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VILLAGES TRI-COUNTY MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VILLAGES TRI-COUNTY MEDICAL CENTER INC (EIN 59-3527036)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201411329349301931
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-12T10:56:21-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593527036EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DIANE HARDEN CFOInCareOfName
Name ControlVILLNameControl
Phone3523235002Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
Address Line2SuiteAddressLine2
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIANE HARDENName
TitleCFOTitle
Phone3523235002Phone
Date Signed2014-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDON HENDERSON PRESIDENT CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 EAST DIXIE AVENUEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
Gross Receipts152647068GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TVRH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1289TotalNbrEmployees
Total Nbr Volunteers900TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year216920ContributionsGrantsPriorYear
Contributions Grants Current Year246867ContributionsGrantsCurrentYear
Program Service Revenue Prior Year150125460ProgramServiceRevenuePriorYear
Program Service Revenue CY151511113ProgramServiceRevenueCY
Investment Income Prior Year38411InvestmentIncomePriorYear
Investment Income Current Year89877InvestmentIncomeCurrentYear
Other Revenue Prior Year149573OtherRevenuePriorYear
Other Revenue Current Year691001OtherRevenueCurrentYear
Total Revenue Prior Year150530364TotalRevenuePriorYear
Total Revenue Current Year152538858TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1397256GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY150553GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60542525SalariesEtcPriorYear
Salaries Etc Current Year66612841SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year81216430OtherExpensePriorYear
Other Expenses Current Year75116807OtherExpensesCurrentYear
Total Expenses Prior Year143156211TotalExpensesPriorYear
Total Expenses Current Year141880201TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7374153RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10658657RevenuesLessExpensesCY
Total Assets BOY165229601TotalAssetsBOY
Total Assets EOY172179000TotalAssetsEOY
Total Liabilities BOY110705582TotalLiabilitiesBOY
Total Liabilities EOY103394095TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY54524019NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY68784905NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense126537561Expense
Grants2338233Grants
Revenue151511113Revenue
DescriptionTHE VILLAGES REGIONAL HOSPITAL, PART OF CENTRAL FLORIDA HEALTH ALLIANCE, IS A 198-BED ACUTE CARE HOSPITAL LOCATED IN THE HEART OF THE VILLAGES, A NATIONALLY KNOWN ADULT COMMUNITY. SPECIALLY DESIGNED TO BRING HOSPITALITY TO HEALTH CARE, THE FACILITY SERVES THE TRI-COUNTY AREA - LAKE, SUMTER, AND SOUTH MARION COUNTIES. NAMED FLORIDA'S ONLY TOP 100 HOSPITAL BY THOMSON HEALTHCARE FOR 2007, THE VILLAGES REGIONAL HOSPITAL IS COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. ADDITIONAL ACHIEVEMENTS INCLUDE BEING NAMED A 2007 CARESCIENCE SELECT PRACTICE NATIONAL QUALITY LEADER HOSPITAL AND RANKED AS THE 12TH BEST EMPLOYER IN THE NATION FOR WORKERS OVER THE AGE OF 50. THE FACILITY CONSISTS OF A SIX-BED INTENSIVE CARE UNIT, STATE-OF-THE-ART SURGICAL SUITES, A RADIOLOGY DEPARTMENT FEATURING FILMLESS COMPUTER IMAGING, PHARMACY, CLINICAL LABORATORY, AND A FULL SERVICE EMERGENCY DEPARTMENT. THE VILLAGES REGIONAL HOSPITAL IS HOME TO ONE OF THE WORLD'S FIRST PHILIPS AMBIENT EXPERIENCE CATHETER LABS DESIGNED TO IMPROVE THE EXPERIENCE DURING HEART CATHETER PROCEDURES. OUR TEAM MEMBERS, PHYSICIANS, AND VOLUNTEERS HAVE A PASSION FOR DELIVERING AWARD-WINNING HEALTHCARE AND IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.Description
Total Program Service Expense126537561TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1289NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIANE HARDEN CFONamePerson
Telephone Number3523235002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 EAST DIXIE AVENUEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID L SUSTARSIC MD
BOARD MEMBER1.01.0X2329407960
ROBERT Q WILLIAMS ESQUIRE
CHAIRMAN1.01.0X000X
GREGORY R LEWIS
TREASURER1.01.0X000X
SHIVAKUMAR S HANUBAL MD
BOARD MEMBER1.01.0X0213600
TIMOTHY I SULLIVAN
FORMER BOARD MEMBER1.01.0X000
TERRY R UPTON
BOARD MEMBER1.01.0X000
DON V HAHNFELDT
VICE CHAIRMAN1.01.0X000X
ROGER W SHERMAN MD
Board Member1.01.0X000
EVAN RICHARDS
BOARD MEMBER1.01.0X000
JANET BOLIVAR
BOARD MEMBER1.01.0X000
DIANE SPENCER
SECRETARY1.01.0X000X
JOHN A COWIN MD
FORMER BOARD MEMBER1.01.0X0151020
GEORGE E KAINZ MD
BOARD MEMBER1.01.0X000
RUSSEL J D'EMIDIO
BOARD MEMBER1.01.0X000
KENNETH A SAMPONG MD
BOARD MEMBER1.01.0X000
AMANDA J WETTSTEIN
BOARD MEMBER1.01.0X000
SHAHBAZ CHEEMA
BOARD MEMBER1.01.0X000
ROGER BEYERS
BOARD MEMBER1.01.0X000
DON HENDERSON
PRESIDENT/CEO0.050.0056239822869X
DIANE HARDEN
SVP/CFO0.050.002372614486X
TIMOTHY HAWKINS
SVP COO0.050.0050496737045X
PHYLLIS BAUM
VP/CHIEF QUALITY OFFICER0.050.0037189522303X
MARYJANE CURRY PELYAK
VP PROFESSIONAL SERVICES50.00.027213608941X
PHILIP BRAUN
VP CHIEF COUNSEL0.050.0022352022416X
ROSEMARY REINER
VP/CCO TVRH50.00.0216707016756X
TED WILLIAMS
VP/FOUNDATION PRESIDENT0.050.0020667016654X
CYNTHIA GAMACHE
VP CCO LRMC0.050.0018744523644X
SANDRA PELTON
PHARMACIST40.00.0154894016455X
WENDY DONATO
PHARMACIST40.00.0127960010374X
MARK BERARD
PHARMACY MANAGER40.00.0127103018953X
WILLIAM LABUD
REGISTERED NURSE40.00.013976502831X
BERNADETTE MCDONALD
DIRECTOR PERIOPERATIVE SERVS40.00.01230341537610564X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1163928TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2386790TotalReportableCompFrmRltdOrgs
Total Other Compensation234291TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA60693STAFFING SERVICES1818257
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA30353LINEN SERVICES788358
MOFFITT CANCER CENTER
12902 USF MAGNOLIA DRIVETAMPAFL33612PROFESSIONAL SERVICE712883
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN554809146LAB TESTING SERVICES440099
PHOENIX PHYSICIANS
2828 CROASDAILE DRIVEDURHAMNC27705CONTRACT LABOR676986
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Related Organizations246867RelatedOrganizations
Total Contributions246867TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column151511113TotalRevenueColumn
Related Or Exempt Function Income151511113RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue151511113TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column84677TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,489,234ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real173740Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real108210Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real65530Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column65530TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$65,530ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other5200Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other5200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5200TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,200ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
DIETARY90009950839800$508,398
HEALTH INFORMATION SERVICES9000991811000$18,110
VENDING COMMISSION900099757700$7,577

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column91386TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$91,386ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue625471TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column152538858TotalRevenueColumn
Related Or Exempt Function Income151511113RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,185,435ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total150553Total
Program Services150553ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1046707Total
Management And General1046707ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53124617Total
Program Services47894489ProgramServices
Management And General5230128ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1705499Total
Program Services1500839ProgramServices
Management And General204660ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7095408Total
Program Services6243959ProgramServices
Management And General851449ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3640610Total
Program Services3203737ProgramServices
Management And General436873ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3358720Total
Program Services2368798ProgramServices
Management And General989922ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total128620Total
Program Services64310ProgramServices
Management And General64310ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total124394Total
Program Services0ProgramServices
Management And General124394ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15140Total
Program Services0ProgramServices
Management And General15140ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1011658Total
Program Services1011658ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total432568Total
Program Services304321ProgramServices
Management And General128247ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3087975Total
Program Services2717418ProgramServices
Management And General370557ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total39449Total
Program Services13254ProgramServices
Management And General26195ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total88348Total
Program Services13485ProgramServices
Management And General74863ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1962670Total
Program Services1962670ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10939771Total
Program Services8752514ProgramServices
Management And General2187257ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total986806Total
Program Services736159ProgramServices
Management And General250647ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES38774107381012426728650
EQUIPMENT RENTAL AND MAINT431187637001746117020
PHYSICIAN AND OTHER MEDICAL306231127283403339710
UTILITIES233721618697734674430

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4455178Total
Program Services3199868ProgramServices
Management And General1255310ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total141880201Total
Program Services126537561ProgramServices
Management And General15342640ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45260911BOY
EOY47740748EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY274180BOY
EOY494847EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17932176BOY
EOY18932208EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4540282BOY
EOY3705675EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1224493BOY
EOY4945271EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis174985394LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec79074630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY95284891BOY
EOY95910764EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY712668BOY
EOY449487EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY165229601BOY
EOY172179000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13608462BOY
EOY14941556EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY72500000BOY
EOY72500000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24597120BOY
EOY15952539EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY110705582BOY
EOY103394095EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY53106263BOY
EOY68749905EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1417756BOY
EOY35000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54524019BOY
EOY68784905EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY165229601BOY
EOY172179000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10658657ReconcilationRevenueExpenses
Reconcilation Other Changes3602229ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$15,140DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB15140TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4998323OtherCostOrOtherBasis
Book Value4998323BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis99987992OtherCostOrOtherBasis
Depreciation35569327Depreciation
Book Value64418665BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64191529OtherCostOrOtherBasis
Depreciation40696757Depreciation
Book Value23494772BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5807550OtherCostOrOtherBasis
Depreciation2808546Depreciation
Book Value2999004BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings95910764TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE LIABILITY$7,536,053
INTEREST RATE SWAP LIABILITY$6,127,901
DUE TO AFFILIATES$1,970,332
NOTE PAYABLE$318,253
FieldValueIRS element (for citing)
Total Of Amounts15952539TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt156249297TotRevenueEtcAuditedFinclStmt
Other Revenues3710439OtherRevenues
Revenue Not Rptd F9903710439RevenueNotRptdF990
Revenue Subtotal152538858RevenueSubtotal
Total Revenue Per Form990152538858TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt141988411TotExpensesEtcAuditedFinclStmt
Other Expenses Included108210OtherExpensesIncluded
Expenses Not Rptd F990108210ExpensesNotRptdF990
Expenses Subtotal141880201ExpensesSubtotal
Total Expenses Per Form990141880201TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF REVENUESCHEDULE D, PART XI, LINE 2DRENT EXPENSE: 108,210 RELEASE OF NET ASSETS: 197,672 CHANGE IN INTEREST RATE SWAP: 3,404,557 ---------- TOTAL 3,710,439
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINE 2DRENT EXPENSE: 108,210 -----------
ASC 740 (FIN 48) FOOTNOTESCHEDULE D, PART XIVTHE ALLIANCE AND ITS AFFILIATES, WITH THE EXCEPTION OF VENTURE, ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. MANAGEMENT BELIEVES THAT THE UNRELATED BUSINESS INCOME GENERATED BY THE ALLIANCE AND ITS AFFILIATES IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. Accounting principles generally accepted in the United States of america require The Alliance's management to evaluate tax positions taken by The Alliance and recognize a tax liability (or asset) if The Alliance has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Alliance has analyzed the tax positions and has concluded that as of June 30, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the consolidated financial statements. The Alliance is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Alliance believes it is no longer subject to income tax examinations for years prior to 2009.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4888005TotalCommunityBenefitExpense
Net Community Benefit Expense4888005NetCommunityBenefitExpense
Percent Of Total Expense0.03450PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6953867TotalCommunityBenefitExpense
Direct Offsetting Revenue4353347DirectOffsettingRevenue
Net Community Benefit Expense2600520NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11841872TotalCommunityBenefitExpense
Direct Offsetting Revenue4353347DirectOffsettingRevenue
Net Community Benefit Expense7488525NetCommunityBenefitExpense
Percent Of Total Expense0.05280PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11841872TotalCommunityBenefitExpense
Direct Offsetting Revenue4353347DirectOffsettingRevenue
Net Community Benefit Expense7488525NetCommunityBenefitExpense
Percent Of Total Expense0.05280PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense11515144TotalCommunityBuildingExpense
Net Community Building Expense11515144NetCommunityBuildingExpense
Percent Of Total Expense0.08120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense11515144TotalCommunityBuildingExpense
Net Community Building Expense11515144NetCommunityBuildingExpense
Percent Of Total Expense0.08120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,434,229BadDebtExpenseAmount
Amount Reimbursed By Medicare109326023AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare115192408CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5866385MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CTRBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CTRBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
OtherXOther
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES REG HOSPITAL OP SURGERYBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11501 US HIGHWAY 441 NORTH STE 1800AddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
Facility TypeAMB SURGERY CENTERFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FEDERAL POVERTY GUIDELINESSCHEDULE H, PART I, LINE 3CN/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES.
ANNUAL COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ATHE VILLAGES AND LEESBURG REGIONAL MEDICAL CENTER FILE A COMBINED COMMUNITY BENEFIT REPORT.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, LINE 7GTHIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS.
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE ALLIANCE'S POLICIES. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS.
COSTING METHODOLOGYSCHEDULE H, PART III, LINE 8LEESBURG REGIONAL MEDICAL CENTER IS THE SECOND LARGEST EMPLOYER IN LAKE COUNTY, EMPLOYING MORE THAN 1,700 TEAM MEMBERS WITH AN ANNUAL PAYROLL OF $84.4 MILLION. THE VILLAGES HEALTH SYSTEM HAS 1,000 TEAM MEMBERS ($54.2 MILLION PAYROLL). COMBINED, CENTRAL FLORIDA HEALTH ALLIANCE PROVIDED JOBS FOR 2,700 PEOPLE IN THE COMMUNITIES WE SERVE. BASED ON COMMUNITY BENEFIT REPORTING: GUIDELINES AND STANDARD DEFINITIONS FOR THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY, VOLUNTARY HOSPITALS OF AMERICA (VHA) AND THE CATHOLIC HEALTHCARE ASSOCIATION (CHA) OF THE UNITED STATES, 2005. CHARITY CARE IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH ALLIANCE TO PROVIDE MEDICAL SERVICES TO THOSE PATIENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT. THE MEDICARE AND MEDICAID PROGRAMS PAY CENTRAL FLORIDA HEALTH ALLIANCE LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO ITS MEDICARE AND MEDICAID PATIENTS. THE AMOUNTS SHOWN ARE THE ACTUAL COSTS TO PROVIDE THESE SERVICES ABOVE REIMBURSEMENT. BAD DEBT IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH ALLIANCE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE NOT PAID THEIR BILLS AND WHO HAVE NOT DEMONSTRATED THEIR INABILITY TO PAY.
COLLECTION POLICIESSCHEDULE H, PART III, LINE 9BTHE 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.
FACILITY INFORMATIONSCHEDULE H, PART VIN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, WE LOOK AT THE POPULATION SERVED AT THE COMMUNITY MEDICAL CARE CENTER (A PRIMARY CARE CLINIC FOR THE UNINSURED OF WHICH CENTRAL FLORIDA HEALTH ALLIANCE HELPS SUPPORT FINANCIALLY AND WITH VOLUNTEERS), ANALYZE DATA BY AND WORK WITH THE LAKE COUNTY HEALTH DEPARTMENT, SERVE ON COMMUNITY TASK FORCES AND BOARDS WITH OTHER HEALTH CARE PROVIDERS, AND SURVEY PARTICIPANTS AT COMMUNITY OUTREACH HEALTH FAIRS, SCREENINGS AND EVENTS. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH CARE NEEDS, PARTICULARLY IN THE UNINSURED AND UNDERSERVED. THE COMMUNITY POPULATION IS PRIMARILY MEDICARE (APPROXIMATELY 75%) WITH THE REMAINDER MEDICAID, SELF PAY AND OTHER. WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM, THERE IS VERBIAGE ON OUR WEBSITE AND STATEMENTS REGARDING THE CHARITY CARE PROGRAM. ALSO, WE PROVIDE PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. OTHER COMMUNITY OUTREACH ACTIVITIES WHICH PROMOTE HEALTH OF THE COMMUNITY INCLUDE: - FREE DOC TALK PREVENTATIVE EDUCATION SERIES, - FREE OR REDUCED COST HEALTH SCREENINGS (RANGING FROM PERIPHERAL ARTERIAL DISEASE SCREENINGS TO BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE CHECKS), - HOSTING AND MAKING AVAILABLE (AT NO CHARGE) HOSPITAL SPEAKERS FOR A VARIETY OF SUPPORT GROUPS AND ORGANIZATIONS (AS WELL AS DONATED MEETING SPACE), - PARTNERING AND AFFILIATING WITH OUTSIDE GROUPS TO IDENTIFY HEALTH PRIORITIES AND ENHANCE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE, AND - PROVIDING HEALTHY HEROES (EMPLOYEE VOLUNTEERS) WHO CONTRIBUTE COUNTLESS HOURS TO THE COMMUNITY OUTSIDE OF OUR HOSPITALS BY PARTICIPATING IN MANY DIFFERENT PREVENTATIVE HEALTH EVENTS. IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF. PART V, SECTION B, LINE 1J THE VILLAGES TRI-COUNTY MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.LEESBURGREGIONAL.ORG/ABOUT-COMMUNITY-HEALTH.HTML. Part V, Section B, Line 14g 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. Part V, Section B, Line 18e 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 its patient health management system. The hospital facility will take the following actions before initiating any of the collection efforts indicated in Line 17 as follows. The hospital facility first sends a statement to self-pay patients from its patient accounting system. If after 30 days, the patient has not satisfied the balance, the account is sent to one of the hospital facility's two early out agencies for 90 days that work to identify additional sources for payment and to prompt patients to pay, thereby eliminating the need for extensive collection activity. If after this 90 day period, the account still has a balance, it is then sent to one of the hospital facility's collection agencies. If after 120 days there is a balance, it is returned to the hospital facility as uncollectible and closed. Part V, Section B, Line 20d 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 of gross charges, usually a 40% or greater discount, at the time of service.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LIVING HOPE HAITI CHRISTIAN MISSIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19200 S DADELAND BLVD STE 214AddressLine1
CityMIAMICity
StateFLState
ZIP Code33156ZIPCode
FieldValueIRS element (for citing)
Amount Of Non Cash Assistance14659AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceSUPPLIESDescriptionOfNonCashAssistance
Purpose Of GrantCHARITABLEPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, QUESTION 2ReturnReference
ExplanationTHE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITY TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEE HUNTLEY
FORMER PRESIDENT/CEO0000025168600000251686093055
TIMOTHY HAWKINS
SVP COO031932809930008633902831508730054201200
PHYLLIS BAUM
VP/CHIEF QUALITY OFFICER027997606712602479301296809335039419800
DALE E HOCKING
FORMER SVP/CFO0000015384900000153849072808
MARYJANE CURRY PELYAK
VP PROFESSIONAL SERVICES217728053737067108941000281077000
PHILIP BRAUN
VP CHIEF COUNSEL0178532044077091108225014191024593600
SANDRA PELTON
PHARMACIST1427180683011493022640141910171349000
ROSEMARY REINER
VP/CCO TVRH1737570418730107707421093350233463000
TED WILLIAMS
VP/FOUNDATION PRESIDENT0162897039789039840731909335022332400
CYNTHIA GAMACHE
VP CCO LRMC01489610369640152004869018775021108900
DON HENDERSON
PRESIDENT/CEO043478206562606199001432708542058526700
DIANE HARDEN
SVP/CFO01882120138310352180116003326024174700

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION TO DIRECTORFORM 990, PART VII, SECTION ADURING THE ROUTINE COURSE OF BUSINESS, DR. DAVID L. SUSTARSIC, MD, PA EARNED $40,796 IN COMPENSATION FROM LEESBURG REGIONAL AND $2,329 FROM THE VILLAGES DURING CALENDAR YEAR 2012 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF THOSE ORGANIZATIONS DURING THE YEAR.
COMPENSATION TO DIRECTORFORM 990, PART VII, SECTION ADURING THE ROUTINE COURSE OF BUSINESS, DR. HANUBAL SHIVAKUMAR, MD, EARNED $21,360 IN COMPENSATION FROM LEESBURG REGIONAL DURING CALENDAR YEAR 2012 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF LEESBURG REGIONAL DURING THE YEAR.
BONUS AWARDSSCHEDULE J, PART I, LINE 7THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF LEESBURG FLORIDA
A596000362524360FM12009-12-1630000000HOSP REV REFDG BONDS SERIES 2009Afalsefalsefalse
CITY OF LEESBURG FLORIDA
B5960003622011-10-0642500000HOSP REV REFDG BONDS SERIES 2011falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A003000000000300000000000002009truefalsetruetrue
B004250000000425000000000002011truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruefalse0.007200.00720falsefalsefalsefalse
Bfalsefalsetruetruefalse0.007200.00720falsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsefalsetruefalsefalsefalsefalse0falsefalse
0
Bfalsefalsefalsefalsetruefalsefalsefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DECISIONS SUBJECT TO MEMBER APPROVALFORM 990, PART VI, SECTION A, LINES 6, 7A, AND 7BCENTRAL FLORIDA HEALTH ALLIANCE ("CFHA") IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH, CFHA APPOINTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND CERTAIN DECISIONS OF THE ORGANIZATION, AS DEFINED IN THE ORGANIZATION'S BYLAWS, ARE SUBJECT TO CFHA APPROVAL.
PROCESS USED TO REVIEW 990FORM 990, PART VI, SECTION B, LINE 11DURING APRIL 2014, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2012 FORM 990 TO 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.
MONITORING AND ENFORCING CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE 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 BOARD. 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.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15BTHE 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 COMMUNITY HOSPITAL CORPORATION 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.
INVESTMENT IN JOINT VENTUREFORM 990, PART VI, SECTION B, LINE 16BBEFORE PARTICIPATING IN A JOINT VENTURE, THE ORGANIZATION WILL ENSURE THAT THE JOINT VENTURE FURTHERS THE ORGANIZATION'S EXEMPT PURPOSES AND WILL NEGOTIATE AT ARM'S LENGTH CONTRACTUAL AND OTHER TERMS OF PARTICIPATION THAT SAFEGUARD THE ORGANIZATION'S EXEMPTION FROM FEDERAL INCOME TAX. SUCH TERMS SHALL BE IN WRITING IN THE OPERATING AGREEMENT OF THE JOINT VENTURE. THE ORGANIZATION PARTICIPATES IN JOINT VENTURES THAT ARE BENEFICIAL TO THE HEALTH CARE OF THE COMMUNITY.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19GENERALLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS 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 WWW.SUNBIZ.COM.
PREPARING SCHEDULE KSCHEDULE K, PART I, LINE 1, COLUMNS E AND G AND LINE 1PLEASE NOTE THAT THE SCHEDULE K IS COMPLETED IN A MANNER THAT IS CONSISTENT WITH THE FORM 8038 FILED FOR THE 2008BC BOND ISSUE ALTHOUGH A PORTION OF THE 2008BC BOND WAS REFUNDED BY THE 2009A BOND ISSUE LISTED.
BOND DESCRIPTIONSCHEDULE K, PART I, COLUMN F, LINES A AND BDESCRIPTION LINE A: VILLAGES 2008BC ISSUE WAS USED TO REFUND THE SERIES 2006 ISSUE JANUARY 25, 2006 DESCRIPTION LINE B: VILLAGES 2009A ISSUE WAS USED TO REFUND A PORTION OF THE 2008BC ISSUE
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS RELEASE OF NET ASSETS: 197,672 CHANGE IN INTEREST RATE SWAP: 3,404,557 ----------- TOTAL 3,602,229

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1VILLAGES REG HOSPITAL PHYSICIAN SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
EIN263978916EIN
Primary ActivitiesBILLING SERVPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TVRHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LEESBURG REGIONAL MEDICAL CENTER
600 EAST DIXIE AVENUELEESBURGFL34748590878982MEDICAL SRVCSFL501(C)(3)3CFHAfalse
CENTRAL FLORIDA HEALTH ALLIANCE
600 EAST DIXIE AVENUELEESBURGFL34748331197054PARENT HOSP.FL501(C)(3)11NAfalse
THE VILLAGES REGIONAL HOSPITAL AUXILIARY
1451 EL CAMINO REALTHE VILLAGESFL32159550818419SUPPORT HOSPFL501(C)(3)11TVRHfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CF CARDIOVASCULAR CO-MANAGEMENT CO LLC
600 E DIXIE AVELEESBURGFL34748270781065HEALTHCARE SERVSFLLRMCRELATED11300911055false$0false0.12766
CF ONCOLOGY CO-MANAGEMENT CO LLC
600 E DIXIE AVELEESBURGFL34748272818513HEALTHCARE SERVSFLLRMCRELATED6783630253false$0false0.25000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1VENTURE HEALTH CARE CORPORATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 E DIXIE AVEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
EIN592689702EIN
Primary ActivityMANAGEMENT SRPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES REGIONAL HOSPITAL AUXILIARYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved246867AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination