Missouri Adventist Health Inc

“Missouri adventist health, inc. (the filing organization) has one member. The sole member of the filing organization is adventist health mid-america. Adventist health mid-america is a kansas, not-for-profit corporation that is exempt from federal income tax under internal revenue code (irc) section 501(c)(3). There are no other classes of membership in the filing organization.”

“The sole member of the filing organization is adventist health mid-america, inc.(ahma) the board of directors of the filing organization are appointed by the sole member, ahma, who has the right to elect, appoint or remove any member of the board of directors of the filing organization.”

“Ahma, as the sole member of the filing organization, has certain reserved powers as set forth in the bylaws of the filing organization. These reserved powers include the following: a) to appoint and remove the directors and all officers and administrators of the filing organization; b) to adopt, amend, restate, and repeal the articles of incorporation of bylaws of the filing organization.”

“The filing organization's current year form 990 was reviewed by the ceo and cfo prior to its filing with the irs. The review conducted by the ceo and cfo did not include the review of any supporting workpapers that were used in preparation of the current year form 990, but did include a review of the entire form 990 and all supporting schedules.”

“The conflict of interest policy of the filing organization applies to members of its board of directors and its principal officers (to be known as interested persons). In connection with any actual or possible conflicts of interest, any member of the board of directors of the filing organization or any principal officer of the filing organization (i.e. Interested persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the board of directors of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant board member or principal officer, the remaining members of the board of directors or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's conflict of interest policy, an interested person may make a presentation to the board of directors (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each interested person, as defined under the filing organization's conflict of interest policy, shall annually sign a statement which affirms that such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's conflict of interest policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.”

“The filing organization's ceo, other officers and key employees are not compensated by the filing organization. Such individuals are compensated by the related top-tier parent organization of the filing organization. Please see the discussion concerning the process followed by the related top-tier parent organization in determining executive compensation in our response to schedule j, line 3.”

“The filing organization is a part of the system of healthcare organizations known as adventhealth. The audited consolidated financial statements of adventhealth and of the adventhealth "obligated group" are filed annually with the municipal securities rulemaking board (msrb). The "obligated group" is a group of ahsshc subsidiaries that are jointly and severally liable under a master trust indenture that secures debt primarily issued on a tax-exempt basis. Unaudited quarterly financial statements prepared in accordance with generally accepted accounting principles (gaap) are also filed with msrb for adventhealth on a consolidated basis and for the grouping of adventhealth subsidiaries comprising the "obligated group". The filing organization does not generally make its governing documents or conflict of interest policy available to the public.”

“For those board of director members and officer(s) who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (b) on page 7 of the return) the compensation amounts shown in columns (e) and (f) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of adventist health system sunbelt healthcare corporation.”

“This form 990 for missouri adventist health, inc. Is being amended to indicate that the 2021 form 990 is a final return. Due to an administrative error, it was not discovered until late in 2022, after filing the 2021 form 990, that the entity had been administratively dissolved by the missouri secretary of state effective 12/12/2019. Therefore, for full transparency, we have now indicated "yes" on part iv, #31 and completed schedule n, liquidation, termination, dissolution or significant disposition of assets, part i to clearly reflect that the entity had no assets before its administrative dissolution.”

“Although the taxpayer is not required to undergo an audit as set forth in the single audit act and omb circular a-133, the taxpayer is part of a controlled group of organizations that comprise a consolidated financial statement audit. The controlled group's parent is adventist health system sunbelt healthcare corporation (ahsshc), a 501(c)(3) organization. The system of healthcare entities owned and controlled by ahsshc is known as adventhealth. For the year ended december 31, 2021, adventhealth will file a consolidated single audit which will include all entities that are part of the controlled group. Accordingly, the taxpayer has checked yes to the questions on part xii, line 3a and 3b.”