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WINTER HAVEN HOSPITAL FOUNDATION INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WINTER HAVEN HOSPITAL FOUNDATION INC (EIN 03-0406130)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349303044
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-16T09:01:20-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S Wacker Drive Ste 800AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030406130EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Winter Haven Hospital Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWINTBusinessNameControlTxt
Phone8632931121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Avenue F NEAddressLine1Txt
CityWinter HavenCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoel L ThomasPersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone8632931121PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum
Preparation2020-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.51.182.79IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-12IPDt
IP Tm14:54:01IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id117B6C86E8A10A4DFEE4D664DFC89C8F3476C6B5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoel L ThomasPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Avenue F NEAddressLine1Txt
CityWinter HavenCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,056,748GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswhhfoundation.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionThe mission of the Winter Haven Hospital Foundation is to provide an effective channel for individuals and organizations that wish to support Winter Haven Hospital in its mission to improve the health of our community by providing high-quality compassionate care.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers92TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$747,581PYContributionsGrantsAmt
CY Contributions Grants$718,384CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$357,092PYInvestmentIncomeAmt
CY Investment Income$366,866CYInvestmentIncomeAmt
PY Other Revenue-$66,477PYOtherRevenueAmt
CY Other Revenue$16,489CYOtherRevenueAmt
PY Total Revenue$1,038,196PYTotalRevenueAmt
CY Total Revenue$1,101,739CYTotalRevenueAmt
PY Grants And Similar Paid$145,345PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$647,151CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$388,228PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$425,025CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$316,842CYTotalFundraisingExpenseAmt
PY Other Expenses$265,613PYOtherExpensesAmt
CY Other Expenses$263,913CYOtherExpensesAmt
PY Total Expenses$799,186PYTotalExpensesAmt
CY Total Expenses$1,336,089CYTotalExpensesAmt
PY Revenues Less Expenses$239,010PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$234,350CYRevenuesLessExpensesAmt
Total Assets BOY$16,937,019TotalAssetsBOYAmt
Total Assets EOY$19,038,767TotalAssetsEOYAmt
Total Liabilities BOY$1,995,385TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,094,886TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,941,634NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,943,881NetAssetsOrFundBalancesEOYAmt
MissionThe mission of the Winter Haven Hospital Foundation is to provide an effective channel for individuals and organizations that wish to support Winter Haven Hospital in its mission to improve the health of our community by providing high-quality compassionate care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$647,151ExpenseAmt
Grant$647,151GrantAmt
Revenue$0RevenueAmt
DescWinter Haven Hospital Foundation, Inc. (The "Foundation"), is a not-for-profit charitable organization whose primary purpose is to raise philanthropic funds to support Winter Haven Hospital, Inc.'s (Hospital) healthcare mission. The Foundation is currently administering a major gifts initiative designed to acquire funding for a number of Hospital initiatives including: Support & upgrades for various Hospital departments, including the Cassidy Cancer Center, Stroke Center, Bostick Heart Center, Winter Haven Women's Hospital, the Center for Urology, Behavioral Health Division, FSU Family Medicine Residency Program, & a new Polk County mobile medical clinic program.Desc
Total Program Service Expenses$647,151TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joel L ThomasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8632931121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Avenue F NEAddressLine1Txt
CityWinter HavenCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Joel L Thomas
President/CEO2.000.00Yes (X)$167,333$0$29,029
Lance Anastasio
Chairman2.000.00Yes (X)$0$0$0Yes (X)
Richard Straughn
1st Vice-Chairman2.000.00Yes (X)$0$0$0Yes (X)
Bud Strang
2nd Vice-Chairman2.000.00Yes (X)$0$0$0Yes (X)
Eric Adamson
Secretary/Treasurer2.000.00Yes (X)$0$0$0Yes (X)
Dr David Evans
Member2.000.00$0$0$0Yes (X)
Nathan P Falk MD
Member2.000.00$0$0$0Yes (X)
Alan Gustafson
Member2.000.00$0$0$0Yes (X)
Jan Hyman
Member2.000.00$0$0$0Yes (X)
Don Ingram
Member2.000.00$0$0$0Yes (X)
David Johnson
Member2.000.00$0$0$0Yes (X)
Bruce Lyon
Member2.000.00$0$0$0Yes (X)
Mike Mahalak
Member2.000.00$0$0$0Yes (X)
Kevin McGrath
Member2.000.00$0$0$0Yes (X)
Marie Mixon
Member2.000.00$0$0$0Yes (X)
Lynn Oakley
Member2.000.00$0$0$0Yes (X)
Lauren O Schwenk
Member2.000.00$0$0$0Yes (X)
Brian Swain
Member2.000.00$0$0$0Yes (X)
Bet Tucker
Member2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$167,333TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$29,029TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$420,285FundraisingAmt
All Other Contributions$298,099AllOtherContributionsAmt
Noncash Contributions$178,358NoncashContributionsAmt
Total Contributions$718,384TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$267,185TotalRevenueColumnAmt
Exclusion$267,185ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,787,987SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,688,306SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$99,681SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$99,681TotalRevenueColumnAmt
Exclusion$99,681ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$283,192FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$420,285ContriRptFundraisingEventAmt
Fundraising Direct Expenses$266,703FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,489TotalRevenueColumnAmt
Exclusion$16,489ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,101,739TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$383,355ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$626,450TotalAmt
Program Services$626,450ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$20,701TotalAmt
Program Services$20,701ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$174,597TotalAmt
Management And General$52,379ManagementAndGeneralAmt
Fundraising$122,218FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$170,694TotalAmt
Management And General$87,342ManagementAndGeneralAmt
Fundraising$83,352FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,437TotalAmt
Management And General$4,321ManagementAndGeneralAmt
Fundraising$4,116FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,833TotalAmt
Management And General$19,894ManagementAndGeneralAmt
Fundraising$28,939FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,464TotalAmt
Management And General$9,333ManagementAndGeneralAmt
Fundraising$13,131FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,428TotalAmt
Management And General$47,428ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$83,327TotalAmt
Management And General$83,327ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,371TotalAmt
Management And General$3,005ManagementAndGeneralAmt
Fundraising$4,366FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$105TotalAmt
Management And General$43ManagementAndGeneralAmt
Fundraising$62FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,597TotalAmt
Management And General$11,658ManagementAndGeneralAmt
Fundraising$16,939FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,391TotalAmt
Management And General$3,013ManagementAndGeneralAmt
Fundraising$4,378FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,646TotalAmt
Management And General$11,903ManagementAndGeneralAmt
Fundraising$25,743FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,147TotalAmt
Management And General$1,283ManagementAndGeneralAmt
Fundraising$1,864FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,119TotalAmt
Management And General$3,310ManagementAndGeneralAmt
Fundraising$4,809FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,112TotalAmt
Management And General$2,084ManagementAndGeneralAmt
Fundraising$3,028FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bad Debt Expense$29,090$29,090
Events/Parties/Gifts$6,580$2,683$3,897

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,336,089TotalAmt
Program Services$647,151ProgramServicesAmt
Management And General$372,096ManagementAndGeneralAmt
Fundraising$316,842FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$880,999BOYAmt
EOY$1,057,232EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$118,471BOYAmt
EOY$87,576EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,015BOYAmt
EOY$5,366EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,933,378LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,902LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,897,589BOYAmt
EOY$4,892,476EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,788,980BOYAmt
EOY$12,725,040EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$245,965BOYAmt
EOY$271,077EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,937,019BOYAmt
EOY$19,038,767EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,431BOYAmt
EOY$52,429EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$1,832,473BOYAmt
EOY$1,826,658EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,630BOYAmt
EOY$76,802EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,851BOYAmt
EOY$138,997EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,995,385BOYAmt
EOY$2,094,886EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,738,371BOYAmt
EOY$11,329,683EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,203,263BOYAmt
EOY$5,614,198EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,941,634BOYAmt
EOY$16,943,881EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,937,019BOYAmt
EOY$19,038,767EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$234,350ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,236,597NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,522,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$784,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$738,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$747,581CurrentTaxYearMinus1YearAmt
Current Tax Year$718,384CurrentTaxYearAmt
Total$5,510,858TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,522,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$784,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$738,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$747,581CurrentTaxYearMinus1YearAmt
Current Tax Year$718,384CurrentTaxYearAmt
Total$5,510,858TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,721,508SubstantialContributorsTotAmt
Public Support Total170$3,789,350PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$243,326CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$203,713CurrentTaxYearMinus1YearAmt
Current Tax Year$267,185CurrentTaxYearAmt
Total$1,124,186TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$16,489CurrentTaxYearAmt
Total$16,489TotalAmt
FieldValueIRS element (for citing)
Total Support$6,651,533TotalSupportAmt
Gross Receipts Rltd Activities$59,382GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56970PublicSupportCY170Pct
Public Support PY1700.56180PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,542,837BeginningYearBalanceAmt
Investment Earnings Or Losses$356,239InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,000GrantsOrScholarshipsAmt
End Year Balance$1,889,076EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,639,402BeginningYearBalanceAmt
Contributions$1,400ContributionsAmt
Investment Earnings Or Losses-$91,967InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,000GrantsOrScholarshipsAmt
End Year Balance$1,542,835EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,419,756BeginningYearBalanceAmt
Contributions$2,000ContributionsAmt
Investment Earnings Or Losses$229,946InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,300GrantsOrScholarshipsAmt
End Year Balance$1,639,402EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,505,579BeginningYearBalanceAmt
Contributions$1,500ContributionsAmt
Investment Earnings Or Losses$68,677InvestmentEarningsOrLossesAmt
Grants Or Scholarships$156,000GrantsOrScholarshipsAmt
End Year Balance$1,419,756EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,673,596BeginningYearBalanceAmt
Contributions$2,100ContributionsAmt
Investment Earnings Or Losses-$8,117InvestmentEarningsOrLossesAmt
Grants Or Scholarships$12,000GrantsOrScholarshipsAmt
Other Expenditures$150,000OtherExpendituresAmt
End Year Balance$1,505,579EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.17330BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.51160PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.31510TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,856,688OtherCostOrOtherBasisAmt
Book Value$4,856,688BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,690OtherCostOrOtherBasisAmt
Depreciation$40,902DepreciationAmt
Book Value$35,788BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,892,476TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Winter Haven Hospital$125,600
Other Liabilities$4,979
Office Storage/Rental$8,418
FieldValueIRS element (for citing)
Total Liability$138,997TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,420,254TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,236,597NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$165,245DonatedServicesAndUseFcltsAmt
Revenue Not Reported$2,401,842RevenueNotReportedAmt
Revenue Subtotal$1,018,412RevenueSubtotalAmt
Investment Expenses Not Incld$83,327InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$83,327RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,101,739TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,418,007TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$165,245DonatedServicesUseFcltsAmt
Expenses Not Reported$165,245ExpensesNotReportedAmt
Expenses Subtotal$1,252,762ExpensesSubtotalAmt
Investment Expenses Not Incld2$83,327InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$83,327ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,336,089TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds are used for both capital improvements and scholarships.
Part X, Line 2:The Foundation received tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (the Code) on May 20, 2004. The Code provides for taxation of unrelated business income under certain circumstances. The Foundation has no unrelated business income. The Foundation files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the return is filed, it is certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to foundations include such matters as the tax-exempt status of each entity and various positions relative to potential sources of unrelated business taxable income. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. As of December 31, 2019 and 2018, there were no unrecognized tax benefits identified and recorded as a liability. With few exceptions, tax returns prior to 2016 are closed to review by federal and state authorities.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Gala (Dinner)Event1Nm
Gross Receipts Event1$373,603GrossReceiptsEvent1Amt
Charitable Contri Event1$255,100CharitableContriEvent1Amt
Gross Revenue Event1$118,503GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,250RentFacilityCostsEvent1Amt
Food And Beverage Event1$44,543FoodAndBeverageEvent1Amt
Entertainment Event1$30,217EntertainmentEvent1Amt
Other Direct Expenses Event1$59,608OtherDirectExpensesEvent1Amt
Event2Lewis Family Cancer Fund Golf)Event2Nm
Gross Receipts Event2$148,663GrossReceiptsEvent2Amt
Charitable Contri Event2$60,839CharitableContriEvent2Amt
Gross Revenue Event2$87,824GrossRevenueEvent2Amt
Rent Facility Costs Event2$6,300RentFacilityCostsEvent2Amt
Food And Beverage Event2$31,870FoodAndBeverageEvent2Amt
Entertainment Event2$1,050EntertainmentEvent2Amt
Other Direct Expenses Event2$19,036OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$181,211GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$104,346CharitableContriOtherEventsAmt
Gross Revenue Other Events$76,865GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$5,753NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$7,269RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$38,242FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$16,565OthDirectExpnssOtherEventsAmt
Gross Receipts Total$703,477GrossReceiptsTotalAmt
Charitable Contributions Tot$420,285CharitableContributionsTotAmt
Gross Revenue Total Events$283,192GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,753NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$19,819RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$114,655FoodAndBeverageTotalEventsAmt
Entertainment Total Events$31,267EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$95,209OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$266,703DirectExpenseSummaryEventsAmt
Net Income Summary$16,489NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Winter Haven Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Avenue F NEAddressLine1Txt
CityWinter HavenCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd
FieldValueIRS element (for citing)
Recipient EIN590724462RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$621,835CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantAdministrative fee paid to FSU, on behalf of WHH, for establishing & maintaining an ACGME accredited residency program in Family Medicine, Bladder Scanner, Heart Valve Clinic, WHH South Entrance Renovation, Medical staff education program, Bassinets for Women & Children Hospital, Behavioral Health dept. patientsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Employee Hardship Assistance20$10,701
Scholarships5$10,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationWinter Haven Hospital Foundation, Inc. (the Foundation) provides support to Winter Haven Hospital (the Hospital) as part of its exempt purpose. The Foundation Board executive Committee reviews all grant and scholarship requests and makes recommendations to the Foundation Board. The Board reviews the committee recommendations and determines which requests will be authorized.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJoel L ThomasPersonNm
TitlePresident/CEOTitleTxt
Base Compensation Filing Org$166,438BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$895OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,425DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$20,604NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$196,362TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationThe filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, Baycare Health System Inc., uses compensation committee, independent compensation consultant, compensation survey or study and approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescAuction/Raffle ItemsDesc
Contribution159ContributionCnt
Noncash Contributions Rpt F990$178,358NoncashContributionsRptF990Amt
Method Of Determining RevenuesCostMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationIs the number of contributions.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of Winter Haven Hospital Foundation, Inc. is Mid-Florida Medical Services, Inc.
Form 990, Part VI, Section A, line 7aMid-Florida Medical Services, Inc. shall elect and remove board members of the Winter Haven Hospital Foundation, Inc.
Form 990, Part VI, Section A, line 7bThe power to make, alter, amend, repeal or adopt the bylaws shall be vested in the Board of Trustees of the Foundation and will require approval of the sole member's Board of Trustees.
Form 990, Part VI, Section B, line 11bThe Chairman and the CEO of Winter Haven Hospital Foundation initially reviews the Form 990. After their review is completed, the final Form 990 is then filed and subsequently provided to Board Members, including all voting members of the governing body.
Form 990, Part VI, Section B, line 12cThe Chairman of the Board of Directors inquires at least annually if there are any conflicts of interst. In addition, all officers, directors, trustees and key employees are required to sign a conflict of interest statement annually.
Form 990, Part VI, Section B, line 15The Executive Compensation Committee of the Board of Directors sets compensation for the President of the Foundation. The Executive Compensation Committee consists of four Board members, all of whom are independent. The Executive Compensation Committee has used the consulting firm of Sullivan and Cotter to advise them about executive compensation and to provide them with comparability data. Minutes of the Executive Compensation Committee meetings are kept and retained.
Form 990, Part VI, Section C, line 19The financial statements of Winter Haven Hospital Foundation, Inc. are made available to the public upon request for the same period of disclosure as set forth in section 6104(d). The organization's governing documents and conflict of interest policy are not made available to the public.
Form 990, Part VII, Column (D):The Foundation has a contract with Baycare to process the Foundation's bi-weekly payroll. The Foundation reimburses Baycare for Joel L. Thomas' compensation during the year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Mid-Florida Medical Services IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Avenue F NEAddressLine1Txt
CityWinter HavenCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd
FieldValueIRS element (for citing)
EIN592486580EIN
Primary ActivitiesSupport OrganizationPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12c, III-FIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd