organization. The Company derives its federal income tax exemption under Internal Revenue Code (IRC) Section 501(c)(3) as a subordinate organization under the group ruling issued to the General Conference of Seventh-day Adventists. There is insufficient information available for the period from October 1, 2021 to December 31, 2021 to determine the estimated amount of bad debt expense attributable to patients eligible under the Hospital's financial assistance policy. Accordingly, the Hospital has reported zero for Schedule H, Part III, Line 3.
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 short tax year.The applicable footnote from the attached consolidated audited financial statements that addresses accounts receivable, the allowance for uncollectible accounts, and the provision for bad debts can be found on pages 8 and 9. Please note that dollar amounts on the attached consolidated audited financial statements are in thousands.
Part III, Line 9b: The hospital filing organization's collection practices are in conformity with the requirements set forth in the 2014 Final Regulations regarding the requirements of Internal Revenue Code Section 501(r)(4) - (r)(6). No extraordinary collection actions (ECA's) are initiated by the hospital filing organization in the 120-day period following the date after the first post-discharge billing statement is sent to the individual (or, if later, the specified deadline given in a written notice of actions that may be taken, as described below). Individuals are provided with at least one written notice (notice of actions that may be taken) and a copy of the filing organization's Plain Language Summary of the Financial Assistance Policy that informs the individual that the hospital filing organization may take actions to report adverse information to credit reporting agencies/bureaus if the individual does not submit a Financial Assistance Application Form (FAA Form) or pay the amount due by a specified deadline. The specified deadline is not earlier than 120 days after the first post-discharge billing statement is sent to the individual and is at least 30 days after the notice is provided. A reasonable attempt is also made to orally notify an individual about the filing organization's Financial Assistance Policy and how the individual may obtain assistance with the Financial Assistance application process. If an individual submits an incomplete FAA Form during the 240-day period following the date on which the first post-discharge billing statement was sent to the individual, the hospital filing organization suspends any reporting to consumer credit reporting agencies/bureaus (or ceases any other ECA's) and provides a written notice to the individual describing what additional information or documentation is needed to complete the FAA Form. This written notice contains contact information including the telephone number and physical location of the hospital facility's office or department that can provide information about the Financial Assistance Policy, as well as contact information of the hospital facility's office or department that can provide assistance with the financial assistance application process or, alternatively, a nonprofit organization or governmental agency that can provide assistance with the financial assistance application process if the hospital facility is unable to do so. If an individual submits a complete FAA Form within a reasonable time-period as set forth in the notice described above, the hospital filing organization will suspend any adverse reporting to consumer credit reporting agencies/bureaus until a financial assistance policy eligibility determination can be made.
Part VI, Line 7, List of States Receiving Community Benefit Report: The filing organization does not file an annual community benefit report with any state agencies.
Part III, Section B: Prior to October 1, 2021, Redmond Park Hospital, LLC (the Company or the Hospital) was a disregarded single-member limited liability company of HTI Hospital Holdings, Inc., an entity owned directly or indirectly by HCA Healthcare, Inc. On October 1, 2021, Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), a 501(c)(3) organization, entered into an Equity Interest Purchase Agreement with HTI Hospital Holdings, Inc. whereby AHSSHC acquired an equity interest in Redmond Park Hospital, LLC. Consistent with Revenue Ruling 99-5, the sale of the membership interest in Redmond Park Hospital, LLC by HTI Hospital Holdings, Inc. is treated as an asset sale for federal income tax purposes. The governing documents of Redmond Park Hospital, LLC were amended and restated effective October 1, 2021 to provide that the assets and operations of Redmond Park Hospital, LLC were converted to be consistent with classifying the Company as a 501(c)(3) organization. The Company derives its federal income tax exemption under Internal Revenue Code (IRC) Section 501(c)(3) as a subordinate organization under the group ruling issued to the General Conference of Seventh-day Adventists. The Hospital files its Medicare Cost Report utilizing a June 30 year end. As this Form 990 only covers the short tax year for the period from October 1, 2021 to December 31, 2021, there is no applicable Medicare Cost Report available to complete Section B of Part III of Schedule H.
Part VI, Line 2: The Hospital will conduct community health needs assessments (CHNA) that comply with the guidance set forth by the IRS in Final Regulation Section 1.501(r)-3. The Hospital also has instituted a number of practices and processes 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: The filing organization (the Hospital) is located in Rome, Georgia, and is licensed for 230 beds. It is a crucial community asset for all of Northwest Georgia and parts of Alabama. Redmond Park Hospital, LLC provides the following services: - Cancer Care - Cardiovascular Care - Diabetes Care - Digestive Care - Emergency Care - Imaging Services - Neurology Care - Occupational Health Services - Orthopedic Care - Robotics and Innovation - Sports Medicine and Rehab Care - Surgical Care - Women's Care - Wound Care From October 1, 2021 to December 31, 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. From October 1 to December 31, 2021, about 78.6% of the Hospital's in-patients were admitted through the Hospital's Emergency Department. - Medicare Patients 60.0% - Medicaid Patients 7.9% - Self-Pay Patients 8.2% The demographic makeup of the Hospital's community is as follows: - Population 396,371 - Population Over 65 15.95% - Poverty 16.05% - Pop. with No High School Diploma 18.61% - Uninsured 24.34% - Food Insecurity Rate 16.60% - Pop. with Low Food Access 39.33%
Part VI, Line 5: "The provision of community benefit is central to Redmond Park Hospital'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 short tax year, the Hospital provided $37,016 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 short tax year, the Hospital expended $14,957,005 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 website of AdventHealth at www.adventhealth.com to learn more about the mission and operations of AdventHealth.