2021-08-16T15:30:17-05:00 2020-09-30 592425904 OLIVARI & ASSOCIATES CPA'S 141 SAGE BRUSH TRAIL SUITE D ORMOND BEACH FL 32174 990 2019-10-01 842569909 MEDICAL CENTER OF DELTONA INC MEDI 3864256000 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 LISA TYLER CORPORATE CONTROLLER 3864256000 2021-08-12 true JOHNNY SVAJKO CPA P00201386 3866720775 2021-08-16 2019 2022-09-23 18:48:47Z JEFF FEASEL 303 N CLYDE MORRIS BLVE DAYTONA BEACH FL 32114 15059690 false X X FL THE CORPORATION IS FORMED FOR THE SPECIFIC PURPOSE OF ESTABLISHING, OWNING, AND OPERATING, A HOSPITAL IN DELTONA, FLORIDA TO PROVIDE HEALTH SERVICES. 8 8 0 0 0 11364329 3652383 42978 15059690 0 0 8410843 0 0 21232654 29643497 -14583807 261763888 264347695 -2583807 THE CORPORATION IS FORMED FOR THE SPECIFIC PURPOSE OF ESTABLISHING, OWNING, AND OPERATING, A HOSPITAL IN DELTONA, FLORIDA TO PROVIDE HEALTH SERVICES. false false 29124170 11364329 OWNING 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. 29124170 true false false false false false false false false false true false false false true false true true false false false false false false false false true true false false true true false false false false false false false true false true false false false false false true false false false true 0 0 0 false false false false false false false false X 8 8 false true false false false false false true true false true true true true true true true true true false false X X LISA TYLER 3864256000 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 X JEFF FEASEL CEO 1.00 40.00 X X 0 619523 17595 ANDREA KURAK DIRECTOR 1.00 X 0 0 0 STEPHEN VEIL DIRECTOR 1.00 X 0 0 0 RAFAEL RAMIREZ DIRECTOR 1.00 X 0 0 0 JIM KELLY DIRECTOR 1.00 X 0 0 0 PARKER GIBBS DIRECTOR 1.00 X 0 0 0 RANDY JENKINS DIRECTOR 1.00 X 0 0 0 MICHELLE LOSSIUS DIRECTOR 1.00 X 0 0 0 619523 17595 false true false ATHENA HEALTH INC PO BOX 415615 BOSTON MA 022415615 CONTRACT SVCS 5904429 FLORIDA CLINICAL PRACTICE PO BOX 100354 GAINESVILLE FL 32610 CLINICAL 3766599 MCKESSON PHARMACEUTICAL 4636 SOUTHRIDGE BLVD MEMPHIS TN 38141 PHARMACEUTICALS 830419 QUEST DIAGNOSTICS INC PO BOX 822557 PHILADELPHIA PA 19182 LAB WORK 663732 MEDLINE INDUSTRIES 5255 FULTON INDUSTRIAL BLVD ATLANTA GA 30336 SUPPLIES 609448 15 HOSPITAL PATIENT REVENUE 11364329 11364329 11364329 3652383 3652383 OTHER REVENUE 42978 42978 42978 15059690 11407307 3652383 7202455 7202455 101827 101827 654206 654206 452355 452355 11900 11900 96900 96900 2465795 2465795 224040 224040 32719 32719 396136 396136 11391225 11391225 8217 8217 538366 538366 568180 568180 153768 153768 AFFILIATE ALLOCATION 1928347 1928347 MEDICAL SUPPLIES 1815909 1815909 OTHER SUPPLIES 539139 539139 OTHER 353300 353300 708713 708713 29643497 29124170 519327 0 13658971 2697623 825515 121252778 5470061 115782717 128799062 0 261763888 3798328 123055000 123055000 14439367 0 264347695 X -2583807 0 -2583807 0 261763888 X -14583807 12000000 X false true X true false X 5880881 5880881 92570254 1542838 91027416 190020 96531 93489 21393623 3830692 17562931 1218000 1218000 115782717 PAYABLE TO SHANDS 12000000 OTHER CURRENT LIABILITIES 2020430 DUE TO AFFILIATES 418937 14439367 15059690 15059690 15059690 29643497 29643497 29643497 true true X false false true true false false false true true 1 1 MEDICAL CENTER OF DELTONA INC 3300 HALIFAX CROSSING DELTONA FL 32725 HALIFAXHEALTH.ORG 1003465097 X X X X X PRIMARY CARE MEDICAL CENTER OF DELTONA INC 1 true true true X X X X 19 false false false false false false true X true true X false true X false true false false FACILITY 1, MEDICAL CENTER OF DELTONA INC. - PART V, LINE 2 CONSTRUCTION OF THE MEDICAL CENTER OF DELTONA WAS COMPLETED AND OPERATIONAL IN FEBRUARY 2020. FACILITY 1, MEDICAL CENTER OF DELTONA INC. - PART V, LINE 13H SEE ATTACHED CHARITY SUPPORT POLICY USED BY MCD FOR GUIDANCE IN DETERMINING FREE AND DISCOUNTED CARE TO ELIGIBLE PATIENTS. SCHEDULE H, PART I, LINE 3C SEE ATTACHED CHARITY SUPPORT POLICY USED BY MCD FOR GUIDANCE IN DETERMINING FREE AND DISCOUNTED CARE TO ELIGIBLE PATIENTS. SCHEDULE H, PART III, LINE 9B MCD 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. false false false false false false false false false JEFF FEASEL CEO 592573 26950 17595 637118 A COUNTY OF VOLUSIA FLORIDA 2019-12-18 123055000 TO FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPING OF A 43 BED GENERAL HOSPITAL LOCATED IN THE C false false false A 123055000 119140000 3915000 2020 false false false true A false false false false false false true A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION COUNTY OF VOLUSIA, FLORIDA TO FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPING OF A 43 BED GENERAL HOSPITAL LOCATED IN THE CITY OF DELTONA, FLORIDA. HALIFAX HOSPITAL MEDICAL CENTER INSTRUMENTALITY false SCHEDULE L, PART V MEDICAL 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. FORM 990, PAGE 6, PART VI, LINE 3 ON 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 11B 990 IS PROVIDED TO CORPORATE CONTROLLER PRIOR TO ITS FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL CORPORATE COMPLIANCE ATTESTATION FORM 990, PAGE 6, PART VI, LINE 15A THE 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 19 UPON REQUEST FORM 990, PART VII IN 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 VII ALL PAYROLL IS PAID THROUGH HALIFAX STAFFING INC. FORM 990, PART XI, LINE 9 CAPITAL CONTRIBUTION 12,000,000 HALIFAX HOSPITAL MEDICAL CENTER 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 596001217 HOSPITAL FL 170B 6 HHMC false false false true false false false false false false false true false false false false true false false false HALIFAX HOSPITAL MEDICAL CENTER C 12000000 CONTRACT AGREEMENT HALIFAX HOSPITAL MEDICAL CENTER K 806000 LEASE CONTRACT HALIFAX HOSPITAL MEDICAL CENTER P 16344573 REIMBURSEMENT OF EXPENSE