2015-05-14T16:15:53-05:00 2014-06-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2013-07-01 593527036 The Villages Tri-County Medical Center Inc % DIANE HARDEN CFO VILL 3523235002 1451 EL CAMINO REAL Suite THE VILLAGES FL 32159 Diane Harden CFO 3523235002 2015-05-14 true SHAWN M HUTCHINSON P01048557 3523235002 2013 2016-04-25 22:37:26Z DON HENDERSON PRESIDENT CEO 600 EAST DIXIE AVENUE LEESBURG FL 34748 151706979 false X WWW.TVRH.ORG X 1998 FL TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES. 16 14 1368 900 0 246867 165000 151511113 146126903 89877 364908 691001 4949433 152538858 151606244 150553 198281 0 0 66612841 64359944 0 0 0 75116807 73912411 141880201 138470636 10658657 13135608 172179000 242210309 103394095 160529119 68784905 81681190 TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES false false 123902504 198281 150986340 THE VILLAGES REGIONAL HOSPITAL, PART OF CENTRAL FLORIDA HEALTH ALLIANCE, IS A 223-BED ACUTE CARE HOSPITAL WITH A 20-BED INTENSIVE CARE UNIT LOCATED IN THE HEART OF THE VILLAGES, A NATIONALLY KNOWN ADULT COMMUNITY. SPECIALLY DESIGNED TO BRING HOSPITALITY TO HEALTH CARE, THE FACILITY SERVES THE TRI-COUNTY AREA - LAKE, SUMTER, AND SOUTH MARION COUNTIES. RECIPIENT OF THE HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD, THE VILLAGES REGIONAL HOSPITAL IS COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. THE FACILITY CONSISTS OF A SIX-BED INTENSIVE CARE UNIT, STATE-OF-THE-ART SURGICAL SUITES, A RADIOLOGY DEPARTMENT FEATURING FILMLESS COMPUTER IMAGING, PHARMACY, CLINICAL LABORATORY, AND A FULL SERVICE EMERGENCY DEPARTMENT. THE VILLAGES REGIONAL HOSPITAL IS HOME TO ONE OF THE WORLD'S FIRST PHILIPS AMBIENT EXPERIENCE CATHETER LABS DESIGNED TO IMPROVE THE EXPERIENCE DURING HEART CATHETER PROCEDURES. OUR TEAM MEMBERS, PHYSICIANS, AND VOLUNTEERS HAVE A PASSION FOR DELIVERING AWARD-WINNING HEALTHCARE AND IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 123902504 true true false true false false false false false false true true false false true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false true 16 0 true 1368 true false false false false false false false false false false false X 16 14 false false false false true true true true true false false true true true true true true true true true true FL X DIANE HARDEN CFO 3523235002 600 EAST DIXIE AVENUE LEESBURG FL 34748 X ROBERT Q WILLIAMS ESQ CHAIRPERSON 1.0 1.0 X 0 0 0 DON V HAHNFELDT VICE CHAIRPERSON 1.0 1.0 X 0 0 0 DIANE B SPENCER SECRETARY 1.0 1.0 X 0 0 0 GREGORY R LEWIS TREASURER 1.0 1.0 X 0 0 0 JANET M BOLIVAR BOARD MEMBER 1.0 1.0 X 0 0 0 ROGER A BEYERS BOARD MEMBER 1.0 1.0 X 0 0 0 SHAHBAZ A CHEEMA MD BOARD MEMBER 1.0 1.0 X 0 0 0 RUSSELL J D'EMIDIO BOARD MEMBER 1.0 1.0 X 0 0 0 SHIVAKUMAR S HANUBAL MD BOARD MEMBER 1.0 1.0 X 0 39027 0 GEORGE E KAINZ MD BOARD MEMBER 1.0 1.0 X 0 0 0 EVAN B RICHARDS BOARD MEMBER 1.0 1.0 X 0 0 0 KENNETH A SAMPONG MD BOARD MEMBER 1.0 1.0 X 0 0 0 ROGER W SHERMAN MD BOARD MEMBER 1.0 1.0 X 0 0 0 DAVID L SUSTARSIC MD BOARD MEMBER 1.0 1.0 X 1806 45124 0 TERRY R UPTON BOARD MEMBER 1.0 1.0 X 0 0 0 AMANDA J WETTSTEIN BOARD MEMBER 1.0 1.0 X 0 0 0 Donald Henderson President/CEO 0.0 50.0 X 0 677364 40438 Diane Harden SVP/CFO 0.0 50.0 X 0 387357 22253 Saad Ehtisham SVP/COO 0.0 50.0 X 0 299849 12131 Phyllis H Baum VP/CQO 0.0 50.0 X 0 444068 23605 Amie Richason VP of Human Resources 0.0 50.0 X 0 297799 12758 Philip J Braun VP/CHIEF COUNSEL 0.0 50.0 X 0 278123 22314 David Steele VP/CIO 0.0 50.0 X 0 269336 27068 William Pfingsten VP of Ambulatory Services 0.0 50.0 X 0 220032 22156 Mary Jane Curry-Pelyak VP PROFESSIONAL SERVICES 50.0 0.0 X 328824 0 10200 Rosemary T Reiner VP/CCO TVRH 50.0 0.0 X 261311 0 21291 Sandra Pelton Pharmacist 50.0 0.0 X 165760 0 22383 William G Labud Registered Nurse 50.0 X 150670 0 2999 Bernadette McDonald Director, Perioperative Serv 50.0 0.0 X 132481 0 15790 Wendy Donato Pharmacist 50.0 0.0 X 133710 0 11630 Elizabeth B Jernigan Administrator, Cancer Center 50.0 X 130798 0 19357 Timothy F Hawkins FORMER SVP/COO 0.0 50.0 X 0 153463 0 1305360 3111542 286373 32 true true false ANGELICA PO BOX 535122 ATLANTA GA 30353 LINEN SERVICES 776497 PHOENIX PHYSICIANS LLC 2828 CROASDAILE DRIVE DURHAM NC 27705 Physician Staffing 706522 MOFFITT CANCER CENTER 12902 USF MAGNOLIA DRIVE TAMPA FL 33612 CANCER CARE SERVICES 703887 AMN HEALTHCARE 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 429292 EXECUTIVE HEALTH RESOURCES PO BOX 822688 PHILADELPHIA PA 19182 CONSULTING SERVICES 361160 16 165000 165000 NET PATIENT SERVICE REVENUE 621400 146126903 146126903 146126903 374209 374209 0 0 180421 90425 89996 0 89996 89996 1009 10310 -9301 -9301 -9301 0 0 0 EHR Payout 900099 4225217 4225217 Dietary 900099 483749 483749 Misc. Other Revenue 900099 133775 133775 16696 16696 4859437 151606244 150986340 454904 198281 198281 0 0 0 1183931 1183931 0 50697816 45483471 5214345 2085178 1834956 250222 6601342 5809181 792161 3791677 3336676 455001 3134372 2048440 1085932 324225 162113 162112 129855 129855 5899 5899 0 0 670631 670631 369400 313990 55410 0 3108722 2735676 373046 0 0 48448 24266 24182 0 79978 35438 44540 1958582 1958582 0 11383497 9675972 1707525 1640059 1165951 474108 Supplies 35675234 35310979 364255 EQUIPMENT RENTAL & MAINT. 3946712 3371122 575590 Other Purchased Services 3060880 2386182 674698 Physician and Other Medical 2902728 2775981 126747 5473189 4604616 868573 138470636 123902504 14568132 0 47740748 48402122 494847 39222894 0 0 18932208 18357307 0 0 0 0 0 0 3705675 3621946 4945271 3455009 202816331 89488187 95910764 113328144 0 0 0 14985338 0 0 0 0 449487 837549 172179000 242210309 14941556 22700678 0 0 0 0 72500000 122605439 0 0 0 0 0 0 0 0 15952539 15223002 103394095 160529119 X 68749905 81646255 35000 34935 0 0 68784905 81681190 172179000 242210309 X 13135608 -27574 -211749 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 5899 false false 5899 false false SCHEDULE C, PART II-B, LINE 1I DUES REMITTED TO TRADE ASSOCIATION, A PORTION OF WHICH CONSTITUTES LOBBYING AND PAYMENTS TO A CONSULTANT THAT PROVIDES LOBBYING SERVICES. 5119586 5119586 101428769 39813524 61615245 0 0 0 67037510 46694334 20343176 29230466 2980329 26250137 113328144 FIXED INCOME SECURITIES 14985338 F 14985338 0 INTEREST RATE SWAP LIABILITY 6339650 MALPRATICE LIABILITY 5292244 DUE TO AFFILIATES 3591108 15223002 X 151457346 -27574 90425 62851 151394495 211749 211749 151606244 138561061 90425 90425 138470636 138470636 OTHER CHANGES IN REVENUES SCHEDULE D, PART XI, LINE 2D RENT EXPENSE RECLASS: 90,425 SCHEDULE D, PART XI, LINE 4B CHANGE IN FAIR VALUE OF INTEREST RATE: 211,749 OTHER CHANGES IN EXPENSES SCHEDULE D, PART XII, LINE 2D RENT EXPENSE RECLASS: 90,425 FIN 48 FOOTNOTE SCHEDULE D, PART XIV The Alliance and its affiliates, with the exception of Venture and the Surgery Center of Mount Dora, are not-for-profit organizations as described under Section 501(c)(3) of the Internal Revenue Code and are exempt from federal and state income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code and Chapter 220.13 of the Florida Statutes, respectively. U.S. generally accepted accounting principles require The Alliance's management to evaluate tax positions taken by The Alliance and recognize a tax liability if The Alliance has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Alliance has analyzed the tax positions and has concluded that as of June 30, 2014 and 2013, 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 Alliance is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Alliance believes it is no longer subject to income tax examinations for years prior to 2009. true true X true X true X true true true false true true 2230866 2230866 0.01610 7985154 3068160 4916994 0.05770 10216020 3068160 7147860 0.07380 10216020 3068160 7147860 0.07380 true 2047370 81626366 73400988 8225378 X true false 1 1 THE VILLAGES TRI-COUNTY MEDICAL CTR 1451 EL CAMINO REAL THE VILLAGES FL 32159 http://www.tvrh.org/ 4464 X X X THE VILLAGES TRI-COUNTY MEDICAL CTR true X X X X X X X X X 12 true true true X SEE SUPPLEMENTAL INFORMATION X X X X X X X false false true true 200. true 400. true X X X true true X X X true false X X X X X true X false false PART V, SECTION B, LINE 3 IN GENERAL, INPUT FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVIED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. MORE SPECIFICALLY, IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, WE LOOK AT THE POPULATION SERVED AT THE COMMUNITY MEDICAL CARE CENTER (A PRIMARY CARE CLINIC FOR THE UNINSURED OF WHICH CENTRAL FLORIDA HEALTH ALLIANCE HELPS SUPPORT FINANCIALLY AND WITH VOLUNTEERS), ANALYZE DATA BY AND WORK WITH THE LAKE COUNTY HEALTH DEPARTMENT, SERVE ON COMMUNITY TASK FORCES AND BOARDS WITH OTHER HEALTH CARE PROVIDERS, AND SURVEY PARTICIPANTS AT COMMUNITY OUTREACH HEALTH FAIRS, SCREENINGS AND EVENTS. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH CARE NEEDS, PARTICULARLY IN THE UNINSURED AND UNDERSERVED. THE COMMUNITY POPULATION IS PRIMARILY MEDICARE (APPROXIMATELY 75%) WITH THE REMAINDER MEDICAID, SELF PAY AND OTHER. WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM, THERE IS VERBIAGE ON OUR WEBSITE AND STATEMENTS REGARDING THE CHARITY CARE PROGRAM. ALSO, WE PROVIDE PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. OTHER COMMUNITY OUTREACH ACTIVITIES WHICH PROMOTE HEALTH OF THE COMMUNITY INCLUDE: - FREE DOC TALK PREVENTATIVE EDUCATION SERIES, - FREE OR REDUCED COST HEALTH SCREENINGS (RANGING FROM PERIPHERAL ARTERIAL DISEASE SCREENINGS TO BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE CHECKS), - HOSTING AND MAKING AVAILABLE (AT NO CHARGE) HOSPITAL SPEAKERS FOR A VARIETY OF SUPPORT GROUPS AND ORGANIZATIONS (AS WELL AS DONATED MEETING SPACE), - PARTNERING AND AFFILIATING WITH OUTSIDE GROUPS TO IDENTIFY HEALTH PRIORITIES AND ENHANCE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE, AND - PROVIDING HEALTHY HEROES (EMPLOYEE VOLUNTEERS) WHO CONTRIBUTE COUNTLESS HOURS TO THE COMMUNITY OUTSIDE OF OUR HOSPITALS BY PARTICIPATING IN MANY DIFFERENT PREVENTATIVE HEALTH EVENTS. IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF. PART V, SECTION B, LINE 4 LEESBURG REGIONAL MEDICAL CENTER THE VILLAGES TRI-COUNTY MEDICAL CENTER PART V, SECTION B, LINE 14G THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE, COPIES AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE TO ANYONE WHO REQUESTS IT. PART V, SECTION B, LINE 18E ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITY'S MEDICAID ELIGIBILITY COMPANY. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING - MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT ("HCRA").THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED ITS PATIENT HEALTH MANAGEMENT SYSTEM. THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE HOSPITAL FACILITY FIRST SENDS A STATEMENT TO SELF-PAY PATIENTS FROM ITS PATIENT ACCOUNTING SYSTEM. IF AFTER 30 DAYS, THE PATIENT HAS NOT SATISFIED THE BALANCE, THE ACCOUNT IS SENT TO ONE OF THE HOSPITAL FACILITY'S TWO EARLY OUT AGENCIES FOR 90 DAYS THAT WORK TO IDENTIFY ADDITIONAL SOURCES FOR PAYMENT AND TO PROMPT PATIENTS TO PAY, THEREBY ELIMINATING THE NEED FOR EXTENSIVE COLLECTION ACTIVITY. IF AFTER THIS 90 DAY PERIOD, THE ACCOUNT STILL HAS A BALANCE, IT IS THEN SENT TO ONE OF THE HOSPITAL FACILITY'S COLLECTION AGENCIES. IF AFTER 120 DAYS THERE IS A BALANCE, IT IS RETURNED TO THE HOSPITAL FACILITY AS UNCOLLECTIBLE AND CLOSED. PART V, SECTION B, LINE 20D THE HOSPITAL DETERMINES THE AMOUNTS BILLED TO PATIENTS WHO DID NOT HAVE INSURANCE COVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE BY USING A DISCOUNT AGAINST OF GROSS CHARGES, USUALLY A 40% OR GREATER DISCOUNT, AT THE TIME OF SERVICE. PART V, SECTION B, LINE 5A http://www.cfhalliance.org/pdf/tvr-needs-assessment-2012.pdf PART V, SECTION B, LINE 7 The Villages Tri-County Medical Center, Inc. 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 Villages Tri-County Medical Center, Inc. recognizes that other community groups have more experience to meet those needs. The needs identified that are being addressed by other organizations are aging problems, respiratory/lung disease, mental health, alcohol abuse & drug abuse, immunizations, diabetes, and utilizing volunteer workforce. The following is a link to the community health needs assessment implementation plan: http://www.cfhalliance.org/pdf/tvr-implementationplan-2012.pdf FEDERAL POVERTY GUIDELINES SCHEDULE H, PART I, LINE 3C N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES. ANNUAL COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A THE VILLAGES AND LEESBURG REGIONAL MEDICAL HOSPITAL FILE A COMBINED COMMUNITY BENEFIT REPORT. SUBSIDIZED HEALTH SERVICES SCHEDULE H, PART I, LINE 7G THIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS. BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE ALLIANCE'S POLICIES. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. COSTING METHODOLOGY SCHEDULE H, PART III, LINE 8 LEESBURG REGIONAL MEDICAL CENTER IS THE SECOND LARGEST EMPLOYER IN LAKE COUNTY, EMPLOYING MORE THAN 1,700 TEAM MEMBERS WITH AN ANNUAL PAYROLL OF $86 MILLION. THE VILLAGES HEALTH SYSTEM HAS 1,000 TEAM MEMBERS ($44.3 MILLION PAYROLL). COMBINED, CENTRAL FLORIDA HEALTH ALLIANCE PROVIDED JOBS FOR 2,700 PEOPLE IN THE COMMUNITIES WE SERVE. BASED ON COMMUNITY BENEFIT REPORTING: GUIDELINES AND STANDARD DEFINITIONS FOR THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY, VOLUNTARY HOSPITALS OF AMERICA (VHA) AND THE CATHOLIC HEALTHCARE ASSOCIATION (CHA) OF THE UNITED STATES, 2005. CHARITY CARE IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH ALLIANCE TO PROVIDE MEDICAL SERVICES TO THOSE PATIENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT. THE MEDICARE AND MEDICAID PROGRAMS PAY CENTRAL FLORIDA HEALTH ALLIANCE LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO ITS MEDICARE AND MEDICAID PATIENTS. THE AMOUNTS SHOWN ARE THE ACTUAL COSTS TO PROVIDE THESE SERVICES ABOVE REIMBURSEMENT. BAD DEBT IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH ALLIANCE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE NOT PAID THEIR BILLS AND WHO HAVE NOT DEMONSTRATED THEIR INABILITY TO PAY. COLLECTION POLICIES SCHEDULE H, PART III, LINE 9B THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TO COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS. FACILITY INFORMATION SCHEDULE H, PART V The Villages Tri-County Medical Center's Community Health Needs Assessment and implementation strategy are located at: http://www.cfhalliance.org/about-community-health.html Bad Debt, Medicare Schedule H, Part III Medicare Allowable costs used to determine the Medicare Surplus are reduced in FY2014 for $4,225,216.74 in cost recoveries related to Meaningful Use. true LAKE-SUMTER COMMUNITY COLLEGE FOUNDATION INC 9501 US HWY 441 LEESBURG FL 34788 300078509 501(C)(3) 42500 n/a n/a DONATION TVRH Auxiliary 1451 El Camino Real The Villages FL 32159 550818419 501(C)(3) 100000 N/A N/A DONATION COMMUNITY MEDICAL CARE CENTER OF LEESBURG 1210 WEST MAIN STREET LEESBURG FL 34788 591990323 501(C)(3) 55781 N/A N/A DONATION 3 MONITORING THE USE OF GRANT FUNDS FORM 990, SCHEDULE I, PART I, QUESTION 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 false false false false false false false true false Donald Henderson President/CEO 0 510970 0 139052 0 27342 0 22212 0 18226 0 717802 0 0 Diane Harden SVP/CFO 0 304303 0 62144 0 20910 0 10200 0 12053 0 409610 0 0 Saad Ehtisham SVP/COO 0 243657 0 50832 0 5360 0 0 0 12131 0 311980 0 0 Phyllis H Baum VP/CQO 0 289837 0 49083 0 105148 0 10200 0 13405 0 467673 0 0 Amie Richason VP of Human Resources 0 213198 0 79560 0 5041 0 0 0 12758 0 310557 0 0 Philip J Braun VP/CHIEF COUNSEL 0 190299 0 32227 0 55597 0 10039 0 12275 0 300437 0 0 David Steele VP/CIO 0 220829 0 37397 0 11110 0 6784 0 20284 0 296404 0 0 William Pfingsten VP of Ambulatory Services 0 186171 0 32301 0 1560 0 6835 0 15321 0 242188 0 0 Timothy F Hawkins FORMER SVP/COO 0 153463 0 0 0 0 0 0 0 0 0 153463 0 0 Mary Jane Curry-Pelyak VP PROFESSIONAL SERVICES 232879 0 39476 0 56469 0 10200 0 0 0 339024 0 0 0 Rosemary T Reiner VP/CCO TVRH 192127 0 34002 0 35182 0 6738 0 14553 0 282602 0 0 0 Sandra Pelton Pharmacist 157219 0 700 0 7841 0 1657 0 20726 0 188143 0 0 0 William G Labud Registered Nurse 149305 0 1355 0 10 0 2999 0 0 0 153669 0 0 0 Elizabeth B Jernigan Administrator, Cancer Center 116426 0 14182 0 190 0 4746 0 14611 0 150155 0 0 0 COMPENSATION TO DIRECTOR FORM 990, PART VII, SECTION A DURING THE ROUTINE COURSE OF BUSINESS, DR. DAVID L. SUSTARSIC, MD, PA EARNED $1,806 IN COMPENSATION FROM THE VILLAGES TR-COUNTY MEDICAL CENTER, INC AND $45,124 FROM LEESBURG REGIONAL MEDICAL CENTER, INC. DURING CALENDAR YEAR 2013 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF LEESBURG REGIONAL DURING THE YEAR. COMPENSATION TO DIRECTOR FORM 990, PART VII, SECTION A DURING THE ROUTINE COURSE OF BUSINESS, DR. SHIVAKUMAR HANUBAL, MD, EARNED $39,027 IN COMPENSATION FROM LEESBURG REGIONAL DURING CALENDAR YEAR 2013 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF LEESBURG REGIONAL DURING THE YEAR. BONUS AWARDS SCHEDULE J, PART I, LINE 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. PERSONAL TIME OFF PAYOUT FORM 990, PART VII, SECTION A NOTE THAT DURING 2013 THERE WAS A ONE-TIME PAY OUT OF ACCRUED PERSONAL TIME OFF. THEREFORE, THE CURRENT YEAR REPORTABLE COMPENSATION INCLUDES AMOUNTS FOR THE ONE-TIME PERSONAL TIME OFF PAYOUT. A CITY OF LEESBURG FLORIDA 596000362 524360FM1 2009-12-16 30000000 HOSP REV REFDG BONDS SERIES 2009A false false false B CITY OF LEESBURG FLORIDA 596000362 2011-10-06 42500000 HOSP REV REFDG BONDS SERIES 2011 false false false C Sumter County Industrial Development Authority 383816771 86652QAT9 2014-03-11 50261365 HOSPITAL REV BONDS, SERIES 2014A false false false A 0 0 30000000 0 0 30000000 0 0 0 0 0 0 2009 true false true true B 0 0 42500000 0 0 42500000 0 0 0 0 0 0 2011 true false true true C 0 0 50261365 0 0 0 600860 0 0 49660505 0 0 false false true true A false false true true false 0.00720 0.00720 false false false false B false false true true false 0.00720 0.00720 false false false false C false false true true false 0.01200 0.01200 false false false false A false false false false true false 0 false false false 0 false false B false false false false true false 0 false false false 0 false false C false false false false false false 0 false false false 0 false false A false B false C false DECISIONS SUBJECT TO MEMBER APPROVAL FORM 990, PART VI, SECTION A, LINES 6, 7A, AND 7B CENTRAL FLORIDA HEALTH ALLIANCE ("CFHA") IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH, CFHA APPOINTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND CERTAIN DECISIONS OF THE ORGANIZATION, AS DEFINED IN THE ORGANIZATION'S BYLAWS, ARE SUBJECT TO CFHA APPROVAL. PROCESS USED TO REVIEW 990 FORM 990, PART VI, SECTION B, LINE 11 DURING MAY 2015, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2013 FORM 990 TO FINANCE COMMITTEE FOR ITS REVIEW. THE FINANCE COMMITTEE MEMBERS HAD AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK PROVIDED FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. UPON FINALIZATION OF THE RETURN, MANAGEMENT PROVIDED A FINALIZED COPY OF THE RETURN TO THE BOARD OF DIRECTORS PRIOR TO FILING. MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15B 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 COMMUNITY HOSPITAL CORPORATION AS ITS THIRD PARTY NEUTRAL SOURCE TO PREPARE AND GATHER MARKET INFORMATION FOR REVIEW BY THE COMPENSATION COMMITTEE. DETAILED MINUTES ARE KEPT OF ALL ACTIONS. INVESTMENT IN JOINT VENTURE FORM 990, PART VI, SECTION B, LINE 16B BEFORE PARTICIPATING IN A JOINT VENTURE, THE ORGANIZATION WILL ENSURE THAT THE JOINT VENTURE FURTHERS THE ORGANIZATION'S EXEMPT PURPOSES AND WILL NEGOTIATE AT ARM'S LENGTH CONTRACTUAL AND OTHER TERMS OF PARTICIPATION THAT SAFEGUARD THE ORGANIZATION'S EXEMPTION FROM FEDERAL INCOME TAX. SUCH TERMS SHALL BE IN WRITING IN THE OPERATING AGREEMENT OF THE JOINT VENTURE. THE ORGANIZATION PARTICIPATES IN JOINT VENTURES THAT ARE BENEFICIAL TO THE HEALTH CARE OF THE COMMUNITY. MAKING DOCUMENTS AVAILABLE TO THE PUBLIC 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 CHANGE IN FMV OF INTEREST RATE: (211,749) VILLAGES REG HOSPITAL PHYSICIAN SERVICES 1451 EL CAMINO REAL THE VILLAGES FL 32159 263978916 BILLING SERV FL TVRH LEESBURG REGIONAL MEDICAL CENTER 600 EAST DIXIE AVNUE LEESBURG FL 34748 590878982 MEDICAL SRVCS FL 501(C)(3) 3 CFHA false CENTRAL FLORIDA HEALTH ALLIANCE 600 EAST DIXIE AVNUE LEESBURG FL 34748 331197054 PARENT HOSP FL 501(C)(3) 11 NA false VILLAGES REGIONAL HOSPITAL AUXILIARY FDN 1451 EL CAMINO REAL THE VILLAGES FL 32159 550818419 SUPPORT HOSP FL 501(C)(3) 11 TVRH false CF CARDIOVASC COMGT 600 EAST DIXIE AVENUE LEESBURG FL 34748 270781065 HEALTHCARE SRVCS FL LRMC RELATED 113009 16891 false false 0.12766 CF ONCOLOGY COMGT 600 EAST DIXIE AVENUE LEESBURG FL 34748 272818513 HEALTHCARE SRVCS FL LRMC RELATED 67836 39696 false false 0.25000 CF INPATIENT COMGT 600 E DIXIE AVENUE LEESBURG FL 34748 471165465 HEALTHCARE SRVCS FL LRMC Related false false 0.24138 SURGERY CTR MT DORA 3710 LAKE CTR MT DORA FL 32757 262446297 HEALTHCARE SRVCS FL NA VENTURE HEALTH CARE CORPORATION 600 EAST DIXIE AVENUE LEESBURG FL 34748 592689702 MANAGEMENT SR FL NA C Corp false false true false false false false false false false false false false false true true true false false THE VILLAGES REGIONAL HOSPITAL AUXILIARY c 165000 FMV