2021-05-17T12:00:09-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-07-01 593527036 THE VILLAGES TRI-COUNTY MEDICAL CENTER INC VILL 3523235002 1451 EL CAMINO REAL THE VILLAGES FL 32159 DIANE HARDEN CFO 3523235002 2021-05-17 1 JOHN NORMAN P01506766 7049985200 2021-05-17 2019 2022-09-23 18:48:47Z UF HEALTH THE VILLAGES HOSPITAL DON HENDERSON 1451 EL CAMINO REAL THE VILLAGES FL 32159 184644756 0 X WWW.TVRH.ORG X 1998 FL TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES WE SERVE. 16 16 1561 971 0 0 472599 5155722 180862085 172828160 141101 1530007 0 0 181475785 179513889 42668 48422 0 0 86284917 85962217 0 0 0 100503368 103322539 186830953 189333178 -5355168 -9819289 254108857 284098547 161246470 194547675 92862387 89550872 X TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THAT WE SERVE. 0 0 174719955 48422 172828160 THE VILLAGES REGIONAL HOSPITAL IS AN ACUTE CARE HOSPITAL LOCATED IN THE VILLAGES, FLORIDA. THE VILLAGES REGIONAL HOSPITAL HAS BEEN SERVING RESIDENTS OF THE VILLAGES AS WELL AS PATIENTS IN LAKE, SUMTER AND MARION COUNTIES SINCE 2002. THE VILLAGES REGIONAL HOSPITAL OFFERS 24-HOUR EMERGENT DIAGNOSTIC AND TREATMENT SERVICES TO PATIENTS PRESENTING WITH ACUTE ISCHEMIC STROKE AND OTHER NEUROVASCULAR DISORDERS. CONTINUED ON SCHEDULE O.THE VILLAGES REGIONAL HOSPITAL EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS. JOINT COMMISSION EXPERTS EVALUATE COMPLIANCE WITH STROKE-RELATED STANDARDS AND REQUIREMENTS, INCLUDING PROGRAM MANAGEMENT, THE DELIVERY OF CLINICAL CARE AND PERFORMANCE IMPROVEMENT. THE VILLAGES REGIONAL HOSPITAL ALSO PROVIDES INPATIENT REHABILITATION SERVICES. LOCATED ON THE HOSPITAL'S FIFTH FLOOR, THE 30-BED ACUTE INPATIENT REHABILITATION FACILITY FEATURES A PHYSICAL THERAPY GYM, COMMUNAL DINING HALL, AND AN ACTIVITIES OF DAILY LIVING (ADL) SUITE. PATIENTS WHO SUFFER FROM CONDITIONS INCLUDING, BUT NOT LIMITED TO, STROKE, SPINAL CORD INJURY, AMPUTATION, BRAIN INJURY, AND NEUROLOGICAL DISORDERS RECEIVE AROUND-THE-CLOCK CARE, ADVANCED PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, SOCIAL SERVICES, CASE MANAGEMENT, NEUROPSYCHOLOGY, AND MORE. THE REHABILITATION PROGRAM IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). THIS DESIGNATION REPRESENTS THE HIGHEST LEVEL OF ACCREDITATION THAT CAN BE AWARDED TO A REHABILITATION FACILITY. TO EARN A THREE-YEAR ACCREDITATION, THE FACILITY UNDERWENT A RIGOROUS PEER REVIEW PROCESS AND DEMONSTRATED TO A TEAM OF SURVEYORS DURING AN ON-SITE VISIT THAT ITS PROGRAMS AND SERVICES ARE ACCOUNTABLE, MEASURABLE, AND OF THE HIGHEST QUALITY. IN ADDITION TO BEING ACCREDITED BY THE JOINT COMMISSION, THE VILLAGES REGIONAL HOSPITAL HAS BEEN RECOGNIZED FOR EXCELLENCE IN PATIENT CARE AND WORKPLACE HEALTH. THE AMERICAN COLLEGE OF CARDIOLOGY AWARDED THE VILLAGES REGIONAL HOSPITAL WITH ITS HIGHEST CHEST PAIN CENTER ACCREDITATION AND U.S. NEWS & WORLD REPORT HAS RATED SEVERAL OF THE HOSPITAL'S CLINICAL AREAS AS 'HIGH PERFORMING'. IN 2019, BECKER'S HOSPITAL REVIEW NAMED THE VILLAGES REGIONAL HOSPITAL ON ITS LIST OF THE 150 TOP PLACES TO WORK IN HEALTHCARE. 174719955 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 36 0 1561 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 FL X DIANE HARDEN CFO 3523235002 600 E DIXIE AV LEESBURG FL 34748 EDWARD JIMENEZ DIRECTOR (BEGINNING 1/1/20) 1.00 49.00 X X 0 1501817 41257 DAVID NELSON MD DIRECTOR (BEGINNING 1/1/20) 1.00 49.00 X X 0 1345265 35407 W KENT FUCHS PHD DIRECTOR (BEGINNING 1/1/20) 0.50 49.50 X 0 1126843 91368 DONALD HENDERSON PRESIDENT/CEO CENTRAL FLORIDA HEALTH, INC. 20.00 30.00 X 0 837714 129974 GILBERT UPCHURCH MD DIRECTOR (BEGINNING 1/1/20) 0.50 49.50 X 0 802835 36481 C PARKER GIBBS MD DIRECTOR (BEGINNING 1/1/20) 1.00 49.00 X 0 758673 43447 JAMES KELLY JR SVP/CFO/TREASURER, SHANDS 1.00 49.00 X 0 750266 36281 LI-MING SU MD DIRECTOR (BEGINNING 1/1/20) 0.50 49.50 X 0 710917 45822 JOSEPH TYNDALL MD DIRECTOR (BEGINNING 1/1/20) 0.50 49.50 X 0 648437 38945 DIANE HARDEN SVP/CFO CENTRAL FLORIDA HEALTH, INC. 20.00 30.00 X 0 506190 79974 RANDALL JENKINS SVP AND GEN. COUNS./SECRETARY 1.00 49.00 X 0 535898 32228 JULIE JOHNSON PHARMD DIRECTOR (BEGINNING 1/1/20) 0.50 49.50 X 0 488522 45003 WILLIAM PFINGSTEN VP AMBULATORY SERVICES 20.00 30.00 X 0 406676 42266 PHYLLIS BAUM VP/CQO 20.00 30.00 X 0 381955 64413 MICHAEL MCKEE DIRECTOR (1/1/20 THROUGH 4/29/20) 0.50 49.50 X 0 336541 104334 AMIE RICHASON VP HUMAN RESOURCES 20.00 30.00 X 0 324091 69209 DAVID STEELE VP/CIO 20.00 30.00 X 0 322217 69110 HEATHER SCHWEIZER PHYSICIAN 50.00 X 229698 77079 74209 JOSHUA FLEMING VP/CCO & SITE ADMINSTRATOR 20.00 30.00 X 0 277538 68978 PHILIP BRAUN CHIEF COUNSEL 20.00 30.00 X 0 282056 59922 JAMES KRICK PHYSICIAN 50.00 X 318686 0 22796 MICHAEL PITTMAN VP/CCO & SITE ADMINSTRATOR 50.00 X 260624 0 48432 ALEXANDER CHANG VP SUPPORT SERVICES 20.00 30.00 X 0 242670 63000 DAVID BOWERS PHYSICIAN 50.00 X 283048 0 19033 MARK G KENT PHYSICIAN 50.00 X 254604 0 33293 ROBERT MAIELLO PHYSICIAN 50.00 X 233609 0 31982 SAAD EHTISHAM SVP/COO CENTRAL FLORIDA HEALTH, INC. 20.00 30.00 X 0 147444 11371 AMANDA J WETTSTEIN BOARD MEMBER 2.00 3.00 X 0 0 0 CHRISTOPHER BRIDGES BOARD MEMBER 2.00 3.00 X 0 0 0 DAVID SUSTARSIC MD BOARD MEMBER 2.00 3.00 X 0 0 0 DWARAK R BANALA MD BOARD MEMBER 2.00 3.00 X 0 0 0 GEORGE E KAINZ MD SECRETARY 2.00 3.00 X X 0 0 0 GEORGE MCCABE BOARD MEMBER 2.00 3.00 X 0 0 0 GREGORY R LEWIS TREASURER 2.00 3.00 X X 0 0 0 H MARLENE O'TOOLE BOARD MEMBER 2.00 3.00 X 0 0 0 LINDSEY M BLAISE VICE CHAIRPERSON 2.00 3.00 X X 0 0 0 LYNNE S WINKER BOARD MEMBER 2.00 3.00 X 0 0 0 MANUEL ALVARADO MD BOARD MEMBER 2.00 3.00 X 0 0 0 RICHARD COLE JR BOARD MEMBER 2.00 3.00 X 0 0 0 ROBERT Q WILLIAMS ESQ BOARD MEMBER 2.00 3.00 X 0 0 0 ROGER A BEYERS CHAIRPERSON 2.00 3.00 X X 0 0 0 RUSSELL J D'EMIDIO BOARD MEMBER 2.00 3.00 X 0 0 0 SHAHBAZ A CHEEMA MD BOARD MEMBER 2.00 3.00 X 0 0 0 ALAN WEST DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 CAROLYN ROBERTS DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 DAVID JASMUND DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 EDMUND BEEBE DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 GREGORY LEWIS DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 JOHN PATTERSON DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 MARSHA POWERS DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 THOMAS KUNTZ DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 TRACY CHAPMAN DIRECTOR (BEGINNING 1/1/20) 0.50 0.50 X 0 0 0 1580269 12811644 1438535 6 0 1 0 TOTAL RENAL CARE PO BOX 403008 ATLANTA GA 30384 DIALYSIS SERVICES 784553 ANGELICA PO BOX 535122 ATLANTA GA 30353 LINEN SERVICES 683449 HEALOGICS WOUND CARE & HYPERBARIC CTR 3087 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SERVICES 673030 OPTUM INSIGHT PO BOX 88050 CHIGACO IL 60689 PROFESSIONAL SERVICES 623732 ALLIED UNIVERSAL SECURITY SERVICES 1551 N TUSTIN AVE SUITE 650 SANTA ANA CA 92705 SECURITY 607357 5 5133624 22098 5155722 PATIENT REVENUE 621400 170773018 170773018 OTHER OPERATING REVENUE 621400 2055142 2055142 172828160 84882 84882 6575992 5130867 1445125 1445125 1445125 179513889 172828160 0 1530007 48422 48422 70725042 64685652 6039390 1687937 1536023 151914 8570906 7799524 771382 4978332 4530282 448050 2975710 2743774 231936 372388 186194 186194 172612 172612 4960544 4379377 581167 1103700 910605 193095 299504 238188 61316 3722975 2792231 930744 2648007 2171366 476641 42792 22959 19833 116399 77383 39016 4791289 4791289 14640996 12005617 2635379 1894569 1434237 460332 SUPPLIES 39350159 39211194 138965 BAD DEBT 10163743 10163743 PHYSICIAN EXPENSES 7090718 7090718 EQUIPMENT RENTALS AND S 5151202 4937444 213758 3825232 2963733 861499 189333178 174719955 14613223 0 29780278 16687460 4782000 4833565 19726548 17719380 5038835 6055395 2440290 1320535 327430564 166445359 152192617 160985205 39713937 65404997 434352 11092010 254108857 284098547 16677410 51882918 138683526 136398413 5885534 6266344 161246470 194547675 X 92862387 89550872 92862387 89550872 254108857 284098547 X -9819289 6507774 X 0 1 X 1 0 X 0 0 0 0 0 0 1 56397 0 1 12046 68443 0 PART II-B, LINE 1: LOBBYING EXPENSES REPORTED ABOVE REPRESENT A COMBINATION OF HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING, AS WELL AS AMOUNTS PAID TO CAPITAL CITY CONSULTING FOR CERTAIN DIRECT LOBBYING ACTIVITIES. 9140249 9140249 203567245 83557797 120009448 105791668 78536177 27255491 8931402 4351385 4580017 160985205 MALPRACTICE IBNR 6266344 6266344 X PART X, LINE 2: THE FOLLOWING IS THE TAX FOOTNOTE TAKEN FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF CENTRAL FLORIDA HEATH ("UF CENTRAL FLORIDA") AND ITS AFFILIATED ENTITIES: UFHCF, UFHL, UFHV, UFHL FOUNDATION, AND UFHV FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. THE OTHER AFFILIATES ARE SINGLE MEMBER LLCS AND DISREGARDED ENTITIES FOR FEDERAL AND STATE TAX PURPOSES EXCEPT FOR SALES AND USE TAX ON NONMEDICAL PURCHASES. 1 1 X 1 X 1 X 1 1 1 0 1 1 5337936 135723 5202213 0.02900 8569225 2439255 6129970 0.03420 13907161 2574978 11332183 0.06320 13907161 2574978 11332183 0.06320 1 2361408 75948287 79584641 -3636354 X 1 1 1 CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC HEALTHCARE SERVICES 0.10870 0.50000 2 1 THE VILLAGES TRI-COUNTY MEDICAL CTR 1451 EL CAMINO REAL THE VILLAGES FL 32159 HTTP://WWW.TVRH.ORG/ X X X 2 TVRH RHABILITATION HOSPITAL 1451 EL CAMINO REAL THE VILLAGES FM 32159 HTTP://WWW.TVRH.ORG/ X X THE VILLAGES TRI-COUNTY MEDICAL CTR 1 1 1 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V, SECTION C X 1 18 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 TVRH RHABILITATION HOSPITAL 2 1 1 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V, SECTION C X 1 18 1 SEE PART V, SECTION C 0 1 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2019 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THERE ARE FOUR CORE MAPP ASSESSMENTS: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT.THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE TWO SIMILAR SURVEYS TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND THEIR PERSPECIVES ON HEALTHCARE. BOTH SURVEYS EMPLOYED A CONVENIENCE SAMPLING APPROACH (RESPONDENTS WERE SELECTED BASED ON THEIR CONVENIENT ACCESSIBILITY). THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE ASSISTED WITH THE SURVEY DISSEMINATION THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDER AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 583 RESPONDENTS TO THE COMMUNITY SURVEY AND 106 TO THE PROFESSIONAL SURVEY. AFTER ELIMINATING THE INCOMPLETE AND INELIGIBLE SURVEYS, THERE WERE 392 COMMUNITY SURVEYS AND 23 HEALTHCARE PROFESSIONAL SURVEYS FOR ANALYSIS.ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM - THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THIS ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS, OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY. TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2019 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THERE ARE FOUR CORE MAPP ASSESSMENTS: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT.THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE TWO SIMILAR SURVEYS TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND THEIR PERSPECIVES ON HEALTHCARE. BOTH SURVEYS EMPLOYED A CONVENIENCE SAMPLING APPROACH (RESPONDENTS WERE SELECTED BASED ON THEIR CONVENIENT ACCESSIBILITY). THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE ASSISTED WITH THE SURVEY DISSEMINATION THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDER AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 583 RESPONDENTS TO THE COMMUNITY SURVEY AND 106 TO THE PROFESSIONAL SURVEY. AFTER ELIMINATING THE INCOMPLETE AND INELIGIBLE SURVEYS, THERE WERE 392 COMMUNITY SURVEYS AND 23 HEALTHCARE PROFESSIONAL SURVEYS FOR ANALYSIS.ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM - THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THIS ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS, OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY. THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTER THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 11: THE VILLAGES REGIONAL HOSPITAL HAS IDENTIFIED THE THREE FOLLOWING AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:STRATEGIC PRIORITY 1: AGE RELATED HEALTH ISSUESA. INCREASE ALZHEIMER'S DISEASE AWARENESSTHE ORGANIZATION WILL INCREASE AWARENESS OF ALZHEIMER'S DISEASE SIGN, SYMPTOM, AND CARE OPTIONS BY PROVIDING HEALTH EDUCATION AND INSTITUTING CLINICAL PROCESS CHANGE WITH A GOAL OF HOSTING THREE COMMUNITY HEALTH EDUCATION ACTIVITIES THAT FOCUS ON ALZHEIMER'S DISEASE AWARENESS BY DECEMBER 31, 2021. ALSO, TO INCREASE AWARENESS OF SIGNS AND SYMPTOMS OF ALZHEIMER'S DISEASE AND ALSO THE LINK BETWEEN CERTAIN MEDICATIONS AND INCREASED ALZHEIMER'S DISEASE RISK THROUGH PARTNERSHIP WITH THE LEESBURG REGIONAL MEDICAL CENTER PHARMACY AND MEDICAL STAFF BY PROVIDING EDUCATION TO 90 PERCENT OF ALL INPATIENTS ALONG WITH THEIR PRESCRIPTION.B. REDUCE UNINTENTIONAL INJURIES FROM FALLSTHE ORGANIZATION WILL REDUCE UNINTENTIONAL INJURIES FROM FALLS BY PROVIDING HEALTH EDUCATION, CONDUCTING PATIENT FALL RISK ASSESSMENTS PRIOR TO DISCHARGE, DOCUMENTING FALL RISK AND HISTORY ON EHR, AND PARTNERING WITH COMMUNITY AGENCIES TO INCREASE AWARENESS WITH THE GOAL OF IMPLEMENTING A SCREENING PROGRAM AS A PARTNERSHIP BETWEEN THE EMERGENCY DEPARTMENT AND REHABILITATION SERVICES TEAM TO IDENTIFY PATIENTS 65 YEARS OF AGE AND OLDER WHO PRESENT AS A HIGH FALL RISK AND REDUCE THE OVERALL INPATIENT FALL RISK BY 5% BY JUNE 30, 2022. ADDITIONALLY, THE PROGRAM WILL PROVIDE AT-RISK PATIENTS WITH THE TOOLS THEY NEED TO PREVENT FALLS WHILE IN THE HOSPITAL AND ONCE THEY RETURN HOME.STRATEGIC PRIORITY 2: PRIMARY AND SECONDARY PREVENTION OF CHRONIC DISEASES AND CONDITIONSA. PROMOTE EMPLOYEE WELLNESSTHE ORGANIZATION WILL ENHANCE AND EXPAND THE EMPLOYEE WELLNESS PROGRAM AND ADVOCATE FOR EMPLOYEE WELLNESS POLICY CHANGE (WITH A THREE YEAR OUTCOME GOAL OF INSTITUTING METHODOLOGY TO TRACK AND REPORT EMPLOYEE WELLNESS MEASURES, INCREASING THE PERCENTAGE OF EMPLOYEES WHO HAVE PARTICIPATED IN A PRIMARY PREVENTION WELLNESS ACTIVITY BY 10% AND ENGAGING 20% OF EMPLOYEES WHO HAVE BEEN SCREENED FOR PRE-DIABETES IN SECONDARY PREVENTION ACTIVITIES.)B. EXPAND HEALTH EDUCATION AND PHYSICAL ACTIVITY OPPORTUNITIES FOR CLIENTS WITH CHRONIC DISEASESTHE ORGANIZATION WILL EXPAND COMMUNITY PARTNERSHIPS FOR CHRONIC DISEASE PREVENTION (WITH A THREE YEAR OUTCOME GOAL OF INCREASING PARTICIPATION IN THE SILVER SNEAKERS PROGRAM HOSTED BY THE WELLNESS CENTER BY 15%, ESTABLISHING AN AMERICAN CANCER CENTER RESOURCE CENTER IN LRMC, AND PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR CHRONIC DISEASE PREVENTION ACTIVITIES TO COMMUNITIES IN THE LRMC SERVICE AREA).STRATEGIC PRIORITY 3: MENTAL AND BEHAVIORAL HEALTH AND WELLNESSA. PROMOTE SAFE PRESCRIPTION DRUG USETHE ORGANIZATION WILL PROVIDE HEALTH EDUCATION AND PROMOTION ACTIVITES AND SPONSOR COMMUNITY EDUCATION CAMPAIGNS (WITH A THREE YEAR OUTCOME GOAL OF HOSTING THREE SAFE DRUG USE EDUCATION ACTIVITIES FOR COMMUNITY MEMBERS IN THE LRMC SERVICE AREA AND REDUCING UNINTENTIONAL DEATHS BY DRUG POISONING BY 5%).B. IMPROVE COMMUNITY EDUCATION RESOURCES ON MENTAL AND BEHAVIORAL HEALTHTHE ORGANIZATION WILL PROMOTE COMMUNITY EDUCATION ON MENTAL AND BEHAVIORAL HEALTH WITH AN OUTCOME OBJECTIVE OF PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR MENTAL HEALTH FIRST AID COURSES TO COMMUNITIES IN THE LRMC SERVICE AREA BY DECEMBER 31, 2021.THE ORGANIZATION IS NOT ABLE TO ADDRESS ALL OF THE NEEDS OF THE COMMUNITY IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. THE ISSUE RELATED TO HEALTH LITERACY AND WISER USE OF HEALTHCARE BENEFITS AND SERVICES WAS DISCUSSED IN SOME DETAIL. WHILE DEEMED A RECURRING PROBLEM FOR MANY IN THE CFH SERVICE AREAS, THE STEERING COMMITTEE MEMBERS CITED NUMBEROUS HEALTHCARE ORGANIZATIONS AND COMMUNITY PARTNERS ALREADY ENGAGED IN LOCAL INTERVENTIONS TO IMPROVE HEALTH LITERACY. AMONG THE PARTNER ORGANIZATIONS TACKLING THIS ISSUE INCLUDE THE AREA AGENCY ON AGING, ELDER OPTIONS, AND AMERICN ASSOCIATION OF RETIRED PEOPLE (AARP). TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 11: TVRH REHABILITATION HOSPITAL HAS IDENTIFIED FIVE AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:STRATEGIC PRIORITY 1: AGE RELATED HEALTH ISSUESA. INCREASE ALZHEIMER'S DISEASE AWARENESSTHE ORGANIZATION WILL INCREASE AWARENESS OF ALZHEIMER'S DISEASE SIGN, SYMPTOM, AND CARE OPTIONS BY PROVIDING HEALTH EDUCATION AND INSTITUTING CLINICAL PROCESS CHANGE WITH A GOAL OF HOSTING THREE COMMUNITY HEALTH EDUCATION ACTIVITIES THAT FOCUS ON ALZHEIMER'S DISEASE AWARENESS BY DECEMBER 31, 2021. ALSO, TO INCREASE AWARENESS OF SIGNS AND SYMPTOMS OF ALZHEIMER'S DISEASE AND ALSO THE LINK BETWEEN CERTAIN MEDICATIONS AND INCREASED ALZHEIMER'S DISEASE RISK THROUGH PARTNERSHIP WITH THE LEESBURG REGIONAL MEDICAL CENTER PHARMACY AND MEDICAL STAFF BY PROVIDING EDUCATION TO 90 PERCENT OF ALL INPATIENTS ALONG WITH THEIR PRESCRIPTION.B. REDUCE UNINTENTIONAL INJURIES FROM FALLSTHE ORGANIZATION WILL REDUCE UNINTENTIONAL INJURIES FROM FALLS BY PROVIDING HEALTH EDUCATION, CONDUCTING PATIENT FALL RISK ASSESSMENTS PRIOR TO DISCHARGE, DOCUMENTING FALL RISK AND HISTORY ON EHR, AND PARTNERING WITH COMMUNITY AGENCIES TO INCREASE AWARENESS WITH THE GOAL OF IMPLEMENTING A SCREENING PROGRAM AS A PARTNERSHIP BETWEEN THE EMERGENCY DEPARTMENT AND REHABILITATION SERVICES TEAM TO IDENTIFY PATIENTS 65 YEARS OF AGE AND OLDER WHO PRESENT AS A HIGH FALL RISK AND REDUCE THE OVERALL INPATIENT FALL RISK BY 5% BY JUNE 30, 2022. ADDITIONALLY, THE PROGRAM WILL PROVIDE AT-RISK PATIENTS WITH THE TOOLS THEY NEED TO PREVENT FALLS WHILE IN THE HOSPITAL AND ONCE THEY RETURN HOME.STRATEGIC PRIORITY 2: PRIMARY AND SECONDARY PREVENTION OF CHRONIC DISEASES AND CONDITIONSA. PROMOTE EMPLOYEE WELLNESSTHE ORGANIZATION WILL ENHANCE AND EXPAND THE EMPLOYEE WELLNESS PROGRAM AND ADVOCATE FOR EMPLOYEE WELLNESS POLICY CHANGE (WITH A THREE YEAR OUTCOME GOAL OF INSTITUTING METHODOLOGY TO TRACK AND REPORT EMPLOYEE WELLNESS MEASURES, INCREASING THE PERCENTAGE OF EMPLOYEES WHO HAVE PARTICIPATED IN A PRIMARY PREVENTION WELLNESS ACTIVITY BY 10% AND ENGAGING 20% OF EMPLOYEES WHO HAVE BEEN SCREENED FOR PRE-DIABETES IN SECONDARY PREVENTION ACTIVITIES.)B. EXPAND HEALTH EDUCATION AND PHYSICAL ACTIVITY OPPORTUNITIES FOR CLIENTS WITH CHRONIC DISEASESTHE ORGANIZATION WILL EXPAND COMMUNITY PARTNERSHIPS FOR CHRONIC DISEASE PREVENTION (WITH A THREE YEAR OUTCOME GOAL OF INCREASING PARTICIPATION IN THE SILVER SNEAKERS PROGRAM HOSTED BY THE WELLNESS CENTER BY 15%, ESTABLISHING AN AMERICAN CANCER CENTER RESOURCE CENTER IN LRMC, AND PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR CHRONIC DISEASE PREVENTION ACTIVITIES TO COMMUNITIES IN THE LRMC SERVICE AREA).STRATEGIC PRIORITY 3: MENTAL AND BEHAVIORAL HEALTH AND WELLNESSA. PROMOTE SAFE PRESCRIPTION DRUG USETHE ORGANIZATION WILL PROVIDE HEALTH EDUCATION AND PROMOTION ACTIVITES AND SPONSOR COMMUNITY EDUCATION CAMPAIGNS (WITH A THREE YEAR OUTCOME GOAL OF HOSTING THREE SAFE DRUG USE EDUCATION ACTIVITIES FOR COMMUNITY MEMBERS IN THE LRMC SERVICE AREA AND REDUCING UNINTENTIONAL DEATHS BY DRUG POISONING BY 5%).B. IMPROVE COMMUNITY EDUCATION RESOURCES ON MENTAL AND BEHAVIORAL HEALTHTHE ORGANIZATION WILL PROMOTE COMMUNITY EDUCATION ON MENTAL AND BEHAVIORAL HEALTH WITH AN OUTCOME OBJECTIVE OF PARTNERING WITH COMMUNITY ORGANIZATIONS TO BRING FOUR MENTAL HEALTH FIRST AID COURSES TO COMMUNITIES IN THE LRMC SERVICE AREA BY DECEMBER 31, 2021.THE ORGANIZATION IS NOT ABLE TO ADDRESS ALL OF THE NEEDS OF THE COMMUNITY IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. THE ISSUE RELATED TO HEALTH LITERACY AND WISER USE OF HEALTHCARE BENEFITS AND SERVICES WAS DISCUSSED IN SOME DETAIL. WHILE DEEMED A RECURRING PROBLEM FOR MANY IN THE CFH SERVICE AREAS, THE STEERING COMMITTEE MEMBERS CITED NUM THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 16J: THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE, COPIES AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE TO ANYONE WHO REQUESTS IT. THE VILLAGES TRI-COUNTY MEDICAL CTR PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITY'S MEDICAID ELIGIBILITY COMPANY. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING - MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT ("HCRA").THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED IN ITS PATIENT HEALTH MANAGEMENT SYSTEM.THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE FIRST STATEMENT IS SENT TO THE PATIENT FROM THE PATIENT ACCOUNTING SYSTEM AFTER THE ACCOUNT HAS BEEN FINAL BILLED. THREE SUBSEQUENT STATEMENTS ARE SENT ON A 30 DAY CYCLE PERIOD UNITL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BAD DEBT COLLECTION AGENCY. TVRH RHABILITATION HOSPITAL PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITITY'S MEDICAID ELIGIBILITY COMPANT. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING -- MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT (HCRA). THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED IN IT PATIENT HEALTH MANAGEMENT SYSTEM.THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE FIRST STATEMENT IS SENT TO THE PATIENT FROM THE PATIENT ACCOUNTING SYSTEM AFTER THE ACCOUNT HAS BEEN FINAL BILLED. THREE SUBSEQUENT STATEMENTS ARE SENT ON A 30 DAY CYCLE PERIOD UNTIL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BED DEBT COLLECTION AGENCY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,163,743. PART III, LINE 2: THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED AGAINST GROSS BAD DEBT CHARGES TO ARRIVE AT THE AMOUNT SHOWN ON PART III, LINE 2. PART III, LINE 4: THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER UFHCF POLICIES. PART III, LINE 8: CHARITY CARE IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH TO PROVIDE MEDICAL SERVICES TO THOSE PATIENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT. THE MEDICARE AND MEDICAID PROGRAMS PAY CENTRAL FLORIDA HEALTH LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO ITS MEDICARE AND MEDICAID PATIENTS. THE AMOUNTS SHOWN ARE THE ACTUAL COSTS TO PROVIDE THESE SERVICES ABOVE REIMBURSEMENT. BAD DEBT IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH FOR SERVICES PROVIDED TO PATIENTS WHO HAVE NOT PAID THEIR BILLS AND WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. PART III, LINE 9B: TTHE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. PART VI, LINE 2: THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2019-2022 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS AND IMPROVEMENT PLANS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE MAPP TOOL WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). NACCHO AND CDC'S VISION FOR IMPLEMENTING MAPP IS:"COMMUNITIES ACHIEVING IMPROVED HEALTH AND QUALITY OF LIFE BY MOBILIZING PARTNERSHIPS AND TAKING STRATEGIC ACTION."AT THE HEART OF THE MAPP PROCESS ARE THE FOUR CORE MAPP ASSESSMENTS. THESE ARE: - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FCA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) PART VI, LINE 3: IN ADDITION TO SIGNAGE THROUGHOUT VARIOUS PARTS OF THE HOSPITAL AND WRITTEN INFORMATION PROVIDED TO PATIENTS DURING PRE-REGISTRATION, THE HOSPITAL PROVIDES THE FOLLOWING PATIENT EDUCATION:- FINANCIAL COUNSELING- WRITTEN ESTIMATES FOR HOSPITAL SERVICES - ITEMIZED BILLINGS (UPON REQUEST)- INFORMATION ABOUT EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE USED AFTER REASONABLE COLLECTION EFFORTS HAVE TAKEN PLACE- A LIST OF SERVICE PROVIDERS THAT PROVIDE SERVICES UNDER THE FAP PART VI, LINE 4: POPULATIONPOPULATION GROWTH IS A KEY DETERMINANT OF THE HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND IMPROVED HEALTH OUTCOMES. TVRH SERVICE AREA PRIMARILY SERVES AN ADULT POPULATION GREATER THAN 55 YEARS OF AGE AT 68.5 PERCENT OF THE POPULATION, COMPARED TO 60.1 PERCENT OF THE CENTRAL FLORIDA HEALTH (CFH) SERVICE AREA AND 32.5 PERCENT OF FLORIDA. TVRH SERVICE AREA ALSO SERVES A SMALLER PERCENTAGE OF CHILDREN AGED 0-17 YEARS AT 8.8 PERCENT COMPARED TO THE CFH SERVICE AREA AT 11.7 PERCENT AND FLORIDA AT 20.3 PERCENT.THE OVERWHELMING MAJORITY OF TVRH SERVICE AREA POPULATION IS WHITE AT 88.7 PERCENT, WHICH IS NEARLY THE SAME AS THE CFH SERVICE AREA AT 87.7 PERCENT BUT HIGHER THAN FLORIDA AT 75.7 PERCENT WHITE. THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, AND ASIAN POPULATIONS COMPRISE 7.5, 0.4, AND 1.2 PERCENT OF TVRH SERVICE AREA, RESPECTIVELY, WHILE 0.8 PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.4 PERCENT IDENTIFY AS HAVING TWO OR MORE RACES. BY 2013-2017 AMERICAN COMMUNITY SURVEY, U.S. CENSUS BUREAU ESTIMATES (ACS), 93.5 PERCENT OF THE POPULATION IN TVRH SERVICE AREA IDENTIFIED AS NON-HISPANIC OR LATINO WHICH IS COMPARABLE TO THE 92.4 PERCENT IN THE CFH SERVICE AREA AND 92.7 PERCENT IN LRMC SERVICE AREA, BUT NOTABLY LARGER THAN IN FLORIDA AS A WHOLE AT 75.3 PERCENT.LIFE EXPECTANCYCONSIDERING ALL RACES AND ETHNICITIES, THE LONGEST LIFE EXPECTANCY FOR MALES IN 2010 WAS FOUND IN SUMTER COUNTY (78.3 YEARS) FOLLOWED BY LAKE COUNTY (75.8 YEARS), AND MARION COUNTY (74.3 YEARS), COMPARED TO FLORIDA (76.3 YEARS). FOR FEMALES, THE LONGEST LIFE EXPECTANCY FOR FEMALES IN 2010 WAS ALSO IN SUMTER COUNTY (82.5 YEARS), FOLLOWED BY LAKE COUNTY (81.3 YEARS), AND MARION COUNTY (80.3 YEARS), COMPARED TO FLORIDA (81.6 YEARS). AS OFTEN SEEN THROUGHOUT THE STATE OF FLORIDA, THERE WAS A DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN TVRH SERVICE AREA COUNTIES. ECONOMIC CHARACTERISTICSAT 10.6 PERCENT OF THE POPULATION, TVRH SERVICE AREA HAD A LOWER PERCENTAGE OF INDIVIDUALS HAVING LIVED IN THE POVERTY IN THE PAST 12 MONTHS WHEN COMPARED TO FLORIDA AT 15.5 PERCENT ACCORDING TO 2013-2017 ACS DATA. THE CFH AND LRMC SERVICE AREAS WERE SIMILAR AT 12.2 AND 12.1 PERCENT, RESPECTIVELY. WITHIN TVRH SERVICE AREA, THE ZIP CODES WHERE THIS INDICATOR OF POVERTY ARE HIGHEST INCLUDE LEESBURG (34748) AT 15.8 PERCENT, BELLEVIEW (34420) AT 14.0 PERCENT AND SUMMERFIELD (34491) AT 11.5 PERCENT WHILE THE VILLAGES (32162) WAS AT ONLY 5.4 PERCENT. ACROSS THE THREE COUNTIES IN TVRH SERVICE AREA FOR THIS SAME PERIOD, MARION COUNTY HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS (17.6 PERCENT) WHICH IS HIGHER THAN THE STATE OF FLORIDA (15.5 PERCENT). LAKE COUNTY, AT 12.8 PERCENT AND SUMTER COUNTY AT 9.2 PERCENT WERE BOTH LOWER THAN FOR FLORIDA.GENDER DIFFERENCES CAN BE SEEN IN RATES OF POVERTY. FOR 2013-2017, THE PERCENTAGE OF MALES HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN TVRH SERVICE AREA AT 8.6 PERCENT WAS CLOSE TO THE OVERALL CFH SERVICE AREA RATE OF 9.8 PERCENT BUT LOWER THAN THE LRMC SERVICE AREA AT 9.8 PERCENT. ALL WERE BELOW THE 12.3 PERCENT STATE RATE FOR FLORIDA. THE RATE OF 11.5 PERCENT OF FEMALES HAVING LIVED IN POVERTY IN TVRH SERVICE AREA IN THE PAST 12 MONTHS WAS LOWER THAN THE CFH AND LRMC SERVICE AREAS AT 13.1 AND 13.0 PERCENT, RESPECTIVELY. ALTHOUGH THESE RATES FOR FEMALES WERE LOWER THAN THE STATE RATE OF 16.5 PERCENT, THE RATES WERE HIGHER THAN FOR MALES IN THE SAME GEOGRAPHIC AREAS. WHEN COMPARED BY SERVICE AREA COUNTY, BOTH MARION COUNTY MALES AT 13.9 PERCENT AND FEMALES AT 18.4 PERCENT HAD THE HIGHEST RATES FOR THIS POVERTY MEASURE WITH BOTH RATES EXCEEDING STATE RATES (12.3 AND 16.5 PERCENT, RESPECTIVELY). SUMTER COUNTY MALES AND FEMALES HAD THE LOWEST RATES AT 7.2 AND 10.2 PERCENT, RESPECTIVELY. LAKE COUNTY RATES WERE LOWER THAN STATE RATES BUT HIGHER THAN THE CFH SERVICE AREA RATE.POVERTY RATES FOR CHILDREN (0-17 YEARS OF AGE) EXCEEDED STATE RATES IN TVRH SERVICE AREA. DATA SHOW THAT FROM 2013-2017 IN TVRH SERVICE AREA 27.6 PERCENT OF CHILDREN LIVED IN POVERTY IN THE PAST 12 MONTHS COMPARED TO 26.6 PERCENT IN THE CFH SERVICE AREA AND 22.3 PERCENT STATEWIDE. FOR ADULTS 18-74 YEARS OF AGE POVERTY RATES WERE LOWER IN TVRH SERVICE AREA AT 9.8 PERCENT COMPARED TO 11.1 PERCENT FOR THE CFH SERVICE AREA AND 14.0 PERCENT FOR FLORIDA. THE PERCENTAGE OF OLDER ADULTS (75 YEARS OF AGE AND OLDER) HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS WAS LOWER IN TVRH SERVICE AREA AT 6.4 PERCENT THAN THE CFH SERVICE AREA AT 7.4 PERCENT AND STATE RATE OF 11.0 PERCENT. AS SEEN IN FIGURE 3, THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY WERE IN SUMTER COUNTY AND MARION COUNTY AT 31.4 AND 29.4 PERCENT, RESPECTIVELY, COMPARED TO LAKE COUNTY AT 21.4 PERCENT AND FLORIDA AT 23.6 PERCENT. THERE WAS A SMALLER PERCENTAGE OF ELDERLY (65 -74 YEARS OF AGE) LIVING IN POVERTY ACROSS LAKE, MARION, AND SUMTER COUNTY (6.6, 7.8, AND 3.9 PERCENT, RESPECTIVELY) COMPARED TO FLORIDA (9.6 PERCENT).FOR 2013-2017, THE ESTIMATED PERCENTAGE OF BLACKS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN TVRH SERVICE AREA WAS 33.8 PERCENT COMPARED TO 8.9 PERCENT FOR WHITES. THIS PERCENTAGE FOR BLACKS WAS HIGHER THAN THE CFH SERVICE AREA RATE OF 30.4 PERCENT AND THE 24.8 STATE RATE. THE PERCENTAGE OF THE BLACK POPULATION IN MARION COUNTY AT 30.5 PERCENT AND IN SUMTER COUNTY AT 26.3 PERCENT HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS EXCEEDED THE STATE RATE OF 24.8 PERCENT. THE POVERTY RATE FOR WHITES IN MARION COUNTY AT 15.5 PERCENT ALSO EXCEEDED THE STATE RATE FOR WHITES OF 13.3 PERCENT.IN TVRH SERVICE AREA, SUMTER COUNTY PER CAPITA INCOME AND MEDIAN HOUSEHOLD INCOME EXCEEDED THE STATE FIGURES AS WELL AS THOSE FOR LAKE AND MARION COUNTIES FOR 2013-2017 FOR ALL RACES. THE SAME PERIOD, BLACKS IN LAKE COUNTY SHOWED HIGHER MEDIAN HOUSEHOLD INCOMES THAN FOR BLACKS STATEWIDE. WHITES IN SUMTER COUNTY RECORDED MEDIAN HOUSEHOLD INCOMES HIGHER THAN STATE AND SERVICE AREA COUNTIES. THE MEDIAN HOUSEHOLD INCOME FOR LAKE COUNTY HISPANICS AT $43,624 WAS THE HIGHEST AMONG THE LRMC SERVICE AREA COUNTIES BUT WAS STILL BELOW THE STATE FIGURE OF $44,196. EDUCATIONAL ATTAINMENTACCORDING TO ACS ESTIMATES FOR 2013-2017, THOSE IN TVRH SERVICE AREA 25 YEARS OF AGE AND OLDER WHOSE HIGHEST LEVEL OF EDUCATION COMPLETED WAS A HIGH SCHOOL DIPLOMA (INCLUDING EQUIVALENCY DIPLOMAS AND SOME COLLEGE BUT NO DEGREE) FOR ALL GENDERS WAS 55.2 PERCENT; THE COMPARABLE STATE RATE WAS 49.4 PERCENT. THOSE WITH A COLLEGE DEGREE (INCLUDING ASSOCIATE'S, BACHELOR'S, MASTER'S, PROFESSIONAL AND DOCTORATE DEGREES) FOR TVRH SERVICE AREA REPRESENTED 36.4 PERCENT OF THE POPULATION COMPARED TO 38.2 PERCENT FOR FLORIDA. FOR THE 2017-2018 SCHOOL YEAR, OF TVRH SERVICE AREA COUNTIES SUMTER COUNTY ACHIEVED THE BEST HIGH SCHOOL GRADUATION RATE AT 87.8 PERCENT WHICH EXCEEDED THE 86.1 STATE RATE AND OUTPACED LAKE COUNTY AT 84.1 PERCENT AND MARION COUNTY AT 81.8 PERCENT. SUMTER COUNTY ALSO RECORDED THE LOWEST HIGH SCHOOL DROPOUT RATE FOR THE SERVICE AREA FOR 2017-2018 AT 3.6 PERCENT, PERFORMING BETTER THAN THE STATE AT 4.0 PERCENT, AND LAKE AND MARION COUNTIES AT 6.1 AND 6.3 PERCENT, RESPECTIVELY.CAUSES OF DEATHTHE TOP FIVE LEADING CAUSES OF DEATH IN TVRH SERVICE AREA FOR ALL RACES IN 2015-2017 WERE CANCER, HEART DISEASE, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE (CLRD) AND STROKE. FOR THE CFH SERVICE AREA AND THE STATE OF FLORIDA THE FIVE LEADING CAUSES OF DEATH WERE THE SAME AS FOR TVRH SERVICE AREA WITH A SLIGHT DIFFERENCE IN RANK ORDER. HEART DISEASE WAS THE LEADING CAUSE OF DEATH FOR THE CFH SERVICE AREA AND FLORIDA WHILE CANCER WAS AT THE TOP OF THE LIST FOR TVRH AND LRMC SERVICE AREAS. AS CAN BE SEEN IN THE TABLE BELOW, AGE-ADJUSTED DEATH RATES FOR THE TOP FIVE CAUSES OF DEATH IN TVRH, LRMC AND CFH SERVICE AREAS WERE SIMILAR WHEREAS VAST DIFFERENCES WERE EVIDENT WHEN COMPARED TO FLORIDA RATES. 1 AMERICAN HEART ASSOCIATION 9900 9TH STREET N ST PETERSBURG FL 33716 135613797 501(C)(3) 11250 SPONSORSHIP LAKE COUNTY FAIR PO BOX 221 EUSTIS FL 32727 590648179 501(C)(3) 5000 SPONSORSHIP THE VILLAGES REGIONAL HOSPIAL AUXILIARY FOUNDATION INC 1501 N US HWY 441 THE VILLAGES FL 32159 550818419 501(C)(3) 13500 SPONSORSHIP AMERICAN CANCER SOCIETY 3261 US HIGHWAY 441/27 FRUITLAND PARK FL 34731 131788491 501(C)(3) 5000 SPONSORSHIP 4 PART I, LINE 2: THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITY TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT. X X X X X X 0 1 0 0 0 0 0 1 0 EDWARD JIMENEZ DIRECTOR (BEGINNING 1/1/20) 0 983557 0 311000 0 207260 0 19600 0 21657 0 1543074 0 186542 DAVID NELSON MD DIRECTOR (BEGINNING 1/1/20) 0 1002261 0 335040 0 7964 0 15269 0 20138 0 1380672 0 0 W KENT FUCHS PHD DIRECTOR (BEGINNING 1/1/20) 0 900595 0 163090 0 63158 0 71148 0 20220 0 1218211 0 0 DONALD HENDERSON PRESIDENT/CEO CENTRAL FLORIDA HEALTH 0 665261 0 155076 0 17377 0 109279 0 20695 0 967688 0 0 GILBERT UPCHURCH MD DIRECTOR (BEGINNING 1/1/20) 0 697096 0 100927 0 4812 0 14784 0 21697 0 839316 0 0 C PARKER GIBBS MD DIRECTOR (BEGINNING 1/1/20) 0 690383 0 59478 0 8812 0 23394 0 20053 0 802120 0 0 JAMES KELLY JR SVP/CFO/TREASURER, SHANDS 0 543735 0 132000 0 74531 0 19600 0 16681 0 786547 0 64531 LI-MING SU MD DIRECTOR (BEGINNING 1/1/20) 0 622459 0 88454 0 4 0 22954 0 22868 0 756739 0 0 JOSEPH TYNDALL MD DIRECTOR (BEGINNING 1/1/20) 0 644765 0 0 0 3672 0 14827 0 24118 0 687382 0 0 DIANE HARDEN SVP/CFO CENTRAL FLORIDA HEALTH, INC. 0 368261 0 72646 0 65283 0 57178 0 22796 0 586164 0 56269 RANDALL JENKINS SVP AND GEN. COUNS./SECRETARY 0 439077 0 78013 0 18808 0 16800 0 15428 0 568126 0 0 JULIE JOHNSON PHARMD DIRECTOR (BEGINNING 1/1/20) 0 438522 0 50000 0 0 0 24799 0 20204 0 533525 0 0 WILLIAM PFINGSTEN VP AMBULATORY SERVICES 0 213198 0 28775 0 164703 0 28956 0 13310 0 448942 0 150164 PHYLLIS BAUM VP/CQO 0 298591 0 39750 0 43614 0 41200 0 23213 0 446368 0 38052 MICHAEL MCKEE DIRECTOR (1/1/20 THROUGH 4/29/20) 0 324859 0 9000 0 2682 0 81779 0 22555 0 440875 0 0 AMIE RICHASON VP HUMAN RESOURCES 0 256317 0 35001 0 32773 0 35916 0 33293 0 393300 0 30656 DAVID STEELE VP/CIO 0 258446 0 34207 0 29564 0 35817 0 33293 0 391327 0 23971 HEATHER SCHWEIZER PHYSICIAN 229698 77079 0 0 0 0 8389 3154 33293 29373 271380 109606 0 0 JOSHUA FLEMING VP/CCO & SITE ADMINSTRATOR 0 242478 0 33246 0 1814 0 35185 0 33793 0 346516 0 0 PHILIP BRAUN CHIEF COUNSEL 0 223529 0 28844 0 29683 0 30549 0 29373 0 341978 0 27847 JAMES KRICK PHYSICIAN 290910 0 26799 0 977 0 0 0 22796 0 341482 0 0 0 MICHAEL PITTMAN VP/CCO & SITE ADMINSTRATOR 228004 0 30528 0 2092 0 27737 0 20695 0 309056 0 0 0 ALEXANDER CHANG VP SUPPORT SERVICES 0 211680 0 28398 0 2592 0 29032 0 33968 0 305670 0 0 DAVID BOWERS PHYSICIAN 281854 0 0 0 1194 0 11200 0 7833 0 302081 0 0 0 MARK G KENT PHYSICIAN 254186 0 0 0 418 0 0 0 33293 0 287897 0 0 0 ROBERT MAIELLO PHYSICIAN 232623 0 0 0 986 0 8769 0 23213 0 265591 0 0 0 SAAD EHTISHAM SVP/COO CENTRAL FLORIDA HEALTH, INC. 0 86148 0 0 0 61296 0 3538 0 7833 0 158815 0 60657 PART I, LINE 4B DON HENDERSON 457F CONTRIBUTION $98,079 DIANE HARDEN 457F CONTRIBUTION $45,978 PHYLLIS BAUM 457F CONTRIBUTION $30,000 AMIE RICHASON 457F CONTRIBUTION $26,416 DAVID STEELE 457F CONTRIBUTION $25,817 PHILIP BRAUN 457F CONTRIBUTION $21,769 EFFECTIVE JANUARY 1, 2020, SHANDS TEACHING HOSPITAL BECAME THE SOLE MEMBER OF CENTRAL FLORIDA HEALTH, WHICH IS THE SOLE MEMBER OF LEESBURG REGIONAL MEDICAL CENTER. SHANDS TEACHING HOSPITAL ALSO PROVIDES A SUPPLEMENTAL RETIREMENT PLAN FOR CERTAIN KEY EXECUTIVES. THE FOLLOWING INFORMATION RELATES TO KEY EXECUTIVES LISTED IN PART VIII AND SCHEDULE J, PART II THAT WERE EMPLOYED BY SHANDS TEACHING HOSPITAL AND SERVED ON THE LEESBURG REGIONAL MEDICAL CENTER BOARD: THE PURPOSE OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IS TO PROVIDE AN ANNUAL CONTRIBUTION BASED ON A PERCENTAGE OF THE PARTICIPANT'S ANNUAL SALARY, PAYABLE ON BEHALF OF THE PARTICIPANTS BY THE ORGANIZATION. THE CONTRIBUTION, LESS WITHHOLDING FOR TAXES USING THE APPLICABLE TAX RATE, IS PAYABLE BY THE ORGANIZATION TO AN ANNUITY CONTRACT(S) SELECTED BY THE PARTICIPANT, OR MAY BE PAID IN CASH AT THE DISCRETION OF THE ADMINISTRATOR OR THE PARTICIPANT. THE ANNUAL CONTRIBUTION, WHEN COUPLED WITH OTHER ORGANIZATION-PROVIDED RETIREMENT BENEFITS, IS INTENDED TO PROVIDE A MARKET COMPETITIVE LEVEL OF TOTAL RETIREMENT BENEFITS TO ATTRACT AND RETAIN EXECUTIVE TALENT. ALL AMOUNTS ARE APPROPRIATELY REPORTED IN COLUMN D OF PART VII AND COLUMN B(III) OF SCHEDULE J. LISTED PERSONS FROM SHANDS, AND PLAN AMOUNTS DISTRIBUTED DURING CALENDAR YEAR 2019, ARE AS FOLLOWS: EDWARD JIMENEZ $186,542 JAMES KELLY, JR. $64,531 PART I, LINE 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS A CITY OF LEESBURG FLORIDA 596000362 2011-10-06 42500000 HOSP REV REFDG BONDS SERIES 2011 0 0 0 B SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 383816771 86652QAT9 2014-03-11 50000000 HOSPITAL REV BONDS, SERIES 2014A 0 0 0 C SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 383816771 86652QBM3 2014-11-05 38725000 HOSPITAL REV BONDS, SERIES 2014B 0 0 0 D CITY OF LEESBURG FLORIDA 596000362 NONEAVAIL 2017-12-21 30000000 HOSPITAL REV. REFUNDING BOND (CENTRAL FLORIDA HEALTH PROJECTS), SERIES 2017 0 0 0 A 42500000 42500000 2011 1 0 1 1 B 4385000 50000000 600860 49399140 2014 0 0 1 1 C 7400000 38725000 430232 20000000 18294768 2014 0 0 1 1 D 1015000 30000000 1 0 0 1 A 0 0 0 0 0.01000 0.01000 0 0 0 B 0 0 0 0 0.01000 0.01000 0 0 1 C 0 0 0 0 0.01000 0.01000 0 0 1 D 0 0 0 0 0.01000 0.01000 0 0 1 A 0 1 0 0 1 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 1 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS NOW REQUIRE THAT THE ORGANIZATION'S BOARD MEMBERS BE THE SAME INDIVIDUALS THAT SERVE AS MEMBERS OF THE SHANDS BOARD. THE ORGANIZATION'S ARTICLES AND BYLAWS WERE ALSO CHANGED TO MORE ALIGN WITH THE WAY THAT THE SHANDS BOARD OPERATES, SUCH AS THE TIMING OF BOARD MEETINGS, DETERMINATION OF VARIOUS COMMITTEE CHAIRS, AND THE AUTHORITY OF THE QUALITY COMMITTEE. CENTRAL FLORIDA HEALTH, INC., A FLORIDA NOT FOR PROFIT CORPORATION, REMAINS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CENTRAL FLORIDA HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION'S BOARD SHALL BE THOSE SAME INDIVIDUALS WHO ARE SERVING, AT SUCH GIVEN TIME, AS MEMBERS OF THE BOARD OF DIRECTORS OF SHANDS TEACHING HOSPITAL AND CLINICS, INC., A RELATED FLORIDA NOT FOR PROFIT CORPORATION, UNLESS OTHERWISE DETERMINED BY THE UNIVERSITY OF FLORIDA PRESIDENT PURSUANT TO SECTION 1004.41 OF THE FLORIDA STATUTES. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. A PRESENTATION REGARDING THE FORM 990 WAS ALSO MADE TO THE ADVISORY BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION'S POLICY REQUIRES CERTAIN INDIVIDUALS TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY THE VP GENERAL COUNSEL AND CORPORATE COMPLIANCE DEPARTMENT WHO NOTIFY THE BOARD IF ANY CONCERNS ARISE. INDIVIDUALS COVERED BY THE CONFLICT OF INTEREST POLICY MUST ABSTAIN FROM DELIBERATIONS AND VOTING WITH RESPECT TO TRANSACTIONS WHEREIN A CONFLICT IS DEEMED TO EXIST. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT ENGAGES AN INDEPENDENT FIRM ENGAGED IN THE DEVELOPMENT OF COMPENSATION SURVEYS ON EXECUTIVE PAY LEVELS ACROSS DIFFERENT INDUSTRIES PROVIDES COMPETITIVE DATA AND GUIDANCE ON DETERMINING APPROPRIATE AND REASONABLE RANGES AND SALARIES. THE THIRD PARTY WILL PROVIDE RECOMMENDED INCENTIVE COMPENSATION RANGES TO ENSURE TOTAL COMPENSATION IS ALSO REASONABLE AND WILL PERIODICALLY REVIEW ALL OTHER ASPECTS OF COMPENSATION INCLUDING ALL ELEMENTS OF SUPPLEMENTAL BENEFITS TO ENSURE THEY COMPARE WITH COMPETITIVE AND REASONABLE TOTAL REMUNERATION LEVELS. ALL EXECUTIVE, OFFICER, AND KEY EMPLOYEE POSITIONS ARE REVIEWED ANNUALLY TO ENSURE SALARY SCALES ARE IN LINE WITH COMPARABLE POSITIONS IN SIMILAR INSTITUTIONS BY AN INDEPENDENT FIRM. FORM 990, PART VI, SECTION C, LINE 19 GENERALLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE WWW.SUNBIZ.COM. FORM 990, PART XI, LINE 9: WRITE OFF DEFERRED LOAN COSTS -796,499. DEFERRED OUTFLOWS - REFUNDING 349,366. DEFERRED OUTFLOWS - REFUNDING 6,772,197. OTHER CHANGES IN NET ASSETS 182,710. VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES 1451 EL CAMINO REAL THE VILLAGES FL 32159 263978916 BILLING SERVICE FL 0 0 N/A LEESBURG REGIONAL MEDICAL CENTER 600 EAST DIXIE AVE LEESBURG FL 34748 590878982 MEDICAL SERVICES FL 501(C)(3) LINE 3 CFH 0 CENTRAL FLORIDA HEALTH 600 EAST DIXIE AVE LEESBURG FL 34748 331197054 PARENT COMPANY FL 501(C)(3) LINE 12B, II N/A 0 VILLAGES REGIONAL HOSPITAL AUXILIARY FOUNDATION 1451 EL CAMINO REAL THE VILLAGES FL 32159 550818419 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12A, I TVRH 1 LEESBURG REGIONAL MEDICAL CENTER FOUNDATION 600 EAST DIXIE AVE LEESBURG FL 34748 591800743 SUPPORT ORGANIZATION FL 501(C)(3) LINE 12A, I LRMC 0 SHANDS TEACHING HOSPITAL AND CLINICS INC PO BOX 100336 GAINESVILLE FL 32610 591943502 HOSPITAL FL 501(C)(3) LINE 3 0 UNIVERSITY OF FLORIDA 226 TIGERT HALL GAINESVILLE FL 32611 596002052 EDUCATION FL 115 0 CF CARDIOVASCULAR COMGMT 600 EAST DIXIE AV LEESBURG FL 34748 270781065 HEALTHCARE SVCS FL LRMC RELATED 57810 0 0 0.10870 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1