FOUNDATION RESOLUTION CORPORATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION RESOLUTION CORPORATION (EIN 59-2890430)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201542259349302374
- Schema version
- 2013v4.0
- 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 B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T13:15:14-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| Address Line2 | Ave | AddressLine2 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 37919 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592890430 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Health Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CITR | BusinessNameControlTxt |
| Phone | 3525606898 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 344524720 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lee AGlotzback | PersonNm |
| Person Title | CHRO | PersonTitleTxt |
| Phone | 3523411820 | PhoneNum |
| Signature | 2015-08-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Terry Haefner | PreparerPersonNm |
| PTIN | P01258953 | PTIN |
| Phone | 8656730844 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rafael Aleman | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 344524720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $154,897,821 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.citrusmh.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | The organization's primary purpose is to provide a wide range of healthcare services for the benefit of the citizens and residents of Citrus County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1596 | TotalEmployeeCnt |
| Total Volunteers | 456 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $308,078 | PYContributionsGrantsAmt |
| CY Contributions Grants | $41,104 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $176,429,891 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $150,666,425 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$130,191 | PYInvestmentIncomeAmt |
| CY Investment Income | $80,451 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,100,862 | PYOtherRevenueAmt |
| CY Other Revenue | $2,659,225 | CYOtherRevenueAmt |
| PY Total Revenue | $179,708,640 | PYTotalRevenueAmt |
| CY Total Revenue | $153,447,205 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $69,963,663 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,591,137 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $172,712 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $114,682,618 | PYOtherExpensesAmt |
| CY Other Expenses | $106,713,837 | CYOtherExpensesAmt |
| PY Total Expenses | $184,646,281 | PYTotalExpensesAmt |
| CY Total Expenses | $173,304,974 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,937,641 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$19,857,769 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $117,900,176 | TotalAssetsBOYAmt |
| Total Assets EOY | $106,564,217 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,419,319 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $99,215,060 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,480,857 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,349,157 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Citrus Memorial Health System exists to improve the health and quality of life of the people and communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $128,362,852 | ExpenseAmt |
| Revenue | $130,592,258 | RevenueAmt |
| Desc | Citrus Memorial Hospital is a 198-bed, general short-term acute care hospital. The hospital's services include Same Day Surgery, 24-hour Emergency and Lab Services, Diagnostic Imaging, Rehabilitation, Cardiology and Catherization, Critical Care, Ear-Nose-Throat, Endoscopy, General Surgery, Gynecology and Obstetrics, Laparoscopic Surgery, Laser Surgery, Lithotripsy, Neurology, Opthalmology, Orthopedic, Pediatric Pulmonary, Radiation Therapy, Urology, Vascular Services and community education programs. Citrus Memorial Hospital was established as a general short-term acute care hospital in 1957. It is operated by the Citrus Memorial Health Foundation, Inc. (continued on Sch O). (Continued) The hospital charges each patient for services rendered; however, it is recognized that not all individuals have the ability to pay for these services. A determination is made to identify those persons that qualify for hospital sponsored care. The hospital follows the guidelines established by the State of Florida for qualifying hospital sponsored care. When an individual is qualified for hospital sponsored care, the bill is written off in most cases and partially written off in the remaining cases. When a patient does not have insurance, additional discounts are available. The total amount of uncompensated care absorbed by the hospital in FY2014 was $50,737,453 including $10,567,120 of charity care, $10,382,716 of bad debt and $29,787,617 of self-pay discounts. The rate of reimbursement for Medicare and Medicaid payments is below the cost of providing such care. Thus, the hospital must recognize these amounts as necessary in meeting its mission. The following statistics show the level of care that was provided by the hospital in FY2014, thus enhacing the quality of life in its service area: Annual Admissions 11,659Newborn Admissions 562Patient Days 48,509Newborn Days 889Operations Performed 5,127ER Visits 39,646 Outpatient Registrations 136,863 The hospital has many other activities in keeping with its commitment to serve the healthcare needs of Citrus County: -Distributes a wide variety of literature that educates patients on topics ranging from emergency medical problems to Medicare benefits.-Sponsors a free Share Club for senior citizens to provide health care seminars and screenings, Medicare assistance and other oppportunites to its over 8,000 members.-Provides some 200 educational programs annually that are available at no cost to the community, medical workers and physicians.-Operates walk-in and diagnostic imaging centers to provide health care to the residents in the center of the county.-Particpates in and hosts health fairs throughout the county, offering healthcare screenings and information in order to foster health education in the community.-Sponsors various health awareness programs and seminars to educate the general public about various health topics.-Provides speakers for various civic organizations.-Sponsors free 24/7 physician referral service for Citrus and Sumter counties to help increase accessibility to healthcare.-Offers periodic free or low-cost health exams and screenings such as blood pressure, cholesterol, hemoglobin and various cancer screenings, among others. This aides awareness of personal health and detects problems or possible problems.-Sponsors and participates in events such as local parades, safety fairs, Chamber of Commerce events and an annual county baby shower to increase community awareness of our services.-Provides organizational and operational skills and meeting facilities for numerous groups including but not limited to Ostomy Support Group, Diabetes Support Group, American Cancer Society, Mended Hearts, various cancer support groups, Stroke Support Group, American Heart Association and Breast Cancer Support Group.-Provides assistance to educators through our work with student nursing, radiology technologist and phlebotomist programs in the local community colleges and vocational training center. Also participates in local high school career fairs to increase awareness of career opportunities in healthcare. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,912,015 | ExpenseAmt |
| Revenue | $17,733,425 | RevenueAmt |
| Desc | Citrus Memorial maintains offsite external services for the community including family practice, internal medicine and rehab services. These clinics are located conveniently throughout the county. In addition, the offices participate in local health fairs, provide free physicals for various local student organizations and host educational seminars on a variety of healthcare related topics. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,130,157 | ExpenseAmt |
| Revenue | $1,883,351 | RevenueAmt |
| Desc | The Citrus Memorial Home Health Agency was establised to provide care to those that are homebound or need continuing post-hospital care. Services include skilled nursing, rehabiliation therapy, social and nutritional. This agency provides an alternative to hospitalization or nursing home placement. The home health agency is certified by the Joint Commission on accreditation of healthcare organizations. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $147,405,024 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | 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 | 0 | 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 | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 89 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1596 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 | 0 | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lee A Glotzback | PersonNm |
| Phone | 3523411820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 S Seminole Avenue | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 34452 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Robert Collins | |||||||
| Director | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| Sandra Chadwick | |||||||
| Chairperson | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Carlton E Fairbanks DMD | |||||||
| Vice Chairperson | 10.00 | Yes (X) | $0 | $0 | $0 | ||
| Joseph S Brannen | |||||||
| Director | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Venugopala Reddy MD | |||||||
| Secretary/Treasurer | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| David Langer | |||||||
| Director | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| Joan Dias | |||||||
| Director | 7.00 | Yes (X) | $0 | $0 | $0 | ||
| Constantine Toumbis | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Ryan D Beaty | |||||||
| CEO | 50.00 | $364,824 | $0 | $45,624 | Yes (X) | ||
| Mark A Willams | |||||||
| CFO | 50.00 | $181,328 | $0 | $19,047 | Yes (X) | ||
| Linda M McCarthy | |||||||
| CNO | 50.00 | $190,856 | $0 | $18,731 | Yes (X) | ||
| Lee A Glotzback | |||||||
| CHRO | 40.00 | $149,897 | $0 | $29,284 | Yes (X) | ||
| Charles L Nutinsky DO | |||||||
| CMO | 40.00 | $267,048 | $0 | $30,482 | Yes (X) | ||
| Jerrald W DeLoach | |||||||
| COO | 50.00 | $166,042 | $0 | $14,524 | Yes (X) | ||
| Michael P Brown DO | |||||||
| Physician | 50.00 | $512,717 | $0 | $26,249 | Yes (X) | ||
| Farhaad C Golkar MD | |||||||
| Physician | 50.00 | $363,465 | $0 | $4,798 | Yes (X) | ||
| John D Gelin MD | |||||||
| Physician | 50.00 | $345,051 | $0 | $42,783 | Yes (X) | ||
| Torr Carmain | |||||||
| Physician | 50.00 | $317,507 | $0 | $8,578 | Yes (X) | ||
| Marc E Fernandez MD | |||||||
| Physician | 50.00 | $316,444 | $0 | $39,087 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,175,179 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $279,187 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cerner Corporation | |||||
| PO Box 412702 | Kansas City | MO | 641412702 | Computer software/hardware company | $13,203,350 |
| AIG Retirement Services Co | |||||
| ARSCO Retirement Manager C/O JP Mo | Houston | TX | 772163629 | Retirement Service | $2,063,491 |
| Adex Medical Staffing LLC | |||||
| 13083 Telecom Parkway North | Temple Terrace | FL | 336370926 | Contract Nurses | $1,348,796 |
| Associated Radiologists of Inverness | |||||
| PO Box 5938 | Chattanooga | TN | 37406 | Radiology Services | $1,345,627 |
| Sheridan Healthcorp Inc | |||||
| PO Box 452197 | Surise | FL | 333232197 | Anesthiology Services | $1,261,784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $41,104 | AllOtherContributionsAmt |
| Total Contributions | $41,104 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Hospital Service Rev. | 621110 | $146,686,909 | $146,686,909 | |
| Citrus County Hospital Board | 621110 | $2,000,000 | $2,000,000 | |
| SMP-Florida Medicaid | 621110 | $1,354,042 | $1,354,042 | |
| Cafeteria Sales | 722210 | $457,391 | $457,391 | |
| Miscellaneous | 900099 | $168,083 | $168,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $150,666,425 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $168,283 | TotalRevenueColumnAmt |
| Exclusion | $168,283 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $248,424 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,936 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $191,488 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,488 | TotalRevenueColumnAmt |
| Exclusion | $191,488 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,301,769 | SecuritiesAmt |
| Other | $4,079 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,317,398 | SecuritiesAmt |
| Other | $76,282 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,629 | SecuritiesAmt |
| Other | -$72,203 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$87,832 | TotalRevenueColumnAmt |
| Exclusion | -$87,832 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Meaningful Use | 900099 | $2,435,810 | $2,435,810 |
| Miscellaneous | 900099 | $31,927 | $31,927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,467,737 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,447,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $150,209,034 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,197,067 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,835,814 | TotalAmt |
| Management And General | $1,835,814 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,013,953 | TotalAmt |
| Program Services | $52,749,667 | ProgramServicesAmt |
| Management And General | $2,124,366 | ManagementAndGeneralAmt |
| Fundraising | $139,920 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$1,128,891 | TotalAmt |
| Management And General | -$1,128,891 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,857,297 | TotalAmt |
| Program Services | $6,839,788 | ProgramServicesAmt |
| Management And General | $27 | ManagementAndGeneralAmt |
| Fundraising | $17,482 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,012,964 | TotalAmt |
| Program Services | $3,727,091 | ProgramServicesAmt |
| Management And General | $275,097 | ManagementAndGeneralAmt |
| Fundraising | $10,776 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,488,244 | TotalAmt |
| Management And General | $2,487,981 | ManagementAndGeneralAmt |
| Fundraising | $263 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,066 | TotalAmt |
| Management And General | $53,066 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,004,087 | TotalAmt |
| Program Services | $13,494,262 | ProgramServicesAmt |
| Management And General | $1,509,282 | ManagementAndGeneralAmt |
| Fundraising | $543 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,069 | TotalAmt |
| Program Services | $4,620 | ProgramServicesAmt |
| Management And General | $674,449 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,362,146 | TotalAmt |
| Program Services | $35,216,097 | ProgramServicesAmt |
| Management And General | $145,032 | ManagementAndGeneralAmt |
| Fundraising | $1,017 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,438,991 | TotalAmt |
| Program Services | $9,429,525 | ProgramServicesAmt |
| Management And General | $8,429 | ManagementAndGeneralAmt |
| Fundraising | $1,037 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,238,467 | TotalAmt |
| Program Services | $8,168,706 | ProgramServicesAmt |
| Management And General | $68,309 | ManagementAndGeneralAmt |
| Fundraising | $1,452 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,379 | TotalAmt |
| Program Services | $119,976 | ProgramServicesAmt |
| Management And General | $29,181 | ManagementAndGeneralAmt |
| Fundraising | $222 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868 | TotalAmt |
| Management And General | $868 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,515,405 | TotalAmt |
| Management And General | $2,515,405 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,217,891 | TotalAmt |
| Program Services | $7,217,891 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,391,280 | TotalAmt |
| Management And General | $10,391,280 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debts | $10,382,716 | $10,382,716 | |
| Miscellaneous | $3,387,437 | -$93,788 | $3,481,225 |
| Indigent Assessment | $1,248,407 | $1,248,407 | |
| Education | $156,384 | $148,473 | $7,911 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,304,974 | TotalAmt |
| Program Services | $147,405,024 | ProgramServicesAmt |
| Management And General | $25,727,238 | ManagementAndGeneralAmt |
| Fundraising | $172,712 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,270,552 | BOYAmt |
| EOY | $5,487,343 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,921,140 | BOYAmt |
| EOY | $14,564,162 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,430,737 | BOYAmt |
| EOY | $3,820,663 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,696,690 | BOYAmt |
| EOY | $876,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $158,031,346 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $100,787,201 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,335,351 | BOYAmt |
| EOY | $57,244,145 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,007 | BOYAmt |
| EOY | $531,039 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,901,000 | BOYAmt |
| EOY | $4,901,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,783,699 | BOYAmt |
| EOY | $19,139,231 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,900,176 | BOYAmt |
| EOY | $106,564,217 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,966,668 | BOYAmt |
| EOY | $31,180,024 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,953,538 | BOYAmt |
| EOY | $44,083,767 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $984,241 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,514,872 | BOYAmt |
| EOY | $23,951,269 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,419,319 | BOYAmt |
| EOY | $99,215,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,031,838 | BOYAmt |
| EOY | $6,881,387 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,449,019 | BOYAmt |
| EOY | $467,770 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,480,857 | BOYAmt |
| EOY | $7,349,157 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,900,176 | BOYAmt |
| EOY | $106,564,217 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$19,857,769 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$8,273,931 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,660,566 | InvestmentCostOrOtherBasisAmt |
| Book Value | $8,660,566 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $88,532,603 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $51,386,257 | DepreciationAmt |
| Book Value | $37,146,346 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $60,828,395 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $49,400,944 | DepreciationAmt |
| Book Value | $11,427,451 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $9,782 | InvestmentCostOrOtherBasisAmt |
| Book Value | $9,782 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,244,145 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $2,318,977 |
| Other long term assets | $2,496,533 |
| Indenture Agreement | $3,768,765 |
| Deferred Bond Costs, Net | $359,892 |
| Assets Limited as to Use | $4,886,249 |
| Due from Third-Party Payers, Net | $33,815 |
| Other assets | $5,275,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,139,231 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Liability for Pension Benefits | $15,380,427 |
| Other Liabilities | $3,295,842 |
| Professional Liability | $5,275,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,951,269 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $145,167,802 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,108,562 | OtherRevenueAmt |
| Revenue Not Reported | $2,108,562 | RevenueNotReportedAmt |
| Revenue Subtotal | $143,059,240 | RevenueSubtotalAmt |
| Other Revenues Not Included | $10,387,966 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,387,966 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $153,447,206 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $164,800,257 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,108,562 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,108,562 | ExpensesNotReportedAmt |
| Expenses Subtotal | $162,691,695 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,613,280 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,613,280 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $173,304,975 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Foundation is exempt from income taxes under Section 501(c)(3) of the IRC. Accordingly, the financial statements do not reflect a provision for income taxes. At September 30, 2014, the Foundation does not have any uncertain tax positions that would require recognition or disclosure in the financial statements. The Foundation is no longer subject to federal or state income tax examinations by tax authorities for the years before 2010. |
| Part XI, Line 2d - Other Adjustments: | Net assets released from restrictions 2,051,626. Rental expenses 56,936. |
| Part XI, Line 4b - Other Adjustments: | Provision for bad debts 10,382,716. Development fund: donations 5,250. |
| Part XII, Line 2d - Other Adjustments: | Net assets released from restrictions 2,051,626. Rental expenses 56,936. |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debts 10,382,716. Book/tax difference 225,314. Development fund: donations 5,250. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,521,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,354,042 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,167,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04710 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,461,698 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,042,780 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,418,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,983,143 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,396,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,586,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,070 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,115 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,452 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,452 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,383 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $102,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $141,020 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $141,020 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,124,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,396,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,727,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,382,716 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $57,403,193 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $70,697,227 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,294,034 | 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 | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 Nature Coast Development Group-Crystal River | |||
| Rental | 0.50000 | 0.00000 | 0.25000 |
| 2 Nature Coast Development Group-Meadowcrest | |||
| Rental | 0.50000 | 0.00000 | 0.50000 |
| 3 Citrus County Medical Group | |||
| Rental | 0.17000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 34452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Citrus Memorial Hospital | Part V, Section B, Line 3: The assessment data was prepared by WellFlorida Council, Inc., using a diverse list of sources including the Office of Vital Statistics, the U.S. Census Bureau, the Florida Geographic Library, and a variety of health and county ranking sites from respected institutions across the United States and Florida.The WellFlorida Council Contributing staff, identified in the assessment report, included individuals with post-graduate degrees in Public Health and Healthcare Management.Other assessment contributors included Citrus County Hospital Board members, Needs Assessment Steering Committee members, focus group participants and provider survey participants.WellFlorida Council staff conducted seven focus groups to better understand the perspective of community members living and/or working in the Citrus County Hospital Board Taxing Authority Service Area. The Citrus County Hospital Board worked with the WellFlorida Council to formulate a provider survey that would touch upon some of the same topic addressed during the focus groups. |
| Citrus Memorial Hospital | Part V, Section B, Line 5d: The CHNA report is available for download on the Citrus County Hospital Board website at www.citruscountyhospitalboard.com/. |
| Citrus Memorial Hospital | Part V, Section B, Line 7: The hospital is being sold to HCA. The hospital does not have sufficient resources to meet any needs in the community. Tax funds have been withheld from the hospital which may have allowed the hospital to meet some needs in the community. |
| Citrus Memorial Hospital | Part V, Section B, Line 14g: The policy is available on the Citrus Memorial Health System website and also at registration points at all of our facilities. In addition, the policy reminds patients to call our registration department to inquire about financial assistance options. |
| Citrus Memorial Hospital | Part V, Section B, Line 20d: Patients are charged the same regardless of eligibility. Self-pay patients are given a 30% discount automatically. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 23 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Inverness Diagnostic Imaging Center | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | diagnostic imaging ctr |
| Citrus Orthopedic & Joint Institute | ||||
| 951 N Avalon Way | Lecanto | FL | 34461 | rehabilitation clinic |
| Gulf Coast Aquatic & Rehab | ||||
| 6043 W Nordling Loop | Crystal River | FL | 34429 | rehabilitation clinic |
| Gulf Coast Aquatic & Rehab | ||||
| 819 Medical Court East | Inverness | FL | 34452 | rehabilitation clinic |
| Citrus Memorial Home Health Agency | ||||
| 402 Grace Street | Inverness | FL | 34452 | home healthcare |
| Allen Ridge Diagnostic Imaging Center | ||||
| 520 N Lecanto Hwy | Lecanto | FL | 34461 | diagnostic imaging center |
| Citrus Springs Rehabilitation Center | ||||
| 10489 N Florida Avenue Suite F | Citrus Springs | FL | 34434 | rehabilitation clinic |
| Citrus Primary Care - Beverly Hills | ||||
| 450 W Roosevelt Blvd | Beverly Hills | FL | 34465 | outpatient physician clinic |
| Citrus Primary Care - Floral City | ||||
| 7648 S Florida Avenue | Floral City | FL | 34436 | outpatient physician clinic |
| Sugarmill Woods Diagnostic Imaging Ctr | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | diagnostic imaging center |
| Allen Ridge Family Care Center | ||||
| 540 N Lecanto Hwy | Lecanto | FL | 34461 | outpatient physician clinic |
| Citrus Primary Care - Homosassa | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | outpatient physician clinic |
| Citrus Primary Care - Inverness | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | outpatient physician clinic |
| Citrus Primary Care - Crystal River | ||||
| 700 SE 5th Terrace Suite 7 | Crystal River | FL | 34429 | outpatient physician clinic |
| Citrus Primary Care - Citrus Springs | ||||
| 10334 N Citrus Springs Blvd | Citrus Springs | FL | 34434 | outpatient physician clinic |
| Sugarmill Woods Family Care Center | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | outpatient physician clinic |
| Citrus Primary Care - Bushnell | ||||
| 417 Market Street 7 | Bushnell | FL | 33513 | outpatient physician clinic |
| Beverly Hills Lab Collection Ctr | ||||
| 8 Regina Blvd | Beverly Hills | FL | 34465 | laboratory draw station |
| Citrus Hills Lab Collection Ctr | ||||
| 1978 N Prospect Avenue | Lecanto | FL | 34461 | laboratory draw station |
| Dunnellon Lab Collection Center | ||||
| 11352 N Williams Street | Dunnellon | FL | 34432 | laboratory draw station |
| HomosassaSugarmill Woods Lab Col Ctr | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | laboratory draw station |
| Inverness Laboratory Collection Ctr | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | laboratory |
| Sugarmill Woods Rehabilitation Center | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | rehabilitation clinic |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | N/A |
| Part II, Community Building Activities: | Citrus Memorial Health System provides critical services to the citizens of Citrus County. Not only do we provide acute care hospital services, but also home health and primary care - all of which are available to the indigent. We receive many indigent referrals from the other for-profit health establishments in the community including diagnostic imaging, infusion therapy, endoscopy, lab testing, and outpatient therapy. In addition, we also provide office space free of charge to the American Cancer Society. This office space on our campus enables the ACS to provide cancer patients with prosthesis and prothesis fittings as well as wigs, hats and education materials. Please see Schedule O for a more comprehensive list of our services. |
| Part III, Line 3: | Bad debt expense at cost was pulled from the organization's financial statements after audit adjustments. Although there is a significant dollar amount associated with the bad debt expense that could be considered charity, we are unable to make that determination. It has been estimated in the past to be 40% of bad debt expense. |
| Part III, Line 4: | Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, Medicaid and other third-party payment programs. Current operations include a provision for bad debts in the statements of operations estimated based upon the age of the patient accounts receivable, historical write-offs and recoveries and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Additions to the allowance for uncollectible accounts result from the provision for bad debts. Patient accounts written off as uncollectible are deducted from the allowance for uncollectible accounts. |
| Part III, Line 8: | Although we were not able to determine a dollar amount, we believe a portion of the Medicare shortfall could be considered community benefit since Medicare is such a predominant payor in our facility. Typically commercial or managed care providers make up the deficit of the governmental payors; unfortunately we do not have the better paying population to make up for these deficits. Our tax exempt status allows CMHS to provide care at a level that would be impossible without this determination. Since we are the largest provider of care in the community, residents would need to travel a significant distance for healthcare service. The organization provides a vital service to the community for the insured as well as the uninsured alike. |
| Part III, Line 9b: | The collection policy describes the criteria for those who qualify for hospital-sponsored care and states that the account balance will be forgiven. The policy also describes the criteria for the reduction of an account balance based on income level and assets. |
| Part VI, Line 2: | Citrus Memorial Health System personnel is actively involved with the community and strives to "feel the pulse" of the county's needs. CMH hosted a round table discussion with members of the community who represent the underserved including clergy, social workers, and the local food bank. An advisory group was then formed to brainstorm ideas to reach out to those in need. As a result, CMHS welcomes patients at our clinics for check-ups and treatment at no cost. Lifesaving surgeries and diagnostic testing have been performed to patients at no cost otherwise they would have received no care. One patient told us that he had not seen a doctor since Vietnam! At our clinics, we turn away no patients based on their ability to pay. Many of these patients were referred to us by "for profit" physician practices. Our hospital also has an "Advisory Committee" where representatives from throughout the community discus the best use of donated funds from our philanthropy endeavors. An education center among other things is being planned resulting from the discussions that ensued from those meetings.Citrus Memorial also develops a strategic plan based on the needs of the community. Consultants and community experts are utilized to determine the underserved programs and patients in our community. We then determine a "roadmap" to direct our activities in the best possible manner. |
| Part VI, Line 3: | Citrus Memorial's financial counselors are well schooled in the area of financial assistance. Upon registration and once a need is determined, our patients are informed of possible Medicaid eligibility and charity care sponsorship. We are affiliated with a company that qualifies patients for Medicaid and we also have a Medicaid service center to which community members can come and complete paperwork to become eligible for this service. We have even partnered with other community agencies and conducted "healthcare fairs" to provide screenings and financial direction to patients. |
| Part VI, Line 4: | Citrus County is a rural area with a significant elderly and indigent population Citrus County is the second oldest population in the state. According to the latest census, 34.5% of residents are older than 65 Florida average is 18.7% aged greater than 65. There is virtually no industry in the area, and most jobs are related to the "service industry". The per capita income in the county is $23,148 with the Florida average being $26,236. Citrus county residents have fewer years of education with only 16.6% of the population with a bachelors degree or higher with the Florida average being 26.4%. Citrus County has 139,134 residents with Citrus Memorial being the primary provider of hospital care in the county. There is a smaller for-profit hospital on the other side of the county that does not offer the array of services of CMHS and does not have the capacity to serve the volume of patients CMHS serves. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ryan D Beaty | ||||||||||||||
| CEO | $364,824 | $0 | $0 | $0 | $0 | $0 | $45,624 | $0 | $0 | $0 | $410,448 | $0 | $0 | $0 |
| Mark A Willams | ||||||||||||||
| CFO | $181,328 | $0 | $0 | $0 | $0 | $0 | $11,220 | $0 | $7,827 | $0 | $200,375 | $0 | $0 | $0 |
| Linda M McCarthy | ||||||||||||||
| CNO | $190,856 | $0 | $0 | $0 | $0 | $0 | $15,336 | $0 | $3,395 | $0 | $209,587 | $0 | $0 | $0 |
| Lee A Glotzback | ||||||||||||||
| CHRO | $149,897 | $0 | $0 | $0 | $0 | $0 | $20,535 | $0 | $8,749 | $0 | $179,181 | $0 | $0 | $0 |
| Charles L Nutinsky DO | ||||||||||||||
| CMO | $267,048 | $0 | $0 | $0 | $0 | $0 | $22,485 | $0 | $7,997 | $0 | $297,530 | $0 | $0 | $0 |
| Jerrald W DeLoach | ||||||||||||||
| COO | $166,042 | $0 | $0 | $0 | $0 | $0 | $10,125 | $0 | $4,399 | $0 | $180,566 | $0 | $0 | $0 |
| Michael P Brown DO | ||||||||||||||
| Physician | $512,717 | $0 | $0 | $0 | $0 | $0 | $17,500 | $0 | $8,749 | $0 | $538,966 | $0 | $0 | $0 |
| Farhaad C Golkar MD | ||||||||||||||
| Physician | $203,519 | $0 | $81,035 | $0 | $78,911 | $0 | $0 | $0 | $4,798 | $0 | $368,263 | $0 | $0 | $0 |
| John D Gelin MD | ||||||||||||||
| Physician | $204,176 | $0 | $140,225 | $0 | $650 | $0 | $37,782 | $0 | $5,001 | $0 | $387,834 | $0 | $0 | $0 |
| Torr Carmain | ||||||||||||||
| Physician | $281,534 | $0 | $35,373 | $0 | $600 | $0 | $0 | $0 | $8,578 | $0 | $326,085 | $0 | $0 | $0 |
| Marc E Fernandez MD | ||||||||||||||
| Physician | $316,444 | $0 | $0 | $0 | $0 | $0 | $30,338 | $0 | $8,749 | $0 | $355,531 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1b | Amounts are paid in accordance with the employment contracts. There is no written policy regarding payment or provision of the benefits described above. |
| Part I, Line 4a | Farhaad Golkar - Physician received severance pay of $78,711 which was inlucded in his W2 for 2013. This amount is included in Part (B) (iii) compensation. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus County Hospital Board | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 596017150 | BondIssuerEIN |
| CUSIP | NoneAvail | CUSIPNum |
| Bond Issued | 2008-09-01 | BondIssuedDt |
| Issue Price | $10,000,000 | IssuePriceAmt |
| Purpose | See Part V | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $10,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $55,189 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $9,944,811 | CapitalExpendituresAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line B, Column F, Description of Purpose: | FormAndLineReferenceDesc |
| Explanation | (1) Renovation of the emergency department located at Citrus Memorial Health System, including renovation of the existing space and 5,400 new square feet, an increase of 12 patient beds and an ability to improve patient flow. (2) Sugarmill Woods Diagnostic, Rehabilitation and Clinic facility, an approximately 21,400 square foot single store outpatient facility. (3) Renovations to patient elevators. (4) Paying certain costs of issuance. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Joseph SBrannen | |||
| Board member | $41,914 | BankingJ Brannen's family business is Brannen Banks that provide services to Citrus Memorial Health Foundation. | 0 |
| Vengopala Reddy MD | |||
| Board member | $23,879 | Property rentalDr Reddy's partnership rents a medical office building to Citrus Memorial Health Foundation. | 0 |
| Robert Collins | |||
| Board member | $2,917 | Promotional productsMr Collin's son's business supplies Citrus Memorial Health Foundation with products. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6: | The number of volunteers was obtained through the Volunteer Works System which is used on a daily basis. The main purpose of the system is to maintain a personal profile on each volunteer and to be able to track volunteer service hours and assignments. It is also used for recognition awards and various reports that are needed throughout the year. The types of positions/services provided by the volunteers are as follows: Transporters; Couriers/Information Desk; Patient Care Partners (PCPs); ER Greeters/PCPs; Assistants to Cardiac Rehab, Chart Room, EVS, General Stores, Nutritional Services, Pharmacy and office assistants in various other departments; Gift Shop Buyers/Clerks; Lab Host/Hostess; Medical Records Messengers; newspaper delivery to the floors/departments; OB PCPs; Pre-Admit Host/Hostess and Stamping; Shuttle Drivers, Share Club Visitors, Surgery Host/Hostess and Wheelchair Repair. |
| Form 990, Part VI, Section A, line 8b | The Foundation has no committees with the authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 is provided to the Board of Directors prior to filing the return. Any questions or concerns are addressed as quickly as possible. In addition, the accounting staff review each section of the return upon receipt of the draft. The staff ensure that the statements contained in the Form 990 are accurate and the figures are true to the audited financial statements. The CFO also reviews the return to ensure it is complete and accurate. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers all members of the Board of Directors as well as all officers of the organization. Board members are required to abstain from voting on matters where a conflict of interest may exist. |
| Form 990, Part VI, Section B, line 15 | A national human resources firm was used to provide information regarding compensation for the following positions: Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer and Chief Human Resources Officer. The firm used a combination of national and regional data to provide their comparisons. The results of the study, including recommended compensation, were approved by the Compensation Committee. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy and financial statements are all made available to the public upon request. The financial statements are also made available on our website (unaudited are posted monthly and the audited financials are posted upon receipt). |
| Form 990, Part XI, line 9: | Contributions in Net Assets 70,377. Net Assets Released from Restrictions -2,051,626. Pension Plan Adjustments -6,551,263. Change in unrealized gains and losses on securities 33,267. Difference between book and tax income 225,314. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Citrus County Hospital Board | |||||||||||
| PO Box 1030 | Inverness | FL | 34451 | 596017150 | Special District | FL | 501(c)(1) | N/A | 0 | ||
| Citrus Memorial Hospital Auxiliary | |||||||||||
| 502 W Highland Blvd | Inverness | FL | 34452 | 592774537 | Volunteer Organization | FL | 501(c)(3) | 0 | Line 3 | Citrus Memorial Health Foundation Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nature Coast Development Group-Crystal River | |||||||||||||
| 502 Highland Blvd | Inverness | FL | 34452 | 550907519 | Real Estate | FL | Citrus Memorial Health Foundation Inc | excluded | $13,464 | $266,078 | 0 | Yes (1) | 0.50000 |
| Nature Coast Development Group-Meadowcrest | |||||||||||||
| 502 Highland Blvd | Inverness | FL | 34452 | 203938808 | Real Estate | FL | Citrus Memorial Health Foundation Inc | excluded | -$11,945 | $208,454 | 0 | Yes (1) | 0.50000 |
| 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 | Yes (1) | 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 | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |