LEESBURG REGIONAL MEDICAL CENTER INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LEESBURG REGIONAL MEDICAL CENTER INC (EIN 59-0878982)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202131379349303718
- Schema version
- 2019v5.2
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T11:57:16-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590878982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEESBURG REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEES | BusinessNameControlTxt |
| Phone | 3523235676 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANE HARDEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3523235002 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UF HEALTH LEESBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DON HENDERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $255,277,302 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEESBURGREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2194 | TotalEmployeeCnt |
| Total Volunteers | 171 | TotalVolunteersCnt |
| Total Gross UBI | $1,045,599 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $775,598 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,743,782 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $235,793,662 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $239,546,285 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,119,485 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,387,853 | CYInvestmentIncomeAmt |
| PY Other Revenue | $554,002 | PYOtherRevenueAmt |
| CY Other Revenue | $2,569,254 | CYOtherRevenueAmt |
| PY Total Revenue | $242,242,747 | PYTotalRevenueAmt |
| CY Total Revenue | $255,247,174 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $42,668 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $59,128 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $103,872,689 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $108,645,328 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $128,800,601 | PYOtherExpensesAmt |
| CY Other Expenses | $133,755,785 | CYOtherExpensesAmt |
| PY Total Expenses | $232,715,958 | PYTotalExpensesAmt |
| CY Total Expenses | $242,460,241 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,526,789 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,786,933 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $364,950,412 | TotalAssetsBOYAmt |
| Total Assets EOY | $413,507,047 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $78,740,870 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $116,863,181 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $286,209,542 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $296,643,866 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $222,137,376 | ExpenseAmt |
| Grant | $59,128 | GrantAmt |
| Revenue | $240,595,461 | RevenueAmt |
| Desc | LEESBURG REGIONAL MEDICAL CENTER, INC, D/B/A UF HEALTH LEESBURG HOSPITAL, ACQUIRED BY UNIVERSITY OF FLORIDA HEALTH IN JANUARY 2020 HAS BEEN SERVING THE HEALTH CARE NEEDS OF THE LEESBURG COMMUNITY FOR 57 YEARS. THE 351-BED ACUTE CARE HOSPITAL IS LAKE COUNTY'S LARGEST TERTIARY CARE HOSPITAL AND OFFERS ADVANCED CARDIAC CARE WHICH INCLUDES ONE OF THE LARGEST OPEN-HEART PROGRAMS IN FLORIDA AT ITS HEART INSTITUTE. THE HEART INSTITUTE IS PIONEERING MANY GROUNDBREAKING PROCEDURES SUCH AS MINIMALLY-INVASIVE HEART VALVE SURGERY. THE AMERICAN COLLEGE OF CARDIOLOGY HAS RECOGNIZED UF HEALTH LEESBURG HOSPITAL FOR ITS DEMONSTRATED EXPERTISE AND COMMITMENT IN TREATING PATIENTS WITH CHEST PAIN BY AWARDING A CHEST PAIN CENTER ACCREDITATION WITH PRIMARY PCI AND RESUSCITATION - ITS HIGHEST LEVEL OF ACCREDITATION. THE HOSPITAL ALSO OFFERS ADVANCED ORTHOPEDIC CARE AT ITS DEDICATED INPATIENT JOINT CENTER, NEUROSURGERY, STROKE CARE, DIAGNOSTIC LABORATORY SERVICES, AND NATIONALLY-RECOGNIZED CANCER CARE. | Desc |
| Total Program Service Expenses | $222,137,376 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 107 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2194 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANE HARDEN CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3523235002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E DIXIE AVE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (51 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD JIMENEZ | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,501,817 | $41,257 | ||
| DAVID NELSON MD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,345,265 | $35,407 | ||
| W KENT FUCHS PHD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 49.50 | Yes (X) | $0 | $1,126,843 | $91,368 | |||
| DONALD HENDERSON | |||||||||
| PRESIDENT/CEO CENTRAL FLORIDA HEALTH, INC. | 30.00 | 20.00 | Yes (X) | $837,714 | $0 | $129,974 | |||
| GILBERT UPCHURCH MD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 49.50 | Yes (X) | $0 | $802,835 | $36,481 | |||
| C PARKER GIBBS MD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 1.00 | 49.00 | Yes (X) | $0 | $758,673 | $43,447 | |||
| JAMES KELLY JR | |||||||||
| SVP/CFO/TREASURER, SHANDS | 1.00 | 49.00 | Yes (X) | $0 | $750,266 | $36,281 | |||
| LI-MING SU MD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 49.50 | Yes (X) | $0 | $710,917 | $45,822 | |||
| JOSEPH TYNDALL MD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 49.50 | Yes (X) | $0 | $648,437 | $38,945 | |||
| DIANE HARDEN | |||||||||
| SVP/CFO CENTRAL FLORIDA HEALTH, INC. | 30.00 | 20.00 | Yes (X) | $506,190 | $0 | $79,974 | |||
| RANDALL JENKINS | |||||||||
| SVP AND GEN. COUNS./SECRETARY | 1.00 | 49.00 | Yes (X) | $0 | $535,898 | $32,228 | |||
| JULIE JOHNSON PHARMD | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 49.50 | Yes (X) | $0 | $488,522 | $45,003 | |||
| SAMUEL BUNDZ | |||||||||
| PHYSICIAN | 50.00 | $431,545 | $0 | $42,493 | Yes (X) | ||||
| WILLIAM PFINGSTEN | |||||||||
| VP AMBULATORY SERVICES | 30.00 | 20.00 | $406,676 | $0 | $42,266 | Yes (X) | |||
| PHYLLIS BAUM | |||||||||
| VP/CQO | 30.00 | 20.00 | $381,955 | $0 | $64,413 | Yes (X) | |||
| MICHAEL MCKEE | |||||||||
| DIRECTOR (1/1/20 THROUGH 4/29/20) | 0.50 | 49.50 | Yes (X) | $0 | $336,541 | $104,334 | |||
| ORLANDO ICAZA | |||||||||
| PHYSICIAN | 50.00 | $364,929 | $0 | $31,738 | Yes (X) | ||||
| DAVID RIZZUTO | |||||||||
| PHYSICIAN | 50.00 | $362,810 | $0 | $31,617 | Yes (X) | ||||
| AMIE RICHASON | |||||||||
| VP HUMAN RESOURCES | 30.00 | 20.00 | Yes (X) | $324,091 | $0 | $69,209 | |||
| DAVID STEELE | |||||||||
| VP/CIO | 30.00 | 20.00 | $322,217 | $0 | $69,110 | Yes (X) | |||
| SUSSANA OH | |||||||||
| PHYSICIAN | 50.00 | $329,106 | $0 | $42,143 | Yes (X) | ||||
| JEFFREY BALTZER | |||||||||
| PHYSICIAN | 50.00 | $333,340 | $0 | $20,417 | Yes (X) | ||||
| JOSHUA FLEMING | |||||||||
| VP/CCO & SITE ADMINSTRATOR | 30.00 | 20.00 | $277,538 | $0 | $68,978 | Yes (X) | |||
| PHILIP BRAUN | |||||||||
| CHIEF COUNSEL | 30.00 | 20.00 | $282,056 | $0 | $59,922 | Yes (X) | |||
| ALEXANDER CHANG | |||||||||
| VP SUPPORT SERVICES | 30.00 | 20.00 | $242,670 | $0 | $63,000 | Yes (X) | |||
| SAAD EHTISHAM | |||||||||
| SVP/COO CENTRAL FLORIDA HEALTH, INC. | 30.00 | 20.00 | Yes (X) | $147,444 | $0 | $11,371 | |||
| AMANDA J WETTSTEIN | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER BRIDGES | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SUSTARSIC MD | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DWARAK R BANALA MD | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE E KAINZ MD | |||||||||
| SECRETARY | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEORGE MCCABE | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY R LEWIS | |||||||||
| TREASURER | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| H MARLENE O'TOOLE | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDSEY M BLAISE | |||||||||
| VICE CHAIRPERSON | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LYNNE S WINKER | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MANUEL ALVARADO MD | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD COLE JR | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT Q WILLIAMS ESQ | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER A BEYERS | |||||||||
| CHAIRPERSON | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL J D'EMIDIO | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAHBAZ A CHEEMA MD | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN WEST | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CAROLYN ROBERTS | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID JASMUND | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| EDMUND BEEBE | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY LEWIS | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JOHN PATTERSON | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MARSHA POWERS | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS KUNTZ | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| TRACY CHAPMAN | |||||||||
| DIRECTOR (BEGINNING 1/1/20) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,550,281 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,006,014 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,377,198 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 99 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TEAMHEALTH ANESTHESIA | |||||
| 7111 FAIRWAY DRIVE SUITE 540 | PALM BEACH GARDEN | FL | 33418 | ANESTHESIA SERVICES | $4,746,540 |
| BERKELEY RESEARCH GROUP LLC | |||||
| 2300 POWELL STREET SUIT 1200 | EMERYVILLE | CA | 94608 | PROFESSIONAL SERVICES | $4,721,692 |
| CARDIOVASCULAR ANESTHESIA CONSULTANTS | |||||
| PO DRAWER 3130 | OCALA | FL | 34478 | ANESTHESIA SERVICES | $1,147,500 |
| LEESBURG CARDIOVASCULAR ASSOCIATES | |||||
| 700 DOCTORS COURT | LEESBURG | FL | 34748 | PROFESSIONAL SERVICES | $1,123,481 |
| COMPREHENSIVE CARE SERVICES INC | |||||
| 31330 SCHOOLCRAFT ROAD SUITE 200 | LIVONIA | MI | 48150 | PROFESSIONAL SERVICES | $1,029,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,743,782 | GovernmentGrantsAmt |
| Total Contributions | $5,743,782 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 621400 | $229,313,919 | $229,313,919 | |
| OTHER OPERATING REVENU | 621400 | $6,116,607 | $6,116,607 | |
| ALLIANCE LABS REVENUE | 621500 | $3,657,191 | $3,070,160 | $587,031 |
| CHILD CARE CENTER | 812900 | $458,568 | $458,568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $239,546,285 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,283,973 | TotalRevenueColumnAmt |
| Exclusion | $7,283,973 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $474,479 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $474,479 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $474,479 | TotalRevenueColumnAmt |
| Exclusion | $474,479 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $134,008 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $30,128 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $103,880 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,880 | TotalRevenueColumnAmt |
| Exclusion | $103,880 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LAKE MEDICAL IMAGING | 900099 | $2,044,433 | $2,044,433 |
| CARDIAC CO MGMT | 900099 | $50,342 | $50,342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,094,775 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $255,247,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,595,461 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,045,599 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,862,332 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,128 | TotalAmt |
| Program Services | $59,128 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,801,104 | TotalAmt |
| Management And General | $3,801,104 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,288,122 | TotalAmt |
| Program Services | $81,110,124 | ProgramServicesAmt |
| Management And General | $4,177,998 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,063,035 | TotalAmt |
| Program Services | $1,721,121 | ProgramServicesAmt |
| Management And General | $341,914 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,408,440 | TotalAmt |
| Program Services | $10,381,680 | ProgramServicesAmt |
| Management And General | $1,026,760 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,084,627 | TotalAmt |
| Program Services | $5,537,011 | ProgramServicesAmt |
| Management And General | $547,616 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,875,168 | TotalAmt |
| Program Services | $1,591,710 | ProgramServicesAmt |
| Management And General | $283,458 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $455,140 | TotalAmt |
| Program Services | $227,570 | ProgramServicesAmt |
| Management And General | $227,570 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,963 | TotalAmt |
| Management And General | $232,963 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,027,009 | TotalAmt |
| Program Services | $5,244,717 | ProgramServicesAmt |
| Management And General | $782,292 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,348,966 | TotalAmt |
| Program Services | $1,112,961 | ProgramServicesAmt |
| Management And General | $236,005 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,676 | TotalAmt |
| Program Services | $409,177 | ProgramServicesAmt |
| Management And General | $151,499 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,727,389 | TotalAmt |
| Program Services | $3,545,542 | ProgramServicesAmt |
| Management And General | $1,181,847 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,942,427 | TotalAmt |
| Program Services | $3,035,669 | ProgramServicesAmt |
| Management And General | $906,758 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,304 | TotalAmt |
| Program Services | $23,530 | ProgramServicesAmt |
| Management And General | $22,774 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,390 | TotalAmt |
| Program Services | $83,222 | ProgramServicesAmt |
| Management And General | $55,168 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,638,763 | TotalAmt |
| Program Services | $1,638,763 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,297,396 | TotalAmt |
| Program Services | $10,266,299 | ProgramServicesAmt |
| Management And General | $3,031,097 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,462,496 | TotalAmt |
| Program Services | $1,899,868 | ProgramServicesAmt |
| Management And General | $562,628 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $56,461,563 | $55,936,879 | $524,684 |
| BAD DEBT | $18,349,279 | $18,349,279 | |
| PHYSICIAN & MED SUPPLIE | $12,081,105 | $12,081,105 | |
| EQUIPMENT RENTAL AND MA | $5,540,120 | $4,579,068 | $961,052 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,570,631 | TotalAmt |
| Program Services | $3,302,953 | ProgramServicesAmt |
| Management And General | $1,267,678 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,460,241 | TotalAmt |
| Program Services | $222,137,376 | ProgramServicesAmt |
| Management And General | $20,322,865 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,644,626 | BOYAmt |
| EOY | $93,398,282 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,227,615 | BOYAmt |
| EOY | $3,076,824 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,518,774 | BOYAmt |
| EOY | $21,956,309 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,907,705 | BOYAmt |
| EOY | $7,416,425 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,278,819 | BOYAmt |
| EOY | $5,789,613 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $392,115,655 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $283,917,182 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,890,322 | BOYAmt |
| EOY | $108,198,473 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,689,154 | BOYAmt |
| EOY | $130,973,661 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,793,397 | BOYAmt |
| EOY | $42,697,460 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,950,412 | BOYAmt |
| EOY | $413,507,047 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,316,392 | BOYAmt |
| EOY | $69,566,701 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,087,202 | BOYAmt |
| EOY | $38,179,319 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,337,276 | BOYAmt |
| EOY | $9,117,161 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,740,870 | BOYAmt |
| EOY | $116,863,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,209,542 | BOYAmt |
| EOY | $296,643,866 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,209,542 | BOYAmt |
| EOY | $296,643,866 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,950,412 | BOYAmt |
| EOY | $413,507,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,786,933 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,352,609 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $68,930 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,723 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $83,653 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES REPORTED ABOVE REPRESENT A COMBINATION OF HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING, AS WELL AS AMOUNTS PAID TO CAPITAL CITY CONSULTING FOR CERTAIN DIRECT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,237,971 | OtherCostOrOtherBasisAmt |
| Book Value | $9,237,971 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,647,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,033,253 | DepreciationAmt |
| Book Value | $63,614,233 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $181,305,895 | OtherCostOrOtherBasisAmt |
| Depreciation | $150,087,688 | DepreciationAmt |
| Book Value | $31,218,207 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,924,303 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,796,241 | DepreciationAmt |
| Book Value | $4,128,062 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $108,198,473 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $8,158,374 |
| INV IN UNCCONSOLIDATED AFFILIATE | $23,504,439 |
| DEFERRED OUTFLOWS ON DEBT REFUNDING | $445,152 |
| DEFERRED OUTFLOWS ON SWAP VALUATION | $2,509,247 |
| REINSURANCE RECEIVABLE | $2,610,711 |
| RESTRICTED ASSETS FOR PROFESSIONAL LIABILITY TRUST | $5,104,310 |
| NOTE RECEIVABLE - PHYSICIAN GUARANTEES | $365,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $42,697,460 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MALPRACTICE IBNR | Desc |
| Amt | $9,117,161 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,117,161 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING IS THE TAX FOOTNOTE TAKEN FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF CENTRAL FLORIDA HEATH ("UF CENTRAL FLORIDA") AND ITS AFFILIATED ENTITIES: UFHCF, UFHL, UFHV, UFHL FOUNDATION, AND UFHV FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. THE OTHER AFFILIATES ARE SINGLE MEMBER LLCS AND DISREGARDED ENTITIES FOR FEDERAL AND STATE TAX PURPOSES EXCEPT FOR SALES AND USE TAX ON NONMEDICAL PURCHASES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,808,333 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $266,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,541,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,034,521 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,705,552 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,328,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02820 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,842,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,972,502 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,870,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,842,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,972,502 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,870,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06190 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,812,086 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $83,254,622 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $80,258,550 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,996,072 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTHCARE SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.39130 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UF HEALTH LEESBURG HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTP://WWW.LEESBURGREGIONAL.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UF HEALTH LEESBURG HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2019 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THERE ARE FOUR CORE MAPP ASSESSMENTS: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT.THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE TWO SIMILAR SURVEYS TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND THEIR PERSPECIVES ON HEALTHCARE. BOTH SURVEYS EMPLOYED A CONVENIENCE SAMPLING APPROACH (RESPONDENTS WERE SELECTED BASED ON THEIR CONVENIENT ACCESSIBILITY). THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE ASSISTED WITH THE SURVEY DISSEMINATION THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDER AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 583 RESPONDENTS TO THE COMMUNITY SURVEY AND 106 TO THE PROFESSIONAL SURVEY. AFTER ELIMINATING THE INCOMPLETE AND INELIGIBLE SURVEYS, THERE WERE 392 COMMUNITY SURVEYS AND 23 HEALTHCARE PROFESSIONAL SURVEYS FOR ANALYSIS. |
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER |
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL |
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 11: LEESBURG REGIONAL MEDICAL CENTER HAS IDENTIFIED THE FOUR FOLLOWING AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:STRATEGIC PRIORITY 1: MATERNAL AND INFANT HEALTH OUTCOMESTHE ORGANIZATION WILL IMPROVE THE HEALTH OF WOMEN AND BABIES BY PROVIDING ACCESS TO HEALTH CARE SERVICES, RESOURCES, AND EDUCATION. OUTCOME OBJECTIVES INCLUDE LOWERING THE INFANT MORTALITY RATE FOR BIRTHS TO BLACK/AFRICAN AMERICAN WOMEN BY 10% BY JUNE 30, 2022. THE ORGANIZATION WILL ALSO INCREASE BREASTFEEDING INITIATION RATES BY 10% AND INCREASE THE PERCENTAGE OF WOMEN WHO RECEIVE PRENATAL CARE IN THEIR FIRST TRIMESTER BY JUNE 30, 2022. FINALLY, THE ORGANIZATION WILL WORK TO REDUCE PRIMARY CAESAREAN BIRTHS AMONG LOW RISK WOMEN BY 5% BY JUNE 30, 2022.STRATEGIC PRIORITY 2: AGE RELATED HEALTH ISSUESA. INCREASE ALZHEIMER'S DISEASE AWARENESSTHE ORGANIZATION WILL INCREASE AWARENESS OF ALZHEIMER'S DISEASE SIGN, SYMPTOM, AND CARE OPTIONS BY PROVIDING HEALTH EDUCATION AND INSTITUTING CLINICAL PROCESS CHANGE WITH A GOAL OF HOSTING THREE COMMUNITY HEALTH EDUCATION ACTIVITIES THAT FOCUS ON ALZHEIMER'S DISEASE AWARENESS BY DECEMBER 31, 2021. ALSO, TO INCREASE AWARENESS OF SIGNS AND SYMPTOMS OF ALZHEIMER'S DISEASE AND ALSO THE LINK BETWEEN CERTAIN MEDICATIONS AND INCREASED ALZHEIMER'S DISEASE RISK THROUGH PARTNERSHIP WITH THE LEESBURG REGIONAL MEDICAL CENTER PHARMACY AND MEDICAL STAFF BY PROVIDING EDUCATION TO 90 PERCENT OF ALL INPATIENTS ALONG WITH THEIR PRESCRIPTION.B. REDUCE UNINTENTIONAL INJURIES FROM FALLSTHE ORGANIZATION WILL REDUCE UNINTENTIONAL INJURIES FROM FALLS BY PROVIDING HEALTH EDUCATION, CONDUCTING PATIENT FALL RISK ASSESSMENTS PRIOR TO DISCHARGE, DOCUMENTING FALL RISK AND HISTORY ON EHR, AND PARTNERING WITH COMMUNITY AGENCIES TO INCREASE AWARENESS WITH THE GOAL OF IMPLEMENTING A SCREENING PROGRAM AS A PARTNERSHIP BETWEEN THE EMERGENCY DEPARTMENT AND REHABILITATION SERVICES TEAM TO IDENTIFY PATIENTS 65 YEARS OF AGE AND OLDER WHO PRESENT AS A HIGH FALL RISK AND REDUCE THE OVERALL INPATIENT FALL RISK BY 5% BY JUNE 30, 2022. ADDITIONALLY, THE PROGRAM WILL PROVIDE AT-RISK PATIENTS WITH THE TOOLS THEY NEED TO PREVENT FALLS WHILE IN THE HOSPITAL AND ONCE THEY RETURN HOME.STRATEGIC PRIORITY 3: PRIMARY AND SECONDARY PREVENTION OF CHRONIC DISEASES AND CONDITIONSA. PROMOTE EMPLOYEE WELLNESSTHE ORGANIZATION WILL ENHANCE AND EXPAND THE EMPLOYEE WELLNESS PROGRAM AND ADVOCATE FOR EMPLOYEE WELLNESS POLICY CHANGE (WITH A THREE YEAR OUTCOME GOAL OF INSTITUTING METHODOLOGY TO TRACK AND REPORT EMPLOYEE WELLNESS MEASURES, INCREASING THE PERCENTAGE OF EMPLOYEES WHO HAVE PARTICIPATED IN A PRIMARY PREVENTION WELLNESS ACTIVITY BY 10% AND ENGAGING 20% OF EMPLOYEES WHO HAVE BEEN SCREENED FOR PRE-DIABETES IN SECONDARY PREVENTION ACTIVITIES.)B. EXPAND HEALTH EDUCATION AND PHYSICAL ACTIVITY OPPORTUNITIES FOR CLIENTS WITH CHRONIC DISEASESTHE ORGANIZATION WILL EXPAND COMMUNITY PARTNERSHIPS FOR CHRONIC DISEASE PREVENTION (WITH A THREE YEAR OUTCOME GOAL OF INCREASING PARTICIPATION IN THE SILVER SNEAKERS PROGRAM HOSTED BY THE WELLNESS CENTER BY 15%, ESTABLISHING AN AMERICAN CANCER CENTER RESOURCE CENTER IN LRMC, AND PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR CHRONIC DISEASE PREVENTION ACTIVITIES TO COMMUNITIES IN THE LRMC SERVICE AREA)STRATEGIC PRIORITY 4: MENTAL AND BEHAVIORAL HEALTH AND WELLNESSA. PROMOTE SAFE PRESCRIPTION DRUG USETHE ORGANIZATION WILL PROVIDE HEALTH EDUCATION AND PROMOTION ACTIVITES AND SPONSOR COMMUNITY EDUCATION CAMPAIGNS (WITH A THREE YEAR OUTCOME GOAL OF HOSTING THREE SAFE DRUG USE EDUCATION ACTIVITIES FOR COMMUNITY MEMBERS IN THE LRMC SERVICE AREA AND REDUCING UNINTENTIONAL DEATHS BY DRUG POISONING BY 5%).B. IMPROVE COMMUNITY EDUCATION RESOURCES ON MENTAL AND BEHAVIORAL HEALTHTHE ORGANIZATION WILL PROMOTE COMMUNITY EDUCATION ON MENTAL AND BEHAVIORAL HEALTH WITH AN OUTCOME OBJECTIVE OF PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR MENTAL HEALTH FIRST AID COURSES TO COMMUNITIES IN THE LRMC SERVICE AREA BY DECEMBER 31, 2021.THE ORGANIZATION IS NOT ABLE TO ADDRESS ALL OF THE NEEDS OF THE COMMUNITY IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. THE ISSUE RELATED TO HEALTH LITERACY AND WISER USE OF HEALTHCARE BENEFITS AND SERVICES WAS DISCUSSED IN SOME DETAIL. WHILE DEEMED A RECURRING PROBLEM FOR MANY IN THE CFH SERVICE AREAS, THE STEERING COMMITTEE MEMBERS CITED NUMBEROUS HEALTHCARE ORGANIZATIONS AND COMMUNITY PARTNERS ALREADY ENGAGED IN LOCAL INTERVENTIONS TO IMPROVE HEALTH LITERACY. AMONG THE PARTNER ORGANIZATIONS TACKLING THIS ISSUE INCLUDE THE AREA AGENCY ON AGING, ELDER OPTIONS, AND AMERICN ASSOCIATION OF RETIRED PEOPLE (AARP). |
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 16J: THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE. COPIES ARE AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE UPON REQUEST. |
| UF HEALTH LEESBURG HOSPITAL | PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITY'S MEDICAID ELIGIBILITY COMPANY. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING - MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT ("HCRA").THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED IN ITS PATIENT HEALTH MANAGEMENT SYSTEM.THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE FIRST STATEMENT IS SENT TO THE PATIENT FROM THE PATIENT ACCOUNTING SYSTEM AFTER THE ACCOUNT HAS BEEN FINAL BILLED. THREE SUBSEQUENT STATEMENTS ARE SENT ON A 30 DAY CYCLE PERIOD UNITL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BAD DEBT COLLECTION AGENCY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UF HEALTH LEESBURG HOSPITAL WELLNESS CEN | ||||
| 700 NORTH PALMETTO ST | LEESBURG | FL | 34748 | WELLNESS |
| 2 - SURGERY CENTER OF MOUNT DORA AMB | ||||
| 3710 LAKE CENTER DRIVE | MT DORA | FL | 32757 | SURGERY CENTER |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,349,279. |
| PART III, LINE 2: | THE COST-TO-CHARGE RATIO FOR FISCAL YEAR 2020 WAS APPLIED AGAINST THE BAD DEBT CHARGES OF THE ORGANIZATION TO ARRIVE AT THE AMOUNT CALCULATED FOR PART III, LINE 2. |
| PART III, LINE 4: | THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER UFHCF POLICIES. |
| PART III, LINE 9B: | THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. |
| PART VI, LINE 2: | THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2019-2022 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS AND IMPROVEMENT PLANS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE MAPP TOOL WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). NACCHO AND CDC'S VISION FOR IMPLEMENTING MAPP IS: "COMMUNITIES ACHIEVING IMPROVED HEALTH AND QUALITY OF LIFE BY MOBILIZING PARTNERSHIPS AND TAKING STRATEGIC ACTION." AT THE HEART OF THE MAPP PROCESS ARE THE FOUR CORE MAPP ASSESSMENTS. THESE ARE: - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FCA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) |
| PART VI, LINE 3: | IN ADDITION TO SIGNAGE THROUGHOUT VARIOUS PARTS OF THE HOSPITAL AND WRITTEN INFORMATION PROVIDED TO PATIENTS DURING PRE-REGISTRATION, THE HOSPITAL PROVIDES THE FOLLOWING PATIENT EDUCATION:- FINANCIAL COUNSELING- WRITTEN ESTIMATES FOR HOSPITAL SERVICES - ITEMIZED BILLINGS (UPON REQUEST)- INFORMATION ABOUT EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE USED AFTER REASONABLE COLLECTION EFFORTS HAVE TAKEN PLACE- A LIST OF SERVICE PROVIDERS THAT PROVIDE SERVICES UNDER THE FAP |
| PART VI, LINE 4: | POPULATIONPOPULATION GROWTH IS A KEY DETERMINANT OF THE HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND IMPROVED HEALTH OUTCOMES. THE LRMC SERVICE AREA PRIMARILY SERVES AN OLDER ADULT POPULATION GREATER THAN 55 YEARS OF AGE AT 61.3 PERCENT OF THE POPULATION, COMPARED TO 60.1 PERCENT IN THE CENTRAL FLORIDA HEALTH (CFH) SERVICE AREA AND 32.5 PERCENT IN FLORIDA AS A WHOLE.THE OVERWHELMING MAJORITY OF THE LRMC SERVICE AREA POPULATION IS WHITE (87.5 PERCENT) WHICH IS NEARLY THE SAME AS THE CFH SERVICE AREA AT 87.7 PERCENT BUT HIGHER THAN FOR FLORIDA AT 75.7 PERCENT WHITE. THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, ASIAN ONLY, AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER POPULATIONS COMPRISE 8.3, 0.4, 1.0, AND 0.07 PERCENT OF THE LRMC SERVICE AREA, RESPECTIVELY, WHILE 0.9 PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.7 PERCENT IDENTIFY AS HAVING TWO OR MORE RACES. BY 2013-2017 AMERICAN COMMUNITY SURVEY, U.S. CENSUS BUREAU ESTIMATES (ACS), 92.7 PERCENT OF THE POPULATION IN THE LRMC SERVICE AREA IDENTIFIED AS NON-HISPANIC OR LATINO, WHICH IS COMPARABLE TO THE 92.4 PERCENT IN THE CFH SERVICE AREA AND 93.5 PERCENT IN TVRH SERVICE AREA, BUT NOTABLY LARGER THAN IN FLORIDA AS A WHOLE AT 75.3 PERCENT.LIFE EXPECTANCYCONSIDERING ALL RACES AND ETHNICITIES, THE LONGEST LIFE EXPECTANCY FOR MALES IN 2010 WAS FOUND IN SUMTER COUNTY (78.3 YEARS) FOLLOWED BY LAKE COUNTY (75.8 YEARS), AND MARION COUNTY (74.3 YEARS), COMPARED TO FLORIDA (76.3 YEARS). FOR FEMALES, THE LONGEST LIFE EXPECTANCY FOR FEMALES IN 2010 WAS ALSO IN SUMTER COUNTY (82.5 YEARS), FOLLOWED BY LAKE COUNTY (81.3 YEARS), AND MARION COUNTY (80.3 YEARS), COMPARED TO FLORIDA (81.6 YEARS). AS OFTEN SEEN THROUGHOUT THE STATE OF FLORIDA, THERE WAS A DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN THE LRMC SERVICE AREA COUNTIES.ECONOMIC CHARACTERISTICSAT 12.1 PERCENT OF THE POPULATION, THE LRMC SERVICE AREA HAD A LOWER PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS WHEN COMPARED TO FLORIDA (15.5 PERCENT) ACCORDING TO 2013-2017 ACS DATA. THE CFH SERVICE AREA IS ALMOST THE SAME AT 12.2 PERCENT WHEREAS TVRH SERVICE AREA POPULATION FARES BETTER AT ONLY 10.6 PERCENT. WITHIN THE LRMC SERVICE AREA, THE ZIP CODES WHERE THIS INDICATOR OF POVERTY ARE HIGHEST INCLUDE EUSTIS (32726) AT 21.1 PERCENT, WEBSTER (33597) AT 17.5 PERCENT AND LAKE PANASOFFKEE (33538) AT 17.3 PERCENT WHILE THE VILLAGES (32162) WAS AT ONLY 5.4 PERCENT. ACROSS THE THREE COUNTIES IN THE LRMC SERVICE AREA FOR THIS SAME PERIOD, MARION COUNTY HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS (17.6 PERCENT) WHICH IS HIGHER THAN THE STATE OF FLORIDA (15.5 PERCENT). LAKE COUNTY, AT 12.8 PERCENT AND SUMTER COUNTY AT 9.2 PERCENT WERE BOTH LOWER THAN FOR FLORIDA.GENDER DIFFERENCES CAN BE SEEN IN RATES OF POVERTY. FOR 2013-2017, THE PERCENTAGE OF MALES HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE LRMC SERVICE AREA AT 9.8 PERCENT WAS THE SAME AS THE OVERALL CFH SERVICE AREA BUT HIGHER THAN TVRH SERVICE AREA AT 8.6 PERCENT. ALL WERE BELOW THE 12.3 PERCENT STATE RATE FOR FLORIDA. SIMILARLY, THE RATE OF 13.0 PERCENT OF FEMALES HAVING LIVED IN POVERTY IN THE LRMC SERVICE AREA WAS ON PAR WITH THE CFH SERVICE AREA AT 13.1 PERCENT AND HIGHER THAN TVRH RATE OF 11.5 PERCENT. ALTHOUGH THESE RATES FOR FEMALES WERE LOWER THAN THE STATE RATE OF 16.5 PERCENT, THE RATES WERE HIGHER THAN FOR MALES IN THE SAME GEOGRAPHIC AREAS. WHEN COMPARED BY SERVICE AREA COUNTY, BOTH MARION COUNTY MALES AT 13.9 PERCENT AND FEMALES AT 18.4 PERCENT HAD THE HIGHEST RATES FOR THIS POVERTY MEASURE WITH BOTH RATES EXCEEDING STATE RATES (12.3 AND 16.5 PERCENT, RESPECTIVELY). SUMTER COUNTY MALES AND FEMALES HAD THE LOWEST RATES AT 7.2 AND 10.2 PERCENT, RESPECTIVELY. LAKE COUNTY RATES WERE LOWER THAN STATE RATES BUT HIGHER THAN THE CFH SERVICE AREA RATE.POVERTY RATES FOR CHILDREN (0-17 YEARS OF AGE) EXCEEDED STATE RATES IN THE LRMC SERVICE AREA. DATA SHOW THAT FROM 2013-2017 IN THE LRMC SERVICE AREA 27.5 PERCENT OF CHILDREN LIVED IN POVERTY IN THE PAST 12 MONTHS COMPARED TO 26.6 PERCENT IN THE CFH SERVICE AREA AND 22.3 PERCENT STATEWIDE. FOR ADULTS 18-74 YEARS OF AGE POVERTY RATES WERE LOWER IN THE LRMC SERVICE AREA AT 11.0 PERCENT COMPARED TO 11.1 PERCENT FOR THE CFH SERVICE AREA AND 14.0 PERCENT FOR FLORIDA. THE PERCENTAGE OF OLDER ADULTS (75 YEARS OF AGE AND OLDER) HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS WAS LOWER IN THE LRMC SERVICE AREA AT 7.3 PERCENT THAN THE CFH SERVICE AREA AT 7.4 PERCENT AND STATE RATE OF 11.0 PERCENT. AS SEEN IN FIGURE 3, THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY WERE IN SUMTER COUNTY AND MARION COUNTY AT 31.4 AND 29.4 PERCENT, RESPECTIVELY, COMPARED TO LAKE COUNTY AT 21.4 PERCENT AND FLORIDA AT 23.6 PERCENT. THERE WAS A SMALLER PERCENTAGE OF ELDERLY (65 -74 YEARS OF AGE) LIVING IN POVERTY ACROSS LAKE, MARION, AND SUMTER COUNTY (6.6, 7.8, AND 3.9 PERCENT, RESPECTIVELY) COMPARED TO FLORIDA.FOR 2013-2017, THE ESTIMATED PERCENTAGE OF BLACKS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE LRMC SERVICE AREA WAS 31.0 PERCENT COMPARED TO 10.1 PERCENT FOR WHITES. THIS PERCENTAGE FOR BLACKS WAS HIGHER THAN THE CFH SERVICE AREA RATE OF 30.4 PERCENT AND THE 24.8 STATE RATE. STARK DIFFERENCES IN POVERTY RATES FOR WHITES AND BLACKS WERE SEEN IN THE CFH SERVICE AREA COUNTIES. THE PERCENTAGES OF THE BLACK POPULATION IN MARION COUNTY AT 30.5 PERCENT AND IN SUMTER COUNTY AT 26.3 PERCENT HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS EXCEEDED THE STATE RATE OF 24.8 PERCENT. THE POVERTY RATE FOR WHITES IN MARION COUNTY AT 15.5 PERCENT ALSO EXCEEDED THE STATE RATE FOR WHITES OF 13.3 PERCENT.IN THE LRMC SERVICE AREA, SUMTER COUNTY PER CAPITA INCOME AND MEDIAN HOUSEHOLD INCOME EXCEEDED THE STATE FIGURES AS WELL AS THOSE FOR LAKE AND MARION COUNTIES FOR 2013-2017 FOR ALL RACES. THE SAME PERIOD, BLACKS IN LAKE COUNTY SHOWED HIGHER MEDIAN HOUSEHOLD INCOMES THAN FOR BLACKS STATEWIDE. WHITES IN SUMTER COUNTY RECORDED MEDIAN HOUSEHOLD INCOMES HIGHER THAN STATE AND SERVICE AREA COUNTIES. THE MEDIAN HOUSEHOLD INCOME FOR LAKE COUNTY HISPANICS AT $43,624 WAS THE HIGHEST AMONG THE LRMC SERVICE AREA COUNTIES BUT WAS STILL BELOW THE STATE FIGURE OF $44,196. EDUCATIONAL ATTAINMENTACCORDING TO ACS ESTIMATES FOR 2013-2017, THOSE IN THE LRMC SERVICE AREA 25 YEARS OF AGE AND OLDER WHOSE HIGHEST LEVEL OF EDUCATION COMPLETED WAS A HIGH SCHOOL DIPLOMA (INCLUDING EQUIVALENCY DIPLOMAS AND SOME COLLEGE BUT NO DEGREE) FOR ALL GENDERS WAS 56.5 PERCENT; THE COMPARABLE STATE RATE WAS 49.4 PERCENT. THOSE WITH A COLLEGE DEGREE (INCLUDING ASSOCIATE'S, BACHELOR'S, MASTER'S, PROFESSIONAL AND DOCTORATE DEGREES) FOR THE LRMC SERVICE AREA REPRESENTED 33.8 PERCENT OF THE POPULATION COMPARED TO 38.2 PERCENT FOR FLORIDA. FOR THE 2017-2018 SCHOOL YEAR, OF THE LRMC SERVICE AREA COUNTIES SUMTER COUNTY ACHIEVED THE BEST HIGH SCHOOL GRADUATION RATE AT 87.8 PERCENT WHICH EXCEEDED THE 86.1 STATE RATE AND OUTPACED LAKE COUNTY AT 84.1 PERCENT AND MARION COUNTY AT 81.8 PERCENT. SUMTER COUNTY ALSO RECORDED THE LOWEST HIGH SCHOOL DROPOUT RATE FOR THE SERVICE AREA FOR 2017-2018 AT 3.6 PERCENT, PERFORMING BETTER THAN THE STATE AT 4.0 PERCENT, AND LAKE AND MARION COUNTIES AT 6.1 AND 6.3 PERCENT, RESPECTIVELY.CAUSES OF DEATHTHE TOP FIVE LEADING CAUSES OF DEATH IN THE LRMC SERVICE AREA FOR ALL RACES IN 2015-2017 WERE CANCER, HEART DISEASE, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE (CLRD) AND STROKE. FOR THE CFH SERVICE AREA AND THE STATE OF FLORIDA THE FIVE LEADING CAUSES OF DEATH WERE THE SAME AS FOR THE LRMC SERVICE AREA WITH A SLIGHT DIFFERENCE IN RANK ORDER. HEART DISEASE WAS THE LEADING CAUSE OF DEATH FOR THE CFH SERVICE AREA AND FLORIDA WHILE CANCER WAS AT THE TOP OF THE LIST FOR TVRH AND LRMC SERVICE AREAS. AGE-ADJUSTED DEATH RATES FOR THE TOP FIVE CAUSES OF DEATH IN TVRH, LRMC AND CFH SERVICE AREAS WERE SIMILAR WHEREAS VAST DIFFERENCES WERE EVIDENT WHEN COMPARED TO FLORIDA RATES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UF HEALTH THE VILLAGES AUXILIARY FOUNDATION | |||||||
| 1501 N US HWY 441 | THE VILLAGES | FL | 32159 | 550818419 | 501(C)(3) | $16,500 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 9900 9TH STREET NORTH | ST PETERSBURG | FL | 33716 | 135613797 | 501(C)(3) | $13,750 | GENERAL SUPPORT |
| COMMUNITY DEVELOPMENT CORP OF LEESBURG AND VICINITY | |||||||
| 311A PINE STREET | LEESBURG | FL | 34748 | 593455505 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| LEESBURG CHAMBER OF COMMERCE | |||||||
| PO BOX 490309 | LEESBURG | FL | 34749 | 590330175 | 501(C)(6) | $8,500 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES AND OTHER ORGANIZATIONS THAT SUPORT THE COMMUNITY FOR THE USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE ORGANIZATIONS TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD JIMENEZ | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $983,557 | $0 | $311,000 | $0 | $207,260 | $0 | $19,600 | $0 | $21,657 | $0 | $1,543,074 | $0 | $186,542 |
| DAVID NELSON MD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $1,002,261 | $0 | $335,040 | $0 | $7,964 | $0 | $15,269 | $0 | $20,138 | $0 | $1,380,672 | $0 | $0 |
| W KENT FUCHS PHD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $900,595 | $0 | $163,090 | $0 | $63,158 | $0 | $71,148 | $0 | $20,220 | $0 | $1,218,211 | $0 | $0 |
| DONALD HENDERSON | ||||||||||||||
| PRESIDENT/CEO CENTRAL FLORIDA HEALTH | $665,261 | $0 | $155,076 | $0 | $17,377 | $0 | $109,279 | $0 | $20,695 | $0 | $967,688 | $0 | $0 | $0 |
| GILBERT UPCHURCH MD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $697,096 | $0 | $100,927 | $0 | $4,812 | $0 | $14,784 | $0 | $21,697 | $0 | $839,316 | $0 | $0 |
| C PARKER GIBBS MD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $690,383 | $0 | $59,478 | $0 | $8,812 | $0 | $23,394 | $0 | $20,053 | $0 | $802,120 | $0 | $0 |
| JAMES KELLY JR | ||||||||||||||
| SVP/CFO/TREASURER, SHANDS | $0 | $543,735 | $0 | $132,000 | $0 | $74,531 | $0 | $19,600 | $0 | $16,681 | $0 | $786,547 | $0 | $64,531 |
| LI-MING SU MD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $622,459 | $0 | $88,454 | $0 | $4 | $0 | $22,954 | $0 | $22,868 | $0 | $756,739 | $0 | $0 |
| JOSEPH TYNDALL MD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $644,765 | $0 | $0 | $0 | $3,672 | $0 | $14,827 | $0 | $24,118 | $0 | $687,382 | $0 | $0 |
| DIANE HARDEN | ||||||||||||||
| SVP/CFO CENTRAL FLORIDA HEALTH, INC. | $368,261 | $0 | $72,646 | $0 | $65,283 | $0 | $57,178 | $0 | $22,796 | $0 | $586,164 | $0 | $56,269 | $0 |
| RANDALL JENKINS | ||||||||||||||
| SVP AND GEN. COUNS./SECRETARY | $0 | $439,077 | $0 | $78,013 | $0 | $18,808 | $0 | $16,800 | $0 | $15,428 | $0 | $568,126 | $0 | $0 |
| JULIE JOHNSON PHARMD | ||||||||||||||
| DIRECTOR (BEGINNING 1/1/20) | $0 | $438,522 | $0 | $50,000 | $0 | $0 | $0 | $24,799 | $0 | $20,204 | $0 | $533,525 | $0 | $0 |
| SAMUEL BUNDZ | ||||||||||||||
| PHYSICIAN | $429,523 | $0 | $0 | $0 | $2,022 | $0 | $11,200 | $0 | $31,293 | $0 | $474,038 | $0 | $0 | $0 |
| WILLIAM PFINGSTEN | ||||||||||||||
| VP AMBULATORY SERVICES | $213,198 | $0 | $28,775 | $0 | $164,703 | $0 | $28,956 | $0 | $13,310 | $0 | $448,942 | $0 | $150,164 | $0 |
| PHYLLIS BAUM | ||||||||||||||
| VP/CQO | $298,591 | $0 | $39,750 | $0 | $43,614 | $0 | $41,200 | $0 | $23,213 | $0 | $446,368 | $0 | $38,052 | $0 |
| MICHAEL MCKEE | ||||||||||||||
| DIRECTOR (1/1/20 THROUGH 4/29/20) | $0 | $324,859 | $0 | $9,000 | $0 | $2,682 | $0 | $81,779 | $0 | $22,555 | $0 | $440,875 | $0 | $0 |
| ORLANDO ICAZA | ||||||||||||||
| PHYSICIAN | $350,266 | $0 | $10,000 | $0 | $4,663 | $0 | $11,200 | $0 | $20,538 | $0 | $396,667 | $0 | $0 | $0 |
| DAVID RIZZUTO | ||||||||||||||
| PHYSICIAN | $350,387 | $0 | $10,000 | $0 | $2,423 | $0 | $11,200 | $0 | $20,417 | $0 | $394,427 | $0 | $0 | $0 |
| AMIE RICHASON | ||||||||||||||
| VP HUMAN RESOURCES | $256,317 | $0 | $35,001 | $0 | $32,773 | $0 | $35,916 | $0 | $33,293 | $0 | $393,300 | $0 | $30,656 | $0 |
| DAVID STEELE | ||||||||||||||
| VP/CIO | $258,446 | $0 | $34,207 | $0 | $29,564 | $0 | $35,817 | $0 | $33,293 | $0 | $391,327 | $0 | $23,971 | $0 |
| SUSSANA OH | ||||||||||||||
| PHYSICIAN | $328,824 | $0 | $0 | $0 | $282 | $0 | $11,200 | $0 | $30,943 | $0 | $371,249 | $0 | $0 | $0 |
| JEFFREY BALTZER | ||||||||||||||
| PHYSICIAN | $320,388 | $0 | $10,000 | $0 | $2,952 | $0 | $0 | $0 | $20,417 | $0 | $353,757 | $0 | $0 | $0 |
| JOSHUA FLEMING | ||||||||||||||
| VP/CCO & SITE ADMINSTRATOR | $242,478 | $0 | $33,246 | $0 | $1,814 | $0 | $35,185 | $0 | $33,793 | $0 | $346,516 | $0 | $0 | $0 |
| PHILIP BRAUN | ||||||||||||||
| CHIEF COUNSEL | $223,529 | $0 | $28,844 | $0 | $29,683 | $0 | $30,549 | $0 | $29,373 | $0 | $341,978 | $0 | $27,847 | $0 |
| ALEXANDER CHANG | ||||||||||||||
| VP SUPPORT SERVICES | $211,680 | $0 | $28,398 | $0 | $2,592 | $0 | $29,032 | $0 | $33,968 | $0 | $305,670 | $0 | $0 | $0 |
| SAAD EHTISHAM | ||||||||||||||
| SVP/COO CENTRAL FLORIDA HEALTH, INC. | $86,148 | $0 | $0 | $0 | $61,296 | $0 | $3,538 | $0 | $7,833 | $0 | $158,815 | $0 | $60,657 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DONALD HENDERSON 457F $98,079 CONTRIBUTION DIANE HARDEN 457F $45,978 CONTRIBUTION PHYLLIS BAUM 457F $30,000 CONTRIBUTION AMIE RICHASON 457F $26,416 CONTRIBUTION DAVID STEELE 457F $25,817 CONTRIBUTION PHILIP BRAUN 457F $21,769 CONTRIBUTION EFFECTIVE JANUARY 1, 2020, SHANDS TEACHING HOSPITAL BECAME THE SOLE MEMBER OF CENTRAL FLORIDA HEALTH, WHICH IS THE SOLE MEMBER OF LEESBURG REGIONAL MEDICAL CENTER. SHANDS TEACHING HOSPITAL ALSO PROVIDES A SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN KEY EXECUTIVES. THE FOLLOWING INFORMATION RELATES TO KEY EXECUTIVES LISTED IN PART VIII AND SCHEDULE J, PART II THAT WERE EMPLOYED BY SHANDS TEACHING HOSPITAL AND SERVED ON THE LEESBURG REGIONAL MEDICAL CENTER BOARD: THE PURPOSE OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IS TO PROVIDE AN ANNUAL CONTRIBUTION BASED ON A PERCENTAGE OF THE PARTICIPANT'S ANNUAL SALARY, PAYABLE ON BEHALF OF THE PARTICIPANTS BY THE ORGANIZATION. THE CONTRIBUTION, LESS WITHHOLDING FOR TAXES USING THE APPLICABLE TAX RATE, IS PAYABLE BY THE ORGANIZATION TO AN ANNUITY CONTRACT(S) SELECTED BY THE PARTICIPANT, OR MAY BE PAID IN CASH AT THE DISCRETION OF THE ADMINISTRATOR OR THE PARTICIPANT. THE ANNUAL CONTRIBUTION, WHEN COUPLED WITH OTHER ORGANIZATION-PROVIDED RETIREMENT BENEFITS, IS INTENDED TO PROVIDE A MARKET COMPETITIVE LEVEL OF TOTAL RETIREMENT BENEFITS TO ATTRACT AND RETAIN EXECUTIVE TALENT. ALL AMOUNTS ARE APPROPRIATELY REPORTED IN COLUMN D OF PART VII AND COLUMN B(III) OF SCHEDULE J. LISTED PERSONS FROM SHANDS, AND PLAN AMOUNTS DISTRIBUTED DURING CALENDAR YEAR 2019, ARE AS FOLLOWS: EDWARD JIMENEZ $186,542 JAMES KELLY, JR. $64,531 |
| PART I, LINE 7 | THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF LEESBURG FL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 596000362 | BondIssuerEIN |
| Bond Issued | 2011-10-06 | BondIssuedDt |
| Issue Price | $20,840,000 | IssuePriceAmt |
| Purpose | HOSPITAL REVENUE REFUNDING BONDS, SERIES 2011 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $7,920,000 | RetiredAmt |
| Total Proceeds | $20,840,000 | TotalProceedsAmt |
| Other Spent Proceeds | $20,840,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00020 | PrivateBusUseByOthersPct |
| Total Private Business Use | 0.00020 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S BYLAWS NOW REQUIRE THAT THE ORGANIZATION'S BOARD MEMBERS BE THE SAME INDIVIDUALS THAT SERVE AS MEMBERS OF THE SHANDS BOARD. THE ORGANIZATION'S ARTICLES AND BYLAWS WERE ALSO CHANGED TO MORE ALIGN WITH THE WAY THAT THE SHANDS BOARD OPERATES, SUCH AS THE TIMING OF BOARD MEETINGS, DETERMINATION OF VARIOUS COMMITTEE CHAIRS, AND THE AUTHORITY OF THE QUALITY COMMITTEE. CENTRAL FLORIDA HEALTH, INC., A FLORIDA NOT FOR PROFIT CORPORATION, REMAINS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | CENTRAL FLORIDA HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE ORGANIZATION'S BOARD SHALL BE THOSE SAME INDIVIDUALS WHO ARE SERVING, AT SUCH GIVEN TIME, AS MEMBERS OF THE BOARD OF DIRECTORS OF SHANDS TEACHING HOSPITAL AND CLINICS, INC., A RELATED FLORIDA NOT FOR PROFIT CORPORATION, UNLESS OTHERWISE DETERMINED BY THE UNIVERSITY OF FLORIDA PRESIDENT PURSUANT TO SECTION 1004.41 OF THE FLORIDA STATUTES. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. A PRESENTATION REGARDING THE FORM 990 WAS ALSO MADE TO THE ADVISORY BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION'S POLICY REQUIRES CERTAIN INDIVIDUALS TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY THE VP GENERAL COUNSEL AND CORPORATE COMPLIANCE DEPARTMENT WHO NOTIFY THE BOARD IF ANY CONCERNS ARISE. INDIVIDUALS COVERED BY THE CONFLICT OF INTEREST POLICY MUST ABSTAIN FROM DELIBERATIONS AND VOTING WITH RESPECT TO TRANSACTIONS WHEREIN A CONFLICT IS DEEMED TO EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15 | MANAGEMENT ENGAGES AN INDEPENDENT FIRM ENGAGED IN THE DEVELOPMENT OF COMPENSATION SURVEYS ON EXECUTIVE PAY LEVELS ACROSS DIFFERENT INDUSTRIES PROVIDES COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES. THE THIRD PARTY WILL PROVIDE RECOMMENDED INCENTIVE COMPENSATION RANGES TO ENSURE TOTAL COMPENSATION IS ALSO REASONABLE AND WILL PERIODICALLY REVIEW ALL OTHER ASPECTS OF COMPENSATION INCLUDING ALL ELEMENTS OF SUPPLEMENTAL BENEFITS TO ENSURE THEY COMPARE WITH COMPETITIVE AND REASONABLE TOTAL REMUNERATION LEVELS. ALL EXECUTIVE, OFFICER, AND KEY EMPLOYEE POSITIONS ARE REVIEWED ANNUALLY TO ENSURE SALARY SCALES ARE IN LINE WITH COMPARABLE POSITIONS IN SIMILAR INSTITUTIONS BY AN INDEPENDENT FIRM. |
| FORM 990, PART VI, SECTION C, LINE 19 | GENERALLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENT IS ATTACHED TO THIS 990, AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R). |
| FORM 990, PART XI, LINE 9: | WRITE OFF DEFERRED LOAN COSTS -310,009. DEFERRED OUTFLOWS - REFUNDING 511,141. DEFERRED OUTFLOWS - REFUNDING 1,987,687. OTHER CHANGES IN NET ASSETS -28,428. WRITE OFF GOODWILL -4,513,000. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt |
|---|---|---|---|---|---|---|---|---|
| ALLIANCE LABS LLC | ||||||||
| 1456 WILLIAM STREET | LEESBURG | FL | 34748 | 264322547 | OUTREACH LABORATORY | FL | $3,657,191 | $730,063 |
| LEESBURG REGIONAL PHYSICIAN SERVICES | ||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 263978727 | BILLING SERVICE | FL | $0 | $0 |
| WILDWOOD TRANSFER LLC | ||||||||
| 410 S CHILDS STREET | LEESBURG | FL | 34748 | 823094394 | LAND HOLDING | FL | $0 | $0 |
| PATHOLOGY SERVICES ALLIANCE LLC | ||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 270749750 | PATHOLOGY | FL | $0 | $0 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE VILLAGES TRI-COUNTY MEDICAL CENTER | |||||||||||
| 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 593527036 | MEDICAL SRVCS | FL | 501(C)(3) | LINE 3 | 0 | ||
| LEESBURG REGIONAL MEDICAL CTR FOUNDATION | |||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 591800743 | SUPPORT HOSP | FL | 501(C)(3) | LINE 12A, I | Yes (1) | LRMC | |
| CENTRAL FLORIDA HEALTH INC | |||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 331197054 | PARENT HOSP | FL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| VILLAGES REGIONAL HOSPITAL AUXILIARY INC | |||||||||||
| 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 550818419 | SUPPORT HOSP | FL | 501(C)(3) | LINE 12A, I | 0 | TVRH | |
| SHANDS TEACHING HOSPITAL AND CLINICS INC | |||||||||||
| PO BOX 100336 | GAINESVILLE | FL | 32610 | 591943502 | HOSPITAL | FL | 501(C)(3) | LINE 3 | 0 | ||
| UNIVERSITY OF FLORIDA | |||||||||||
| 226 TIGERT HALL | GAINESVILLE | FL | 32611 | 596002052 | EDUCATION | FL | 115 | 0 | |||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $207,752 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $120,699 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.39130 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |