LEESBURG REGIONAL MEDICAL CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LEESBURG REGIONAL MEDICAL CENTER INC (EIN 59-0878982)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-05
- IRS object ID
- 201711259349301201
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-05T10:52:41-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590878982 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEESBURG REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEES | BusinessNameControlTxt |
| Phone | 3523235002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANE HARDEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3523235002 | PhoneNum |
| Signature | 2017-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DON HENDERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $244,224,583 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEESBURGREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THEY SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2284 | TotalEmployeeCnt |
| Total Volunteers | 189 | TotalVolunteersCnt |
| Total Gross UBI | $222,973 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$618,349 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $225,875,979 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $238,271,910 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,389,698 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,723,832 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,947,419 | PYOtherRevenueAmt |
| CY Other Revenue | $4,228,841 | CYOtherRevenueAmt |
| PY Total Revenue | $236,213,096 | PYTotalRevenueAmt |
| CY Total Revenue | $244,224,583 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $156,145 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $168,591 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $102,418,014 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $108,665,203 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $114,893,409 | PYOtherExpensesAmt |
| CY Other Expenses | $124,365,082 | CYOtherExpensesAmt |
| PY Total Expenses | $217,467,568 | PYTotalExpensesAmt |
| CY Total Expenses | $233,198,876 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,745,528 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,025,707 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $333,139,222 | TotalAssetsBOYAmt |
| Total Assets EOY | $337,389,636 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113,026,320 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $106,207,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $220,112,902 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $231,182,392 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $211,848,643 | ExpenseAmt |
| Grant | $168,591 | GrantAmt |
| Revenue | $242,500,750 | RevenueAmt |
| Desc | LEESBURG REGIONAL MEDICAL CENTER, PART OF CENTRAL FLORIDA HEALTH ("CFH"), IS A 308-BED, ACUTE CARE HOSPITAL THAT OFFERS WORLD CLASS SERVICES CLOSE TO HOME IN LAKE, SUMTER, AND MARION COUNTIES. LOCATED JUST NORTH OF ORLANDO, FLORIDA, LEESBURG REGIONAL MEDICAL CENTER HAS GROWN FROM A SMALL, COMMUNITY HOSPITAL BUILT IN 1963 TO A COMPREHENSIVE MEDICAL CENTER. THE LEESBURG REGIONAL HEART INSTITUTE OFFERS PREMIER CARDIOVASCULAR SERVICES, AND IS RECOGNIZED FOR ITS CUTTING-EDGE TECHNOLOGY, OUTSTANDING OUTCOMES, AND CONSISTENTLY HIGH PATIENT SATISFACTION RATINGS. (SEE CONTINUATION ON SCHEDULE O)HOME TO ONE OF THE LARGEST OPEN HEART PROGRAMS IN THE STATE, THE LEESBURG REGIONAL HEART INSTITUTE IS PIONEERING MANY GROUNDBREAKING PROCEDURES SUCH AS MINIMALLY-INVASIVE HEART VALVE SURGERY. AT LEESBURG REGIONAL, WE ARE COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. OUR HOSPITAL IS THE REGION'S FIRST DESIGNATED STROKE CENTER WITH THE JOINT COMMISSION SEAL OF APPROVAL, AND WE PROVIDE A MULTIDISCIPLINARY APPROACH TO NEUROSURGICAL CARE. THE JOINT CENTER AT LEESBURG REGIONAL OFFERS WORLD-CLASS ORTHOPEDIC SERVICES, SUCH AS HIP AND KNEE REPLACEMENTS, AND THE HOSPITAL ALSO FEATURES STATE OF THE ART DIAGNOSTIC IMAGING, EMERGENCY ROOM, LABOR AND DELIVERY, PEDIATRIC SERVICES, CANCER CARE AND SO MUCH MORE. | Desc |
| Total Program Service Expenses | $211,848,643 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIANE HARDEN CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3523235002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 E DIXIE AVE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GREGORY LEWIS | |||||||||
| CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DIANE B SPENCER | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROGER BEYERS | |||||||||
| VICE CHAIRPERSON | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LINDSEY BLAISE | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DON V HAHNFELDT | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANET BOLIVAR | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHAHBAZ A CHEEMA MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUSSELL J D'EMIDIO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHIVAKUMAR S HANUBAL MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE KAINZ MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE MCCABE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH A SAMPONG MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID L SUSTARSIC MD | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRY R UPTON | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMANDA J WETTSTEIN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT Q WILLIAMS ESQ | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONALD HENDERSON | |||||||||
| PRESIDENT/CEO | 30.00 | Yes (X) | $830,087 | $0 | $16,579 | 20.00 | |||
| DIANE HARDEN | |||||||||
| SVP/CFO | 30.00 | Yes (X) | $430,007 | $0 | $14,611 | 20.00 | |||
| SAAD EHTISHAM | |||||||||
| SVP/COO | 30.00 | Yes (X) | $480,870 | $0 | $19,008 | 20.00 | |||
| PHYLLIS BAUM | |||||||||
| VP/CQO | 30.00 | $367,814 | $0 | $16,874 | 20.00 | Yes (X) | |||
| AMIE RICHASON | |||||||||
| VP OF HUMAN RESOURCES | 30.00 | $289,736 | $0 | $15,653 | 20.00 | Yes (X) | |||
| DAVID STEELE | |||||||||
| VP/CIO | 30.00 | $284,178 | $0 | $17,609 | 20.00 | Yes (X) | |||
| PHILIP BRAUN | |||||||||
| VP/CHIEF COUNSEL | 30.00 | $238,180 | $0 | $16,014 | 20.00 | Yes (X) | |||
| WILLIAM PFINGSTEN | |||||||||
| VP OF AMBULATORY SERVICES | 30.00 | $244,434 | $0 | $16,336 | 20.00 | Yes (X) | |||
| TED E WILLIAMS | |||||||||
| VP/FOUNDATION PRESIDENT | 0.00 | $221,676 | $0 | $12,623 | 50.00 | Yes (X) | |||
| TERI KEEL | |||||||||
| VP/CCO | 50.00 | $266,987 | $0 | $12,435 | 0.00 | Yes (X) | |||
| ALEXANDER CHANG | |||||||||
| VP, SUPPORT SERVICES | 30.00 | $220,177 | $0 | $9,811 | 20.00 | Yes (X) | |||
| SAMUEL BUNDZ | |||||||||
| PHYSICIAN | 50.00 | $372,020 | $0 | $7,287 | Yes (X) | ||||
| ALI R EFFENDI | |||||||||
| PHYSICIAN | 0.00 | $280,799 | $0 | $5,094 | 50.00 | Yes (X) | |||
| YIN LUK | |||||||||
| GENERAL SURGEON | 0.00 | $446,434 | $0 | $8,273 | 50.00 | Yes (X) | |||
| ORLANDO ICAZA | |||||||||
| PHYSICIAN | 0.00 | $336,985 | $0 | $10,711 | 50.00 | Yes (X) | |||
| DAVID RIZZUTO | |||||||||
| PHYSICIAN | 0.00 | $336,985 | $0 | $18,633 | 50.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,647,369 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $217,551 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 111 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LAKE COUNTY ANESTHESIA ASSOCIATES | |||||
| PO BOX 491529 | LEESBURG | FL | 34749 | ANESTHESIA SERVICES | $2,765,689 |
| CARDIOVASCULAR ANESTHESIA CONSULTANTS | |||||
| PO BOX 3130 | OCALA | FL | 34478 | ANESTHESIA SERVICES | $1,252,500 |
| ANGELICA | |||||
| PO BOX 535122 | ATLANTA | GA | 30353 | LINEN SERVICES | $1,125,797 |
| MMODAL SERVICES LTD | |||||
| PO BOX 538504 | ATLANTA | GA | 30353 | TRANSCRIPTION SERVICES | $1,096,797 |
| MAYO COLLABORATIVE SERVICES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY TESTING | $830,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $231,855,863 | $231,855,863 | |
| OTHER OPERATING REVENUE | 621400 | $6,416,047 | $6,193,074 | $222,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $238,271,910 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,463,382 | TotalRevenueColumnAmt |
| Exclusion | $1,463,382 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $412,221 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $412,221 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $412,221 | TotalRevenueColumnAmt |
| Exclusion | $412,221 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $258,955 | SecuritiesAmt |
| Other | $1,495 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $258,955 | SecuritiesAmt |
| Other | $1,495 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $260,450 | TotalRevenueColumnAmt |
| Exclusion | $260,450 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NON OPERATING INCOME | 900099 | $1,827,325 | $1,827,325 |
| EHR PAYOUT | 900099 | $1,695,998 | $1,695,998 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $293,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,297 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,816,620 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,224,583 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $241,865,557 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $222,973 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,136,053 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,591 | TotalAmt |
| Program Services | $168,591 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $975,079 | TotalAmt |
| Management And General | $975,079 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,787,582 | TotalAmt |
| Program Services | $79,829,718 | ProgramServicesAmt |
| Management And General | $6,957,864 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,287 | TotalAmt |
| Program Services | $1,862,050 | ProgramServicesAmt |
| Management And General | $278,237 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,024,218 | TotalAmt |
| Program Services | $11,331,070 | ProgramServicesAmt |
| Management And General | $1,693,148 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,738,037 | TotalAmt |
| Program Services | $4,992,092 | ProgramServicesAmt |
| Management And General | $745,945 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,662,353 | TotalAmt |
| Program Services | $5,132,740 | ProgramServicesAmt |
| Management And General | $1,529,613 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,691 | TotalAmt |
| Program Services | $77,346 | ProgramServicesAmt |
| Management And General | $77,345 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,458 | TotalAmt |
| Management And General | $188,458 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,354 | TotalAmt |
| Program Services | $679,819 | ProgramServicesAmt |
| Management And General | $75,535 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372,134 | TotalAmt |
| Program Services | $448,615 | ProgramServicesAmt |
| Management And General | $923,519 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,834,602 | TotalAmt |
| Program Services | $4,206,104 | ProgramServicesAmt |
| Management And General | $628,498 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,829,379 | TotalAmt |
| Program Services | $3,174,861 | ProgramServicesAmt |
| Management And General | $654,518 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,123 | TotalAmt |
| Program Services | $149,272 | ProgramServicesAmt |
| Management And General | $87,851 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,726,931 | TotalAmt |
| Program Services | $1,726,931 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,551,383 | TotalAmt |
| Program Services | $11,523,917 | ProgramServicesAmt |
| Management And General | $2,027,466 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,636,646 | TotalAmt |
| Program Services | $994,108 | ProgramServicesAmt |
| Management And General | $642,538 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $58,406,835 | $58,094,661 | $312,174 |
| PHYSICIAN & MED SUPPLIE | $10,258,122 | $9,371,794 | $886,328 |
| BAD DEBT | $9,664,435 | $9,664,435 | |
| EQUIPMENT RENTAL AND MA | $5,829,050 | $5,224,990 | $604,060 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,257,586 | TotalAmt |
| Program Services | $3,195,529 | ProgramServicesAmt |
| Management And General | $2,062,057 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,198,876 | TotalAmt |
| Program Services | $211,848,643 | ProgramServicesAmt |
| Management And General | $21,350,233 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,758,211 | BOYAmt |
| EOY | $20,306,530 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,199,749 | BOYAmt |
| EOY | $1,216,478 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,349,914 | BOYAmt |
| EOY | $31,303,112 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,819,786 | BOYAmt |
| EOY | $5,998,480 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,097,551 | BOYAmt |
| EOY | $6,174,531 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $318,863,559 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $233,834,807 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,602,508 | BOYAmt |
| EOY | $85,028,752 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,944,568 | BOYAmt |
| EOY | $146,422,699 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,366,935 | BOYAmt |
| EOY | $40,939,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,139,222 | BOYAmt |
| EOY | $337,389,636 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,915,549 | BOYAmt |
| EOY | $36,552,678 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,000 | BOYAmt |
| EOY | $6,042 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,765,695 | BOYAmt |
| EOY | $44,588,571 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,338,076 | BOYAmt |
| EOY | $25,059,953 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,026,320 | BOYAmt |
| EOY | $106,207,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,112,902 | BOYAmt |
| EOY | $231,182,392 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,112,902 | BOYAmt |
| EOY | $231,182,392 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,139,222 | BOYAmt |
| EOY | $337,389,636 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,025,707 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $43,784 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $33,090 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,545 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $46,635 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES REPORTED ABOVE REPRESENT A COMBINATION OF HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING, AS WELL AS AMOUNTS PAID TO PRUSTMAN & ASSOCIATES AND CAPITAL CITY CONSULTING FOR CERTAIN DIRECT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,610,003 | OtherCostOrOtherBasisAmt |
| Book Value | $8,610,003 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,181,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,019,666 | DepreciationAmt |
| Book Value | $42,162,325 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,311,010 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,614,923 | DepreciationAmt |
| Book Value | $2,696,087 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,099,013 | OtherCostOrOtherBasisAmt |
| Depreciation | $121,680,136 | DepreciationAmt |
| Book Value | $22,418,877 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,661,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,520,082 | DepreciationAmt |
| Book Value | $9,141,460 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $85,028,752 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $3,809,675 |
| DEFERRED LOAN COST | $353,647 |
| INV IN UNCCONSOLIDATED AFFILIATE | $24,194,909 |
| PHYSICIAN CONTRACTS INTANGIBLE ASSETS | $3,427,300 |
| ASSETS LIMITED AS TO USE | $4,632,658 |
| GOODWILL IN ALLIANCE LABS | $1,540,000 |
| GOODWILL IN PATHOLOGY SERVICES ALLIANCE | $2,973,000 |
| OTHER REC | $7,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,939,054 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SWAP LIABILITY | $3,542,021 |
| MALPRACTICE IBNR | $15,255,875 |
| DUE TO AFFILIATES | $6,262,057 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,059,953 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2016 AND 2015, 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,032,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,032,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,693,454 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,894,389 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,799,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,726,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,894,389 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,831,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,726,165 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,894,389 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,831,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05940 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,145,505 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $99,901,279 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $99,835,164 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $66,115 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|
| LEESBURG REGIONAL MEDICAL | ||||||||
| 1 | 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | HTTP://WWW.LEESBURGREGIONAL.ORG | Yes (X) | Yes (X) | Yes (X) |
| LEESBURG REHABILITATION HOSPITAL | ||||||||
| 2 | 700 N PALMETTO ST | LEESBURG | FL | 34748 | HTTP://WWW.LEESBURGREGIONAL.ORG | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Other Actions TakenOtherActionsTakenInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other MethodOtherMethodInd | No Emergency CareNoEmergencyCareInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEESBURG REGIONAL MEDICAL CENTER INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | Yes (1) | 15 | Yes (1) | SEE PART V | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
| LEESBURG REHABILITATION HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | Yes (1) | 15 | Yes (1) | SEE PART V | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | SEE PART V | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LEESBURG REGIONAL MEDICAL CENTER INC | 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 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. 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 LRMC SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE LRMC SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT. |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. 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 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. 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 LRMC SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE LRMC SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT. |
| LEESBURG REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER |
| LEESBURG REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL |
| LEESBURG REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 11: LEESBURG REGIONAL MEDICAL CENTER 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 LEESBURG REGIONAL MEDICAL CENTER (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 IT'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. LEESBURG REGIONAL MEDICAL CENTER 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. |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 11: LEESBURG REGIONAL MEDICAL CENTER 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 LEESBURG REGIONAL MEDICAL CENTER (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 IT'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. LEESBURG REGIONAL MEDICAL CENTER 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. |
| LEESBURG REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 16I: THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE. COPIES ARE AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE UPON REQUEST. |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 16I: 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. |
| LEESBURG REGIONAL MEDICAL CENTER INC | 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. |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE ADIRECT 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. |
| LEESBURG REGIONAL MEDICAL CENTER INC | PART V, SECTION B, LINE 22D: THE HOSPITAL DETERMINES THE AMOUNTS BILLED TO PATIENTS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BY USING A DISCOUNT AGAINST GROSS CHARGES, USUALLY A 40% OR GREATER DISCOUNT, AT THE TIME OF SERVICE. |
| LEESBURG REHABILITATION HOSPITAL | PART V, SECTION B, LINE 22D: THE HOSPITAL DETERMINES THE AMOUNTS BILLED TO PATIENTS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BY USING A DISCOUNT AGAINST GROSS CHARGES, USUALLY A 40% OR GREATER DISCOUNT, AT THE TIME OF SERVICE. |
| SCH H, PT V, SECT B, LINES 7A & 10A -- BOTH FACILITIES | WWW.LEESBURGREGIONAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LRMC WELLNESS CENTER | ||||
| 700 NORTH PALMETTO ST | LEESBURG | FL | 34748 | WELLNESS |
| 2 - SURGERY CENTER OF MOUNT DORA AMB | ||||
| 3710 LAKE CENTER DRIVE | MT DORA | FL | 32757 | SURGERY CENTER |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | THE COST-TO-CHARGE RATIO FOR FISCAL YEAR 2016 WAS APPLIED AGAINST THE BAD DEBT CHARGES OF THE ORGANIZATION TO ARRIVE AT THE AMOUNT CALCULATED FOR PART III, LINE 2. |
| PART III, LINE 4: | THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT ISAS FOLLOWS: ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ADDITIONS TO THEALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ARE MADE BY MEANS OF THEPROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTERCOLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE ALLIANCE'SPOLICIES. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THEALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIESARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPONMANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS,BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTHEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TO COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| PO BOX 102454 | ATLANTA | GA | 30368 | 131788491 | 501(C)(3) | $7,500 | SPONSORSHIP |
| LEESBURG AREA CHAMBER OF COMMERCE | |||||||
| PO BOX 490309 | LEESBURG | FL | 347490309 | 590330175 | 501(C)(6) | $11,000 | SPONSORSHIP |
| BOYS & GIRLS CLUB OF LAKE AND SUMTER COUNTIES | |||||||
| P O BOX 896179 | LEESBURG | FL | 347896179 | 591524504 | 501(C)(3) | $10,000 | SPONSORSHIP |
| THE VILLAGES CHARTER SCHOOL | |||||||
| 1350 TOTONKA TERRACE | THE VILLAGES | FL | 32162 | 593597803 | 501(C)(3) | $20,000 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, QUESTION 2 | FormAndLineReferenceDesc |
| Explanation | THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSION. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITIES TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONALD HENDERSON | ||||||||||||||
| PRESIDENT/CEO | $610,477 | $0 | $207,952 | $0 | $11,658 | $0 | $10,600 | $0 | $5,979 | $0 | $846,666 | $0 | $0 | $0 |
| DIANE HARDEN | ||||||||||||||
| SVP/CFO | $331,918 | $0 | $89,103 | $0 | $8,986 | $0 | $10,600 | $0 | $4,011 | $0 | $444,618 | $0 | $0 | $0 |
| SAAD EHTISHAM | ||||||||||||||
| SVP/COO | $377,168 | $0 | $101,251 | $0 | $2,451 | $0 | $10,600 | $0 | $8,408 | $0 | $499,878 | $0 | $0 | $0 |
| PHYLLIS BAUM | ||||||||||||||
| VP/CQO | $307,498 | $0 | $57,000 | $0 | $3,316 | $0 | $10,600 | $0 | $6,274 | $0 | $384,688 | $0 | $0 | $0 |
| AMIE RICHASON | ||||||||||||||
| VP OF HUMAN RESOURCES | $241,861 | $0 | $45,689 | $0 | $2,186 | $0 | $9,674 | $0 | $5,979 | $0 | $305,389 | $0 | $0 | $0 |
| DAVID STEELE | ||||||||||||||
| VP/CIO | $236,378 | $0 | $44,654 | $0 | $3,146 | $0 | $9,455 | $0 | $8,154 | $0 | $301,787 | $0 | $0 | $0 |
| PHILIP BRAUN | ||||||||||||||
| VP/CHIEF COUNSEL | $199,330 | $0 | $37,655 | $0 | $1,195 | $0 | $7,973 | $0 | $8,041 | $0 | $254,194 | $0 | $0 | $0 |
| WILLIAM PFINGSTEN | ||||||||||||||
| VP OF AMBULATORY SERVICES | $198,826 | $0 | $37,560 | $0 | $8,048 | $0 | $7,953 | $0 | $8,383 | $0 | $260,770 | $0 | $0 | $0 |
| TED E WILLIAMS | ||||||||||||||
| VP/FOUNDATION PRESIDENT | $179,979 | $0 | $33,999 | $0 | $7,698 | $0 | $7,199 | $0 | $5,424 | $0 | $234,299 | $0 | $0 | $0 |
| TERI KEEL | ||||||||||||||
| VP/CCO | $219,955 | $0 | $38,951 | $0 | $8,081 | $0 | $8,248 | $0 | $4,187 | $0 | $279,422 | $0 | $0 | $0 |
| ALEXANDER CHANG | ||||||||||||||
| VP, SUPPORT SERVICES | $184,620 | $0 | $34,201 | $0 | $1,356 | $0 | $2,923 | $0 | $6,888 | $0 | $229,988 | $0 | $0 | $0 |
| SAMUEL BUNDZ | ||||||||||||||
| PHYSICIAN | $350,002 | $0 | $11,199 | $0 | $10,819 | $0 | $1,077 | $0 | $6,210 | $0 | $379,307 | $0 | $0 | $0 |
| ALI R EFFENDI | ||||||||||||||
| PHYSICIAN | $280,799 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,094 | $0 | $285,893 | $0 | $0 | $0 |
| YIN LUK | ||||||||||||||
| GENERAL SURGEON | $240,444 | $0 | $205,817 | $0 | $173 | $0 | $6,225 | $0 | $2,048 | $0 | $454,707 | $0 | $0 | $0 |
| ORLANDO ICAZA | ||||||||||||||
| PHYSICIAN | $335,005 | $0 | $0 | $0 | $1,980 | $0 | $6,700 | $0 | $4,011 | $0 | $347,696 | $0 | $0 | $0 |
| DAVID RIZZUTO | ||||||||||||||
| PHYSICIAN | $335,005 | $0 | $0 | $0 | $1,980 | $0 | $10,600 | $0 | $8,033 | $0 | $355,618 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | DON HENDERSON 457F CONTRIBUTION $91,743 DIANE HARDEN 457F CONTRIBUTION $41,251 SAAD EHTISHAM 457F CONTRIBUTION $46,875 |
| PART I, LINE 7 | THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| CITY OF LEESBURG FL | |||||||
| A | 596000362 | 2011-10-06 | $20,840,000 | HOSPITAL REVENUE REFUNDING BONDS, SERIES 2011 | 0 | 0 | 0 |
| CITY OF LEESBURG FL | |||||||
| B | 596000362 | 2013-11-18 | $13,120,000 | HOSPITAL REVENUE REFUNDING BONDS, SERIES 2013 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $2,940,000 | $20,840,000 | $20,840,000 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $8,335,000 | $13,120,000 | $13,120,000 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.01770 | 0.01770 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.01110 | 0.01110 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS DEFINED IN THE ORGANIZATION'S BYLAWS, CERTAIN DECISIONS OF THE ORGANIZATION ARE SUBJECT TO CENTRAL FLORIDA HEALTH'S APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 11 | DURING APRIL 2017, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2015 FORM 990 TO THE FINANCE COMMITTEE FOR ITS REVIEW. THE 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 RETURN, MANAGEMENT PROVIDED A FINALIZED COPY OF THE RETURN 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 VP GENERAL COUNSEL AND CORPORATE COMPLIANCE DEPARTMENT, WHO NOTIFY THE BOARD IF ANY CONCERNS ARISE. INDIVIDUALS COVERED BY THE CONFLICT OF INTEREST POLICY MUST ABSTAIN FROM DELIBERATIONS AND VOTING WITH RESPECT TO TRANSACTIONS WHEREIN A CONFLICT IS DEEMED TO EXIST. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 SULLIVAN COTTER & ASSOCIATES, INC. AS ITS THIRD PARTY NEUTRAL SOURCE TO PREPARE AND GATHER MARKET INFORMATION FOR REVIEW BY THE COMPENSATION COMMITTEE. DETAILED 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. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENT IS ATTACHED TO THIS 990, AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R). |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS 43,784. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt |
|---|---|---|---|---|---|---|---|---|
| LEESBURG REGIONAL PHYSICIAN SERVICES | ||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 263978916 | BILLING SERVICE | FL | ||
| ALLIANCE LABS LLC | ||||||||
| 1456 WILLIAM STREET | LEESBURG | FL | 37348 | 264322547 | OUTREACH LAB | FL | $4,268,407 | $7,475,269 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE VILLAGES TRI-COUNTY MEDICAL CENTER | |||||||||||
| 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 593527036 | MEDICAL SRVCS | FL | 501(C)(3) | 3 | CFH | 0 | |
| LEESBURG REGIONAL MEDICAL CTR FOUNDATION | |||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 591800743 | SUPPORT HOSP | FL | 501(C)(3) | 11 | CFH | 0 | |
| CENTRAL FLORIDA HEALTH INC | |||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 331197054 | PARENT HOSP | FL | 501(C)(3) | 11 | 0 | N/A | |
| VILLAGES REGIONAL HOSPITAL AUXILIARY INC | |||||||||||
| 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 550818419 | SUPPORT HOSP | FL | 501(C)(3) | 11 | THE VILLAGES TRI-CO MED CTR | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURGERY CTR MT DORA | ||||||||||||||
| 3710 LAKE CTR | MT DORA | FL | 32757 | 262446297 | HEALTHCARE SRVCS | FL | LRMC | RELATED | $238,984 | $2,055,902 | 0 | 0 | 0.51000 | |
| CF INPATIENT COMGT | ||||||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 471165465 | HEALTHCARE SRVCS | FL | RELATED | $82,902 | 0 | Yes (1) | 0.26320 | N/A | ||
| CF CARDIOVASCULAR COMGT | ||||||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 270781065 | HEALTHCARE SRVCS | FL | LRMC | RELATED | $495,490 | $91,277 | 0 | Yes (1) | 0.37930 | |
| CF ONCOLOGY COMGT | ||||||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 272818513 | HEALTHCARE SRVCS | FL | LRMC | RELATED | $93,381 | $26,746 | 0 | Yes (1) | 0.25000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VENTURE HEALTH CARE CORPORATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1Txt |
| City | LEESBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34748 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592689702 | EIN |
| Primary Activities | MANAGEMENT SRVCS | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |