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MEDICAL CENTER OF DELTONA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MEDICAL CENTER OF DELTONA INC (EIN 84-2569909)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202122289349303622
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-16T15:30:17-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592425904PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1OLIVARI & ASSOCIATES CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1141 SAGE BRUSH TRAIL SUITE DAddressLine1Txt
CityORMOND BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32174ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN842569909EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER OF DELTONA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMEDIBusinessNameControlTxt
Phone3864256000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 N CLYDE MORRIS BLVDAddressLine1Txt
CityDAYTONA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA TYLERPersonNm
Person TitleCORPORATE CONTROLLERPersonTitleTxt
Phone3864256000PhoneNum
Signature2021-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHNNY SVAJKO CPAPreparerPersonNm
PTINP00201386PTIN
Phone3866720775PhoneNum
Preparation2021-08-16PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF FEASELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 N CLYDE MORRIS BLVEAddressLine1Txt
CityDAYTONA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,059,690GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS FORMED FOR THE SPECIFIC PURPOSE OF ESTABLISHING, OWNING, AND OPERATING, A HOSPITAL IN DELTONA, FLORIDA TO PROVIDE HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$11,364,329CYProgramServiceRevenueAmt
CY Investment Income$3,652,383CYInvestmentIncomeAmt
CY Other Revenue$42,978CYOtherRevenueAmt
CY Total Revenue$15,059,690CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$8,410,843CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
CY Other Expenses$21,232,654CYOtherExpensesAmt
CY Total Expenses$29,643,497CYTotalExpensesAmt
CY Revenues Less Expenses-$14,583,807CYRevenuesLessExpensesAmt
Total Assets EOY$261,763,888TotalAssetsEOYAmt
Total Liabilities EOY$264,347,695TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY-$2,583,807NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION IS FORMED FOR THE SPECIFIC PURPOSE OF ESTABLISHING, OWNING, AND OPERATING, A HOSPITAL IN DELTONA, FLORIDA TO PROVIDE HEALTH SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,124,170ExpenseAmt
Revenue$11,364,329RevenueAmt
DescOWNING AND OPERATING A HOSPITAL IN DELTONA, FLORIDA IN ORDER TO PROVIDE THAT COMMUNITY WITH A HOSPITAL AND HIGH-QUALITY MEDICAL CARE - ALL IN FURTHERANCE OF HALIFAX HEALTH'S MISSION OF PROVIDING HEALTH CARE TO THE PUBLIC.Desc
Total Program Service Expenses$29,124,170TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLISA TYLERPersonNm
Phone3864256000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 N CLYDE MORRIS BLVDAddressLine1Txt
CityDAYTONA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32114ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFF FEASEL
CEO1.0040.00Yes (X)Yes (X)$0$619,523$17,595
ANDREA KURAK
DIRECTOR1.00Yes (X)$0$0$0
STEPHEN VEIL
DIRECTOR1.00Yes (X)$0$0$0
RAFAEL RAMIREZ
DIRECTOR1.00Yes (X)$0$0$0
JIM KELLY
DIRECTOR1.00Yes (X)$0$0$0
PARKER GIBBS
DIRECTOR1.00Yes (X)$0$0$0
RANDY JENKINS
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE LOSSIUS
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$619,523TotReportableCompRltdOrgAmt
Total Other Compensation$17,595TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATHENA HEALTH INC
PO BOX 415615BOSTONMA022415615CONTRACT SVCS$5,904,429
FLORIDA CLINICAL PRACTICE
PO BOX 100354GAINESVILLEFL32610CLINICAL$3,766,599
MCKESSON PHARMACEUTICAL
4636 SOUTHRIDGE BLVDMEMPHISTN38141PHARMACEUTICALS$830,419
QUEST DIAGNOSTICS INC
PO BOX 822557PHILADELPHIAPA19182LAB WORK$663,732
MEDLINE INDUSTRIES
5255 FULTON INDUSTRIAL BLVDATLANTAGA30336SUPPLIES$609,448
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOSPITAL PATIENT REVENUEDesc
Total Revenue Column$11,364,329TotalRevenueColumnAmt
Related Or Exempt Func Income$11,364,329RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,364,329TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,652,383TotalRevenueColumnAmt
Exclusion$3,652,383ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$42,978TotalRevenueColumnAmt
Related Or Exempt Func Income$42,978RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$42,978OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,059,690TotalRevenueColumnAmt
Related Or Exempt Func Income$11,407,307RelatedOrExemptFuncIncomeAmt
Exclusion$3,652,383ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,202,455TotalAmt
Program Services$7,202,455ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$101,827TotalAmt
Program Services$101,827ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$654,206TotalAmt
Program Services$654,206ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$452,355TotalAmt
Program Services$452,355ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,900TotalAmt
Management And General$11,900ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,900TotalAmt
Management And General$96,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,465,795TotalAmt
Program Services$2,465,795ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$224,040TotalAmt
Management And General$224,040ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,719TotalAmt
Management And General$32,719ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$396,136TotalAmt
Program Services$396,136ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,391,225TotalAmt
Program Services$11,391,225ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,217TotalAmt
Program Services$8,217ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$538,366TotalAmt
Program Services$538,366ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$568,180TotalAmt
Program Services$568,180ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$153,768TotalAmt
Management And General$153,768ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
AFFILIATE ALLOCATION$1,928,347$1,928,347
MEDICAL SUPPLIES$1,815,909$1,815,909
OTHER SUPPLIES$539,139$539,139
OTHER$353,300$353,300

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$708,713TotalAmt
Program Services$708,713ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,643,497TotalAmt
Program Services$29,124,170ProgramServicesAmt
Management And General$519,327ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$13,658,971EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$2,697,623EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$825,515EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$121,252,778LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,470,061LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$115,782,717EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$128,799,062EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$261,763,888EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$3,798,328EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$123,055,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$123,055,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$14,439,367EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$264,347,695EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY-$2,583,807EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY-$2,583,807EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$261,763,888EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$14,583,807ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$12,000,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,880,881OtherCostOrOtherBasisAmt
Book Value$5,880,881BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$92,570,254InvestmentCostOrOtherBasisAmt
Depreciation$1,542,838DepreciationAmt
Book Value$91,027,416BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$190,020InvestmentCostOrOtherBasisAmt
Depreciation$96,531DepreciationAmt
Book Value$93,489BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$21,393,623InvestmentCostOrOtherBasisAmt
Depreciation$3,830,692DepreciationAmt
Book Value$17,562,931BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,218,000InvestmentCostOrOtherBasisAmt
Book Value$1,218,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$115,782,717TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PAYABLE TO SHANDS$12,000,000
OTHER CURRENT LIABILITIES$2,020,430
DUE TO AFFILIATES$418,937
FieldValueIRS element (for citing)
Total Liability$14,439,367TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,059,690TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$15,059,690RevenueSubtotalAmt
Total Revenue Per Form990$15,059,690TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,643,497TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$29,643,497ExpensesSubtotalAmt
Total Expenses Per Form990$29,643,497TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER OF DELTONA INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 HALIFAX CROSSINGAddressLine1Txt
CityDELTONACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32725ZIPCd
FieldValueIRS element (for citing)
Website AddressHALIFAXHEALTH.ORGWebsiteAddressTxt
State License1003465097StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPRIMARY CAREOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL CENTER OF DELTONA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputfalseTakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailablefalseCHNAReportWidelyAvailableInd
Implementation Strategy AdoptfalseImplementationStrategyAdoptInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Includes Publicity MeasuresfalseIncludesPublicityMeasuresInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MEDICAL CENTER OF DELTONA INC. - PART V, LINE 2CONSTRUCTION OF THE MEDICAL CENTER OF DELTONA WAS COMPLETED AND OPERATIONAL IN FEBRUARY 2020.
FACILITY 1, MEDICAL CENTER OF DELTONA INC. - PART V, LINE 13HSEE ATTACHED CHARITY SUPPORT POLICY USED BY MCD FOR GUIDANCE IN DETERMINING FREE AND DISCOUNTED CARE TO ELIGIBLE PATIENTS.

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CSEE ATTACHED CHARITY SUPPORT POLICY USED BY MCD FOR GUIDANCE IN DETERMINING FREE AND DISCOUNTED CARE TO ELIGIBLE PATIENTS.
SCHEDULE H, PART III, LINE 9BMCD UTILIZES PERCENTAGES OF THE FEDERAL POVERTY INCOME LEVELS AS WELL AS THE RELATIONSHIP BETWEEN CHARGES AND THE PATIENTS INCOME TO COVER SERVICES IN FULL OR DISCOUNTED BASED ON INCOME AND A SLIDING SCALE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJEFF FEASELPersonNm
TitleCEOTitleTxt
Compensation Based On Rltd Orgs$592,573CompensationBasedOnRltdOrgsAmt
Other Compensation Rltd Orgs$26,950OtherCompensationRltdOrgsAmt
Deferred Comp Rltd Orgs$17,595DeferredCompRltdOrgsAmt
Total Compensation Rltd Orgs$637,118TotalCompensationRltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF VOLUSIA FLORIDABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2019-12-18BondIssuedDt
Issue Price$123,055,000IssuePriceAmt
PurposeTO FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPING OF A 43 BED GENERAL HOSPITAL LOCATED IN THE CPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$123,055,000TotalProceedsAmt
Capital Expenditures$119,140,000CapitalExpendituresAmt
Unspent$3,915,000UnspentAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePURPOSE OF ISSUE DESCRIPTIONFormAndLineReferenceDesc
ExplanationCOUNTY OF VOLUSIA, FLORIDA TO FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPING OF A 43 BED GENERAL HOSPITAL LOCATED IN THE CITY OF DELTONA, FLORIDA.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonHALIFAX HOSPITAL MEDICAL CENTERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionINSTRUMENTALITYRelationshipDescriptionTxt
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationMEDICAL CENTER OF DELTONA INC (MCD) IS AN INSTRUMENTALITY OF HALIFAX HOSPITAL MEDICAL CENTER (AKA HALIFAX HEALTH) WHICH IS A SPECIAL TAXING DISTRICT OF THE STATE OF FLORIDA. MEDICAL CENTER OF DELTONA INC WAS FORMED IN ACCORDANCE WITH THE MISSION OF HALIFAX HEALTH TO PROVIDE HEALTH CARE TO THE PUBLIC. HALIFAX STAFFING INC (A SUPPORTING ORGANIZATION FOR HALIFAX HEALTH) PROVIDES PAYROLL SERVICES FOR MCD WHICH DOES NOT HAVE ITS OWN PAYROLL. MCD SUBLEASES SPACE ON LAND OWNED BY HALIFAX MANAGEMENT SYSTEMS (A SUPPORTING ORGANIZATION OF HALIFAX HEALTH) FOR APPROXIMATELY 158,000 FOR THE YEAR. MCD ENTERED INTO A SUBLEASE WITH HALIFAX HEALTH FOR ADJACENT SPACE THAT CONTAINS THE FREE STANDING EMBERGENCY DEPARTMENT FOR APPROXIMATELY 806,000 FOR THE YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 3ON DECEMBER 17, 2019, MCD ENTERED INTO A MANAGEMENT SERVICES, GOVERNANCE, AND CONTRIBUTION AGREEMENT (AGREEMENT) WITH HALIFAX, HMS, AND HOSPICE, AS WELL AS SHANDS TEACHING HOSPITAL AND CLINICS, INC (SHANDS)
FORM 990, PAGE 6, PART VI, LINE 11B990 IS PROVIDED TO CORPORATE CONTROLLER PRIOR TO ITS FILING.
FORM 990, PAGE 6, PART VI, LINE 12CANNUAL CORPORATE COMPLIANCE ATTESTATION
FORM 990, PAGE 6, PART VI, LINE 15ATHE CEO IS COMPENSATED THROUGH HALIFAX HOSPITAL MEDICAL CENTER, IN ACCORDANCE WITH ITS POLICIES AND PROCEDURES. PER THE BYLAWS OF MEDICAL CENTER OF DELTONA INC. - NO MEMBER OF THE BOARD OF DIRECTORS SHALL RECEIVE ANY COMPENSATION FROM THE CORPORATION FOR THE PERFORMANCE OF THEIR DUTIES, BUT SHALL BE REIMBURSED FOR THEIR EXPENSES INCURED IN THE PERFORMANCE OF THEIR DUTIES AS DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST
FORM 990, PART VIIIN ADDITION TO HIS ANNUAL COMPENSATION, MR. FEASEL RECEIVED A DISTRIBUTION FROM HIS ACCRUED RETIREMENT ACCOUNT IN THE AMOUNT OF 5,484,144 THAT WAS REPORTED AS WAGES ON HIS 2019 W-2.
FORM 990, PAGE 7, PART VIIALL PAYROLL IS PAID THROUGH HALIFAX STAFFING INC.
FORM 990, PART XI, LINE 9CAPITAL CONTRIBUTION 12,000,000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HALIFAX HOSPITAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 N CLYDE MORRIS BLVDAddressLine1Txt
CityDAYTONA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32114ZIPCd
FieldValueIRS element (for citing)
EIN596001217EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section170BExemptCodeSectionTxt
Public Charity Status6PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HHMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HALIFAX HOSPITAL MEDICAL CENTER
C$12,000,000CONTRACT AGREEMENT
HALIFAX HOSPITAL MEDICAL CENTER
K$806,000LEASE CONTRACT
HALIFAX HOSPITAL MEDICAL CENTER
P$16,344,573REIMBURSEMENT OF EXPENSE