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WINTER HAVEN HOSPITAL FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WINTER HAVEN HOSPITAL FOUNDATION INC (EIN 03-0406130)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-07
IRS object ID
201703119349300120
Schema version
2016v3.0
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)
Return2017-11-07T08:11:54-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWayne HarderPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.186IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-07IPDt
IP Tm08:11:44IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4B8E1423B9F197D509CCF13AB357181C17C415CBAtSubmissionCreationDeviceId
At Submission Filing Device Id37AB53F3E1FE5B259FEACB8EAA64376B229EE5AEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$3,240,047GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://baycare.org/whh/about-us/foundationWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionWinter Haven Hospital Foundation, Inc. raises philanthropic funds to support Winter Haven Hospital's healthcare mission.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers142TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,522,076PYContributionsGrantsAmt
CY Contributions Grants$784,698CYContributionsGrantsAmt
PY Program Service Revenue$48,451PYProgramServiceRevenueAmt
CY Program Service Revenue$10,911CYProgramServiceRevenueAmt
PY Investment Income$632,935PYInvestmentIncomeAmt
CY Investment Income$186,770CYInvestmentIncomeAmt
PY Other Revenue-$184,673PYOtherRevenueAmt
CY Other Revenue-$146,085CYOtherRevenueAmt
PY Total Revenue$3,018,789PYTotalRevenueAmt
CY Total Revenue$836,294CYTotalRevenueAmt
PY Grants And Similar Paid$29,458PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$31,496CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$337,777PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$457,173CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$287,509CYTotalFundraisingExpenseAmt
PY Other Expenses$239,244PYOtherExpensesAmt
CY Other Expenses$341,890CYOtherExpensesAmt
PY Total Expenses$606,479PYTotalExpensesAmt
CY Total Expenses$830,559CYTotalExpensesAmt
PY Revenues Less Expenses$2,412,310PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,735CYRevenuesLessExpensesAmt
Total Assets BOY$16,165,811TotalAssetsBOYAmt
Total Assets EOY$16,292,797TotalAssetsEOYAmt
Total Liabilities BOY$2,250,004TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,064,730TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,915,807NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,228,067NetAssetsOrFundBalancesEOYAmt
MissionWinter Haven Hospital (WHH) Foundation raises philanthropic funds to support Winter Haven Hospital, Inc's healthcare mission.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$97,036ExpenseAmt
Grant$31,496GrantAmt
Revenue$10,911RevenueAmt
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.Desc
Total Program Service Expenses$97,036TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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
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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Lance Anastasio
Chairman1.001.00Yes (X)Yes (X)$0$0$0
Richard Straughn
1st Vice-Chairman2.002.00Yes (X)Yes (X)$0$0$0
Bud Strang
2nd Vice-Chairman2.00Yes (X)Yes (X)$0$0$0
Eric Adamson
Secretary/Treasurer (Began Feb 2016)2.00Yes (X)Yes (X)$0$0$0
William G Burns
Secretary/Treasurer (Until Feb 2016)2.002.00Yes (X)Yes (X)$0$0$0
Alan Gustafson
Member2.00Yes (X)$0$0$0
Bet Tucker-McGrath
Member2.00Yes (X)$0$0$0
Brian Swain
Member2.002.00Yes (X)$0$0$0
Cindy Henry
Member2.00Yes (X)$0$0$0
David Johnson
Member2.00Yes (X)$0$0$0
Don Ingram
Member2.002.00Yes (X)$0$0$0
Dr David Evans
Member2.00Yes (X)$0$0$0
Jan Hyman
Member2.00Yes (X)$0$0$0
Lauren O Schwenk
Member2.00Yes (X)$0$0$0
Lynn Oakley
Member2.00Yes (X)$0$0$0
William Murrell
Member2.002.00Yes (X)$0$0$0
Joel L Thomas
President/CEO2.0040.00Yes (X)$0$164,158$23,691
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$164,158TotReportableCompRltdOrgAmt
Total Other Compensation$23,691TotalOtherCompensationAmt
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$375,198FundraisingAmt
All Other Contributions$409,500AllOtherContributionsAmt
Noncash Contributions$53,785NoncashContributionsAmt
Total Contributions$784,698TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNursing ResearchDesc
Business561000BusinessCd
Total Revenue Column$10,911TotalRevenueColumnAmt
Related Or Exempt Func Income$10,911RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,911TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,269TotalRevenueColumnAmt
Exclusion$197,269ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,142,834SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,153,333SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$10,499SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,499TotalRevenueColumnAmt
Exclusion-$10,499ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$104,335FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$375,198ContriRptFundraisingEventAmt
Fundraising Direct Expenses$250,420FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$146,085TotalRevenueColumnAmt
Exclusion-$146,085ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$836,294TotalRevenueColumnAmt
Related Or Exempt Func Income$10,911RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$40,685ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,774TotalAmt
Program Services$13,774ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,722TotalAmt
Program Services$17,722ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$171,287TotalAmt
Management And General$51,386ManagementAndGeneralAmt
Fundraising$119,901FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$219,322TotalAmt
Management And General$98,749ManagementAndGeneralAmt
Fundraising$120,573FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,622TotalAmt
Management And General$4,179ManagementAndGeneralAmt
Fundraising$4,443FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,775TotalAmt
Management And General$10,667ManagementAndGeneralAmt
Fundraising$21,108FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,167TotalAmt
Management And General$10,394ManagementAndGeneralAmt
Fundraising$15,773FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,424TotalAmt
Management And General$35,424ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$69,387TotalAmt
Management And General$69,387ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Program Services$40,000ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,711TotalAmt
Fundraising$5,711FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,603TotalAmt
Management And General$24,603ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,520TotalAmt
Management And General$6,520ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$39,465TotalAmt
Management And General$39,465ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,775TotalAmt
Management And General$3,775ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,024TotalAmt
Management And General$7,024ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,113TotalAmt
Management And General$5,113ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Bad Debt Expense$58,379$58,379
Nursing Research$25,540$25,540
Dues and Licenses$1,371$1,371

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,578TotalAmt
Management And General$19,578ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$830,559TotalAmt
Program Services$97,036ProgramServicesAmt
Management And General$446,014ManagementAndGeneralAmt
Fundraising$287,509FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$640,114BOYAmt
EOY$224,317EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,078BOYAmt
EOY$131,320EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$55,226BOYAmt
EOY$15,836EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,558BOYAmt
EOY$7,758EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,940,139LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,325LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,912,927BOYAmt
EOY$4,907,814EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,256,682BOYAmt
EOY$10,759,302EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$241,226BOYAmt
EOY$246,450EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,165,811BOYAmt
EOY$16,292,797EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,733BOYAmt
EOY$70,154EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$2,077,742BOYAmt
EOY$1,842,991EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,300EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,529BOYAmt
EOY$150,285EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,250,004BOYAmt
EOY$2,064,730EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,693,077BOYAmt
EOY$9,530,459EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,256,331BOYAmt
EOY$3,731,209EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$966,399BOYAmt
EOY$966,399EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,915,807BOYAmt
EOY$14,228,067EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,165,811BOYAmt
EOY$16,292,797EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,735ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$301,774NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,751OtherChangesInNetAssetsAmt
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)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Winter Haven Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN590724462EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$6,274SupportAmt
Other Support$124,750OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$6,274SupportSumAmt
Other Support Sum$124,750OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Section A, Line 11g, Column (vi) Amount of otherFormAndLineReferenceDesc
Explanationsupport: WHH Foundation received title to a parcel of land from State Farm Mutual Automobile Insurance Company. The land was conveyed with a use restriction that limits the use of the land to a not-for-profit medical facility. The Foundation entered into a land lease with Winter Haven Hospital to lease the land for 50 years with a $1 annual lease payment. It was estimated, by an independent party, that the Foundation would forgo annual lease payments of $129,500 upon the execution of the lease.ExplanationTxt

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$1,505,579BeginningYearBalanceAmt
Contributions$1,500ContributionsAmt
Investment Earnings Or Losses$68,677InvestmentEarningsOrLossesAmt
Grants Or Scholarships$156,000GrantsOrScholarshipsAmt
End Year Balance$1,419,756EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,581,461BeginningYearBalanceAmt
Contributions$1,800ContributionsAmt
Investment Earnings Or Losses$104,034InvestmentEarningsOrLossesAmt
Grants Or Scholarships$13,700GrantsOrScholarshipsAmt
End Year Balance$1,673,595EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,499,467BeginningYearBalanceAmt
Contributions$1,600ContributionsAmt
Investment Earnings Or Losses$96,266InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,872GrantsOrScholarshipsAmt
End Year Balance$1,581,461EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,308,492BeginningYearBalanceAmt
Contributions$3,600ContributionsAmt
Investment Earnings Or Losses$201,775InvestmentEarningsOrLossesAmt
Grants Or Scholarships$14,400GrantsOrScholarshipsAmt
End Year Balance$1,499,467EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.23000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.68000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.09000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,000,019InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,856,669OtherCostOrOtherBasisAmt
Book Value$4,856,688BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,690OtherCostOrOtherBasisAmt
Depreciation$25,564DepreciationAmt
Book Value$51,126BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,761OtherCostOrOtherBasisAmt
Depreciation$6,761DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,907,814TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Winter Haven Hospital$135,003
Other Liabilities$15,282
FieldValueIRS element (for citing)
Total Liability$150,285TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,299,754TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$301,774NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$156,935DonatedServicesAndUseFcltsAmt
Other Revenue$4,751OtherRevenueAmt
Revenue Not Reported$463,460RevenueNotReportedAmt
Revenue Subtotal$836,294RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$836,294TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$987,494TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$156,935DonatedServicesUseFcltsAmt
Expenses Not Reported$156,935ExpensesNotReportedAmt
Expenses Subtotal$830,559ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$830,559TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds are used for both capital improvements and program development.
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 percent likely to be realized on settlement with the applicable taxing authority. As of December 31, 2016, there were no unrecognized tax benefits identified and recorded as a liability. With few exceptions, tax returns prior to 2013, are closed to review by federal and state authorities.
Part XI, Line 2d - Other Adjustments:Reduction in pledge 4,751.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Dinner/DanceEvent1Nm
Gross Receipts Event1$343,580GrossReceiptsEvent1Amt
Charitable Contri Event1$266,795CharitableContriEvent1Amt
Gross Revenue Event1$76,785GrossRevenueEvent1Amt
Rent Facility Costs Event1$60,706RentFacilityCostsEvent1Amt
Food And Beverage Event1$41,320FoodAndBeverageEvent1Amt
Entertainment Event1$30,700EntertainmentEvent1Amt
Other Direct Expenses Event1$42,845OtherDirectExpensesEvent1Amt
Event25K RunEvent2Nm
Gross Receipts Event2$51,104GrossReceiptsEvent2Amt
Charitable Contri Event2$51,104CharitableContriEvent2Amt
Other Direct Expenses Event2$15,570OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$84,849GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$57,299CharitableContriOtherEventsAmt
Gross Revenue Other Events$27,550GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$13,715NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$18,695RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$9,890FoodAndBeverageOtherEventsAmt
Entertainment Other Events$700EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$16,279OthDirectExpnssOtherEventsAmt
Gross Receipts Total$479,533GrossReceiptsTotalAmt
Charitable Contributions Tot$375,198CharitableContributionsTotAmt
Gross Revenue Total Events$104,335GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$13,715NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$79,401RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$51,210FoodAndBeverageTotalEventsAmt
Entertainment Total Events$31,400EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$74,694OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$250,420DirectExpenseSummaryEventsAmt
Net Income Summary-$146,085NetIncomeSummaryAmt

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$6,274CashGrantAmt
Purpose Of GrantDaisy Award- 24 award packages for extraordinary nurses; Frigidaire Freezer-Winter Haven Womens Hospital breast milk depot; WHH Center for Mental Health 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 Assistance13$7,722
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$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$163,632CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$526OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$8,242DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$15,449NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$187,849TotalCompensationRltdOrgsAmt
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, written employment contract, 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 ItemsDesc
Contribution55ContributionCnt
Noncash Contributions Rpt F990$53,785NoncashContributionsRptF990Amt
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
ExplanationThis is the number of contributions and the number of items contributed.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 Winter Haven Hospital Finance Director 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 compensation is determined by the related organization, Winter Haven Hospital. The Hospital uses the following process: The 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 XI, line 9:Reduction in pledge 4,751.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BayCare Health System
2985 Drew StreetClearwaterFL33759592796965Support OrganizationFL501(c)(3)Line 12a, IN/A0
Winter Haven Hospital Inc
200 Avenue F NEWinter HavenFL33881590724462Medical ServicesFL501(c)(3)Line 30BayCare Health System
Mid-Florida Medical Services Inc
200 Avenue F NEWinter HavenFL33881592486580Support OrganizationFL501(c)(3)Line 12a, IN/A0
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
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