LEESBURG REGIONAL MEDICAL CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LEESBURG REGIONAL MEDICAL CENTER INC (EIN 59-0878982)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-12
- IRS object ID
- 201421329349302012
- Schema version
- 2012v2.3
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-12T10:56:21-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 North Greene Street Suite 400 | AddressLine1 |
| City | Greensboro | City |
| State | NC | State |
| ZIP Code | 27401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590878982 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEESBURG REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DIANE HARDENCFO | InCareOfName |
| Name Control | LEES | NameControl |
| Phone | 3523235002 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | LEESBURG | City |
| State | FL | State |
| ZIP Code | 34748 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIANE HARDEN | Name |
| Title | CFO | Title |
| Phone | 3523235002 | Phone |
| Date Signed | 2014-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3362753394 | 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 | DON HENDERSON PRESIDENT CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1 |
| City | LEESBURG | City |
| State | FL | State |
| ZIP Code | 34748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 238025990 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LEESBURGREGIONAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2085 | TotalNbrEmployees |
| Total Nbr Volunteers | 239 | TotalNbrVolunteers |
| Total Gross UBI | 4235798 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 241563730 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 223178884 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2367994 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12048866 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1885419 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2739890 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 245817143 | TotalRevenuePriorYear |
| Total Revenue Current Year | 237967640 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 371348 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 246250 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 98160452 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 100515078 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 131298028 | OtherExpensePriorYear |
| Other Expenses Current Year | 123188938 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 229829828 | TotalExpensesPriorYear |
| Total Expenses Current Year | 223950266 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15987315 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14017374 | RevenuesLessExpensesCY |
| Total Assets BOY | 334853113 | TotalAssetsBOY |
| Total Assets EOY | 330407286 | TotalAssetsEOY |
| Total Liabilities BOY | 161302307 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 145562786 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 173550806 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 184844500 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES THE ORGANIZATION SERVES. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 200895292 | Expense |
| Grants | 246250 | Grants |
| Revenue | 219086082 | Revenue |
| Description | LEESBURG REGIONAL MEDICAL CENTER, PART OF CENTRAL FLORIDA HEALTH ALLIANCE, IS A 322-BED ACUTE CARE HOSPITAL THAT OFFERS WORLD CLASS SERVICES CLOSE TO HOME IN LAKE, SUMTER, AND MARION COUNTIES. LOCATED JUST NORTH OF ORLANDO, FLORIDA, LEESBURG REGIONAL MEDICAL CENTER HAS GROWN FROM A SMALL COMMUNITY HOSPITAL BUILT IN 1963 TO A COMPREHENSIVE MEDICAL CENTER. THE LEESBURG REGIONAL HEART INSTITUTE OFFERS PREMIER CARDIOVASCULAR SERVICES, AND IS RECOGNIZED FOR ITS CUTING-EDGE TECHNOLOGY, OUTSTANDING OUTCOMES, AND CONSISTENTLY HIGH PATIENT SATISFACTION RATINGS. HOME TO ONE OF THE LARGEST OPEN HEART PROGRAMS IN THE STATE, THE LEESBURG REGIONAL HEART INSTITUTE IS PIONEERING MANY GROUNDBREAKING PROCEDURES SUCH AS MINIMALLY-INVASIVE HEART VALVE SURGERY. AT LEESBURG REGIONAL, WE ARE COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. OUR HOSPITAL IS THE REGION'S FIRST DESIGNATED STROKE CENTER WITH THE JOINT COMMISSION SEAL OF APPROVAL AND WE PROVIDE A MULTIDISCIPLINARY APPROACE TO NEUROSURGICAL CARE. THE JOINT CENTER AT LEESBURG REGIONAL OFFERS WORLD-CLASS ORTHOPEDIC SERVICES, SUCH AS HIP AND KNEE REPLACEMENTS, AND THE HOSPITAL ALSO FEATURES STATE-OF-THE-ART DIAGNOSTIC IMAGING, EMERGENCY ROOM, LABOR & DELIVER, PEDIATRIC SERVICES, CANCER CARE AND SO MUCH MORE. | Description |
| Total Program Service Expense | 200895292 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 70 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2085 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DIANE HARDENCFO | NamePerson |
| Telephone Number | 3523235002 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1 |
| City | LEESBURG | City |
| State | FL | State |
| ZIP Code | 34748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| DAVID L SUSTARSIC MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 40796 | 2329 | 0 | ||||
| ROBERT Q WILLIAMS ESQUIRE | ||||||||||
| CHAIRMAN | 1.0 | 1.0 | X | 0 | 0 | 0 | X | |||
| GREGORY R LEWIS | ||||||||||
| TREASURER | 1.0 | 1.0 | X | 0 | 0 | 0 | X | |||
| SHIVAKUMAR S HANUBAL MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 21360 | 0 | 0 | ||||
| TIMOTHY I SULLIVAN | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| TERRY R UPTON | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| DON V HAHNFELDT | ||||||||||
| VICE CHAIRMAN | 1.0 | 1.0 | X | 0 | 0 | 0 | X | |||
| ROGER W SHERMAN MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| EVAN RICHARDS | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| JANET BOLIVAR | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| DIANE SPENCER | ||||||||||
| SECRETARY | 1.0 | 1.0 | X | 0 | 0 | 0 | X | |||
| JOHN A COWIN MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 15102 | 0 | 0 | ||||
| GEORGE E KAINZ MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| RUSSEL J D'EMIDIO | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| KENNETH A SAMPONG MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| AMANDA J WETTSTEIN | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| SHAHBAZ CHEEMA MD | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| ROGER BEYERS | ||||||||||
| BOARD MEMBER | 1.0 | 1.0 | X | 0 | 0 | 0 | ||||
| DON HENDERSON | ||||||||||
| PRESIDENT & CEO | 50.0 | 0.0 | 562398 | 0 | 22869 | X | ||||
| DIANE HARDEN | ||||||||||
| SVP/CFO | 50.0 | 0.0 | 237261 | 0 | 4486 | X | ||||
| TIMOTHY HAWKINS | ||||||||||
| FORMER SVP/COO | 50.0 | 0.0 | 504967 | 0 | 37045 | X | ||||
| PHYLLIS BAUM | ||||||||||
| VP/CHIEF QUALITY OFFICER | 50.0 | 0.0 | 371895 | 0 | 22303 | X | ||||
| PHILIP BRAUN | ||||||||||
| VP/CHIEF COUNSEL | 50.0 | 0.0 | 223320 | 0 | 22416 | X | ||||
| TED WILLIAMS | ||||||||||
| VP/FOUNDATION PRESIDENT | 50.0 | 0.0 | 206670 | 0 | 16654 | X | ||||
| CYNTHIA GAMACHE | ||||||||||
| VP/CCO LRMC | 50.0 | 0.0 | 187445 | 0 | 23644 | X | ||||
| CLIFTON LEE BRIDGES | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | 350671 | 0 | 11530 | X | ||||
| DAVID RIZZUTO | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | 361987 | 0 | 26316 | X | ||||
| ORLANDO ICAZA | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | 364817 | 0 | 20200 | X | ||||
| M FIRAS SIOUFI | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | 545368 | 0 | 25070 | X | ||||
| CELIA K NELSON | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | 293233 | 0 | 19102 | X | ||||
| LEE HUNTLEY | ||||||||||
| FORMER PRESIDENT & CEO | 50.0 | 0.0 | 251686 | 0 | 0 | X | ||||
| DALE E HOCKING | ||||||||||
| FORMER SVP/CFO | 50.0 | 0.0 | 153849 | 0 | 0 | X | ||||
| DANIEL CARLSON | ||||||||||
| FORMER VP MEDICAL AFFAIRS | 50.0 | 0.0 | 108396 | 0 | 0 | X | ||||
| MARY PERFUMO | ||||||||||
| FORMER VP/CNO | 50.0 | 0.0 | 107702 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4908923 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2329 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 251635 | TotalOtherCompensation |
| Number Individuals GT100 K | 91 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LAKE COUNTY ANESTHESIA ASSOCIATES | |||||
| PO BOX 491529 | LEESBURG | FL | 34749 | ANESTHESIA SERVICES | 2738254 |
| TRANSCEND SERVICES | |||||
| 945 EAST PACES FERRY ROAD | ATLANTA | GA | 30326 | TRANSCRIPTION | 1986867 |
| EXECUTIVE HEALTH RESOURCES INC | |||||
| PO BOX 822688 | PHILADELPHIA | PA | 191822688 | COLLECTION SERVICES | 1594545 |
| ANGELICA | |||||
| PO BOX 535122 | ATLANTA | GA | 30353 | LINEN SERVICES | 1327609 |
| CARDIOVASCULAR ANESTHESIA CONSULTAN | |||||
| PO BOX 3130 | OCALA | FL | 34478 | ANESTHESIA SERVICES | 1190000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 57 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 223178884 | TotalRevenueColumn |
| Related Or Exempt Function Income | 219086082 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4092802 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 223178884 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12033866 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,033,866 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 629715 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 58350 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 571365 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 571365 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $571,365 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15000 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| DIETARY | 900099 | 959595 | 0 | $959,595 |
| CHILDCARE LEARNING CENTER REVENUE | 900099 | 605046 | 142996 | $462,050 |
| OTHER REVENUE | 900099 | 603884 | 0 | $603,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2168525 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 237967640 | TotalRevenueColumn |
| Related Or Exempt Function Income | 219086082 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4235798 | UnrelatedBusinessRevenue |
| Exclusion | $14,630,760 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246250 | Total |
| Program Services | 246250 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1581062 | Total |
| Management And General | 1581062 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22793 | Total |
| Management And General | 22793 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80210183 | Total |
| Program Services | 71563942 | ProgramServices |
| Management And General | 8646241 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2613313 | Total |
| Program Services | 2273582 | ProgramServices |
| Management And General | 339731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10509269 | Total |
| Program Services | 9143064 | ProgramServices |
| Management And General | 1366205 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5578458 | Total |
| Program Services | 4853258 | ProgramServices |
| Management And General | 725200 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6054460 | Total |
| Program Services | 4698205 | ProgramServices |
| Management And General | 1356255 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197082 | Total |
| Program Services | 98541 | ProgramServices |
| Management And General | 98541 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190607 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 190607 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39300 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 39300 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1550150 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1550150 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 662818 | Total |
| Program Services | 466307 | ProgramServices |
| Management And General | 196511 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67887 | Total |
| Program Services | 27749 | ProgramServices |
| Management And General | 40138 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145417 | Total |
| Program Services | 30705 | ProgramServices |
| Management And General | 114712 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3151810 | Total |
| Program Services | 3151810 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13068202 | Total |
| Program Services | 10585244 | ProgramServices |
| Management And General | 2482958 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1678606 | Total |
| Program Services | 1294544 | ProgramServices |
| Management And General | 384062 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 57824349 | 57030477 | 793872 | 0 |
| EQUIPMENT RENTAL & MAINTENANCE | 7240589 | 6301995 | 938594 | 0 |
| PHYSICIAN & OTHER MEDICAL FEES | 7976864 | 7798119 | 178745 | 0 |
| OUTREACH LAB | 5152820 | 5152820 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18187977 | Total |
| Program Services | 16178680 | ProgramServices |
| Management And General | 2009297 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223950266 | Total |
| Program Services | 200895292 | ProgramServices |
| Management And General | 23054974 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36961452 | BOY |
| EOY | 19664619 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16063209 | BOY |
| EOY | 16101589 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25148166 | BOY |
| EOY | 28348691 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2400261 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6494396 | BOY |
| EOY | 6377560 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3556329 | BOY |
| EOY | 1426081 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 302600349 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 220068032 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81487458 | BOY |
| EOY | 82532317 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97932833 | BOY |
| EOY | 123129067 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64809009 | BOY |
| EOY | 52827362 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 334853113 | BOY |
| EOY | 330407286 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37330444 | BOY |
| EOY | 42041524 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98163217 | BOY |
| EOY | 69021370 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20085000 | BOY |
| EOY | 19590000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5723646 | BOY |
| EOY | 14909892 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161302307 | BOY |
| EOY | 145562786 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173550806 | BOY |
| EOY | 184844500 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 173550806 | BOY |
| EOY | 184844500 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 334853113 | BOY |
| EOY | 330407286 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14017374 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -2449608 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -274072 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $15,140 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $24,160 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 39300 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | DUES REMITTED TO TRADE ASSOCIATION, A PORTION OF WHICH CONSTITUTES LOBBYING AND PAYMENTS TO A CONSULTANT THAT PROVIDES LOBBYING SERVICES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8610003 | OtherCostOrOtherBasis |
| Book Value | 8610003 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 99552503 | OtherCostOrOtherBasis |
| Depreciation | 61828960 | Depreciation |
| Book Value | 37723543 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34308960 | OtherCostOrOtherBasis |
| Depreciation | 30443269 | Depreciation |
| Book Value | 3865691 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 145556233 | OtherCostOrOtherBasis |
| Depreciation | 122799657 | Depreciation |
| Book Value | 22756576 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14572650 | OtherCostOrOtherBasis |
| Depreciation | 4996146 | Depreciation |
| Book Value | 9576504 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 82532317 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| GOVERNMENT SECURITIES | 21809883 | F |
| FIXED INCOME SECURITIES | 15079569 | F |
| EQUITY SECURITIES | 38402608 | F |
| ACCRUED INTEREST | 210372 | F |
| MUTUAL FUNDS | 11290738 | F |
| MONEY MARKET FUND | 36335897 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 123129067 | TotalOfBookValueSecurities |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED LOAN COSTS | 666104 |
| DUE FROM AFFILIATES | 9763681 |
| ASSETS LIMITED TO USE | 4604882 |
| INVESTS UNCONSOLIDATED AFFIL | 22500148 |
| TRUSTEE HELD FUNDS, OTHER | 2988614 |
| GOODWILL SURGERY CTR MT DORA | 7770547 |
| GOODWILL ALLIANCE LABS | 4533386 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52827362 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $3,781 |
| PROFESSIONAL LIABILITY RESERVE | $14,906,111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14909892 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 235302310 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -2449608 | NetUnrealizedGainsInvestments |
| Other Revenues | -215722 | OtherRevenues |
| Revenue Not Rptd F990 | -2665330 | RevenueNotRptdF990 |
| Revenue Subtotal | 237967640 | RevenueSubtotal |
| Total Revenue Per Form990 | 237967640 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 224008616 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 58350 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 58350 | ExpensesNotRptdF990 |
| Expenses Subtotal | 223950266 | ExpensesSubtotal |
| Total Expenses Per Form990 | 223950266 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 (FIN 48) FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART XIV | ReturnReference |
| Explanation | THE ALLIANCE AND ITS AFFILIATES, WITH THE EXCEPTION OF VENTURE, 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. MANAGEMENT BELIEVES THAT THE UNRELATED BUSINESS INCOME GENERATED BY THE ALLIANCE AND ITS AFFILIATES IS NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. Accounting principles generally accepted in the United States of America require The Alliance's management to evaluate tax positions taken by The Alliance and recognize a tax liability (or asset) 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, 2013, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) 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. SCHEDULE D, PART XI, LINE 2D RENT EXPENSE : 58,350 NONCONTROLLING INTEREST : (274,072) ----------- TOTAL (215,722) SCHEDULE D, PART XII, LINE 2D RENT EXPENSE : 58,350 | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12070958 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12070958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05390 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23857268 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17705748 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6151520 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35928226 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17705748 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18222478 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08140 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 224093 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 224093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 152560 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 152560 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 376653 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 376653 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 36304879 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17705748 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18599131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08310 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17271439 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17271439 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.07710 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17271439 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17271439 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.07710 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,716,878 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 137202419 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 144757613 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7555194 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| 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 | LEESBURG REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1 |
| City | LEESBURG | City |
| State | FL | State |
| ZIP Code | 34748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEESBURG REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| ALLIANCE FIRST CARE | ||||
| 3631 W BURLEIGH BLVD | TAVARES | FL | 32778 | URGENT CARE |
| WILLIAM G OHME COMP MEDICAL REHAB UNIT | ||||
| 700 NORTH PALMETTO ST | LEESBURG | FL | 34748 | REHABILITATION |
| LRMC WELLNESS CENTER | ||||
| 700 NORTH PALMETTO ST | LEESBURG | FL | 34748 | WELLNESS |
| LEESBURG REGIONAL AMBULATORY CENTER | ||||
| 601 E DIXIE AVE | LEESBURG | FL | 34748 | AMB SURGERY CENTER |
| SURGERY CENTER OF MOUNT DORA | ||||
| 3710 LAKE CENTER DRIVE | MT DORA | FL | 32757 | AMB SURGERY CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 MEMORIAL 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 $84.4 MILLION. THE VILLAGES HEALTH SYSTEM HAS 1,000 TEAM MEMBERS ($54.2 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 | PART V, SECTION B LINE 1J LEESBURG REGIONAL MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.LEESBURGREGIONAL.ORG/ABOUT-COMMUNITY-HEALTH.HTML. PART V, 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. PARTN V, 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||||
| PO BOX 102454 | Atlanta | GA | 30368 | 131788491 | 501(c)(3) | 10000 | N/A | N/A | donation |
| COMMUNITY MEDICAL CARE CENTER OF LEESBURG | |||||||||
| 1210 WEST MAIN STREET | LEESBURG | FL | 34748 | 593585112 | 501(C)(3) | 131250 | N/A | N/A | DONATION |
| LAKE-SUMTER COMMUNITY COLLEGE FOUNDATION INC | |||||||||
| 9501 US HIGHWAY 441 | LEESBURG | FL | 34788 | 591990323 | 501(C)(3) | 100000 | N/A | N/A | Donation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING THE USE OF GRANT FUNDS | Identifier |
| Return Reference | FORM 990, SCHEDULE I, PART I, QUESTION 2 | ReturnReference |
| Explanation | THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSION. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITIES TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEE HUNTLEY | ||||||||||||||
| FORMER PRESIDENT & CEO | 0 | 0 | 0 | 0 | 251686 | 0 | 0 | 0 | 0 | 0 | 251686 | 0 | 93055 | 0 |
| TIMOTHY HAWKINS | ||||||||||||||
| FORMER SVP/COO | 319328 | 0 | 99300 | 0 | 86339 | 0 | 28315 | 0 | 8730 | 0 | 542012 | 0 | 0 | 0 |
| PHYLLIS BAUM | ||||||||||||||
| VP/CHIEF QUALITY OFFICER | 279976 | 0 | 67126 | 0 | 24793 | 0 | 12968 | 0 | 9335 | 0 | 394198 | 0 | 0 | 0 |
| DALE E HOCKING | ||||||||||||||
| FORMER SVP/CFO | 0 | 0 | 0 | 0 | 153849 | 0 | 0 | 0 | 0 | 0 | 153849 | 0 | 72808 | 0 |
| DANIEL CARLSON | ||||||||||||||
| FORMER VP MEDICAL AFFAIRS | 0 | 0 | 0 | 0 | 108396 | 0 | 0 | 0 | 0 | 0 | 108396 | 0 | 67386 | 0 |
| MARY PERFUMO | ||||||||||||||
| FORMER VP/CNO | 0 | 0 | 0 | 0 | 107702 | 0 | 0 | 0 | 0 | 0 | 107702 | 0 | 36966 | 0 |
| PHILIP BRAUN | ||||||||||||||
| VP/CHIEF COUNSEL | 178532 | 0 | 44077 | 0 | 711 | 0 | 8225 | 0 | 14191 | 0 | 245736 | 0 | 0 | 0 |
| CLIFTON LEE BRIDGES | ||||||||||||||
| PHYSICIAN | 297143 | 0 | 25000 | 0 | 28528 | 0 | 11530 | 0 | 0 | 0 | 362201 | 0 | 0 | 0 |
| DAVID RIZZUTO | ||||||||||||||
| PHYSICIAN | 315647 | 0 | 45000 | 0 | 1340 | 0 | 12125 | 0 | 14191 | 0 | 388303 | 0 | 0 | 0 |
| ORLANDO ICAZA | ||||||||||||||
| PHYSICIAN | 317761 | 0 | 45000 | 0 | 2056 | 0 | 8010 | 0 | 12190 | 0 | 385017 | 0 | 0 | 0 |
| M FIRAS SIOUFI | ||||||||||||||
| PHYSICIAN | 395209 | 0 | 149879 | 0 | 280 | 0 | 10879 | 0 | 14191 | 0 | 570438 | 0 | 0 | 0 |
| CELIA K NELSON | ||||||||||||||
| PHYSICIAN | 254323 | 0 | 38452 | 0 | 458 | 0 | 9767 | 0 | 9335 | 0 | 312335 | 0 | 0 | 0 |
| TED WILLIAMS | ||||||||||||||
| VP/FOUNDATION PRESIDENT | 162897 | 0 | 39789 | 0 | 3984 | 0 | 7319 | 0 | 9335 | 0 | 223324 | 0 | 0 | 0 |
| CYNTHIA GAMACHE | ||||||||||||||
| VP/CCO LRMC | 148961 | 0 | 36964 | 0 | 1520 | 0 | 4869 | 0 | 18775 | 0 | 211089 | 0 | 0 | 0 |
| DON HENDERSON | ||||||||||||||
| PRESIDENT & CEO | 434782 | 0 | 65626 | 0 | 61990 | 0 | 14327 | 0 | 8542 | 0 | 585267 | 0 | 0 | 0 |
| DIANE HARDEN | ||||||||||||||
| SVP/CFO | 188212 | 0 | 13831 | 0 | 35218 | 0 | 1160 | 0 | 3326 | 0 | 241747 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION TO DIRECTOR | FORM 990, PART VII, SECTION A | DURING THE ROUTINE COURSE OF BUSINESS, DR. DAVID L. SUSTARSIC, MD, PA EARNED $40,796 IN COMPENSATION FROM LRMC AND $2,329 FROM TVRH DURING CALENDAR YEAR 2012 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF THOSE ORGANIZATIONS DURING THE YEAR. |
| COMPENSATION TO DIRECTOR | FORM 990, PART VII, SECTION A | DURING THE ROUTINE COURSE OF BUSINESS, SHIVAKUMAR S HANUBAL, MD EARNED $21,360 IN COMPENSATION FROM LRMC DURING CALENDAR YEAR 2012 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF THE ORGANIZATION DURING THE YEAR. |
| COMPENSATION TO DIRECTOR | FORM 990, PART VII, SECTION A | DURING THE ROUTINE COURSE OF BUSINESS, JOHN A COWIN, MD EARNED $15,102 IN COMPENSATION FROM LRMC DURING CALENDAR YEAR 2012 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF THOSE ORGANIZATIONS DURING THE YEAR. |
| BONUS AWARDS | SCHEDULE J, PART I, LINE 7 | THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CITY OF LEESBURG FLORIDA | ||||||||
| A | 596000362 | 524360FE9 | 2003-06-26 | 46391163 | HOSPITAL REV BONDS, SERIES 2003 | false | false | false |
| CITY OF LEESBURG FLORIDA | ||||||||
| B | 596000362 | 2011-10-06 | 20840000 | HOSP REV REFDG BONDS, SERIES 2011 | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 46391163 | 0 | 0 | 45727319 | 663845 | 0 | 0 | 0 | 0 | 0 | 2003 | true | true | false | true |
| B | 0 | 0 | 20840000 | 0 | 0 | 20840000 | 0 | 0 | 0 | 0 | 0 | 0 | 2011 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | true | true | false | 0.01430 | 0.00000 | 0.01430 | false | false | false | false |
| B | false | false | true | true | false | 0.01770 | 0.00000 | 0.01770 | false | false | false | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | false | false | false | false | false | false | false | false | false | 0 | false | false |
| 0 | ||||||||||||
| B | false | false | false | false | true | false | false | false | false | 0 | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd |
|---|
| A |
| B |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 APRIL 2014, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2012 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 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 9 | NON CONTROLLING INTEREST (274,072) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE LABS LLC | |||||||||
| 1456 WILLIAM STREET | LEESBURG | FL | 34748 | 264322547 | LAB SERVICES | FL | 6126799 | 5732523 | LRMC |
| PATHOLOGY SERVICES ALLIANCE LLC | |||||||||
| 1456 WILLIAM STREET | LEESBURG | FL | 34788 | 270749750 | LAB SERVICES | FL | 0 | 0 | LRMC |
| LRMC PHYSICIAN SERVICES LLC | |||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 263978727 | MEDICAL SRVCS | FL | 0 | 0 | LRMC |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| THE VILLAGES TRI-COUNTY MEDICAL CENTER | ||||||||||
| 1451 EL CAMINO REAL | THE VILLAGES | FL | 32159 | 593527036 | MEDICAL SRVCS | FL | 501(C)(3) | 3 | CFHA | false |
| ALLIANCE HEALTHCARE FOUNDATION INC | ||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 591800743 | SUPPORT HOSP | FL | 501(C)(3) | 11 | CFHA | false |
| CENTRAL FLORIDA HEALTH ALLIANCE | ||||||||||
| 600 EAST DIXIE AVENUE | LEESBURG | FL | 34748 | 331197054 | PARENT HOSP. | FL | 501(C)(3) | 11 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CF CARDIOVASCULAR CO-MANAGEMENT CO LLC | ||||||||||||||
| 600 E DIXIE AVE | LEESBURG | FL | 34748 | 270781065 | HEALTHCARE SE | FL | LRMC | RELATED | 408801 | 132312 | false | $0 | true | 0.38298 |
| CF ONCOLOGY CO-MANAGEMENT CO LLC | ||||||||||||||
| 600 E DIXIE AVE | LEESBURG | FL | 34748 | 272818513 | HEALTHCARE SE | FL | LRMC | RELATED | 99335 | 39696 | false | $0 | true | 0.25000 |
| SURGERY CENTER OF MOUNT DORA | ||||||||||||||
| 3710 LAKE CENTER DRIVE | MT DORA | FL | 32757 | 262446297 | HEALTHCARE SE | FL | LRMC | RELATED | 331718 | 4818430 | false | $0 | false | 0.51000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VENTURE HEALTH CARE CORPORATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 EAST DIXIE AVENUE | AddressLine1 |
| City | LEESBURG | City |
| State | FL | State |
| ZIP Code | 34748 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592689702 | EIN |
| Primary Activity | MANAGEMENT SR | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DISCLOSURE OF RELATED ENTITIES | Identifier |
| Return Reference | SCHEDULE R, PART III AND PART IV | ReturnReference |
| Explanation | THE FILING ORGANIZATION, A CENTRAL FLORIDA HEALTH ALLIANCE RELATED ORGANIZATION, HAS REPORTED THE DETAILS OF INCOME, ASSETS AND OWNERSHIP PERCENTAGE FOR THE ENTITIES IN WHICH IT HOLDS DIRECT OWNERSHIP. IN CERTAIN CASES, THE FILING ORGANIZATION'S OWNERSHIP PERCENTAGE IS LESS THAN FIFTY PERCENT. HOWEVER, THOSE ENTITIES ARE BEING REPORTED ON SCHEDULE R, PART III AND IV BECAUSE THE REPORTING ENTITY'S AND ITS RELATED ORGANIZATIONS' CUMMULATIVE OWNERSHIP PERCENTAGE EXCEEDS FIFTY PERCENT. PLEASE REFER TO THE FORMS 990 RELATED ORGANIZATION FOR MORE DETAILS ON THE RESPECTIVE DIRECT OWNERSHIP PERCENTAGES. | Explanation |
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