2018-08-15T17:06:12-04:00 2017-09-30 592425904 OLIVARI & ASSOCIATES CPA'S 141 SAGE BRUSH TRAIL SUITE D ORMOND BEACH FL 32174 990 2016-10-01 592434422 PATIENT BUSINESS & FINANCIAL SERVICES INC PATI 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 LISA TYLER CONTROLLER 3862264560 2018-08-14 true JOHNNY SVAJKO CPA P00201386 3866720775 2018-08-15 2016 2022-09-23 18:48:47Z JEFF FEASEL 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 21546588 false X N/A X 1987 FL THIS ORGANIZATION BILLS AND COLLECTS FOR ALL SERVICES PROVIDED BY HALIFAX HOSPITAL MEDICAL CENTER D/B/A HALIFAX HEALTH (EIN: 59-6001217) 7 7 406 0 0 21370670 21546588 0 0 21370670 21546588 0 0 14582622 14797373 0 0 6788048 6749215 21370670 21546588 0 0 0 0 THIS ORGANIZATION BILLS AND COLLECTS FOR ALL SERVICES PROVIDED BY HALIFAX HOSPITAL MEDICAL CENTER D/B/A HALIFAX HEALTH (EIN: 59-6001217) false false . true false false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 true 406 true false false false false false false X 7 7 false false false false false false false true true false false false true true true true true true true false X LISA TYLER 3862264560 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 HAROLD GOODEMOTE CHAIRMAN 1.00 X 0 0 0 DAN FRANCATI VICE CHAIRMA 1.00 X 0 0 0 TOM MCCALL SECRETARY 1.00 X 0 0 0 SUSAN SCHANDEL TREASURER 1.00 X 0 0 0 GLENN RITCHEY MEMBER 1.00 X 0 0 0 ED CONNOR MEMBER 1.00 X 0 0 0 CARL LENTZ III MEMBER 1.00 X 0 0 0 JEFF FEASEL CHIEF EXEC. 0.00 40.00 X 0 634895 89820 ERIC PEBURN CHIEF FINANC 0.00 40.00 X 0 394994 52280 JONI RAHN HOFFMAN DIR. OF PATI 40.00 X 159902 0 15584 RONDA KENNEDY MANAGER PBFS 40.00 X 109386 0 0 DARLENE CRAIG STAFF 40.00 X 104135 0 6691 PATRICIA WRIGHT STAFF 40.00 X 118605 0 13051 BARBARA ZDANIS STAFF 40.00 X 100801 0 12763 592829 1029889 190189 5 false true false 3M HEALTH INFO SYSTEMS DEPT 0881 PO BOX 120881 DALLAS TX 753120881 SOFTWARE 2251172 EMDEON BUSINESS SERVICES 100 BRYNE ROAD TOLEDO OH 436070494 COLLECTIONS 1851548 RELAY HEALTH INC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 SOFTWARE 679313 OPTUM360 LLC 9900 BREN ROAD EAST MN008-T390 MINNETONKA MN 55343 SOFTWARE 477529 APEX PRINT TECHNOLOGIES 100 SOUTH OWASSO BLVD WEST ST PAUL MN 55117 SOFTWARE 421268 16 REIMBURSEMENTS FROM HALIFAX 21546588 21546588 21546588 21546588 21546588 X 13547844 13547844 251887 251887 39865 39865 957777 957777 6321729 6321729 147130 147130 18750 18750 DUES & LICENSES 97364 97364 LEASE / RENTAL EXPENSE 73198 73198 SUPPLIES, MEDS & FOOD 48227 48227 MINOR EQUIPMENT 26979 26979 15838 15838 21546588 0 21546588 0 0 0 0 0 X 0 0 0 0 0 X false true X true false X X X 1 HALIFAX HOSPITAL MEDICAL CENTER DBA HALIFAX HEALTH 596001217 6 true 0 0 1 0 true false false false false false false false false false false false false false false true false X false false false false false false false false false JEFF FEASEL CHIEF EXEC. OFFICER 634895 89820 724715 ERIC PEBURN CHIEF FINANCIAL OFF. 394994 52280 447274 JONI RAHN HOFFMAN DIR. OF PATIENT SVCS 159902 15584 175486 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PROVIDED TO THE ORGANIZATIONS CONTROLLER FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 15A PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 15B PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G COLLECTION FEES 0 1,326,726 0 CONTRACT LABOR 0 600,777 0 FINANCIAL SERVICES 0 2,105,803 0 I.T. CONSULTING & SUPPORT 0 1,650,123 0 SUPPORT OF PATIENT CARE 0 590,249 0 PROFESSIONAL FEES 0 33,298 0 OTHER DIRECT EXPENSES 0 14,753 0 TOTAL 0 6,321,729 0