2020-07-06T08:45:58-05:00 2019-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2018-07-01 593527036 THE VILLAGES TRI-COUNTY MEDICAL CENTER INC VILL 3523235002 1451 EL CAMINO REAL THE VILLAGES FL 32159 DIANE HARDEN CFO 3523235002 2020-07-02 1 JOHN NORMAN P01506766 7049985200 2020-07-02 67.137.57.251 2020-07-02 15:02:27 ED P 6DDA54EA556A281A3BC6813436C812994A730E40 8AC9A41C6456F6B0E35BD43A98B74F92684A3D23 2018 2021-01-29 14:40:06Z DON HENDERSON 1451 EL CAMINO REAL THE VILLAGES FL 32159 181539199 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 1570 971 0 0 675385 472599 185104918 180862085 241905 141101 0 0 186022208 181475785 154043 42668 0 0 87389356 86284917 0 0 0 102013153 100503368 189556552 186830953 -3534344 -5355168 269716038 254108857 170462643 161246470 99253395 92862387 X TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THAT WE SERVE. 0 0 170607998 42668 180862085 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. 170607998 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 24 0 1570 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X DIANE HARDEN CFO 3523235002 600 E DIXIE AV LEESBURG FL 34748 ROGER A BEYERS CHAIRPERSON 2.00 3.00 X X 0 0 0 LINDSEY M BLAISE VICE CHAIRPERSON 2.00 3.00 X X 0 0 0 GEORGE E KAINZ MD SECRETARY 2.00 3.00 X X 0 0 0 GREGORY R LEWIS TREASURER 2.00 3.00 X X 0 0 0 MANUEL ALVARADO 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 CHRISTOPHER BRIDGES BOARD MEMBER 2.00 3.00 X 0 0 0 SHAHBAZ A CHEEMA MD BOARD MEMBER 2.00 3.00 X 0 0 0 RICHARD COLE BOARD MEMBER 2.00 3.00 X 0 0 0 RUSSELL J D'EMIDIO BOARD MEMBER 2.00 3.00 X 0 0 0 GEORGE F MCCABE BOARD MEMBER 2.00 3.00 X 0 0 0 H MARLENE O'TOOLE BOARD MEMBER 2.00 3.00 X 0 0 0 DAVID L SUSTARSIC MD BOARD MEMBER 2.00 3.00 X 0 0 0 AMANDA J WETTSTEIN BOARD MEMBER 2.00 3.00 X 0 0 0 ROBERT Q WILLIAMS ESQ BOARD MEMBER 2.00 3.00 X 0 0 0 LYNNE S WINKLER BOARD MEMBER 2.00 3.00 X 0 0 0 DONALD HENDERSON PRESIDENT/CEO 20.00 30.00 X 0 809457 61216 DIANE HARDEN SVP/CFO 20.00 30.00 X 0 429307 51911 SAAD EHTISHAM SCP/COO (THRU 3/19) 20.00 30.00 X 0 479642 57832 PHYLLIS BAUM VP/CQO 20.00 30.00 X 0 341956 36538 AMIE RICHASON VP/HUMAN RESOURCES 20.00 30.00 X 0 286240 55430 DAVID STEELE VP/CIO 20.00 30.00 X 0 281886 47317 PHILIP BRAUN VP/CHIEF COUNSEL 20.00 30.00 X 0 232921 35706 WILLIAM PFINGSTEN VP/AMBULATORY SERVICES 20.00 30.00 X 0 243678 56493 TED E WILLIAMS VP/FOUNDATION PRESIDENT (THRU 5/19) 20.00 30.00 X 0 332104 57189 ALEXANDER CHANG VP/SUPPORT SERVICES 20.00 30.00 X 0 228798 35987 JOSHUA FLEMING VP/CCO & SITE ADMINISTRATOR 20.00 30.00 X 0 270112 34628 MICHAEL PITTMAN VP/CCO & SITE ADMINISTRATOR 50.00 0.00 X 0 251547 5779 DAVID BOWERS PHYSICIAN (THRU 7/19) 40.00 X 524725 0 31933 ROBERT MAIELLO MEDICAL DIRECTOR 40.00 X 233579 0 17746 FELIX S SMITH DIRECTOR OF PHARMACY 40.00 X 182279 0 18567 SANDRA PELTON PHARMACIST 40.00 X 158675 0 8800 JANE A KEYES DIRECTOR PERIOPERATIVE SERVICES 40.00 X 148966 0 30424 1248224 4187648 643496 5 0 1 0 HEALOGICS WOUND CARE & HYPERBARIC CTR 3087 MOMENTUM PLACE CHICAGO IL 60689 PROFESSIONAL SERVICES 812616 ANGELICA PO BOX 535122 ATLANTA GA 30353 LINEN SERVICES 707946 ALLIED UNIVERSAL SECURITY SERVICES 1551 N TUSTIN AVE SUITE 650 SANTA ANA CA 92705 SECURITY 608003 TOTAL RENAL CARE PO BOX 403008 ATLANTA GA 30384 DIALYSIS SERVICES 517568 MARION ROOFING 34475 NW 1ST AVE OCALA FL 34478 ROOFING SERVICES 332790 28 472599 472599 PATIENT REVENUE 621400 178637192 178637192 OTHER OPERATING REVENUE 621400 2224893 2224893 180862085 204515 204515 63414 -63414 -63414 -63414 181475785 180862085 0 141101 42668 42668 69116186 63790728 5325458 1837295 1616820 220475 9917916 8826945 1090971 5413520 4818033 595487 6132151 5151007 981144 97660 48830 48830 108963 108963 4170494 4045379 125115 949269 730937 218332 347441 152874 194567 4533686 3536275 997411 3005728 2464697 541031 54018 47536 6482 141151 125624 15527 5296935 5296935 14028737 10802127 3226610 1600466 1088317 512149 SUPPLIES 41593137 41177206 415931 BAD DEBT 5796378 5796378 PHYSICIAN EXPENSES 4894560 4894560 EQUIPMENT RENTALS AND S 4154433 3157369 997064 3598161 2996753 601408 186830953 170607998 16222955 0 3200 29780278 4714550 4782000 79703061 19726548 4306425 5038835 2474160 2440290 304145440 151952823 163138061 152192617 15345415 39713937 31165 434352 269716038 254108857 24020077 16677410 140605893 138683526 5836673 5885534 170462643 161246470 X 99253395 92862387 99253395 92862387 269716038 254108857 X -5355168 -1438122 402282 X X 0 1 X 1 0 X 0 0 0 0 0 0 1 64767 0 1 8462 73229 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. 6981879 6981879 190896648 75426230 115470418 94844000 71546370 23297630 11422913 4980223 6442690 152192617 MALPRACTICE IBNR 5885534 5885534 X PART X, LINE 2: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 X 1 X 1 X 1 1 1 0 1 1 3618696 3618696 0.02200 6018881 2482127 3536754 0.02150 9637577 2482127 7155450 0.04350 9637577 2482127 7155450 0.04350 1 5796378 84328269 82856136 1472133 X 1 0 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 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 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. SCHEDULE H, PART V, SECTION B, LINE 7 AND 10A HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINES 16A-C HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-TRANSPARENCY/ 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: IN ACCORDANCE WITH THE NEW STANDARD, CFH NOW RECOGNIZES THE MAJORITY OF ITS PREVIOUSLY REPORTED PROVISION FOR BAD DEBTS AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE AS AN IMPLICIT PRICE CONCESSION INSTEAD OF A SEPARATE LINE ITEM TO ARRIVE AT NET PATIENT SERVICE REVENUE. FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, CFH RECORDED APPROXIMATELY $20,089,000 AND $21,654,000, RESPECTIVELY, OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION OF NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS PROVISION FOR BAD DEBTS PRIOR TO THE ADOPTION OF ASC 606. CFH HAS ALSO ELIMINATED THE RELATED PRESENTATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ON THE CONSOLIDATED BALANCE SHEETS. FOR THE YEARS ENDED JUNE 30, 2019 AND 2018, CFH RECORDED APPROXIMATELY $30,985,000 AND $28,309,000, RESPECTIVELY, AS A DIRECT REDUCTION OF PATIENT ACCOUNTS RECEIVABLE THAT WOULD HAVE REFLECTED AS ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS PRIOR TO THE ADOPTION OF ASC 606. 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: THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TOCOLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITYCARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIALASSISTANCE, 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 THE VILLAGES CHARTER SCHOOL 1350 TOTONKA TERRACE THE VILLAGES FL 32162 593597803 501(C)(3) 10000 SPONSORSHIP 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 DONALD HENDERSON PRESIDENT/CEO 0 652997 0 147120 0 9340 0 11000 0 50216 0 870673 0 0 DIANE HARDEN SVP/CFO 0 362273 0 64910 0 2124 0 11000 0 40911 0 481218 0 0 SAAD EHTISHAM SCP/COO (THRU 3/19) 0 411876 0 67766 0 0 0 10800 0 47032 0 537474 0 0 PHYLLIS BAUM VP/CQO 0 299998 0 37500 0 4458 0 10800 0 25738 0 378494 0 0 AMIE RICHASON VP/HUMAN RESOURCES 0 260170 0 26070 0 0 0 10407 0 45023 0 341670 0 0 DAVID STEELE VP/CIO 0 254278 0 27608 0 0 0 10560 0 36757 0 329203 0 0 PHILIP BRAUN VP/CHIEF COUNSEL 0 214417 0 18504 0 0 0 8577 0 27129 0 268627 0 0 WILLIAM PFINGSTEN VP/AMBULATORY SERVICES 0 213887 0 26614 0 3177 0 8549 0 47944 0 300171 0 0 TED E WILLIAMS VP/FOUNDATION PRESIDENT (THRU 5/19) 0 193600 0 24089 0 114415 0 7436 0 49753 0 389293 0 0 ALEXANDER CHANG VP/SUPPORT SERVICES 0 211097 0 17701 0 0 0 7455 0 28532 0 264785 0 0 JOSHUA FLEMING VP/CCO & SITE ADMINISTRATOR 0 247126 0 22986 0 0 0 9885 0 24743 0 304740 0 0 MICHAEL PITTMAN VP/CCO & SITE ADMINISTRATOR 0 230402 0 21145 0 0 0 0 5779 0 5779 251547 0 0 DAVID BOWERS PHYSICIAN (THRU 7/19) 450008 0 0 0 74717 0 0 0 31933 0 556658 0 0 0 ROBERT MAIELLO MEDICAL DIRECTOR 233579 0 0 0 0 0 5169 0 12577 0 251325 0 0 0 FELIX S SMITH DIRECTOR OF PHARMACY 161408 0 9495 0 11376 0 7296 0 11271 0 200846 0 0 0 SANDRA PELTON PHARMACIST 144643 0 0 0 14032 0 0 0 8800 0 167475 0 0 0 JANE A KEYES DIRECTOR PERIOPERATIVE SERVICES 136344 0 7981 0 4641 0 5389 0 25035 0 179390 0 0 0 PART I, LINE 4B THE ORGANIZATION MADE CONTRIBUTIONS TO A 457F PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS: DONALD HENDERSON 92,392 DIANE HARDEN 45,076 SAAD EHTISHAM 51,249 PHYLLIS BAUM 30,000 AMIE RICHASON 25,897 DAVID STEELE 25,311 PHILIP BRAUN 21,343 WILLIAM PFINGSTEN 21,290 TED E. WILLIAMS 19,271 ALEXANDER CHANG 21,013 JOSH FLEMING 24,599 MICHAEL PITTMAN 22,589 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 3485000 50000000 600860 49399140 2014 0 0 1 1 C 6640000 38725000 430232 20000000 18294768 2014 0 0 1 1 D 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 6 CENTRAL FLORIDA HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A CENTRAL FLORIDA HEALTH APPOINTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND CERTAIN DECISIONS OF THE ORGANIZATION, AS DEFINED IN THE ORGANIZATION'S BYLAWS, ARE SUBJECT TO CENTRAL FLORIDA HEALTH'S APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B SEE LINE 7A EXPLANATION FORM 990, PART VI, SECTION B, LINE 11B DURING APRIL 2020, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2018 FORM 990 TO THE CFH FINANCE COKMMITTEE FOR ITS REVIEW. THE CFH FINANCE COMMITTEE MEMBERS HAD AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. UPON FINALIZATION OF THE DOCUMENT, MANAGEMENT PROVIDED A FINALIZED COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS 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 BOARD. INDIVIDUALS COVERED BY THE CONFLICT OF INTEREST POLICY MUST ABSTAIN FROM DELIBERATIONS AND VOTING WITH RESPECT TO TRANSACTIONS WHEREIN A CONFLICT IS DEEMED TO EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF THE ORGANIZATION APPOINTS THE COMPENSATION COMMITTEE. THE INDIVIDUALS SERVING ON THE COMPENSATION COMMITTEE ALSO SERVE ON THE EXECUTIVE COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS THE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION COMMITTEE HAS A COMPENSATION CHARTER AND PHILOSOPHY. THE ORGANIZATION UTILIZES COMPARABLE COMPENSATION INFORMATION FROM A THIRD PARTY INDEPENDENT SOURCE TO PREPARE AND GATHER MARKET INFORMATION FOR REVIEW BY THE COMPENSATION COMMITTEE. MINUTES ARE KEPT OF ALL ACTIONS. 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: CHANGE IN FUNDED CAPITAL 404,416. MISCELLANEOUS -2,134. FORM 990, PART XII, LINE 2C: PROCESS IS UNCHANGED FROM PRIOR YEAR. VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES 1451 EL CAMINO REAL THE VILLAGES FL 32159 263978916 BILLING SERVICE FL N/A THE VILLAGES REGIONAL HOSPITAL SURGERY CENTER LLC 1501 N US HWY 441 NORTH SUITE 1800A THE VILLAGES FL 32159 465332363 FREE STANDING OUTPATIENT SURGERY CENTER FL -1031000 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 CF CARDIOVASCULAR COMGMT 600 EAST DIXIE AV LEESBURG FL 34748 270781065 HEALTHCARE SVCS FL LRMC RELATED 114589 26572 0 1 0.10340 VENTURE HEALTH CARE CORPORATION 600 EAST DIXIE AV LEESBURG FL 34748 592689702 MANAGEMENT SR FL C 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1