2016-08-15T17:24:56-05:00 2015-09-30 592425904 OLIVARI & ASSOCIATES CPA'S 141 SAGE BRUSH TRAIL SUITE D ORMOND BEACH FL 32174 990 2014-10-01 592434422 PATIENT BUSINESS & FINANCIAL SERVICES INC PATI 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 KATHLEEN DULKO CONTROLLER 2016-08-12 true JOHNNY SVAJKO CPA P00201386 3866720775 2016-08-15 2014 2017-02-10 21:41:12Z JEFF FEASEL 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 19997780 false X N/A X 1987 FL THIS ORGANIZATION BILLS AND COLLECTS FOR ALL SERVICES PROVIDED BY HALIFAX HOSPITAL MEDICAL CENTER D/B/A HALIFAX HEALTH (EIN: 59-6001217) 7 7 399 0 0 18549575 19997780 0 0 18549575 19997780 0 0 14935136 14161152 0 0 3614439 5836628 18549575 19997780 0 0 0 0 THIS ORGANIZATION BILLS AND COLLECTS FOR ALL SERVICES PROVIDED BY HALIFAX HOSPITAL MEDICAL CENTER D/B/A HALIFAX HEALTH (EIN: 59-6001217) false false . true false false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 true 399 true false false false false false false X 7 7 false false false false false false false true true false false false true true true true true true true false X KATHLEEN DULKO 3862264560 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 GLENN RITCHEY CHAIRMAN 1.00 X 0 0 0 HAROLD GOODEMOTE VICE CHAIRMA 1.00 X 0 0 0 DAN FRANCATI SECRETARY 1.00 X 0 0 0 TOM MCCALL ASSISTANT SE 1.00 X 0 0 0 SUSAN SCHANDEL TREASURER 1.00 X 0 0 0 ED CONNOR MEMBER 1.00 X 0 0 0 CARL LENTZ III MEMBER 1.00 X 0 0 0 JEFF FEASEL CHIEF EXEC. 40.00 X 0 575025 98138 ERIC PEBURN CHIEF FINANC 40.00 X 0 361025 47002 JONI RAHN HOFFMAN DIR. OF PATI 40.00 X 146183 0 9634 ELIZABETH GARARD HIM DIRECTOR 40.00 X 116125 0 8581 RONDA KENNEDY MANAGER PBFS 40.00 X 101967 0 3129 364275 936050 166484 3 false true false CHAMBERLIN EDMONDS & ASSOC PO BOX 572490 MURRAY UT 841572490 INSURANCE VERIF 1486251 BCA FINANCIAL SERVICES 18001 OLD CUTLER RD SUITE 462 MIAMI FL 33157 COLLECTIONS 397568 3M HEALTH INFO SYSTEMS PO BOX 844127 DALLAS TX 75284 SOFTWARE 323169 PASSPORT HEALTH COMMUNICATIONS 720 COOL SPRINGS BLVD CINCINNATTI OH 452635527 REVENUE CYC MGT 311409 OPTUM360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60689 SOFTWARE 307428 12 REIMBURSEMENTS FROM HALIFAX 19997780 19997780 19997780 19997780 19997780 X 12952899 12952899 246777 246777 38102 38102 923374 923374 5363448 5363448 251292 251292 30467 30467 LEASE / RENTAL EXPENSE 77479 77479 MINOR EQUIPMENT 65128 65128 REPAIRS & MAINTENANCE 37625 37625 SUPPLIES, MEDS & FOOD 6354 6354 4835 4835 19997780 0 19997780 0 0 0 0 0 X 0 0 0 0 0 X false true X true false X X 1 HALIFAX HOSPITAL MEDICAL CENTER DBA HALIFAX HEALTH 596001217 6 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false X false false false false false false false false false JEFF FEASEL CHIEF EXEC. OFFICER 575000 25 34500 63638 673163 ERIC PEBURN CHIEF FINANCIAL OFF. 361000 25 21660 25342 408027 JONI RAHN HOFFMAN DIR. OF PATIENT SVCS 145658 500 25 4488 5146 155817 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PROVIDED TO THE ORGANIZATIONS CONTROLLER FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 15A PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 15B PBFS FOLLOWS THE POLICIES OF ITS SUPPORTED ORGANIZATION, HALIFAX HEALTH. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G COLLECTION FEES 0 1,161,421 0 CONTRACT LABOR 0 453,591 0 FINANCIAL SERVICES 0 1,685,849 0 I.T. CONSULTING & SUPPORT 0 1,672,578 0 SUPPORT OF PATIENT CARE 0 378,612 0 PROFESSIONAL FEES 0 11,397 0