WINTER HAVEN HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- WINTER HAVEN HOSPITAL INC (EIN 59-0724462)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-03
- IRS object ID
- 201142159349301004
- Schema version
- 2009v1.7
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-03T15:24:47-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2963 GULF TO BAY BLVD STE 267 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337594255 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590724462 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Winter Haven Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WINT | NameControl |
| Phone | 8632931121 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Ave F NE | AddressLine1 |
| City | Winter Haven | City |
| State | FL | State |
| ZIP Code | 33881 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lance Anastasio | Name |
| Title | President | Title |
| Phone | 8632931121 | Phone |
| Date Signed | 2011-08-03 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terry Haefner | Name |
| Phone | 7274427110 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Lance Anastasio | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Ave F NE | AddressLine1 |
| City | Winter Haven | City |
| State | FL | State |
| ZIP Code | 33881 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 297280203 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.winterhavenhospital.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1926 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | To provide hospital and healthcare services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3042 | TotalNbrEmployees |
| Total Nbr Volunteers | 335 | TotalNbrVolunteers |
| Total Gross UBI | 778981 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3441655 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3447508 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 278630800 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 271607748 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1016745 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2735788 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 862657 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2596543 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 281918367 | TotalRevenuePriorYear |
| Total Revenue Current Year | 275194501 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 45240 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 127941890 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 127607606 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 154009984 | OtherExpensePriorYear |
| Other Expenses Current Year | 147668177 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 281997114 | TotalExpensesPriorYear |
| Total Expenses Current Year | 275275783 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -78747 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -81282 | RevenuesLessExpensesCY |
| Total Assets BOY | 243726886 | TotalAssetsBOY |
| Total Assets EOY | 250298873 | TotalAssetsEOY |
| Total Liabilities BOY | 138586397 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 146056152 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 105140489 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 104242721 | NetAssetsOrFundBalancesEOY |
| Mission Description | To improve the health of the people we serve, by providing the highest quality and most effective care and services - and to return value to the people in our communities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 194245347 | Expense |
| Revenue | 271701881 | Revenue |
| Description | The Community Benefit contributions of Winter Haven Hospital and the Winter Haven Hospital Foundation include programs and activities that improve access to healthcare and improve health in our communities. Winter Haven Hospital is a not-for-profit organization that is the leading healthcare provider in eastern Polk County, dedicated to the mission of improving the health of the people we serve, by providing the highest quality and most effective care and services - and to return value to the people in our communities. See attached Schedule O for Continuation | Description |
| Total Program Service Expense | 194245347 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 362 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3042 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dave MacDougall | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8632971899 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Avenue F NE | AddressLine1 |
| City | Winter Haven | City |
| State | FL | State |
| ZIP Code | 33881 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Richard Straughn | ||||||||
| 3rd Vice Chairman | 2.00 | X | X | 0 | 0 | 0 | ||
| Mark Bostick | ||||||||
| 2nd Vice Chairman | 2.00 | X | X | 0 | 0 | 0 | ||
| Charles W McPherson | ||||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 | ||
| Todd Dantzler | ||||||||
| Asst. Secretary | 2.00 | X | 0 | 0 | 0 | |||
| Don Ingram | ||||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | ||
| Tommy Oakley | ||||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 | ||
| Albert Cassidy | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Kelly Gray-Eurom MD | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Brian K Swain | ||||||||
| 1st Vice Chairman | 2.00 | X | X | 0 | 0 | 0 | ||
| William G Burns | ||||||||
| Asst. Treasurer | 2.00 | X | 0 | 0 | 0 | |||
| Eric Adamson | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Ronald A Morrow | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| KS Chandrasekhar MD | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Ben Hill Griffin III | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Eileen Holden | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| William H Murrell | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Lance Anastasio | ||||||||
| President and CEO | 40.00 | X | 0 | 340174 | 24861 | |||
| David MacDougall | ||||||||
| Vice President | 40.00 | X | 0 | 232477 | 35298 | |||
| David Libby | ||||||||
| Vice President | 40.00 | 0 | 158643 | 20967 | X | |||
| Mary Jo Schreiber | ||||||||
| Vice President | 40.00 | 0 | 167308 | 12186 | X | |||
| Iftikhar Rasul MD | ||||||||
| Psychiatrist | 40.00 | 287488 | 0 | 31726 | X | |||
| George Winney | ||||||||
| Psychiatrist | 40.00 | 250150 | 0 | 34148 | X | |||
| Joseph Lynch | ||||||||
| Physician Intensivist | 40.00 | 336285 | 0 | 13070 | X | |||
| Majd Alsamman MD | ||||||||
| Medical Director | 40.00 | 284082 | 0 | 14253 | X | |||
| Celestina Vega MD | ||||||||
| Vice President | 40.00 | 278894 | 0 | 35607 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1436899 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 898602 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 222116 | TotalOtherCompensation |
| Number Individuals GT100 K | 53 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Doster Construction Co Inc | |||||
| 8529 South Park Circle Suite 130 | Orlando | FL | 32819 | Construction | 4371073 |
| Sodexo Inc & Affiliates | |||||
| PO Box 536922 | Atlanta | GA | 303536922 | Management Services | 3429547 |
| Global Star Consulting LLC | |||||
| PO Box 974414 | Dallas | TX | 75397 | Consulting | 1960952 |
| OB Hospitalist Group LLC | |||||
| 10 Centimeters Drive | Mauldin | SC | 29662 | Physicians | 1380845 |
| Maxit Health | |||||
| PO Box 2589 | Fort Wayne | IN | 46801 | Consulting | 993590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 42 | NumberOfContractorsGT100K |
| Related Organizations | 63432 | RelatedOrganizations |
| Government Grants | 3375298 | GovernmentGrants |
| All Other Contributions | 8778 | AllOtherContributions |
| Total Contributions | 3447508 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Services | 621990 | 166860785 | 166860785 | ||
| Medicare/Medicaid Paym | 621990 | 98472038 | 98472038 | ||
| Other Services | 621990 | 5664289 | 3943310 | 43240 | $1,677,739 |
| Medicare/Medicaid Paym | 621500 | 460870 | 460870 | ||
| Lab Outreach | 621500 | 149766 | 149766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 271607748 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1757893 | TotalRevenueColumn |
| Unrelated Business Revenue | 13822 | UnrelatedBusinessRevenue |
| Exclusion | $1,744,071 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 481725 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 37310 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 444415 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 444415 | TotalRevenueColumn |
| Exclusion | $444,415 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22959387 | Securities |
| Other | 66900 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22027560 | Securities |
| Other | 20832 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 931827 | Securities |
| Other | 46068 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 977895 | TotalRevenueColumn |
| Exclusion | $977,895 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Contract Rev - Linen | 812300 | 111283 | 111283 | ||
| Other Revenue | 621990 | 94133 | 94133 | ||
| Loss on Bond Refunding | 900099 | -3246374 | -$3,246,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -3040958 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 275194501 | TotalRevenueColumn |
| Related Or Exempt Function Income | 269370266 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 778981 | UnrelatedBusinessRevenue |
| Exclusion | $1,597,746 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109422901 | Total |
| Program Services | 83991664 | ProgramServices |
| Management And General | 25431237 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3618484 | Total |
| Program Services | 2737337 | ProgramServices |
| Management And General | 881147 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6536584 | Total |
| Program Services | 36784 | ProgramServices |
| Management And General | 6499800 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8029637 | Total |
| Program Services | 5951822 | ProgramServices |
| Management And General | 2077815 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1296006 | Total |
| Management And General | 1296006 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1051734 | Total |
| Management And General | 1051734 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245933 | Total |
| Management And General | 245933 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296178 | Total |
| Management And General | 296178 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10001246 | Total |
| Program Services | 3757818 | ProgramServices |
| Management And General | 6243428 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580242 | Total |
| Program Services | 45692 | ProgramServices |
| Management And General | 534550 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1308952 | Total |
| Program Services | 138144 | ProgramServices |
| Management And General | 1170808 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5239102 | Total |
| Management And General | 5239102 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332374 | Total |
| Program Services | 188249 | ProgramServices |
| Management And General | 144125 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83604 | Total |
| Program Services | 38390 | ProgramServices |
| Management And General | 45214 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3675514 | Total |
| Management And General | 3675514 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13808688 | Total |
| Management And General | 13808688 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3335206 | Total |
| Management And General | 3335206 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 48146848 | 45286375 | 2860473 |
| Bad Debt | 43944881 | 43944881 | |
| Equipment Rental & Main | 8698078 | 4095126 | 4602952 |
| Indigent Fund | 2682910 | 2682910 | |
| Contract Labor | 1525863 | 1285225 | 240638 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1414818 | Total |
| Program Services | 64930 | ProgramServices |
| Management And General | 1349888 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275275783 | Total |
| Program Services | 194245347 | ProgramServices |
| Management And General | 81030436 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13268 | BOY |
| EOY | 11656 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25060725 | BOY |
| EOY | 24635048 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40719937 | BOY |
| EOY | 40535320 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5052509 | BOY |
| EOY | 5090948 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5725105 | BOY |
| EOY | 5022175 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 264489695 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 154253110 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105160873 | BOY |
| EOY | 110236585 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53111709 | BOY |
| EOY | 56358300 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8882760 | BOY |
| EOY | 8408841 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243726886 | BOY |
| EOY | 250298873 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26165068 | BOY |
| EOY | 28616785 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80476050 | BOY |
| EOY | 82644483 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9486801 | BOY |
| EOY | 9245650 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2700000 | BOY |
| EOY | 2700000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19758478 | BOY |
| EOY | 22849234 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138586397 | BOY |
| EOY | 146056152 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105140489 | BOY |
| EOY | 104242721 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105140489 | BOY |
| EOY | 104242721 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243726886 | BOY |
| EOY | 250298873 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4164198 | OtherCostOrOtherBasis |
| Book Value | 4164198 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 88761534 | OtherCostOrOtherBasis |
| Depreciation | 40462592 | Depreciation |
| Book Value | 48298942 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3988928 | OtherCostOrOtherBasis |
| Depreciation | 2705937 | Depreciation |
| Book Value | 1282991 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 149902329 | OtherCostOrOtherBasis |
| Depreciation | 103386829 | Depreciation |
| Book Value | 46515500 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17672706 | OtherCostOrOtherBasis |
| Depreciation | 7697752 | Depreciation |
| Book Value | 9974954 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 110236585 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Professional Liability and Workmens Comp | $9,645,198 |
| Other Liabilities | $1,225,799 |
| Swap Agreements | $11,978,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 22849234 | TotalOfAmounts |
| Total Revenue | 275194501 | TotalRevenue |
| Total Expenses | 275275783 | TotalExpenses |
| Excess Or Deficit For Year | -81282 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 2981189 | NetUnrealizedGLOnInvestments |
| Other | -$3,797,675 | OtherAmount |
| Total Adjustments | -816486 | TotalAdjustments |
| Excess Or Deficit Per FS | -897768 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 273669092 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2981189 | NetUnrealizedGainsInvestments |
| Other Revenues | -3745994 | OtherRevenues |
| Revenue Not Rptd F990 | -764805 | RevenueNotRptdF990 |
| Revenue Subtotal | 274433897 | RevenueSubtotal |
| Other Revenues Not Included | 760604 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 760604 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 275194501 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 274552690 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 37510 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 37510 | ExpensesNotRptdF990 |
| Expenses Subtotal | 274515180 | ExpensesSubtotal |
| Other Expenses Not Included | 760604 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 760604 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 275275784 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Hospital adopted FASB-issued guidance for accounting for uncertainty in income taxes. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax-exempt status of each entity, the continued tax-exempt status of bonds, and various positions relative to potential sources of unrelated business taxable income. Tax Positions are not offset or aggregated with other positons. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. Upon the adoption of the FASB-issued guidance and as of September 30, 2010 and 2009, there were no unrecognized tax benefits identified and recorded as a liability. |
| Part XI, Line 8 - Other Adjustments: Transfer to Mid-Florida Medical Services Foundation -259,234 Change in Value of Swap Liability -3,538,441 Total -3,797,675 Part XII, Line 2d - Other Adjustments: Investment in Subsidiary 1,000,155 Change in Value of Swap Liability -4,783,459 Expenses Netted with Revenues 37,310 Total -3,745,994 Part XII, Line 2d - Other Adjustments: Revenues Netted with Expenses 760,604 Part XIII, Line 2d - Other Adjustments: Expenses Netted with Revenues 37,310 Other 200 Total 37,510 Part XIII, Line 4b - Other Adjustments: Expenses Netted with Revenues 760,604 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9320395 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9320395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32715884 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21669006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11046878 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04780 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1830172 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 539168 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1291004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 43866451 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22208174 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21658277 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09370 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 288598 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 288598 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 349805 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 349805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 79339 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 79339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 717742 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 717742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44584193 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22208174 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22376019 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09670 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 246782 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 246782 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 250000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 250000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 496782 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 496782 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $10,283,102 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 67629730 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 83828898 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -16199168 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|
| Winter Haven Hospital Inc | ||||||
| 200 Ave F NE | Winter Haven | FL | 33881 | X | X | |
| Regency Medical Center | ||||||
| 101 Avenue O NE | Winter Haven | FL | 33880 | X | ||
| Blood Banks of Mid-Florida Medical Svcs | ||||||
| 460 First Street North | Winter Haven | FL | 33881 | Blood Bank | ||
| Winter Haven Hosp Outpatient Rehab Ctr | ||||||
| 3245 Lake Alfred Rd | Winter Haven | FL | 33881 | Outpatient Rehab Center | ||
| Family Health Center - Auburndale | ||||||
| 2028 Highway 92 West | Auburndale | FL | 33823 | Outpatient Physician Clinic | ||
| Family Health Center - Bartow | ||||||
| 1625 North Carpenter Ave | Bartow | FL | 33830 | Outpatient Physician Clinic | ||
| Family Health Center - Dundee | ||||||
| 5999 Dundee Road Suite 750 | Dundee | FL | 33884 | Outpatient Physician Clinic | ||
| Family Health Center - Haines City | ||||||
| 36245 Highway 27 | Haines City | FL | 33844 | Outpatient Physician Clinic | ||
| Family Health Center - Lake Wales | ||||||
| 201 SR 60 West | Lake Wales | FL | 33853 | Outpatient Physician Clinic | ||
| Family Health Center - Winter Haven | ||||||
| 100 Avenue I NE | Winter Haven | FL | 33881 | Outpatient Physician Clinic | ||
| Family Health Center - SE Winter Haven | ||||||
| 6035 Cypress Garden Blvd | Winter Haven | FL | 33884 | Outpatient Physician Clinic | ||
| Center for Beh Health - Polk County | ||||||
| 1201 First Street South | Winter Haven | FL | 33880 | Outpatient Beh Hlth Center | ||
| Center for Beh Health - Highlands County | ||||||
| 5825 US Highway 27 Frontage Road | Sebring | FL | 33870 | Outpatient Beh Hlth Center | ||
| blood Banks of Mid-Florida Medical Svcs | ||||||
| 410 S 11th Street | Lake Wales | FL | 33870 | blood Bank | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | Part I, Line 7: Charity Care and Means-Tested Government Programs costs (lines a through d) are determined using a Cost-to-Charge ratio. Other Benefits were calculated based on actual cost (lines e through j). | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: There is $43,944,881 of bad debt expense which is included in Form 990, Part IX, Line 25. This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: The organization's financial statements do not include a footnote that describes bad debt expense. Bad debt expense at cost was calculated by multiplying bad debt expense by the Cost to Charge Ratio.Although the Hospital has excluded Bad Debt Expense from the calculation of community benefit found in Schedule H Part 1 in accordance with IRS instructions, Winter Haven Hospital considers Bad Debt as a community benefit because a large percentage of a Hospital's bad debt is really undocumented charity care. Hospital Bad Debt is different from other businesses' bad debt because hospitals continue to provide life saving services to people who cannot or will not pay. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: A large percentage of the local community is elderly which results in a large amount of Medicare Shortfall. Winter Haven Hospital considers this a community benefit because it is committed to providing first class care to the elderly even though it is at a loss due to underpayment by the federal government. The hospital uses the Cost to Charge ratio method. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: At any time in the collection process the account can be determined to meet the criteria of medical indigency as defined by the Federal Poverty Guidelines and all further collection efforts may be suspended. Documentation of such criteria will be retained in the files. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The hospital assesses the health care needs of the community by participating in several community organizations that develop community strategic plans such as Winter Haven's "Our Future by Design" or Polk County's "PolkVision." The Hospital also works with the Polk County Health Department in order to conduct studies and help set priorities. Additionally, the Hospital works with and utilizes several community health surveys conducted by Polk Healthcare Alliance. The hospital also commissioned a Manpower study to assess the community's need in regards to physicians' specialties and works to recruit physicians of those specialties. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: All self-pay patients are screened for funding sources (Medicaid, Polk Health Care, Charity, etc.) at the time of admission or in the pre-admission process. The Hospital's Financial Counselors review the patient's family size, income, and estimated hospital bill to determine if the patient is eligible for any assistance. If he or she is not, the hospital offers a variety of payment plans to help accommodate the patient. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Winter Haven is the second largest of 17 municipalities located in Polk County Florida. Over 3 million people live within 50 miles of Winter Haven Hospital, with 660,327 living within 25 miles. Of Polk County's citizens, 18% are under 15 years old, 11% are aged 15-24, 35% are 25-54, 10% are 54-64, and 27% are over 65 years old. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The Hospital helps build the community in two major ways as mentioned above. First, if the hospital finds that there is a shortage of a certain health care specialty, it works to recruit those types of physicians to the area. The hospital commissioned a Manpower study to determine what the community's needs are. Additionally, the hospital subsidizes the cost of anesthesia for women giving birth at the Regency Center for Women and Infants. This benefits the community by allowing those who are less fortunate to have access to anesthesia services. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Besides the previously mentioned benefits, the Hospital also benefits the community by providing the following:1. Scholarships to high school students2. Timely initiatives to address the community's emerging problems. (For instance, after the Polk Healthcare Alliance identified that African American infants die at a rate of 4 times the rate of white infants, the hospital developed the Pre Natal Passport which assists pregnant women in tracking their care and worked closely with the Healthy Start Coalition to provide education and portable cribs to new moms that can't afford them.)3. A corporate culture that motivates its employees to volunteer in the community.4. An active Speakers Bureau that provides free lectures to the community.5. A Behavioral Health Division operated at a loss in order to provide the community with psychiatric services.6. Free meeting space for a variety of support groups such as epilepsy, grief, caregivers, lupus, leukemia, brain injury, AIDS, Alzheimers, and domestic violence.7. Sponsorship and fund raising for many other community organizations and events, such as: American Heart Association "Heart Walk" and the American Cancer Society "Relay for Life".8. Numerous free and/or at cost health screenings at health fairs in the community, with each fair specializing in men, women, cardiac or diabetic health issues. These screenings include screens for blood pressure, stress assessments, breast exams, prostate cancer, diet and exercise. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: The Hospital is affiliated with the University of Florida Medical School and continually draws on its expertise. Emergency Department physicians and the physician director of the Cancer Center are from the University of Florida. The University of Florida staff plays a significant role in providing continuing education for medical and nursing staff. This continuing education allows the hospital to improve the way it cares for patients. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lance Anastasio | |||||||||||||
| 0 | 321848 | 0 | 0 | 0 | 18326 | 0 | 15192 | 0 | 9669 | 0 | 365035 | 0 | 0 |
| David MacDougall | |||||||||||||
| 0 | 227191 | 0 | 0 | 0 | 5286 | 0 | 16160 | 0 | 19138 | 0 | 267775 | 0 | 0 |
| David Libby | |||||||||||||
| 0 | 150558 | 0 | 0 | 0 | 8085 | 0 | 11341 | 0 | 9626 | 0 | 179610 | 0 | 0 |
| Mary Jo Schreiber | |||||||||||||
| 0 | 160000 | 0 | 0 | 0 | 7308 | 0 | 12186 | 0 | 0 | 0 | 179494 | 0 | 0 |
| Iftikhar Rasul MD | |||||||||||||
| 133722 | 0 | 153570 | 0 | 196 | 0 | 8176 | 0 | 23550 | 0 | 319214 | 0 | 0 | 0 |
| George Winney | |||||||||||||
| 147996 | 0 | 100250 | 0 | 1904 | 0 | 10618 | 0 | 23530 | 0 | 284298 | 0 | 0 | 0 |
| Joseph Lynch | |||||||||||||
| 327619 | 0 | 0 | 0 | 8666 | 0 | 2972 | 0 | 10098 | 0 | 349355 | 0 | 0 | 0 |
| Majd Alsamman MD | |||||||||||||
| 283119 | 0 | 0 | 0 | 963 | 0 | 13525 | 0 | 728 | 0 | 298335 | 0 | 0 | 0 |
| Celestina Vega MD | |||||||||||||
| 260943 | 0 | 0 | 0 | 17951 | 0 | 16400 | 0 | 19207 | 0 | 314501 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1a | ReturnReference |
| Explanation | Lance Anastasio, President and CEO was provided social club dues for membership in the Lake Region Country Club in the amount of $5,177. This membership was used to entertain and hold meetings with business associates, board members and employee relations. The full amount of $5,177 was included in taxable wages. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| Polk County Industrial Development Authority | ||||||
| 591292108 | NoneAvail | 2009-03-26 | 20000000 | Capital Expenditures | 0 | 0 |
| Polk County Industrial Development Authority | ||||||
| 591292108 | NoneAvail | 2010-05-13 | 26100000 | Capital Expenditures | 0 | 0 |
| Polk County Industrial Development Authority | ||||||
| 591292108 | 7311B2AA5 | 2010-05-13 | 26100000 | Capital Expenditures | 0 | 0 |
| Polk County Industrial Development Authority | ||||||
| 591292108 | 73112BAB3 | 2010-05-13 | 14600000 | Capital Expenditures | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount UnspentAmountUnspent | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 20000000 | 1755517 | 205775 | 18244483 | 1 | 0 | 0 | 1 |
| 26100000 | 1687628 | 170868 | 24241571 | 1 | 0 | 0 | 1 |
| 26100000 | 1583265 | 264989 | 24251829 | 1 | 0 | 0 | 1 |
| 14600000 | 151509 | 144700 | 14303798 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Business Name Line2NameOfHedgeProvider/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|
| NA | ||||||||
| 0 | 1 | 0 | 0 | NA | 0 | 0 | ||
| Morgan Stanley | ||||||||
| 0 | 1 | 1 | 0 | NA | 0 | 0 | 24.500000000000 | |
| Morgan | ||||||||
| 0 | 1 | 1 | 0 | NA | 0 | 0 | 24.500000000000 | Stanley/Goldman |
| Goldman Sachs | ||||||||
| 0 | 1 | 1 | 0 | NA | 0 | 0 | 30.250000000000 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of Winter Haven Hospital, Inc. is Mid-Florida Medical Services, Inc. | |
| Form 990, Part VI, Section A, line 7a | The Trustees of the Winter Haven Hospital, Inc. shall be elected by the Sole Member, Mid Florida Medical Services, Inc., at its annual meeting each year for staggered three year terms. | |
| Form 990, Part VI, Section A, line 7b | As stated in the Bylaws of Winter Haven Hospital - The Board of Trustees shall not, without the prior approval of the Sole Member of the Corporation: 1. Amend the Bylaws or the Articles of Incorporation of Winter Haven Hospital. 2. Approve a plan of dissolution of Winter Haven Hospital. 3. Approve a plan of merger or consolidation of Winter Haven Hospital with another Corporation. 4. Organize or acquire, or authorize or approve the organization or acquisition of any subsidiary or affiliate of the Corporation. | |
| Form 990, Part VI, Section B, line 11 | The Director of Accounting and CFO of Winter Haven Hospital intially reviewed Form 990. After their review was completed, the final Form 990 was then presented and made available to all Board Members including all voting members of the governing body. | |
| Form 990, Part VI, Section B, line 12c | The Chairman of the Board of Directors inquires at least annually if there are any conflicts of interest. In addition all officers, directors, trustees and key employees are required to sign a conflict of interest statement annually. | |
| Form 990, Part VI, Section B, line 15 | The Executive Compensation Committee of the Board of Directors sets compensation for the President and Vice Presidents of the hospital. The Executive Compensation Committee consists of four Board members, all of whom are independent. The Executive Compensation Committee has used the consulting firm of Sullivan and Cotter to advise them about executive compensation and to provide them with comparability data. Minutes of the Executive Compensation Committee meetings are kept and retained at the Hospital. | |
| Form 990, Part VI, Section C, line 19 | The finanical statements of Winter Haven Hospital are made availabe to the public upon request. The organization's governing documents and conflict of interest policy are not made available to the public. | |
| Continuation of Form 990, Part III, Line 4a | Our history of fulfilling this mission and providing access to medical excellence close to home began in 1926. Since that time we have remained dedicated to meeting the healthcare needs of individuals and businesses in central Florida. This statement of program service accomplishments is organized using the HERO methodology; Healthcare, Education, Research, Outreach. Healthcare Established in 1926, Winter Haven Hospital serves as the major medical center for eastern Polk County and the U.S. Highway 27/Ridge corridor. Since that time, the local population has grown substantially with over 660,000 people living within 25 miles of the hospital and over 3 million within 50 miles. The hospital is a division of Mid-Florida Medical Services, a locally owned and operated 501(C)(3), not-for-profit organization, which is governed by an independent Board of Trustees made up of local business and civic leaders who serve without pay. With 527 licensed beds, Winter Haven Hospital's main campus is the largest of the two inpatient facilities in our healthcare system, followed by our Regency Center for Women and Infants. With approximately 2,400 employees, Winter Haven Hospital is the largest private employer in eastern Polk County. The hospital is fully accredited by the Joint Commission and has more than 300 board-certified physicians on its medical staff representing every major specialty. Winter Haven Hospital is affiliated with the University of Florida College of Medicine/Shands Healthcare in the areas of emergency medicine, oncology and urology. The hospital is also a member of the American Hospital Association, Florida Hospital Association, the Premier Alliance, and the West Central Florida Hospital Council. Hospital based services include: - The Bostick Heart Center - The Cassidy Cancer Center - Three 12-bed intensive care units for medical, surgical and coronary care - A Nationally recognized Stroke Center - The Nationally accredited Joy-Fuller Rehabilitation Center - The Regency Center for Women and Infants - Center for Robotic Surgery With community based facilities located throughout eastern Polk and Highlands Counties, Winter Haven Hospital offers numerous specialty programs and units: - State-of-the-art OB/GYN women's facility - Level II neonatal intensive care - Comprehensive physical rehabilitation inpatient and outpatient centers accredited by the Commission on Accreditation of Rehabilitation Facilities, which are also state-designated for brain injury - Three cardiac catheterization laboratories - Clinical lab and regional Blood Bank - Ambulatory Surgery and Diagnostic Center including new operating rooms, endoscopy procedure rooms and prep and recovery areas. - Emergency Department - Seven primary care offices (Auburndale, Bartow, Dundee, Haines City, Lake Wales, Winter Haven (two)) - Inpatient Center for Psychiatry/outpatient behavioral health services - Diabetes Care Center With approximately 18,000 total admissions last year, over 1,700 births and over 58,000 emergency and urgent care visits, Winter Haven Hospital continually seeks to fulfill its mission: To improve the health of the people we serve, by providing the highest quality and most effective care and services - and to return value to the people in our communities. The Joy-Fuller Rehabilitation Center earned its seventh-consecutive 3-year Commission on Accreditation of Rehabilitation Facilities in December 2010. It is the only CARF-accredited inpatient rehabilitation center in Polk, Highlands and Hardee Counties. The Bostick Heart Care Center was given a three-star rating by Consumer Reports magazine in September 2010. This designation for the Bostick Heart Center's heart-bypass program ranks it as among the top 50 such programs in the nation. Only two other Florida hospitals were given this designation. 2010 also marked the third year in a row that the Bostick Heart Center received the top rating of 3 stars from the Society of Thoracic Surgeons. In December 2008 the Hospital was awarded Magnet Status which is the highest level of recognition from the American Nurses Credentialing Center. Characteristics that define nursing services in a Magnet organization emphasize high-quality patient care, clinical autonomy and responsibility, participatory decision-making, strong nurse leaders, effective use of resources, and high levels of job satisfaction. The hospital was one of 60 hospitals to achieve the Gold Elite Award from the American Stroke Association acknowledging at least 2 years of 85% or higher adherence to all performance measures for stroke care with the most recent award coming in January 2009. The hospital program for the continuum of stroke was initially certified by the Joint Commission in July 2005. The program received its second Joint Commission designation in December 2007 and its third designation in December 2009. Winter Haven Hospital is committed to the highest quality of compassionate patient care by adhering to the following nursing philosophy: - We believe there is a potential inherent in every human being for self-actualization that can be empowered through the caring nurse-patient relationship. - We value diversity of human experience and expression by accepting the person not only as he or she is now, but as what he or she may become. - We believe that we have an ethical and social responsibility to both individuals and society to protect human dignity and preserve humanity. - We are committed to teamwork and collaboration in which individuals engage in genuine communication, put aside individual and discipline agendas, and put the patient and the patient's social support systems first. - We actualize these beliefs by promoting and rewarding clinical, administrative, research, and education activities which maintain an exceptional caring relationship with those we are privileged to serve. Winter Haven Hospital meets the organizational description for tax exemption as evidenced by: - Operating a 24 hour emergency room that is open to all persons regardless of the ability to pay. - Having an open medical staff with privileges available to all qualified physicians in the area. - Having a governing body comprised of independent persons representative of the community. - Participating in Medicare, Medicaid, Champus, and other government sponsored healthcare programs. - Providing charity care to the indigent as more fully described below. Winter Haven Hospital offers financial assistance policies that help the low income and uninsured members of the community. All self-pay patients are screened for funding sources at the time of admission or in the pre-admission process. Patients are screened for qualification with federal, state, or county funded programs or the hospital's charity care policy. If the patient qualifies, the Financial Counseling staff assists the patient in the application process. If he or she does not qualify, the hospital offers a variety of payment plans to help accommodate the patient. Uninsured patients receive an automatic 40% discount on their bills. If the patient opts to prompt pay (within the first billing cycle), he or she may qualify for a prompt pay discount of an additional 20% off the billed balance. The hospital's charity care policy complies with Florida's Agency for Health Care Administration charity guidelines which enables us to provide healthcare to patients that are unable to pay due to financial hardship. This policy includes: - 100 % write-off of charges for families whose income for the 12 months preceding the determination is below 200% of the current Federal poverty guidelines. - A sliding scale write-off of charges for families whose income for the 12 months preceding the determination is between 201% and 300% of the current Federal poverty guidelines. - A sliding scale write-off of charges for catastrophic cases where the bill exceeds 25 % of family annual income. Additionally, the hospital offers discounts for patients who are underinsured and whose insurance has minimal benefits and/or limited coverage. In order to ensure that everyone in the community has access to quality care, the hospital subsidizes the cost of various critical community healthcare needs such as: - Anesthesia for Medicaid and indigent patients at its Regency Center for Women and Infants - The cost of OB/GYN Hospitalists for Medicaid and indigent patients without a primary Obstetrician - The outpatient mental health programs offered at the Hospitals Behavioral Health Division. | Program Service Accomplishments |
| Continuation of Form 990, Part III, Line 4a | Education: Community education - Working directly with the community to promote better health by educating them on a variety of topics taught by physicians or other licensed medical professionals, including but not limited to nutrition lectures, diabetes, stroke awareness, safe babysitting and behavioral disorders. A comprehensive listing of our education programs and support groups is published and distributed to 85,000 residents semi-annually in a publication entitled Here's to Your Health and can be found on our website www.winterhavenhospital.org. Some examples of our community education offerings include: Health Connection - A service available to the community providing physician referrals, health information, and referrals to the many Hospital sponsored programs and events. Speaker's Bureau - The Hospital provides speakers to community organizations on a range of medical topics at no charge. The Hospital's Center for Behavioral Health offers lectures on mental health topics open to the public free of charge. Medical Library - The Hospital maintains a medical library that is open to the public. The library is available at the main campus of Winter Haven Hospital as well as an additional library at the Regency Medical Center and offers books, tapes and online clinical research tools. Diabetes Self-Management Education - The Hospital offers low cost education for people with or at risk for developing Diabetes. The classes help these individuals gain the knowledge and skills needed to modify behavior and successfully self-manage the disease and its related conditions. Endowed Chair in Nursing- The Hospital is also committed to improving the education of nurses in the local area. In 2010, the Winter Haven Hospital Foundation made a substantial donation to Polk State College to create an endowed chair in nursing. This donation helped to underwrite a new teaching position at Polk State College and augment the college's efforts to add a bachelor's degree in nursing program. Jean Watson International Caritas Consortium- The Hospital has the privilege of hosting the International Caritas Consortium in April 2011. The consortium is a forum for sharing original scholarship, discussing caring research, and mentoring Caritas Coaches. Attendants come from all over the world to join in the forum. Research: Research Council- The multidisciplinary team helps to identify and review potential research projects for Winter Haven Hospital. Additionally, they track research currently in progress and ensure that all policy, procedures and federal mandates are followed. Institutional Review Board- The purpose of the Institutional Review Board is to review, approve or disapprove the initiation of, and conduct periodic review of, biomedical research involving human subjects. The primary purpose of such review is to ensure the protection of the rights and welfare of human subjects. It further will serve as liaison between physicians, investigators, and all other interested parties, and ensure compliance with applicable federal laws and regulations regarding biomedical research involving human subjects. The Institutional Review Board includes engagement of physicians, nurses, board members, administration, pharmacy and three seats for members of the community. Research Studies - The Hospital's commitment to constant improvement has lead to its involvement in several research studies. A few examples from 2010 include research exploring barriers parents face accessing mental health care for their children, research focusing on how nurses can get the rest and personal renewal they need in order to maintain high quality care of others, and research on how a nerve stimulator effects nausea in post-op gall bladder surgery. Annual Nursing Research Seminar-The hospital invites nurses from around central Florida to its exceptional Research Seminar where nationally known speakers educate and challenge the staff. In 2010, over 80 nurses from various hospitals attended the annual nursing research seminar. Watson Caring Science Institute- The hospital became an official Watson Caring Science Institute Affiliate in 2010. The Watson Caring Science Institute is a non-profit foundation that advances philosophies, theories, and practices of human caring. Additionally, the hospital became the 1st hospital to begin data collection for the International Watson Caritas Comparative Database which is a database that collects and evaluates nurse caring behavior. Outreach: Community health screenings - Numerous free and/or at cost health screenings were performed at Health fairs in the community, with each fair specializing in women, cardiac or diabetic health issues. These screenings include screens for blood pressure, stress assessments, breast exams, prostate cancer, diet and exercise. Community Partnerships Our community partners are critical to helping us improve the health and well-being of eastern Polk County. Together, we combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of working with the following community partners: I. PolkVision - A senior hospital employee serves as the liaison with PolkVision. The Liaison is Chairman of the Quality of Life Task Force for PolkVision which comprises strategies to be accomplished in 6 areas: - Healthcare - Arts, Culture, Recreation - Family & Youth - Social Services - Public Safety - Seniors II. Polk Healthcare Alliance - A senior hospital employee serves as the liaison with the Polk Healthcare Alliance. As a member of a five person Executive Committee for the Polk Healthcare Alliance, the Liaison reviews progress toward the organization's Community Health Improvement Plan (CHIP). III. The Polk County Health Department - The Hospital jointly collaborates with the Polk County Health Department for the provision of maternity services to Medicaid patients. The Hospital guarantees their access to maternity services by subsidizing and arranging for obstetrical physician services. The Polk County Health Department was selected to receive $1,950,000 over three years from the state Low Income Pool (LIP) program. These funds provide payments to health care safety net providers who serve the uninsured. Partnering with others they are seeking to link uninsured and underinsured individuals to healthcare coverage and a medical home. They are also seeking to expand access to primary care physicians and medications. Finally, they are assisting people with chronic health conditions in managing their diseases. They are working closely with hospital emergency departments to help ensure that low income individuals find a medical home. IV. Haley Center - The Hospital was instrumental in the development of a free clinic in Winter Haven called the Haley Center. The First Baptist Church of Winter Haven asked for assistance and the health departments, the hospital, the country's Community Health and Social Services Department and others came together to ensure the free clinic's success. It has been operational since December 2005 and the hospital provides free Lab, X-ray and pulmonary function testing. Haley Center and Hospital volunteer staff have helped share their expertise with the Parkview Christian Church (Baptist) in Haines City which is now providing free services in their community. V. We Care - The Hospital participates in the Polk County Medical Association's We Care program. Through a network of 215 medical specialists, We Care helps provide specialty medical care for low income, uninsured residents of Polk County. VI. Polk Health Care Plan - The Hospital participates and accepts the Polk Healthcare Plan. Polk HealthCare Plan is a public/private partnership that allows for a comprehensive managed health care program for eligible Polk County residents. The Plan provides an integrated system of health care and social services through a wide range of primary and preventive medical care, specialty medical care, hospitalization, diagnostic testing, ancillary services and pharmaceuticals. In essence, the Plan functions as a County-operated HMO for qualified Polk County residents. A senior hospital employee attends the Citizen Oversight Committee, an Advisory body on health issues for the Polk Healthcare Plan. In 2010, the hospital joined with Polk Healthcare and another area hospital to start an initiative that would bring an additional $1 million worth of primary care services to low income residents of Polk County. | Program Service Accomplishments |
| Continuation of Form 990, Part III, Line 4a | VII. Physician Recruitment- The hospital has a full-time physician recruiter and actively recruits physicians in primary care and specialty care areas where it has identified a community need. The hospital also works closely with physician groups to assist them in recruiting new physicians to our area. Sponsored community events - Winter Haven Hospital and its employees provided sponsorship and fund raising for these and many other community organizations and events: I. Heart Smart Days: A luncheon, health fair and lecture series focused on heart health education II. Citrus Classic: Features a 5k run, three-mile walk and Kindergarten Dash. III. Heart Walk: A three-mile walk benefiting the American Heart Association. IV. Relay for Life: A 18-24 hour relay walk benefiting the American Cancer Society. V. Baby-to-be and Up-to-three: A fun and informative health fair for expecting parents and young children which includes exhibits, child ID fingerprinting, fire safety, bike helmet fittings, and free immunizations for children. VI. Just Culture Community Seminar: The hospital sponsored a seminary hosted by world-renowned expert Sidney Dekker which was part of the Hospital's ongoing effort to heighten awareness about safety issues in the work place. VII. Neighborhood Services Center: The Hospital maintains a Neighborhood Services Center and employs a full time director in order to coordinate speakers, entertainment and health fairs primarily for senior citizens. The hospital also sponsors and offers free meeting space for a variety of support groups such as cancer, epilepsy, grief, caregivers, lupus, leukemia, brain injury, aids, Alzheimer's, and domestic violence. Peer Recovery Program - The Hospital facilitates the Peer Recovery Program which provides education, socialization, employment skills, and support to consumers who have a mental health diagnosis. Membership and participation is free and open to everyone in the community. Community Leadership - The Hospital enables its leaders to participate in organizations that benefit the well being of the community including for example: The United Way, Girls, Inc., the Women's Resource Center, the Chamber of Commerce for several local communities, and the American Heart Association. Volunteer Services Department The hospital also has an active and important volunteer department with over 350 active members serving throughout the hospital for over 78,540 hours. The hospital volunteers have also serve the community with a Patient I.D. Fair, HIM Bake Off, Polk Heartwalk, Heart Smart Day and the Women's Health Fair. They also provide special Christmas stockings for infants going home on Christmas and sponsor the Christmas Angel Tree program. Community Benefit Quantification The following financial information represents a quantification of Winter Haven Hospitals community benefit for the fiscal year ended September 30, 2010. This quantification was developed using the principals set forth under IRS Schedule H. The hospital will file IRS Schedule H with its 2009 Form 990 as required by IRS regulations for Fiscal Year ending September 30, 2010. 2010 Charity and Medicaid Cases: Charity Medicaid Emergency Department 4,676 7,628 Inpatient 551 2,024 Other 723 1,532 Total 5,950 11,184 Charity Care and Certain Other Community Benefits at Cost: Charity Care - at cost $ 9,320,395 Direct Community Based Healthcare Programs $ 367,571 Unreimbursed Cost of Medicaid Programs $ 11,046,878 Unreimbursed Cost of County Indigent Care Program $ 923,433 Donations and Community Groups $ 79,339 Education/Health Fairs $ 122,603 Enrollment Assistance in Government Programs $ 165,995 Health Professionals Education $ 349,805 Total Charity Care and Certain Other Community Benefits at Cost $ 22,376,019 Community Building Activities: Physician Recruitment $ 246,782 Subsidized Cost of Regency Anesthesia $ 250,000 Total Community Building Activites $ 496,782 Total Quantifiable Community Benefit $ 22,872,801 The Community Benefit Quantification shown above does not include the following important demonstrations of the Hospital's community support -Cost on Uncompensated Care to Patients above the poverty line $ 10,275,642 -Shortfall of Medicare Funding for Patient Care* $ 16,199,168 -Scholarship for Workforce Development $ 38,588 Total $ 26,513,398 *From Medicare Cost Report - Excludes other Medicare (HMO, PPO, etc.) Shortfall of $11,051,303 | Program Service Accomplishments |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Mid-Florida Medical Services Inc | |||||||||
| 200 Ave F NE | Winter Haven | FL | 33881 | 592486580 | Support Organization | FL | 501(c)(3) | 509(a)(3) - Type 1 | N/A |
| Mid-Florida Medical Services Foundation Inc | |||||||||
| 200 Ave F NE | Winter Haven | FL | 33881 | 030406130 | Fundraising | FL | 501(c)(3) | 509(a)(3) - Type 1 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Mid-Florida Medical Services Foundation Inc | |
| Q | 259234 |
| Mid-Florida Medical Services Foundation Inc | |
| C | 50879 |
| Mid-Florida Medical Services Foundation Inc | |
| L | 457327 |
| mid-Florida Medical Services Foundation Inc | |
| P | 432387 |