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Wuesthoff Family Physicians Inc: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Wuesthoff Family Physicians Inc (EIN 59-3398532)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201142279349302354
Schema version
2009v1.2
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)
Timestamp2011-08-12T13:58:07-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593398532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Wuesthoff Family Physicians IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWUESNameControl
Phone3216372606Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityRockledgeCity
StateFLState
ZIP Code329565002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHNETTE GINDLINGName
TitleEXECUTIVE DIRECTOR/SVPTitle
Phone3216372606Phone
Date Signed2011-07-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone3362753394Phone
Date Prepared2011-07-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOHNETTE GINDLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53934074GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.Wuesthoff.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionThe organization will provide quality comprehensive and accessible healthcare services in a cost-effective manner to the community we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34209920ProgramServiceRevenuePriorYear
Program Service Revenue CY53862723ProgramServiceRevenueCY
Investment Income Prior Year862InvestmentIncomePriorYear
Investment Income Current Year411InvestmentIncomeCurrentYear
Other Revenue Prior Year-16103OtherRevenuePriorYear
Other Revenue Current Year-16089OtherRevenueCurrentYear
Total Revenue Prior Year34194679TotalRevenuePriorYear
Total Revenue Current Year53847045TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15263490SalariesEtcPriorYear
Salaries Etc Current Year21084795SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27030075OtherExpensePriorYear
Other Expenses Current Year45669603OtherExpensesCurrentYear
Total Expenses Prior Year42293565TotalExpensesPriorYear
Total Expenses Current Year66754398TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8098886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12907353RevenuesLessExpensesCY
Total Assets BOY3185551TotalAssetsBOY
Total Assets EOY6649803TotalAssetsEOY
Total Liabilities BOY9036758TotalLiabilitiesBOY
Total Liabilities EOY14385626TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5851207NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7735823NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization will provide quality comprehensive and accessible healthcare services in a cost-effective manner to the community we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense66671121Expense
Grants0Grants
Revenue53862723Revenue
DescriptionHealth Care Programs, General/Other: Provides patient careDescription
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense66671121TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHNETTE GINDLINGNamePerson
Telephone Number3216362211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormerHighest Compensated EmployeeHighestCompensatedEmployee
RONALD BURK MD
BOARD MEMBER2X000
FRAN PICKETT
VICE CHAIRMAN2X000
LARRY SHULTZ
BOARD MEMBER2X000
HOMI COOPER
BOARD MEMBER2X000
JAMES DWIGHT
BOARD MEMBER2X000
JEFFREY SHUMAN
BOARD MEMBER2X000
JOHN BANKS
TREASURER2X000
EUGENE JOHNSON
BOARD MEMBER2X000
KENNETH KOREY
BOARD MEMBER2X000
MAXWELL KING
BOARD MEMBER2X000
REBEKAH DAVIS
BOARD MEMBER2X000
ROBERT ANDERSON
BOARD MEMBER2X000
STEVEN PHELPS
CHAIRMAN2X000
VALERIE BROWN KRIMSLEY
SECRETARY2X000
WILLIAM P BANCROFT
BOARD MEMBER2X000
EMIL MILLER
CEO2064219134655X
GEORGE FAYER
CFO2043927532891X
BRIAN BODI
CONTROLLER2016979027907X
JOHNETTE GINDLING
SR VICE PRESIDENT2020961927341X
MARCHITA MARINO
SR VICE PRESIDENT2025903826281X
KELLY SULLIVAN
SR VICE PRESIDENT2021791911686X
DOREEN WOODS
VP QUALITY & RESCOURCE MNG207455910024XX
KAREN DAVILA
SVP LEGAL206092687XX
LYNDA KIRKLAND-BARRIE
VP-MSO40132944026669X
SRINIVAS PRASAD
PHYSICIAN40786348039373X
EUGENE KILLEAVY
PHYSICIAN40692734037735X
CRAIG TURNER
PHYSICIAN40669789037143X
WALTER JOHNSON
PHYSICIAN40542754033288X
LUCIAN FLORESCU
PHYSICIAN40375040033131X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3199609TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2018483TotalReportableCompFrmRltdOrgs
Total Other Compensation378811TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
STAFF CARE INC
PO BOX 281923ATLANTAGA30384STAFFING SERVICES237972
Brevard Pulmonary Specialists PA
103Longwood AveRockledgeFL32955Medical Office2087906
HEARTCARE CFL
3822 SOUTH WASHINGTON AVETITUSVILLEFL327805845CARDIOLOGISTS685782
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column53862723TotalRevenueColumn
Related Or Exempt Function Income53862723RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue53862723TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column411TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$411ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real70940Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real87029Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-16089Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-16089TotalRevenueColumn
Related Or Exempt Function Income-16089RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column53847045TotalRevenueColumn
Related Or Exempt Function Income53846634RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$411ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total83277Total
Program Services0ProgramServices
Management And General83277ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17155300Total
Program Services17155300ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2533838Total
Program Services2533838ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1312380Total
Program Services1312380ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2984343Total
Program Services2984343ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total141803Total
Program Services141803ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1416265Total
Program Services1416265ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total265578Total
Program Services265578ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2565018Total
Program Services2565018ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total67441Total
Program Services67441ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24137Total
Program Services24137ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total461070Total
Program Services461070ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total386115Total
Program Services386115ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES1411608141160800
DUES & SUBSCRIPTIONS587055870500
RECRUITING153441534400
TAX & LICENSE259582595800
BAD DEBT & CONTRACTUAL ALLOWANCES324597213245972100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3386497Total
Program Services3386497ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total66754398Total
Program Services66671121ProgramServices
Management And General83277ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3100BOY
EOY5400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1646611BOY
EOY3758163EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY4494BOY
EOY11048EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY157113BOY
EOY257817EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY47805BOY
EOY127902EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6308084LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3818611LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1326428BOY
EOY2489473EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3185551BOY
EOY6649803EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY781945BOY
EOY1729302EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8254813BOY
EOY12656324EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9036758BOY
EOY14385626EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5851207BOY
EOY-7735823EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5851207BOY
EOY-7735823EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3185551BOY
EOY6649803EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1WUESTHOFF MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN590688798EIN
Type Of Organization501(C)3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1985869OtherCostOrOtherBasis
Depreciation1667993Depreciation
Book Value317876BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4322215OtherCostOrOtherBasis
Depreciation2150618Depreciation
Book Value2171597BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2489473TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Securities0TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$11,398,045
ACCRUED EXPENSES$1,258,279
FieldValueIRS element (for citing)
Total Of Amounts12656324TotalOfAmounts
Total Revenue53847045TotalRevenue
Total Expenses66754398TotalExpenses
Excess Or Deficit For Year-12907353ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$11,022,736OtherAmount
Total Adjustments11022736TotalAdjustments
Excess Or Deficit Per FS-1884617ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21398101TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal21398101RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included32448944OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt32448944RevenueNotRptdOnFinStmt
Total Revenue Per Form99053847045TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34305455TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal34305455ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included32448943OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt32448943ExpensesNotRptdOnFinStmt
Total Expenses Per Form99066754398TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P10_S00_L00Schedule D, Part XNO UNCERTAIN TAX POSITIONS
SchD_P11_S00_L08Schedule D, Part XI, Line 8TRANSFERS TO/FROM AFFILIATES
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bCONTRACTUAL ADJUSTMENTS $32,535,973 RENTAL EXPENSE ($87,029)
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bCONTRACTUAL ADJUSTMENTS $32,535,973 RENTAL EXPENSES ($87,029)

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base 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
EMIL MILLER
0521201013886010710408250026405067684600
GEORGE FAYER
028880206568208479005305027587047216600
BRIAN BODI
01502440001954503134024773019769600
KELLY SULLIVAN
0181379000365400715010970022960400
JOHNETTE GINDLING
016521901778402661503406023935023695900
MARCHITA MARINO
016954302079006870603982022299028532000
SRINIVAS PRASAD
696710050000039638046440347290825721000
EUGENE KILLEAVY
65184500040889047590329760730469000
CRAIG TURNER
63483200034957041820329610706932000
WALTER JOHNSON
52327700019477038150294730576042000
LUCIAN FLORESCU
35147300023567048000283310408171000
LYNDA KIRKLAND-BARRIE
12155700011387023690243010159614000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L04Schedule J, Part I, Line 4During 2009, Wuesthoff paid Karen Davila, Senior Vice-President, a severance payment of $6,092.16 for her years of service to the Wuesthoff Health Systems and its affiliates.
SchJ_P01_S00_L05Schedule J, Part I, Line 5Certain employees are eligible to receive incentive compensation. This compensation is based on qualitative and quantitative organizational goals and the achievement of such goals by the organization. In certain circumstances, revenues of the organization may be taken into account in determining eligibility for incentive compensation.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11Form 990, Part VI, Section B, Line 11Prior to filing the Form 990, management and accounting staff reviewed the draft. CFO, management and accounting provided comments. Based upon feedback received prior to finalization, revisions were made to the return. The board of directors received a final copy prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cWuesthoff Health Systems, Inc. and affiliates (referred to as "Wuesthoff") has established a Conflict of Interest policy which requires all board members and officers to affirm adherence to our conflict of interest policy and to disclose all related party transactions. The conflict of interest policy has been reviewed and approved by the Board of Directors. Wuesthoff'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 as necessary. The board of director reviews all potential transactions with related parties. The board of directors approves a transaction between Wuesthoff and a related party only when such transaction is determined to be in the best interests of Wuesthoff.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15A third party administrator (Hay Group) on behalf of the Executive/Compensation Committee of the Board of Directors annually conducts an independent review of the competitiveness of compensation for the executive team. The process includes documentation review to re-familiarize themselves with the organization to ensure a good understanding of the environment in which Wuesthoff operates. Each executive's role is assessed based on position, size and complexity. Compensation structure and each executive's placement in a salary grade are reviewed. A market analysis is done to determine base salary and total cash compensation ranges for each individual position. Recommendations for potential changes to salaries are then made to the Executive/Compensation Committee of the Board of directors for their review and implementation is necessary. The last review was done in August of 2009 of the following positions: Chief Executive Officer Chief Financial Officer Chief Operating Officer - Melbourne Chief Operating Officer - Rockledge Senior Vice President - Human Resources Senior Vice President - Chief Legal Senior Vice President - Marketing Vice President - Medical Affairs Vice President - Nursing Rockledge Vice President - Nursing Melbourne Vice President - Health Services President - Foundation Corporate Controller Vice President - Quality Assurance Vice President - Managed Service Organization Vice President - Support Services
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Wuesthoff does not make its governing documents or conflict of interest policy available to the public. Wuesthoff's Articles of Incorporation are available on www.sunbiz.org. The form 990 is based on the audited financial statements of Wuesthoff.
F990_P07_S0A_L01aForm 990, Part VII, Section A, Line 1aOFFICERS AND KEY EMPLOYEES COMPENSATED BY RELATED ORGANIZATIONS WORK 40 HOURS PER WEEK.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
BAYTREE MEDICAL GROUP
PO BOX 565002ROCKLEDGEFL32955260522728HEALTH CARE CLINICFL00N/A
BREVARD VASCULAR ASSOCIATES
PO BOX 565002ROCKLEDGEFL32955260866501HEALTH CARE CLINICFL00N/A
CARITAS WOMANCARE
PO BOX 565002ROCKLEDGEFL32955200304593HEALTH CARE CLINICFL00N/A
FIRST CARE FAMILY PHYSICIANS
PO BOX 565002ROCKLEDGEFL32955208348510HEALTH CARE CLINICFL00N/A
GI ASSOCIATES OF BREVARD
PO BOX 565002ROCKLEDGEFL32955262540320HEALTH CARE CLINICFL00N/A
NEUROLOGY ASSOCIATES OF MELBOURNE
PO BOX 565002ROCKLEDGEFL32955264784397HEALTH CARE CLINICFL00N/A
WUESTHOFF PARTNERS IN WOMEN'S HEALTH
PO BOX 565002ROCKLEDGEFL32955263818732HEALTH CARE CLINICFL00N/A
SPACE COAST ENDOCRINOLOGY
PO BOX 565002ROCKLEDGEFL32955208233713HEALTH CARE CLINICFL00N/A
SURGICAL ASSOCIATES OF BREVARD
PO BOX 565003ROCKLEDGEFL32956270192478HEALTH CARE CLINICFL00N/A

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Wuesthoff Health Systems Inc
PO BOX 565002ROCKLEDGEFL32955592432318HOME OFFICEFL501 (c) (3) exemptLine 11 Type 1
Wuesthoff Medical Center - Melbourne Inc
PO BOX 565002ROCKLEDGEFL32955593759043HOSPITALFL501 (c) (3) exemptLine 3
Wuesthoff Memorial Hospital Inc
PO BOX 565002ROCKLEDGEFL32955590688798HOSPITALFL501 (c) (3) exemptLine 3
Wuesthoff Health Systems Foundation Inc
PO BOX 565002ROCKLEDGEFL32955593226582FOUNDATIONFL501 (c) (3) exemptLine 7
Wuesthoff Health Services Inc
PO BOX 565002ROCKLEDGEFL32955592432321HOSPITAL SUPPORT SERVICESFL501 (c) (3) exemptLine 3
Wuesthoff Assisted Living Facility at IRCC Inc
PO BOX 565002ROCKLEDGEFL32955593759049ASSISTED LIVING FACILITYFL501 (c) (3) exemptLine 9
Wuesthoff Progressive Care Center Inc
PO BOX 565002ROCKLEDGEFL32955593759051REHAB/NURSING HOMEFL501 (c) (3) exemptLine 9
Brevard Cardiology Group Inc
PO BOX 565002ROCKLEDGEFL32955650732075CARDIOLOGY PHYSICIANSFL501 (c) (3) exemptLine 11 Type 1
Wuesthoff Health System Auxiliary
PO BOX 565002ROCKLEDGEFL32955591008664HOSPITAL AUXILIANSFL501 (c) (3) exemptLine 9N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SUNTREE DIAGNOSTIC CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 565002AddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
EIN593048318EIN
Primary ActivityDIAGNOSTIC SERVICESPrimaryActivity
Legal Domicile StateFMLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WUESTHOFF HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CARESPAN INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 565002AddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
EIN593401464EIN
Primary ActivityMANAGING SERVICEPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WUESTHOFF HEALTH SYSTEMSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income34576ShareOfTotalIncome
Share Of EOY Assets2833959ShareOfEOYAssets
Percentage Ownership1PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Wuesthoff Health Systems Inc
o3461549
Wuesthoff Memorial Hospital Inc
o111373
Wuesthoff Health Services Inc
o13008
Wuesthoff Health Systems Foundation Inc
p5250
Wuesthoff Assisted Living Facility at IRCC Inc
p454