FOUNDATION RESOLUTION CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION RESOLUTION CORPORATION (EIN 59-2890430)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201402279349303360
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-15T12:35:03-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621517792 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Cherokee Mills 2220 Sutherland | AddressLine1 |
| Address Line2 | Ave | AddressLine2 |
| City | Knoxville | City |
| State | TN | State |
| ZIP Code | 37919 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592890430 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Health Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CITR | NameControl |
| Phone | 3525606898 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 344524720 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark Williams | Name |
| Title | CFO | Title |
| Phone | 3525606898 | Phone |
| Date Signed | 2014-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terry Haefner | Name |
| PTIN | P01258953 | PTIN |
| Phone | 8656730844 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Rafael Aleman CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 344524720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 184518033 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.citrusmh.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | To provide healthcare services for the benefit of citizens and residents of Citrus County. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1683 | TotalNbrEmployees |
| Total Nbr Volunteers | 464 | TotalNbrVolunteers |
| Total Gross UBI | 204 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 664383 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 308078 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 174033357 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 176429891 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 225844 | InvestmentIncomePriorYear |
| Investment Income Current Year | -130191 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 182907 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3100862 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 175106491 | TotalRevenuePriorYear |
| Total Revenue Current Year | 179708640 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71383568 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 69963663 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 171181 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 109830769 | OtherExpensePriorYear |
| Other Expenses Current Year | 114682618 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 181214337 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184646281 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6107846 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4937641 | RevenuesLessExpensesCY |
| Total Assets BOY | 137191064 | TotalAssetsBOY |
| Total Assets EOY | 117900176 | TotalAssetsEOY |
| Total Liabilities BOY | 115685789 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82419319 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21505275 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 35480857 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Citrus Memorial Hospital exists to improve the health and quality of life of the people and communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 148298236 | Expense |
| Revenue | 153932786 | Revenue |
| Description | Citrus Memorial Hospital is a 198-bed, general short-term acute care hospital. The hospital's services include Same Day Surgery, 24-hour Emergency and Lab Services, Diagnostic Imaging, Rehabilitation, Cardiology and Catherization, Critical Care, Ear-Nose-Throat, Endoscopy, General Surgery, Gynecology and Obstetrics, Laparoscopic Surgery, Laser Surgery, Lithotripsy, Neurology, Opthalmology, Orthopedic, Pediatric Pulmonary, Radiation Therapy, Urology, Vascular Services and community education programs. Citrus Memorial Hospital was established as a general short-term acute care hospital in 1957. It is operated by the Citrus Memorial Health Foundation, Inc. The hospital charges each patient for services rendered; however, it is recognized that not all individuals have the ability to pay for these services. A determination is made to identify those persons that qualify for hospital sponsored care. The hospital follows the guidelines established by the State of Florida for qualifying hospital sponsored care. When an individual is qualified for hospital sponsored care, the bill is written off in most cases and partially written off in the remaining cases. When a patient does not have insurance, additional discounts are available. The total amount of uncompensated care absorbed by the hospital in fiscal year 2013 was $56,933,274 including $14,707,104 of charity care, $31,754,258 of bad debt and $10,471,912 of self-pay discounts. The rate of reimbursement for Medicare and Medicaid payments is below the cost of providing such care. Thus, the hospital must recognize these amounts as necessary in meeting its mission.The following statistics show the level of care that was provided by the hospital in fiscal year 2013, thus enhancing the quality of life in its service area: Annual Admissions 10,305Newborn Admissions 614Patient Days 44,245Newborn Days 1,106Operations Performed 5,563ER Visits 39,588Outpatient Registrations 141,060 The hospital has many other activities in keeping with its commitment to serve the healthcare needs of Citrus County:- Distributes a wide variety of literature that educates patients on topics ranging from emergency medical problems to Medicare benefits.- Sponsors a free Share Club for senior citizens to provide health care seminars and screenings, Medicare assistance and other opportunities to its over 8,500 members.- Provides some 200 educational programs annually that are available at no cost to the community, medical workers and physicians.- Operates walk-in and diagnostic imaging centers to provide health care to the residents in the center of the county.- Participates in and hosts health fairs throughout the county, offering health care screenings and information in order to foster health education in the community.- Sponsors various health awareness programs and seminars to educate the general public about various health topics.- Provides speakers for various civic organizations.- Sponsors free 24/7 physician referral service for Citrus and Sumter counties to help increase accessibility to healthcare.- Offers periodic free or low-cost health exams and screenings such as blood pressure, cholesterol, hemoglobin and various cancer screenings, among others. This aids awareness of personal health and detects problems or possible problems.- Sponsors and participates in events such as local parades, safety fairs, Chamber of Commerce events and an annual county baby shower to increase community awareness of our services.- Provides organizational and operational skills and meeting facilities for numerous groups including but not limited to Ostomy Support Group, Diabetes Support Group, American Cancer Society, Mended Hearts, various cancer support groups, Stroke Support Group, American Heart Association and Breast Cancer Support Group.- Provides assistance to educators through our work with student nursing, radiology technologist and phlebotomist programs in the local community colleges and vocational training center. Also participates in local high school career fairs to increase awareness of career opportunities in healthcare. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16705134 | Expense |
| Revenue | 21026465 | Revenue |
| Description | Citrus Memorial maintains offsite external services for the community including family practice, internal medicine and rehab services. These clinics are located conveniently throughout the county. In addition, the offices participate in local health fairs, provide free physicals for various local student organizations and host educational seminars on a variety of healthcare related topics. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1850317 | Expense |
| Revenue | 1677065 | Revenue |
| Description | The Citrus Memorial Home Health Agency was established to provide care to those that are homebound or need continuing post-hospital care. Services include skilled nursing, rehabilitation therapy, social services and nutrition. This agency provides an alternative to hospitalization or nursing home placement. The home health agency is certified by the Joint Commission on Accreditation of Healthcare Organizations. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 166853687 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 89 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1683 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Williams | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3525606898 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 34452 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Robert Collins | |||||||
| Chairperson | 1.00 | X | 0 | 0 | 0 | ||
| Sandra Chadwick | |||||||
| Vice-Chairperson | 4.00 | X | 0 | 0 | 0 | ||
| Carlton E Fairbanks DMD | |||||||
| Secretary/Treasurer | 8.00 | X | 0 | 0 | 0 | ||
| Joseph S Brannen | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| Venugopala Reddy MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| David Langer | |||||||
| Director | 3.00 | X | 0 | 0 | 0 | ||
| James T Sanders | |||||||
| Director | 6.00 | X | 0 | 0 | 0 | ||
| Venkat R Alugubelli MD | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Ryan D Beaty | |||||||
| CEO | 50.00 | 374883 | 0 | 70360 | X | ||
| Mark A Willams | |||||||
| CFO | 50.00 | 179666 | 0 | 23214 | X | ||
| Linda M McCarthy | |||||||
| CNO | 50.00 | 189437 | 0 | 22971 | X | ||
| Lee A Glotzback | |||||||
| CHRO | 50.00 | 150669 | 0 | 34801 | X | ||
| Charles L Nutinsky DO | |||||||
| CMO | 50.00 | 119291 | 0 | 5105 | X | ||
| Jerrald W DeLoach | |||||||
| COO | 50.00 | 199180 | 0 | 24951 | X | ||
| Michael P Brown DO | |||||||
| Physician | 50.00 | 560080 | 0 | 34782 | X | ||
| Farhaad C Golkar MD | |||||||
| Physician | 50.00 | 363088 | 0 | 12067 | X | ||
| John D Gelin MD | |||||||
| Physician | 50.00 | 342982 | 0 | 42783 | X | ||
| Quehuong Pham Mast MD | |||||||
| Physician | 50.00 | 342577 | 0 | 32003 | X | ||
| Marc E Fernandez MD | |||||||
| Physician | 50.00 | 328291 | 0 | 46216 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3150144 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 349253 | TotalOtherCompensation |
| Number Individuals GT100 K | 39 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Cerner Corporation | |||||
| 2800 Rockcreek Parkway | Kansas City | MO | 64117 | IT Services | 17681140 |
| Sheridan Healthcorp Inc | |||||
| PO Box 452197 | Surise | FL | 333232197 | Anesthesia Services | 1749035 |
| Carlton Fields Jorden Burt | |||||
| 4221 W Boyscout Boulevard Suite 1 | Tampa | FL | 336075780 | Legal Services | 1535210 |
| Adex Medical Staffing LLC | |||||
| 13083 Telecom Parkway North | Temple Terrace | FL | 336370926 | Medical Staffing | 1446602 |
| Lifesouth Community Blood Centers Inc | |||||
| 4039 Newberry Road | Gainesville | FL | 32607 | Blood Services | 1420750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 37 | NumberOfContractorsGT100K |
| Fundraising Events | 87364 | FundraisingEvents |
| All Other Contributions | 220714 | AllOtherContributions |
| Noncash Contributions | 6264 | NoncashContributions |
| Total Contributions | 308078 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Hospital Service Rev. | 621110 | 173696764 | 173696764 | |
| SMP-Florida Medicaid | 621110 | 1316695 | 1316695 | |
| Ad Valorem Taxes | 900099 | 968839 | 968839 | |
| Cafeteria Sales | 722210 | 423038 | $423,038 | |
| Miscellaneous | 900099 | 24555 | 24555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 176429891 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 136200 | TotalRevenueColumn |
| Exclusion | $136,200 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 214971 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 51760 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 163211 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 163211 | TotalRevenueColumn |
| Exclusion | $163,211 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4461881 | Securities |
| Other | 3681 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4651787 | Securities |
| Other | 80166 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -189906 | Securities |
| Other | -76485 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -266391 | TotalRevenueColumn |
| Exclusion | -$266,391 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 32107 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 87364 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 25680 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6427 | TotalRevenueColumn |
| Exclusion | $6,427 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Meaningful Use | 900099 | 2724595 | $2,724,595 | ||
| Miscellaneous | 900099 | 206425 | 206425 | ||
| Catering | 722320 | 204 | 204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2931224 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 179708640 | TotalRevenueColumn |
| Related Or Exempt Function Income | 176213278 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 204 | UnrelatedBusinessRevenue |
| Exclusion | $3,187,080 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59057693 | Total |
| Program Services | 53830913 | ProgramServices |
| Management And General | 5092342 | ManagementAndGeneral |
| Fundraising | 134438 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -851506 | Total |
| Program Services | 269474 | ProgramServices |
| Management And General | -1121953 | ManagementAndGeneral |
| Fundraising | 973 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7682482 | Total |
| Program Services | 5337009 | ProgramServices |
| Management And General | 2331010 | ManagementAndGeneral |
| Fundraising | 14463 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4074994 | Total |
| Program Services | 3799392 | ProgramServices |
| Management And General | 265778 | ManagementAndGeneral |
| Fundraising | 9824 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1133452 | Total |
| Management And General | 1133452 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82558 | Total |
| Management And General | 82558 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20271516 | Total |
| Program Services | 17430691 | ProgramServices |
| Management And General | 2837929 | ManagementAndGeneral |
| Fundraising | 2896 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 607916 | Total |
| Program Services | -18503 | ProgramServices |
| Management And General | 623474 | ManagementAndGeneral |
| Fundraising | 2945 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35952425 | Total |
| Program Services | 35761042 | ProgramServices |
| Management And General | 189018 | ManagementAndGeneral |
| Fundraising | 2365 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2281819 | Total |
| Program Services | 2267188 | ProgramServices |
| Management And General | 14631 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8289882 | Total |
| Program Services | 8223482 | ProgramServices |
| Management And General | 65150 | ManagementAndGeneral |
| Fundraising | 1250 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136283 | Total |
| Program Services | 121861 | ProgramServices |
| Management And General | 14124 | ManagementAndGeneral |
| Fundraising | 298 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10486 | Total |
| Program Services | 7504 | ProgramServices |
| Management And General | 2982 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2654746 | Total |
| Management And General | 2654746 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7870124 | Total |
| Program Services | 7870124 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1593209 | Total |
| Program Services | 4605 | ProgramServices |
| Management And General | 1588604 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad Debts | 31754257 | 31754257 | ||
| Indigent Assessment | 1817046 | 1817046 | ||
| Education | 182467 | 160781 | 21686 | |
| Miscellaneous | 44432 | 33867 | 8836 | 1729 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184646281 | Total |
| Program Services | 166853687 | ProgramServices |
| Management And General | 17621413 | ManagementAndGeneral |
| Fundraising | 171181 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25699170 | BOY |
| EOY | 10270552 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20017400 | BOY |
| EOY | 19921140 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469244 | BOY |
| EOY | 3430737 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2442024 | BOY |
| EOY | 1696690 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 169541734 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 107206383 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65861712 | BOY |
| EOY | 62335351 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 567216 | BOY |
| EOY | 561007 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4901000 | BOY |
| EOY | 4901000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14233298 | BOY |
| EOY | 14783699 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137191064 | BOY |
| EOY | 117900176 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21826540 | BOY |
| EOY | 19966668 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55349539 | BOY |
| EOY | 44953538 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1363373 | BOY |
| EOY | 984241 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37146337 | BOY |
| EOY | 16514872 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115685789 | BOY |
| EOY | 82419319 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17184050 | BOY |
| EOY | 33031838 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4321225 | BOY |
| EOY | 2449019 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21505275 | BOY |
| EOY | 35480857 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137191064 | BOY |
| EOY | 117900176 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4937641 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 67684 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 18845539 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7368434 | OtherCostOrOtherBasis |
| Book Value | 7368434 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 87789694 | OtherCostOrOtherBasis |
| Depreciation | 47906510 | Depreciation |
| Book Value | 39883184 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3687480 | OtherCostOrOtherBasis |
| Depreciation | 3338467 | Depreciation |
| Book Value | 349013 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70405836 | OtherCostOrOtherBasis |
| Depreciation | 55961406 | Depreciation |
| Book Value | 14444430 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 290290 | OtherCostOrOtherBasis |
| Book Value | 290290 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 62335351 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 2924863 |
| Other Assets | 1232044 |
| Malpractice Funding Arrangement | 1853058 |
| Indenture Agreement | 3802548 |
| Deferred Bond Costs, Net | 383862 |
| Assets Limited as to Use | 4460691 |
| Due from Third-Party Payers, Net | 126633 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14783699 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Liability for Pension Benefits | $10,372,727 |
| Other Liabilities | $4,595,460 |
| Professional Liability | $1,546,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16514872 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 147948380 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -31718229 | OtherRevenues |
| Revenue Not Rptd F990 | -31718229 | RevenueNotRptdF990 |
| Revenue Subtotal | 179666609 | RevenueSubtotal |
| Other Revenues Not Included | 42031 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 42031 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 179708640 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 152979812 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 51760 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 51760 | ExpensesNotRptdF990 |
| Expenses Subtotal | 152928052 | ExpensesSubtotal |
| Other Expenses Not Included | 31718229 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 31718229 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184646281 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Foundation is exempt from income taxes under Section 501(c)(3) of the IRC. Accordingly, the financial statements do not reflect a provision for income taxes. At September 30, 2013, the Foundation does not have any uncertain tax positions that would require recognition or disclosure in the financial statements. The Foundation is no longer subject to federal or state income tax examinations by tax authorities for the years before 2009. |
| Part XI, Line 2d - Other Adjustments: | Provision for bad debts -31,754,257. Net assets released from restrictions 36,028. | |
| Part XI, Line 4b - Other Adjustments: | Fundraising events activity, net 93,791. Rental expenses -51,760. | |
| Part XII, Line 2d - Other Adjustments: | Rental expenses 51,760. | |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debts 31,754,257. Net assets released from restrictions -36,028. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 119471 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 87364 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32107 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 1695 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1409 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 10416 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5188 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 6972 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 119471 | GrossReceiptsTotal |
| Charitable Contributions Total | 87364 | CharitableContributionsTotal |
| Gross Revenue Total Events | 32107 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 1695 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1409 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 10416 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 5188 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 6972 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 25680 | DirectExpenseSummaryEvents |
| Net Income Summary | 6427 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 175.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6810045 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1672185 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5137860 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03360 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14264430 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10340200 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3924230 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21074475 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12012385 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9062090 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77196 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 77196 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10260 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10260 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17452 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 17452 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 201668 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 201668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 306576 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 306576 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21381051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12012385 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9368666 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06130 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,296,869 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 55089799 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 63657544 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8567745 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 Nature Coast Development Group-Crystal River | |||
| Rental | 0.50000 | 0.00000 | 0.25000 |
| 2 Nature Coast Development Group-Meadowcrest | |||
| Rental | 0.50000 | 0.00000 | 0.50000 |
| 3 Citrus County Medical Group | |||
| Rental | 0.17000 | 0.00000 | 0.00000 |
| 4 North Central Florida Health Partners | |||
| Buying Group | 0.50000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 W Highland Blvd | AddressLine1 |
| City | Inverness | City |
| State | FL | State |
| ZIP Code | 34452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 175.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 24 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (24 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Inverness Diagnostic Imaging Center | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | diagnostic imaging ctr |
| Citrus Orthopedic & Joint Institute | ||||
| 951 N Avalon Way | Lecanto | FL | 34461 | rehabilitation clinic |
| Inverness Surgical Associates | ||||
| 403 W Highland Blvd | Inverness | FL | 34452 | outpatient surgical clinic |
| Gulf Coast Aquatic & Rehab | ||||
| 6043 W Nordling Loop | Crystal River | FL | 34429 | rehabilitation clinic |
| Gulf Coast Aquatic & Rehab | ||||
| 819 Medical Court East | Inverness | FL | 34452 | rehabilitation clinic |
| Citrus Memorial Home Health Agency | ||||
| 502 W Highland Blvd | Inverness | FL | 34452 | home healthcare |
| Allen Ridge Diagnostic Imaging Center | ||||
| 520 N Lecanto Hwy | Lecanto | FL | 34461 | diagnostic imaging center |
| Citrus Springs Rehabilitation Center | ||||
| 10489 N Florida Avenue Suite F | Citrus Springs | FL | 34434 | rehabilitation clinic |
| Citrus Primary Care - Beverly Hills | ||||
| 450 W Roosevelt Blvd | Beverly Hills | FL | 34465 | outpatient physician clinic |
| Citrus Primary Care - Floral City | ||||
| 7648 S Florida Avenue | Floral City | FL | 34436 | outpatient physician clinic |
| Sugarmill Woods Diagnostic Imaging Ctr | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | diagnostic imaging center |
| Allen Ridge Family Care Center | ||||
| 540 N Lecanto Hwy | Lecanto | FL | 34461 | outpatient physician clinic |
| Citrus Primary Care - Homosassa | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | outpatient physician clinic |
| Citrus Primary Care - Inverness | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | outpatient physician clinic |
| Citrus Primary Care - Crystal River | ||||
| 700 SE 5th Terrace Suite 7 | Crystal River | FL | 34429 | outpatient physician clinic |
| Citrus Primary Care - Citrus Springs | ||||
| 10334 N Citrus Springs Blvd | Citrus Springs | FL | 34434 | outpatient physician clinic |
| Sugarmill Woods Family Care Center | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | outpatient physician clinic |
| Citrus Primary Care - Bushnell | ||||
| 417 Market Street 7 | Bushnell | FL | 33513 | outpatient physician clinic |
| Beverly Hills Lab Collection Ctr | ||||
| 8 Regina Blvd | Beverly Hills | FL | 34465 | laboratory draw station |
| Citrus Hills Lab Collection Ctr | ||||
| 1978 N Prospect Avenue | Lecanto | FL | 34461 | laboratory draw station |
| Dunnellon Lab Collection Center | ||||
| 11352 N Williams Street | Dunnellon | FL | 34432 | laboratory draw station |
| HomosassaSugarmill Woods Lab Col Ctr | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | laboratory draw station |
| Inverness Laboratory Collection Ctr | ||||
| 131 S Citrus Avenue | Inverness | FL | 34452 | laboratory |
| Sugarmill Woods Rehabilitation Center | ||||
| 7945 S Suncoast Blvd | Homosassa | FL | 34446 | rehabilitation clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, L7 Col(f): Bad debt expense at cost was determined by multiplying charges written off by the cost-to-charge ratio calculated using the methodology in Worksheet 2 of the instructions to this form. Although there is a significant dollar amount associated with the bad debt expense that could be considered charity, we are unable to make that determination. It has been estimated in the past to be 40% of bad debt expense. | |
| Part III, Line 4: Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, Medicaid and other third-party payment programs. Current operations include a provision for bad debts in the statements of operations estimated based upon the age of the patient accounts receivable, historical write-offs and recoveries and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Additions to the allowance for uncollectible accounts result from the provision for bad debts. Patient accounts written off as uncollectible are deducted from the allowance for uncollectible accounts. | |
| Part III, Line 8: Although we were not able to determine a dollar amount, we believe a portion of the Medicare shortfall could be considered community benefit since Medicare is such a predominant payor in our facility. Typically commercial or managed care providers make up the deficit of the governmental payors; unfortunately we do not have the better paying population to make up for these deficits. Our tax exempt status allows CMHS to provide care at a level that would be impossible without this determination. Since we are the largest provider of care in the community, residents would need to travel a significant distance for healthcare service. The organization provides a vital service to the community for the insured as well as the uninsured alike. | |
| Part III, Line 9b: The collection policy describes the criteria for those who qualify for hospital-sponsored care and states that the account balance will be forgiven. The policy also describes the criteria for the reduction of an account balance based on income level and assets. | |
| Part V, Section B, Line 3: The assessment data was prepared by WellFlorida Council, Inc., using a diverse list of sources including the Office of Vital Statistics, the U.S. Census Bureau, the Florida Geographic Library, and a variety of health and county ranking sites from respected institutions across the United States and Florida.The WellFlorida Council Contributing staff, identified in the assessment report, included individuals with post-graduate degrees in Public Health and Healthcare Management.Other assessment contributors included Citrus County Hospital Board members, Needs Assessment Steering Committee members, focus group participants and provider survey participants.WellFlorida Council staff conducted seven focus groups to better understand the perspective of community members living and/or working in the Citrus County Hospital Board Taxing Authority Service Area. The Citrus County Hospital Board worked with the WellFlorida Council to formulate a provider survey that would touch upon some of the same topic addressed during the focus groups. | Citrus Memorial Hospital |
| Part V, Section B, Line 5c: The CHNA report is available for download on the Citrus County Hospital Board website at www.citruscountyhospitalboard.com/. | Citrus Memorial Hospital |
| Part V, Section B, Line 7: The hospital is being sold to a for-profit entity. Tax funds have been withheld from the hospital, therefore, the hospital does not have sufficient resources to meet the needs of the community. | Citrus Memorial Hospital |
| Part V, Section B, Line 14g: The policy is available on the Citrus Memorial Health System website and also at registration points at all of our facilities. In addition, the policy reminds patients to call our registration department to inquire about financial assistance options. | Citrus Memorial Hospital |
| Part V, Section B, Line 20d: Patients are charged the same regardless of eligibility. Self-pay patients are given a 30% discount automatically. | Citrus Memorial Hospital |
| Part VI, Line 2: Citrus Memorial Health System ("CMHS") personnel is actively involved with the community and strives to "feel the pulse" of the county's needs. CMHS hosted a round table discussion with members of the community who represent the underserved including clergy, social workers, and the local food bank. An advisory group was formed to brainstorm ideas to reach out to those in need. As a result, CMHS welcomes patients at our clinics for check-ups and treatment at no cost. Lifesaving surgeries and diagnostic testing have been performed for patients at no cost - otherwise they would have received no care. At our clinics, we turn away no patients based on their ability to pay. Many of these patients were referred to us by "for-profit" physician practices.Our hospital also has an "Advisory Committee" where representatives from throughout the community discuss the best use of donated funds from our philanthropy endeavors. An education center, among other things, is being planned resulting from the discussions that ensued from those meetings.CMHS also develops a strategic plan based on the needs of the community. Consultants and community experts are utilized to determine the underserved programs and patients in our community. We then determine a "roadmap" to direct our activities in the best possible manner. | |
| Part VI, Line 3: Citrus Memorial's financial counselors are well schooled in the area of financial assistance. Upon registration and once a need is determined, our patients are informed of possible Medicaid eligibility and charity care sponsorship. We are affiliated with a company that qualifies patients for Medicaid and we also have a Medicaid service center to which community members can come and complete paperwork to become eligible for this service. We have even partnered with other community agencies and conducted "healthcare fairs" to provide screenings and financial direction to patients. We provided information on our sponsorship program and provide information on Medicaid to the needy in the community. | |
| Part VI, Line 4: Citrus County is a rural area with a significant elderly and indigent population. Citrus County is the second oldest population in the state. According to the latest census, 32% of residents are older than 65 - Florida's average is 17.3% aged greater than 65. There is virtually no industry in the area, and most jobs are related to the "service industry". The per capita income in the county is $23,195 with the Florida average being $26,451. Citrus County residents have fewer years of education with only 16.35% of the population holding a bachelor's degree or higher with the Florida average being 26.16%. Citrus County has 139,271 residents with Citrus Memorial being the primary provider of hospital care in the county. There is a smaller for-profit hospital on the other side of the county that does not offer the array of services of CMHS and does not have the capacity to serve the volume of patients CMHS serves. | |
| Part VI, Line 5: Citrus Memorial Health System provides critical services to the citizens of Citrus County. Not only do we provide acute care hospital services, but also Home Health and primary care - all providing care to the indigent. We receive many indigent referrals from the other for-profit health establishments in the community including diagnostic imaging, infusion therapy, endoscopy, lab testing, and OP therapy. In addition, we also provide office space free of charge to the American Cancer Society ("ACS"). This office space on our campus enables the ACS to provide cancer patients with prosthesis and prosthetic fittings as well as wigs, hats and education materials. Please see schedule O for a more comprehensive list of our services. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ryan D Beaty | ||||||||||||||
| CEO | 374883 | 0 | 0 | 0 | 0 | 0 | 55349 | 0 | 15011 | 0 | 445243 | 0 | 0 | 0 |
| Mark A Willams | ||||||||||||||
| CFO | 179666 | 0 | 0 | 0 | 0 | 0 | 11147 | 0 | 12067 | 0 | 202880 | 0 | 0 | 0 |
| Linda M McCarthy | ||||||||||||||
| CNO | 189437 | 0 | 0 | 0 | 0 | 0 | 15312 | 0 | 7659 | 0 | 212408 | 0 | 0 | 0 |
| Lee A Glotzback | ||||||||||||||
| CHRO | 150669 | 0 | 0 | 0 | 0 | 0 | 22000 | 0 | 12801 | 0 | 185470 | 0 | 0 | 0 |
| Jerrald W DeLoach | ||||||||||||||
| COO | 199180 | 0 | 0 | 0 | 0 | 0 | 12150 | 0 | 12801 | 0 | 224131 | 0 | 0 | 0 |
| Michael P Brown DO | ||||||||||||||
| Physician | 470580 | 0 | 0 | 0 | 89500 | 0 | 21981 | 0 | 12801 | 0 | 594862 | 0 | 0 | 0 |
| Farhaad C Golkar MD | ||||||||||||||
| Physician | 285154 | 0 | 76601 | 0 | 1333 | 0 | 0 | 0 | 12067 | 0 | 375155 | 0 | 0 | 0 |
| John D Gelin MD | ||||||||||||||
| Physician | 142726 | 0 | 194487 | 0 | 5769 | 0 | 37782 | 0 | 5001 | 0 | 385765 | 0 | 0 | 0 |
| Quehuong Pham Mast MD | ||||||||||||||
| Physician | 326688 | 0 | 15889 | 0 | 0 | 0 | 19936 | 0 | 12067 | 0 | 374580 | 0 | 0 | 0 |
| Marc E Fernandez MD | ||||||||||||||
| Physician | 328195 | 0 | 96 | 0 | 0 | 0 | 33415 | 0 | 12801 | 0 | 374507 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 1b | ReturnReference |
| Explanation | These amounts are paid in accordance with the employment contracts. There is no written policy regarding payment or provision of the benefits described above. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Citrus County Hospital Board | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 596017150 | IssuerEIN |
| CUSIP Number | NoneAvail | CUSIPNumber |
| Date Issued | 2008-09-01 | DateIssued |
| Issue Price | 10000000 | IssuePrice |
| Description Of Purpose | See Part V | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 10000000 | TotalProceeds |
| Issuance Costs From Proceeds | 55189 | IssuanceCostsFromProceeds |
| Capital Expenditures | 9944811 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part I, Line B, Column F, Description of Purpose: | Identifier |
| Explanation | (1) Renovation of the emergency department located at Citrus Memorial Health System, including renovation of the existing space and 5,400 new square feet, an increase of 12 patient beds and an ability to improve patient flow. (2) Sugarmill Woods Diagnostic, Rehabilitation and Clinic facility, an approximately 21,400 square foot single store outpatient facility. (3) Renovations to patient elevators. (4) Paying certain costs of issuance. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 6: | The number of volunteers was obtained through the Volunteer Works System which is used on a daily basis. The main purpose of the system is to maintain a personal profile on each volunteer and to be able to track volunteer service hours and assignments. It is also used for recognition awards and various reports that are needed throughout the year. The types of positions/services provided by the volunteers are as follows: Transporters; Couriers/Information Desk; Patient Care Partners (PCPs); ER Greeters/PCPs; Assistants to Cardiac Rehab, Chart Room, EVS, General Stores, Nutritional Services, Pharmacy and office assistants in various other departments; Gift Shop Buyers/Clerks; Lab Host/Hostess; Medical Records Messengers; newspaper delivery to the floors/departments; OB PCPs; Pre-Admit Host/Hostess and Stamping; Shuttle Drivers, Share Club Visitors, Surgery Host/Hostess and Wheelchair Repair. | |
| Form 990, Part VI, Section A, line 8b | The Foundation has no committees with the authority to act on behalf of the governing body. | |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 is provided to the Board of Directors prior to filing the return. Any questions or concerns are addressed as quickly as possible. In addition, the accounting staff review each section of the return upon receipt of the draft. The staff ensure that the statements contained in the Form 990 are accurate and the figures are true to the audited financial statements. The CFO also reviews the return to ensure it is complete and accurate. | |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy covers all members of the Board of Directors as well as all officers of the organization. Board members are required to abstain from voting on matters where a conflict of interest may exist. | |
| Form 990, Part VI, Section B, line 15 | A national human resources firm was used to provide information regarding compensation for the following positions: Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer and Chief Human Resources Officer. The firm used a combination of national and regional data to provide their comparisons. The results of the study, including recommended compensation, were approved by the Compensation Committee. | |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy and financial statements are all made available to the public upon request. The financial statements are also made available on our website (unaudited are posted monthly and the audited financials are posted upon receipt). | |
| Form 990, Part IX, line 11g | Other Services: Program service expenses 17,430,691. Management and general expenses 2,837,929. Fundraising expenses 2,896. Total expenses 20,271,516. | Other Fees |
| Form 990, Part XI, line 9: | Contributions in Net Assets 163,822. Net Assets Released from Restrictions -36,028. Pension Plan Adjustments 18,417,800. Capital Contribution 393,736. Fundraising Activity not included on books -93,791. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Citrus County Hospital Board | |||||||||||
| PO Box 1030 | Inverness | FL | 34451 | 596017150 | Governmental Unit | FL | 501(c)(1) | N/A | 0 | ||
| Citrus Memorial Hospital Auxiliary | |||||||||||
| 502 W Highland Blvd | Inverness | FL | 34452 | 592774537 | Support of Hospital | FL | 501(c)(3) | 1 | Line 3 | Citrus Memorial Health Foundation Inc | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nature Coast Development Group-Crystal River | |||||||||||||
| 502 Highland Blvd | Inverness | FL | 34452 | 550907519 | Real Estate | FL | Citrus Memorial Health Foundation Inc | excluded | 15623 | 252592 | 0 | 1 | 0.50000 |
| Nature Coast Development Group-Meadowcrest | |||||||||||||
| 502 Highland Blvd | Inverness | FL | 34452 | 203938808 | Real Estate | FL | Citrus Memorial Health Foundation Inc | excluded | -10808 | 232816 | 0 | 1 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |