2019-05-15T11:57:46-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-07-01 593527036 THE VILLAGES TRI-COUNTY MEDICAL CENTER INC VILL 3523235002 1451 EL CAMINO REAL THE VILLAGES FL 32159 DIANE HARDEN CFO 3523235002 2019-05-13 1 JOHN NORMAN P01506766 7049985200 2019-05-13 67.137.57.251 2019-05-13 18:11:59 ED P 625448C0F55D99FA31EEB930CD4AF0F24507C48B E08534915D800E761C58D6BC2FAE027E229B383F 2017 2019-02-21 02:37:17Z DON HENDERSON 1451 EL CAMINO REAL THE VILLAGES FL 32159 186075164 0 X WWW.TVRH.ORG X 1998 FL TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES WE SERVE. 16 16 1680 900 0 0 593635 675385 190680763 185104918 153738 241905 9100 0 191437236 186022208 254221 154043 0 0 87579965 87389356 0 0 0 101343213 102013153 189177399 189556552 2259837 -3534344 270995308 269716038 171039606 170462643 99955702 99253395 X TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THAT WE SERVE. 0 0 170131496 154043 185104918 THE VILLAGES REGIONAL HOSPITAL, PART OF CENTRAL FLORIDA HEALTH, IS A 277 BED ACUTE CARE HOSPITAL WITH A 20 BED REHAB UNIT LOCATED IN THE HEART OF THE VILLAGES, A NATIONALLY KNOWN ADULT COMMUNITY SPECIALLY DESIGNED TO BRING HOSPITALITY TO HEALTH CARE. THE FACILITY SERVES THE TRI-COUNTY AREA -- LAKE, SUMTER, AND SOUTH MARION COUNTIES, AND IS A RECIPIENT OF THE HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD. THE VILLAGES REGIONAL HOSPITAL IS COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. (SEE CONTINUATION ON SCHEDULE O)THE FACILITY CONSISTS OF 32 ICU BEDS, 16 IMCU BEDS, STATE OF THE ART SURGICAL SUITES, A RADIOLOGY DEPARTMENT FEATURING FILMLESS COMPUTER IMAGING, PHARMACY, CLINICAL LABORATORY, AND A FULL SERVICE EMERGENCY DEPARTMENT. THE VILLAGES REGIONAL HOSPITAL IS HOME TO ONE OF THE WORLD'S FIRST PHILIPS AMBIENT EXPERIENCE CATHETER LABS DESIGNED TO IMPROVE THE EXPERIENCE DURING HEART CATHETER PROCEDURES. OUR TEAM MEMBERS, PHYSICIANS, AND VOLUNTEERS HAVE A PASSION FOR DELIVERING AWARD WINNING HEALTHCARE AND IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 170131496 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1680 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL X DIANE HARDEN CFO 3523235002 600 E DIXIE AV LEESBURG FL 34748 GREGORY LEWIS CHAIRPERSON 2.00 3.00 X X 0 0 0 ROGER A BEYERS VICE CHAIRPERSON 2.00 3.00 X X 0 0 0 DIANE B SPENCER SECRETARY 2.00 3.00 X X 0 0 0 LINDSAY BLAISE TREASURER 2.00 3.00 X X 0 0 0 ROBERT Q WILLIAMS ESQ BOARD MEMBER 2.00 3.00 X 0 0 0 H MARLENE O'TOOLE BOARD MEMBER 2.00 3.00 X 0 0 0 SHAHBAZ A CHEEMA MD BOARD MEMBER 2.00 3.00 X 0 0 0 RUSSELL J D'EMIDIO BOARD MEMBER 2.00 3.00 X 0 0 0 SHIVAKUMAR S HANUBAL MD BOARD MEMBER 2.00 3.00 X 0 0 0 GEORGE E KAINZ MD BOARD MEMBER 2.00 3.00 X 0 0 0 GEORGE F MCCABE BOARD MEMBER 2.00 3.00 X 0 0 0 DAVID L SUSTARSIC MD BOARD MEMBER 2.00 3.00 X 0 0 0 LYNNE S WINKLER BOARD MEMBER 2.00 4.00 X 0 0 0 DWARAK R BANALA MD BOARD MEMBER 2.00 3.00 X 0 0 0 DONALD HENDERSON PRESIDENT/CEO 17.00 33.00 X 0 782168 28080 DIANE HARDEN SVP/CFO 17.00 33.00 X 0 413917 20619 SAAD EHTISHAM SVP/COO 18.00 32.00 X 0 468289 28080 PHYLLIS BAUM VP/CQO 20.00 30.00 X 0 341998 22218 AMIE RICHASON VP/HUMAN RESOURCES 20.00 30.00 X 0 283171 27445 DAVID STEELE VP/CIO 20.00 30.00 X 0 276760 24498 PHILIP BRAUN VP/CHIEF COUNSEL 20.00 30.00 X 0 234376 25168 WILLIAM PFINGSTEN VP OF AMBULATORY SERVICES 20.00 30.00 X 0 233507 17591 TED E WILLIAMS VP/FOUNDATION PRESIDENT 1.00 49.00 X 0 211871 16625 ALEXANDER CHANG VP, SUPPORT SERVICES 20.00 30.00 X 0 229763 24558 MICHAEL PITTMAN VP/CCO & SITE ADMINSTRATOR 48.00 2.00 X 246990 0 17280 FELIX SMITH PHARMACY 50.00 X 156527 0 11951 MICHAEL LAND PHARMACY 50.00 X 156729 0 24125 SANDRA PELTON PHARMACY 50.00 X 175927 0 17280 HEATHER SCHWEIZER MD PHYSICIAN 50.00 X 368937 0 5158 DAVID BOWERS MD PHYSICIAN 50.00 X 512857 0 13333 1617967 3475820 324009 16 0 1 0 TEAMHEALTH ANESTHESIA 7111 FAIRWAY DRIVE SUITE 540 PALM BEACH GARDEN FL 33418 ANESTHESIA SERVICES 1023397 ANGELICA PO BOX 535122 ATLANTA GA 30353 LINEN SERVICES 712446 HEALOGICS WOUND CARE & HYPERBARIC CTR 3087 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SERVICES 711488 ALLIED UNIVERSAL SECURITY SERVICES 1551 N TUSTIN AVE SUITE 650 SANTA ANA CA 92705 SECURITY 666026 SHC SERVICES PO BOX 677896 DALLAS TX 75267 TEMPORARY LABOR 515462 14 675385 675385 PATIENT REVENUE 621400 182876773 182876773 OTHER OPERATING REVENUE 621400 2228145 2228145 185104918 248592 248592 46269 52956 0 -52956 46269 -6687 -6687 186022208 185104918 0 241905 154043 154043 2715969 2715969 69616834 63334048 6282786 2208017 1930000 278017 7246491 6336337 910154 5602045 4896678 705367 3330407 2465751 864656 61128 30564 30564 367100 367100 4429974 3634492 795482 880893 748761 132132 711184 192764 518420 4646398 4061647 584751 3068133 2539658 528475 53580 27225 26355 144870 76964 67906 4846211 4846211 14206603 12008606 2197997 1339532 812962 526570 SUPPLIES 44044917 43722018 322899 BAD DEBT 6258926 6258926 EQUIPMENT RENTALS AND S 5390467 5141934 248533 PHYSICIAN EXPENSES 3598653 3598653 4634177 3313254 1320923 189556552 170131496 19425056 0 13304687 3200 4863366 4714550 66678107 79703061 4430001 4306425 4585369 2474160 301925626 138787565 160579739 163138061 15318100 15345415 155471 31165 270995308 269716038 18152604 24020077 144903468 140605893 5354287 5836673 171039606 170462643 X 101504481 99253395 99955702 99253395 270995308 269716038 X -3534344 1690904 1141133 X 0 1 X 1 0 X 0 0 0 0 0 0 1 31084 0 1 12985 44069 0 PART II-B, LINE 1: 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. 6919788 6919788 189945876 67244724 122701152 95699556 67151355 28548201 9360406 4391486 4968920 163138061 MALPRACTICE IBNR 5836673 5836673 X PART X, LINE 2: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 1 1 2973553 2973553 0.01570 9341863 3010918 6330945 0.03340 12315416 3010918 9304498 0.04910 12315416 3010918 9304498 0.04910 1 2515446 88590681 87848927 741754 X 1 0 2 1 THE VILLAGES TRI-COUNTY MEDICAL CTR 1451 EL CAMINO REAL THE VILLAGES FL 32159 HTTP://WWW.TVRH.ORG/ X X X 2 TVRH RHABILITATION HOSPITAL 1451 EL CAMINO REAL THE VILLAGES FM 32159 HTTP://WWW.TVRH.ORG/ X X THE VILLAGES TRI-COUNTY MEDICAL CTR 1 1 1 1 X X X X X X X X X 15 1 1 1 1 X SEE PART V X 1 15 1 SEE PART V 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X X 1 0 X X X X X 1 X 0 0 TVRH RHABILITATION HOSPITAL 2 1 1 1 X X X X X X X X X 15 1 1 1 1 X SEE PART V X 1 15 1 SEE PART V 0 1 X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 X 0 X X X X 1 X 0 0 THE VILLAGES TRI-COUNTY MEDICAL CTR 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. MORE SPECIFICALLY, IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE THREE SIMILAR, THOUGH SLIGHTLY DIFFERENT SURVEYS (BUSINESS LEADER, CITIZEN, AND PHYSICIAN) TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND HEALTHCARE SYSTEM PERSPECTIVES. A CONVENIENCE SAMPLING APPROACH (RESPONDENTS ARE SELECTED DUE TO THEIR CONVENIENT ACCESSIBILITY) WAS UTILIZED FOR ALL THREE SURVEYS. THE CFH STEERING COMMITTEE ASSISTED WITH THE DISSEMINATION OF SURVEYS THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 380 RESPONDENTS TO THE VARIOUS SURVEYS. HOWEVER, ONLY 257 PARTICIPANTS COMPLETED THE VARIOUS SURVEYS IN ITS ENTIRETY (227 CITIZENS, 21 BUSINESS LEADERS, AND 10 PHYSICIANS).ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM --THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THIS ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS, OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY.ON FEBRUARY 9, 2016, THE STEERING COMMITTEE FOR THE CENTRAL FLORIDA HEALTH COMMUNITY HEALTH ASSESSMENT CONVENED A GROUP OF SEVERAL COMMUNITY LEADERS TO PARTICIPATE IN THIS FORCES OF CHANGE ASSESSMENT. PRIOR TO THE MEETING, WELLFLORIDA COUNCIL DISTRIBUTED A FORCES OF CHANGE BRAINSTORMING TOOL AS WELL AS A THREATS AND OPPORTUNITIES WORKSHEET AND ENCOURAGED INVITEES TO THE MEETING TO BEGIN TO BRAINSTORM THE POSSIBLE FORCES THAT MAY HINDER OR HELP THE COMMUNITY IN ITS QUEST FOR COMMUNITY HEALTH IMPROVEMENT. THE FORCES OF CHANGE FOR THE VILLAGES SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE THE VILLAGES SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT. TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTERST OF THE COMMUNITY SERVED BY THE HOSPITAL: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. MORE SPECIFICALLY, IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE THREE SIMILAR, THOUGH SLIGHTLY DIFFERENT SURVEYS (BUSINESS LEADER, CITIZEN, AND PHYSICIAN) TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND HEALTHCARE SYSTEM PERSPECTIVES.A CONVENIENCE SAMPLING APPROACH (RESPONDENTS ARE SELECTED DUE TO THEIR CONVENIENT ACCESSIBILITY) WAS UTILIZED FOR ALL THREE SURVEYS. THE CFH STEERING COMMITTEE ASSISTED WITHT HE DISSEMINATION OF SURVEYS THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 380 RESPONDENTS TO THE VARIOUS SURVEYS, HOWEVER, ONLY 258 PARTICIPANTS COMPLETED THE VARIOUS SURVEYS IN ITS ENTIRETY (227 CITIZENS, 21 BUSINESS LEADERS, AND 10 PHYSICIANS).ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM -- THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THE ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS. OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY. ON FEBRUARY 9. 2016, THE STEERING COMMITTEE FOR THE CENTRAL FLORIDA HEALTH COMMUNITY HEALTH ASSESSMENT CONVENED A GROUP OF SEVERAL COMMUNITY LEADERS TO PARTICIPATE IN THIS FORCES OF CHANGE ASSESSMENT. PRIOR TO THE MEETING. WELLFLORIDA COUNCIL DISTRIBUTED A FORCES OF CHANGE BRAINSTORMING TOOL AS WELL AS THREATS AND OPPORTUNITIES WORKSHEET AND ENCOURAGED INVITEES TO THE MEETING TO BEGIN TO BRAINSTORM THE POSSIBLE FORCES THAT MAY HINDER OR HELP THE COMMUNITY IN ITS QUEST FOR COMMUNITY HEALTH IMPROVEMENT. THE FORCES OF CHANGE FOR THE VILLAGES SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE VILLAGES SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT. THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTER THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 11: THE VILLAGES HAS IDENTIFIED FIVE AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:OBESITY IN ADULTS THE ORGANIZATION WILL CONTINUE PARTICIPATION IN THE ANNUAL CORPORATE WELLNESS CHALLENGE IN PARTNERSHIP WITH THE LEESBURG AND SUMTER COUNTY CHAMBER OF COMMERCE TO PROMOTE WEIGHT LOSS AND WELLNESS AMONG THE AREA'S LARGEST EMPLOYERS (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY THREE PERCENT THE COMBINED, CUMULATIVE WEIGHT AMONG CORPORATE WELLNESS CHALLENGE MEMBERS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION EVENTS (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EACH YEAR ADDRESSING NUTRITION AND EXERCISE IN LAKE AND SUMTER COUNTIES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY MASS INDEX AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).LACK OF PHYSICAL ACTIVITY THE ORGANIZATION WILL CONTINUE DEVELOPMENT OF THE COMMUNITY/TEAM MEMBER WELLNESS TRACK ON THE CAMPUS OF THE VILLAGES (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY 5 PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH TEAM MEMBERS WHO UTILIZE THE TRACK ON A WEEKLY BASIS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO SPONSOR ANNUAL COMMUNITY WALK/YOUTH DANCE COMPETITION EVENTS IN LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) DESIGNED TO ENCOURAGE FAMILIES TO USE PRACTICAL ACTIVITIES TO INCORPORATE EXERCISE INTO THEIR DAILY LIVES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY WEIGHT AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).SHORTAGE OF HEALTH SERVICES THE ORGANIZATION WILL DEVELOP AN AWARENESS CAMPAIGN (TARGETING RESIDENTS OF LEESBURG AND FRUITLAND PARK) FOR THE COMMUNITY MEDICAL CARE CLINIC, A MEDICAL HOME OPERATED IN PARTNERSHIP WITH CENTRAL FLORIDA HEALTH THAT OFFERS NO-COST PRIMARY HEALTH CARE SERVICES, INCLUDING MAMMOGRAMS, MEDICATIONS AND DENTAL CARE TO UNDERSERVED RESIDENTS IN LAKE COUNTY (WITH A THREE YEAR OUTCOME GOAL OF INCREASING CLINIC VOLUMES BY 3 PERCENT BY JULY 1, 2019). THE ORGANIZATION WILL ALSO EXPAND ITS URGENT CARE CENTER PRESENCE TO MEET THE NEEDS OF ITS RAPIDLY GROWING POPULATION WITH THE ENTRANCE OF A THIRD LOCATION IN A YET-TO-BE-NAMED COMMUNITY (WITH A THREE YEAR OUTCOME GOAL OF REDUCING CAPACITY CONSTRAINTS BY FIVE PERCENT IN THE EMERGENCY DEPARTMENTS AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL). FINALLY, THE ORGANIZATION WILL CONTINUE TO RECRUIT NEEDED PHYSICIAN SPECIALISTS AND SUB-SPECIALISTS TO THE COMMUNITY BASED ON A BI-ANNUAL PHYSICIAN COMMUNITY NEEDS ANALYSIS (WITH A THREE YEAR OUTCOME GOAL OF THE SUCCESSFUL RECRUITMENT OF PHYSICIANS FROM EACH IDENTIFIED SPECIALTY, INCLUDING URGENT CARE, NEUROLOGY AND OTOLARYNGOLOGY (EAR, NOSE AND THROAT) BY JULY 1, 2019).INAPPROPRIATE USE OF EMERGENCY CARETHE ORGANIZATION WILL LAUNCH A PUBLIC AWARENESS CAMPAIGN THROUGHOUT LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EDUCATING THE COMMUNITY ABOUT WHEN IT IS BEST TO UTILIZE THEIR PRIMARY CARE PHYSICIAN OR URGENT CARE CENTER AND WHEN MOST APPROPRIATE TO VISIT THEIR LOCAL EMERGENCY DEPARTMENT (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY FIVE PERCENT THE NUMBER OF PATIENTS WHO PRESENT TO CENTRAL FLORIDA HEALTH URGENT CARE CENTERS AND INDICATE THAT THEY LEARNED ABOUT URGENT CARE SERVICES THROUGH THE CAMPAIGN BY JULY 1, 2019). THE ORGANIZATION WILL ALSO IMPLEMENT A PHYSICIAN TRIAGE PROGRAM AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL TO OPTIMIZE SYMPTOM AND TREATMENT MANAGEMENTS FOR PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT FOR CARE (WITH A THREE YEAR OUTCOME GOAL OF DECREASING BY FIVE PERCENT WAIT TIMES IN THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENTS BY JULY 1, 2019).OTHER IDENTIFIED HEALTHCARE ISSUESTHE ORGANIZATION WILL MAINTAIN ITS PARTNERSHIP PLEDGE WITH THE AMERICAN CANCER SOCIETY TO RAISE THE RATE OF COLON CANCER SCREENINGS TO 80 PERCENT BY THE YEAR 2018 (WITH A THREE YEAR OUTCOME GOAL OF REDUCING THE NUMBER OF COLON CANCER DEATHS BY TWO PERCENT IN ITS SERVICE AREA BY JULY 1, 2019). THE ORGANIZATION WILL ALSO CONTINUE ITS HIRING POLICY THAT EXCLUDES INDIVIDUALS WHO USE TOBACCO FROM BEING ELIGIBLE TO JOIN THE CENTRAL FLORIDA HEALTH TEAM (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY FIVE PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH EMPLOYEES WHO USE TOBACCO PRODUCTS BY JULY 1, 2019). FINALLY, THE ORGANIZATION WILL FURTHER DEVELOP PARTNERSHIPS WITH FAITH-BASED ORGANIZATIONS IN COMMUNITIES WHERE THERE ARE IDENTIFIED HEALTH DISPARITIES (PRIMARILY LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) TO PROVIDE DIABETES, HEART DISEASE AND CANCER EDUCATION AND SCREENINGS (WITH A THREE THREE YEAR OUTCOME GOAL OF HAVING 25 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT GLUCOSE AND BLOOD PRESSURE LEVELS AND RECEIVE EDUCATION ABOUT HOW TO PREVENT AND/OR MANAGE HYPERTENSION AND DIABETES BY JULY 1, 2019).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 VILLAGES RECOGNIZES THAT OTHER COMMUNITY GROUPS HAVE MORE EXPERIENCE TO MEET THOSE NEEDS. THE NEEDS IDENTIFIED THAT ARE BEING ADDRESSED BY OTHER ORGANIZATIONS ARE DENTAL CARE, AGING PROBLEMS, RESPIRATORY/LUNG DISEASE, MENTAL HEALTH, NUTRITION AND UTILIZING VOLUNTEER WORKFORCE. TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 11: TVRH REHABILITATION HOSPITAL HAS IDENTIFIED FIVE AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:OBESITY IN ADULTSCFH WILL CONTINUE PARTICIPATION IN THE ANNUAL CORPORATE WELLNESS CHALLENGE IN PARTNERSHIP WITH THE LEESBURG AND SUMTER COUNTY CHAMBER OF COMMERCE TO PROMOTE WEIGHT LOSS AND WELLNESS AMONG THE AREA'S LARGEST EMPLOYERS (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY THREE PERCENT THE COMBINED, CUMULATIVE WEIGHT AMONG CORPORATE WELLNESS CHALLENGE MEMBERS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION EVENTS (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EACH YEAR ADDRESSING NUTRITION AND EXERCISE IN LAKE AND SUMTER COUNTIES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY MASS INDEX AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).LACK OF PHYSICAL ACTIVITY THE ORGANIZATION WILL CONTINUE DEVELOPMENT OF THE COMMUNITY/TEAM MEMBER WELLNESS TRACK ON THE CAMPUSES OF LRMC AND THE VILLAGES (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY 5 PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH TEAM MEMBERS WHO UTILIZE THE TRACK ON A WEEKLY BASIS BY JULY 1, 2019). THE ORGANIZATION WILL SPONSOR ANNUAL COMMUNITY WALK/YOUTH DANCE COMPETITION EVENTS IN LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) DESIGNED TO ENCOURAGE FAMILIES TO USE PRACTICAL ACTIVITIES TO INCORPORATE EXERCISE INTO THEIR DAILY LIVES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY WEIGHT AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).SHORTAGE OF HEALTH SERVICESTHE ORGANIZATION WILL DEVELOP AN AWARENESS CAMPAIGN (TARGETING RESIDENTS OF LEESBURG AND FRUITLAND PARK) FOR THE COMMUNITY MEDICAL CARE CLINIC. A MEDICAL HOME OPERATED IN PARTNERSHIP WITH CENTRAL FLORIDA HEALTH THAT OFFERS NO-COST PRIMARY HEALTH CARE SERVICES, INCLUDING MAMMOGRAMS, MEDICATIONS AND DENTAL CARE TO UNDERSERVED RESIDENTS IN LAKE COUNTY (WITH A THREE YEAR OUTCOME GOAL OF INCREASING CLINIC VOLUMES BY 3 PERCENT BY JULY 1, 2019). THE ORGANIZATION WILL ALSO EXPAND ITS URGENT CARE CENTER PRESENCE TO MEET THE NEEDS OF ITS RAPIDLY GROWING POPULATION WITH THE ENTRANCE OF A THIRD LOCATION IN A YET-TO-BE NAMED COMMUNITY (WITH A THREE YEAR OUTCOME GOAL OF REDUCING CAPACITY CONSTRAINTS BY FIVE PERCENT IN THE EMERGENCY DEPARTMENT AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL). FINALLY, THE ORGANIZATION WILL CONTINUE TO RECRUIT NEEDED PHYSICIAN SPECIALISTS AND SUB-SPECIALISTS TO THE COMMINITY BASED ON A BI-ANNUAL PHYSICIAN COMMUNITY NEEDS ANALYSIS (WITH A THREE YEAR OUTCOME GOAL OF THE SUCCESSFUL RECRUITMENT OF PHYSICIANS FROM EACH IDENTIFIED SPECIALTY, INCLUDING URGENT CARE, NEUROLOGY AND OTOLARYNGOLOGY (EAR, NOSE, THROAT) BY JULY 1, 2019).INAPPROPRIATE USE OF EMERGENCY CARETHE ORGANIZATION WILL LAUNCH A PUBLIC AWARENESS CAMPAIGN THROUGHOUT LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EDUCATING THE COMMUNITY ABOUT WHEN IT IS BEST TO UTILIZE THEIR PRIMARY CARE PHYSICIAN OR URGENT CARE CENTER AND WHEN MOST APPROPRIATE TO VISIT THEIR LOCAL EMERGENCY DEPARMENT (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY FIVE PERCENT THE NUMBER OF PATIENTS WHO PRESENT TO CENTRAL FLORIDA HEALTH URGENT CARE CENTERS AND INDICATE THAT THEY LEARNED ABOUT URGENT CARE SERVICES THROUGH THE CAMPAIGN BY JULY 1, 2019). THE ORGANIZATION WILL ALSO IMPLEMENT A PHYSICIAN TRIAGE PROGRAM AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL TO OPTIMIZE SYMPTOM AND TREATMENT MANAGEMENTS FOR PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT FOR CARE (WITH A THREE YEAR OUTCOME GOAL OF DECREASING BY FIVE PERCENT WAIT TIMES IN THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENTS BY JULY 1, 2019).OTHER IDENTIFIED HEALTHCARE ISSUESTHE ORGANIZATION WILL MAINTAIN ITS PARTNERSHIP PLEDGE WITH THE AMERICAN CANCER SOCIETY TO RAISE THE RATE OF COLON CANCER SCREENINGS TO 80 PERCENT BY THE YEAR 2018 (WITH A THREE YEAR OUTCOME GOAL OF REDUCING THE NUMBER OF COLON CANCER DEATHS BY TWO PERCENT IN ITS SERVICE AREA BY JULY 1, 2019). THE ORGANIZATION WILL ALSO CONTINUE ITS HIRING POLICY THAT EXCLUDES INDIVIDUALS WHO USE TOBACCO FROM BEING ELIGIBLE TO JOIN THE CENTRAL FLORIDA HEALTH TEAM (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY FIVE PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH EMPLOYEES WHO USE TOBACCO PRODUCTS BY JULY 1, 2019). FINALLY, THE ORGANIZATION WILL FURTHER DEVELOP PARTNERSHIPS WITH FAITH-BASED ORGANIZATIONS IN COMMUNITIES WHERE THERE ARE IDENTIFIED HEALTH DISPARITIES (PRIMARILY LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) TO PROVIDE DIABETES, HEART DISEASE AND CANCER EDUCATION AND SCREENINGS (WITH A THREE YEAR OUTCOME GOAL OF HAVING 25 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT GLUCOSE AND BLOOD PRESSURE LEVELS AND RECEIVE EDUCATION ABOUT HOW TO PREVENT AND/OR MANAGE HYPERTENSION AND DIABETES BY JULY 1, 2019). THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 16J: THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE, COPIES AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE TO ANYONE WHO REQUESTS IT. THE VILLAGES TRI-COUNTY MEDICAL CTR 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. TVRH RHABILITATION 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 FACILITITY'S MEDICAID ELIGIBILITY COMPANT. 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 IT 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 UNTIL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BED DEBT COLLECTION AGENCY. PART V, SECTION B, LINES 7, 10, AND 16 THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR THE VILLAGES TRI-COUNTY MEDICAL CENTER AND TVRH REHABILITATION HOSPITAL CAN BE FOUND AT HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION FOR TWO HOSPITAL FACILITIES CAN BE FOUND AT HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-TRANSPARENCY/. PART III, LINE 2: THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED AGAINST GROSS BAD DEBT CHARGES TO ARRIVE AT THE AMOUNT SHOWN ON PART III, LINE 2. PART III, LINE 4: THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PART III, LINE 8: CHARITY CARE IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH TO PROVIDE MEDICAL SERVICES TO THOSE PATIENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT. THE MEDICARE AND MEDICAID PROGRAMS PAY CENTRAL FLORIDA HEALTH LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO ITS MEDICARE AND MEDICAID PATIENTS. THE AMOUNTS SHOWN ARE THE ACTUAL COSTS TO PROVIDE THESE SERVICES ABOVE REIMBURSEMENT. BAD DEBT IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH FOR SERVICES PROVIDED TO PATIENTS WHO HAVE NOT PAID THEIR BILLS AND WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TOCOLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITYCARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIALASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. PART VI, LINE 2: THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2015-2016 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) THESE FOUR MAPP ASSESSMENTS WORK IN CONCERT TO IDENTIFY COMMON THEMES AND CONSIDERATIONS IN ORDER TO HONE IN ON KEY COMMUNITY HEALTH NEEDS. THREE OF THE FOUR MAPP ASSESSMENTS ARE FULLY INTEGRATED INTO THE 2016 CHNA. PLEASE NOTE, THIS DOCUMENT IS A HEALTH NEEDS ASSESSMENT AND ITS PURPOSE IS TO UNCOVER OR SUBSTANTIATE THE HEALTH NEEDS AND HEALTH ISSUES IN THE SERVICE AREA. THIS REPORT WILL NOT ESTABLISH PRIORITY GOALS AND OBJECTIVES FOR ADDRESSING THESE ISSUES OR CREATE A STRATEGIC PLAN FOR ACHIEVING THOSE GOALS AND OBJECTIVES. THESE ARE THE NEXT PHASES OF THE MAPP PROCESS REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). 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 NECESSARY HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND EFFECTIVE HEALTH OUTCOMES. TVRH SERVICE AREA PRIMARILY SERVES AN ADULT POPULATION GREATER THAN 55 YEARS OF AGE (70.2%), COMPARED TO THE 62.1% THE CENTRAL FLORIDA HEALTH (CFH) SERVICE AREA AND 29.7% FLORIDA SERVE. TVRH SERVICE AREA ALSO SERVES A SMALLER PERCENTAGE (7.1%) OF ADOLESCENTS (0-17 YEARS OLD), COMPARED TO THE CFH SERVICE AREA (9.6%) AND FLORIDA (21.0%). THE OVERWHELMING MAJORITY OF TVRH SERVICE AREA POPULATION IS WHITE (89.8%), COMPARED TO THE CFH SERVICE AREA AND FLORIDA, WITH A SMALLER WHITE POPULATION (87.3% AND 75.0%, RESPECTIVELY). FURTHERMORE, THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, AND ASIAN ONLY POPULATION COMPRISE 6.8%, 0.3%, AND 0.8% OF TVRH SERVICE AREA, RESPECTIVELY, WHILE 1.3% IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.0% IDENTIFY AS HAVING TWO OR MORE RACES. LASTLY, 94.5%, OF THE POPULATION IN TVRH SERVICE AREA IDENTIFY AS "NON-HISPANIC OR LATINO," WHICH IS COMPARABLE TO THE PERCENTAGE OF "NON-HISPANICS OR LATINOS" IN THE CFH SERVICE AREA, BUT GREATER THAN THE STATE OF FLORIDA (77.5%). LIFE EXPECTANCYCONSIDERING ALL RACES AND ETHNICITIES, THE GREATEST LIFE EXPECTANCY FOR MALES IN 2010 WAS 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). SIMILARLY, THE GREATEST LIFE EXPECTANCY FOR FEMALES IN 2010 WAS 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 COMMONLY SEEN THROUGHOUT THE STATE OF FLORIDA, THERE IS A GREATER DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN TVRH SERVICE AREA.ECONOMIC CHARACTERISTICSCOMPARED TO FLORIDA (16.3%) AND THE CFH SERVICE AREA (11.2%), TVRH SERVICE AREA (9.1%) HAS A SUBSTANTIALLY LOWER PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY. CONSIDERING THE ZIP CODES ASSOCIATED WITH TVRH SERVICE AREA, THE ESTIMATED PERCENTAGE OF POVERTY IS HIGHEST IN WILDWOOD (19.1%) AND LOWEST IN THE VILLAGES (5.0%). ACROSS ALL THREE COUNTIES WITHIN TVRH SERVICE AREA, MARION COUNTY HAS THE MOST INDIVIDUALS LIVING IN POVERTY (18.1%), WHICH IS HIGHER THAN THE STATE OF FLORIDA (16.3%) BY A DIFFERENCE OF 11.0%, COMPARED TO LAKE COUNTY (13.8%) AND SUMTER COUNTY (12.0%), WHICH ARE LOWER THAN FLORIDA BY A DIFFERENCE OF 15.3% AND 26.4%, RESPECTIVELY. THE PERCENTAGE OF MALES LIVING IN POVERTY IN TVRH SERVICE AREA (8.3%) REMAINS LOWER THAN THE CFH SERVICE AREA (10.7%) AND THE STATE OF FLORIDA (15.3%). SIMILARLY, THE PERCENTAGE OF FEMALES LIVING IN POVERTY IN THE LRMC SERVICE AREA (9.8%) REMAINS LOWER THAN THE CFH SERVICE AREA (11.7%) AND THE STATE OF FLORIDA (17.3%). THERE ARE MORE FEMALES LIVING IN POVERTY IN MARION COUNTY (19.1%) COMPARED TO FLORIDA (17.3%), AND SIMILARLY, MORE MALES LIVING IN POVERTY IN MARION COUNTY (17.0%) COMPARED TO FLORIDA (15.3%). THERE ARE A GREATER NUMBER OF CHILDREN (0-17 YEARS OF AGE) THAN ADULTS (18-64) AND ELDERLY (65+) LIVING IN POVERTY IN TVRH SERVICE (29.1%) WHEN COMPARED TO BOTH THE CFH SERVICE AREA (28.9%) AND FLORIDA (23.6%). THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY ARE IN SUMTER COUNTY AND MARION COUNTY (31.4% AND 29.4%, RESPECTIVELY) COMPARED TO LAKE COUNTY (21.4%) AND FLORIDA (23.6%) (TABLE 39). THERE ARE A SMALLER PERCENTAGE OF ELDERLY (65 -74 YEARS OF AGE) LIVING IN POVERTY ACROSS LAKE COUNTY, MARION COUNTY, AND SUMTER COUNTY (6.6%, 7.8%, AND 3.9%, RESPECTIVELY) COMPARED TO FLORIDA (9.6%).THE PERCENTAGE OF THE BLACK POPULATION LIVING IN POVERTY IN TVRH SERVICE AREA (25.0%) IS LOWER THAN THE CFH SERVICE AREA AND FLORIDA (30.6% AND 28.2%, RESPECTIVELY). SIMILARLY, THE PERCENTAGE OF THE WHITE POPULATION LIVING IN POVERTY IN TVRH SERVICE AREA (8.2%) IS LOWER THAN THE CFH SERVICE AREA (9.4%) AND FLORIDA (13.6%). THE PERCENTAGE OF THE BLACK POPULATION (24.3% IN LAKE COUNTY, 31.1% IN MARION COUNTY, AND 33.3% IN SUMTER COUNTY) LIVING IN POVERTY IS GREATER THAN THE PERCENTAGE OF THE WHITE POPULATION (12.5% IN LAKE COUNTY, 15.6%, AND 10.6% IN SUMTER COUNTY). WHILE THE PER CAPITA INCOME IN SUMTER COUNTY ($27,504) IS SLIGHTLY HIGHER THAN FLORIDA ($26,236), THE PER CAPITA INCOME IN LAKE COUNTY ($24,183) AND MARION COUNTY ($21,992) IS LESS THAN FLORIDA. THE MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY ($45,035) AND MARION COUNTY ($39,453) IS LESS THAN FLORIDA ($46,956), WHILE SUMTER COUNTY ($48,493) IS GREATER. EDUCATIONAL ATTAINMENTIN 2013, OF THE POPULATION GREATER THAN 25 YEARS OF AGE IN TVRH SERVICE AREA, 56.1% HAVE AT MOST A HIGH SCHOOL DIPLOMA COMPARED TO THE CFH SERVICE AREA (58.6%) AND FLORIDA (50.8%). COMPARED TO FLORIDA (13.9%), 9.9% OF TVRH SERVICE AREA AND 10.7% OF THE CFH SERVICE AREA HAVE LESS THAN A HIGH SCHOOL DIPLOMA. IT IS NOTABLE THAT WHEN COMPARED TO FLORIDA (35.3%), BOTH TVRH SERVICE AREA (34.1%) AND THE CFH SERVICE AREA (30.6%) HAVE A SMALLER PERCENTAGE OF COLLEGE GRADUATES. CAUSES OF DEATH THE OVERALL TOP 5 LEADING CAUSES OF DEATH IN TVRH SERVICE AREA ARE: 1) CANCER, 2) HEART DISEASE, 3) UNINTENTIONAL INJURIES, 4) CHRONIC LOWER RESPIRATORY DISEASE (CLRD) AND 5) STROKE. ALTHOUGH IN A DIFFERENT ORDER, THE TOP 5 LEADING CAUSES OF DEATH FOR TVRH SERVICE AREA ARE COMPARABLE TO THE CFH SERVICE AREA AND FLORIDA'S TOP FIVE LEADING CAUSES OF DEATH. 1 THE VILLAGES CHARTER SCHOOL 1350 TOTONKA TERRACE THE VILLAGES FL 32162 593597803 501(C)(3) 10000 SPONSORSHIP PART I, LINE 2: THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITY TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT. X X X X X X 0 1 0 0 0 0 0 1 0 DONALD HENDERSON PRESIDENT/CEO 0 640986 0 131737 0 9445 0 10800 0 17280 0 810248 0 0 DIANE HARDEN SVP/CFO 0 353841 0 58049 0 2027 0 9201 0 11418 0 434536 0 0 SAAD EHTISHAM SVP/COO 0 402292 0 63013 0 2984 0 10800 0 17280 0 496369 0 0 PHYLLIS BAUM VP/CQO 0 305408 0 35000 0 1590 0 10800 0 11418 0 364216 0 0 AMIE RICHASON VP/HUMAN RESOURCES 0 254115 0 28629 0 427 0 10165 0 17280 0 310616 0 0 DAVID STEELE VP/CIO 0 248362 0 26773 0 1625 0 7218 0 17280 0 301258 0 0 PHILIP BRAUN VP/CHIEF COUNSEL 0 209430 0 23946 0 1000 0 8377 0 16791 0 259544 0 0 WILLIAM PFINGSTEN VP OF AMBULATORY SERVICES 0 208309 0 23887 0 1311 0 6071 0 11520 0 251098 0 0 TED E WILLIAMS VP/FOUNDATION PRESIDENT 0 187650 0 21621 0 2600 0 5207 0 11418 0 228496 0 0 ALEXANDER CHANG VP, SUPPORT SERVICES 0 203649 0 23576 0 2538 0 7278 0 17280 0 254321 0 0 MICHAEL PITTMAN VP/CCO & SITE ADMINSTRATOR 221647 0 24433 0 910 0 0 0 17280 0 264270 0 0 0 FELIX SMITH PHARMACY 146483 0 10044 0 0 0 5783 0 6168 0 168478 0 0 0 MICHAEL LAND PHARMACY 156169 0 560 0 0 0 6845 0 17280 0 180854 0 0 0 SANDRA PELTON PHARMACY 175242 0 685 0 0 0 0 0 17280 0 193207 0 0 0 HEATHER SCHWEIZER MD PHYSICIAN 368937 0 0 0 0 0 0 0 5158 0 374095 0 0 0 DAVID BOWERS MD PHYSICIAN 482857 0 30000 0 0 0 0 0 13333 0 526190 0 0 0 PART I, LINE 4B THE ORGANIZATION MADE CONTRIBUTIONS TO A 457F PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS: DONALD HENDERSON 94,040 DIANE HARDEN 43,976 SAAD EHTISHAM 49,998 PHYLLIS BAUM 30,000 AMIE RICHASON 25,266 DAVID STEELE 24,694 PHILIP BRAUN 20,823 WILLIAM PFINGSTEN 20,771 TED E. WILLIAMS 18,801 ALEXANDER CHANG 20,500 PART I, LINE 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUAILITY OF AND OTHER PERFORMANCE FACTORS A CITY OF LEESBURG FLORIDA 596000362 2011-10-06 42500000 HOSP REV REFDG BONDS SERIES 2011 0 0 0 B SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 383816771 86652QAT9 2014-03-11 50000000 HOSPITAL REV BONDS, SERIES 2014A 0 0 0 C SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 383816771 86652QBM3 2014-11-05 38725000 HOSPITAL REV BONDS, SERIES 2014B 0 0 0 D CITY OF LEESBURG FLORIDA 596000362 NONEAVAIL 2017-12-21 30000000 HOSPITAL REV. REFUNDING BOND (CENTRAL FLORIDA HEALTH PROJECTS), SERIES 2017 0 0 0 A 42500000 42500000 2011 1 0 1 1 B 2625000 50000000 600860 49399140 2014 0 0 1 1 C 4895000 38725000 430232 20000000 18294768 2014 0 0 1 1 D 30000000 1 0 0 1 A 0 0 0 0 0.01000 0.01000 0 0 0 B 0 0 0 0 0.01000 0.01000 0 0 1 C 0 0 0 0 0.01000 0.01000 0 0 1 D 0 0 0 0 0.01000 0.01000 0 0 1 A 0 1 0 0 1 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 1 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 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 CENTRAL FLORIDA HEALTH APPOINTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND CERTAIN DECISIONS OF THE ORGANIZATION, AS DEFINED IN THE ORGANIZATION'S BYLAWS, ARE SUBJECT TO CENTRAL FLORIDA HEALTH'S APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B SEE LINE 7A EXPLANATION FORM 990, PART VI, SECTION B, LINE 11B DURING APRIL 2019, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2017 FORM 990 TO THE CFH FINANCE COMMITTEE FOR ITS REVIEW. THE CFH FINANCE COMMITTEE MEMBERS HAD AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK PROVIDED FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. UPON FINALIZATION OF THE DOCUMENT, MANAGEMENT PROVIDED A FINALIZED COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS 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 BOARD. 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 THE BOARD OF THE ORGANIZATION APPOINTS THE COMPENSATION COMMITTEE. THE INDIVIDUALS SERVING ON THE COMPENSATION COMMITTEE ALSO SERVE ON THE EXECUTIVE COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS THE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION COMMITTEE HAS A COMPENSATION CHARTER AND PHILOSOPHY. THE ORGANIZATION UTILIZES COMPARABLE COMPENSATION INFORMATION FROM A THIRD PARTY INDEPENDENT SOURCE TO PREPARE AND GATHER MARKET INFORMATION FOR REVIEW BY THE COMPENSATION COMMITTEE. MINUTES ARE KEPT OF ALL ACTIONS. 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 WWW.SUNBIZ.COM. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED CAPITAL 1,141,133. VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES 1451 EL CAMINO REAL THE VILLAGES FL 32159 263978916 BILLING SERVICE FL N/A THE VILLAGES REGIONAL HOSPITAL SURGERY CENTER LLC 1501 N US HWY 441 NORTH SUITE 1800A THE VILLAGES FL 32159 465332363 FREE STANDING OUTPATIENT SURGERY CENTER FL 1323471 1136305 N/A LEESBURG REGIONAL MEDICAL CENTER 600 EAST DIXIE AVE LEESBURG FL 34748 590878982 MEDICAL SERVICES FL 501(C)(3) LINE 3 CFH 0 CENTRAL FLORIDA HEALTH 600 EAST DIXIE AVE LEESBURG FL 34748 331197054 PARENT COMPANY FL 501(C)(3) LINE 12B, II N/A 0 VILLAGES REGIONAL HOSPITAL AUXILIARY FOUNDATION 1451 EL CAMINO REAL THE VILLAGES FL 32159 550818419 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12A, I TVRH 0 LEESBURG REGIONAL MEDICAL CENTER FOUNDATION 600 EAST DIXIE AVE LEESBURG FL 34748 591800743 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12A, I LRMC 0 CF CARDIOVASCULAR COMGMT 600 EAST DIXIE AV LEESBURG FL 34748 270781065 HEALTHCARE SVCS FL LRMC RELATED 0 1 0.37290 VENTURE HEALTH CARE CORPORATION 600 EAST DIXIE AV LEESBURG FL 34748 592689702 MANAGEMENT SR FL C 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1