FURP.ORG / PUBLIC DATA EXPLORER

VILLAGES TRI-COUNTY MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VILLAGES TRI-COUNTY MEDICAL CENTER INC (EIN 59-3527036)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-09
IRS object ID
201321299349302417
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-09T14:57:04-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593527036EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DIANE HARDEN CFOInCareOfName
Name ControlVILLNameControl
Phone3523235002Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDiane HardenName
TitleChief Financial OfficerTitle
Date Signed2013-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDON HENDERSON PRESIDENT CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1600 EAST DIXIE AVENUEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
Gross Receipts150593337GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TVRH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1218TotalNbrEmployees
Total Nbr Volunteers900TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1593945ContributionsGrantsPriorYear
Contributions Grants Current Year216920ContributionsGrantsCurrentYear
Program Service Revenue Prior Year139512740ProgramServiceRevenuePriorYear
Program Service Revenue CY150125460ProgramServiceRevenueCY
Investment Income Prior Year23385InvestmentIncomePriorYear
Investment Income Current Year38411InvestmentIncomeCurrentYear
Other Revenue Prior Year902733OtherRevenuePriorYear
Other Revenue Current Year149573OtherRevenueCurrentYear
Total Revenue Prior Year142032803TotalRevenuePriorYear
Total Revenue Current Year150530364TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year113150GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1397256GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year59608196SalariesEtcPriorYear
Salaries Etc Current Year60542525SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73912463OtherExpensePriorYear
Other Expenses Current Year81216430OtherExpensesCurrentYear
Total Expenses Prior Year133633809TotalExpensesPriorYear
Total Expenses Current Year143156211TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8398994RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7374153RevenuesLessExpensesCY
Total Assets BOY152964251TotalAssetsBOY
Total Assets EOY165229601TotalAssetsEOY
Total Liabilities BOY100999165TotalLiabilitiesBOY
Total Liabilities EOY110705582TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY51965086NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY54524019NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES THE ORGANIZATION SERVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense124454308Expense
Grants1397256Grants
Revenue150125460Revenue
DescriptionTHE VILLAGES REGIONAL HOSPITAL, PART OF CENTRAL FLORIDA HEALTH ALLIANCE, IS A 198-BED ACUTE CARE HOSPITAL LOCATED IN THE HEART OF THE VILLAGES, A NATIONALLY KNOWN ADULT COMMUNITY. SPECIALLY DESIGNED TO BRING HOSPITALITY TO HEALTH CARE, THE FACILITY SERVES THE TRI-COUNTY AREA - LAKE, SUMTER, AND SOUTH MARION COUNTIES. NAMED FLORIDA'S ONLY TOP 100 HOSPITAL BY THOMSON HEALTHCARE FOR 2007, THE VILLAGES REGIONAL HOSPITAL IS COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. ADDITIONAL ACHIEVEMENTS INCLUDE BEING NAMED A 2007 CARESCIENCE SELECT PRACTICE NATIONAL QUALITY LEADER HOSPITAL AND RANKED AS THE 12TH BEST EMPLOYER IN THE NATION FOR WORKERS OVER THE AGE OF 50. THE FACILITY CONSISTS OF A SIX-BED INTENSIVE CARE UNIT, STATE-OF-THE-ART SURGICAL SUITES, A RADIOLOGY DEPARTMENT FEATURING FILMLESS COMPUTER IMAGING, PHARMACY, CLINICAL LABORATORY, AND A FULL SERVICE EMERGENCY DEPARTMENT. THE VILLAGES REGIONAL HOSPITAL IS HOME TO ONE OF THE WORLD'S FIRST PHILIPS AMBIENT EXPERIENCE CATHETER LABS DESIGNED TO IMPROVE THE EXPERIENCE DURING HEART CATHETER PROCEDURES. OUR TEAM MEMBERS, PHYSICIANS, AND VOLUNTEERS HAVE A PASSION FOR DELIVERING AWARD-WINNING HEALTHCARE AND IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.Description
Total Program Service Expense124454308TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1218NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIANE HARDEN CFONamePerson
Telephone Number3523235002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 EAST DIXIE AVENUEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID L SUSTARSIC MD
BOARD MEMBER0.0X2695300910
ROBERT Q WILLIAMS ESQUIRE
CHAIRMAN0.0X000X
W THOMAS BROOKS
FORMER SECRETARY0.0X000
GREGORY R LEWIS
TREASURER0.0XX
JOHN D BRANDEBURG
FORMER BOARD MEMBERX000
SHIVAKUMAR S HANUBAL MD
BOARD MEMBER0.0X0482900
TIMOTHY H SENNETT
FORMER BOARD MEMBER0.0X000
TIMOTHY I SULLIVAN
BOARD MEMBER0.0X000
TERRY R UPTON
BOARD MEMBER0.0X000
DON V HAHNFELDT
VICE CHAIRMAN0.0X000X
ROGER W SHERMAN MD
Board Member0.0X000
EVAN RICHARDS
BOARD MEMBER0.0X000
JANET BOLIVAR
BOARD MEMBER0.0X000
DIANE SPENCER
SECRETARY0.0X000X
JOHN A COWIN MD
BOARD MEMBER0.0X7223187610
GEORGE E KAINZ MD
BOARD MEMBER0.0X000
RUSSEL J D'EMIDIO
BOARD MEMBER0.0X000
KENNETH A SAMPONG MD
BOARD MEMBER0.0X000
AMANDA J WETTSTEIN
BOARD MEMBER0.0X000
LEE HUNTLEY
FORMER PRESIDENT/CEO0.0065970621813X
DALE E HOCKING
FORMER SVP/CFO0.0037936314898X
DON HENDERSON
PRESIDENT/CEO0.0000X
DIANE HARDEN
SVP/CFO0.0000X
TIMOTHY HAWKINS
SVP COO0.0032405536907X
PHYLLIS BAUM
VP/CHIEF QUALITY OFFICER0.0036612823228X
DANIEL CARLSON
SENIOR VP MEDICAL AFFAIRS0.0035425319951X
NANCY VESTER
VP/CIO0.0024348410876X
DARLENE STONE
FORMER VP/HR0.0023704710255X
MARC WESTERMAN
AVP/SUPPLY CHAIN0.001833406450X
CARL DAN SACCO
SVP, STRATEGIC PLANNING0.0022332611269X
MARYJANE CURRY PELYAK
VP PROFESSIONAL SERVICES50.0164721011287X
MARY PERFUMO
VP/CNO0.0022660414387X
PHILIP BRAUN
VP CHIEF COUNSEL0.0018289810236X
ROSEMARY REINER
VP/CCO TVRH50.0164031010763X
DAVID L JONES
AVP CONTROLLER0.001588213176X
TED WILLIAMS
VP/FOUNDATION PRESIDENT0.0016883912336X
SANDRA PELTON
PHARMACIST40.015586901837X
WENDY DONATO
PHARMACIST40.013026305476X
ANDY GILLUM
PHARMACIST40.012658204154X
MARK BERARD
PHARMACY MANAGER40.012836904610X
UDAY TALATI
PHARMACIST42.012018002903X
FieldValueIRS element (for citing)
Total Reportable Comp From Org999933TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3805006TotalReportableCompFrmRltdOrgs
Total Other Compensation236812TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVESAN DIEGOCA60693STAFFING SERVICES786391
ANGELICA TEXTILE SERVICES
PO BOX 535122ATLANTAGA30353LINEN SERVICES856940
MOFFITT CANCER CENTER
12902 USF MAGNOLIA DRIVETAMPAFL33612PROFESSIONAL SERVICE436530
MAYO COLLABORATIVE SERVICES
PO BOX 1450 NW 8856MINNEAPOLISMN55485LAB TESTING SERVICES280017
QUEST DIAGNOSTICS
PO BOX 530458ATLANTAGA30353LAB TESTING SERVICES276267
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations216920RelatedOrganizations
Total Contributions216920TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column150125460TotalRevenueColumn
Related Or Exempt Function Income150125460RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue150125460TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27411TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$27,411ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real151942Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real62973Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real88969Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column88969TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$88,969ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other11000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other11000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column11000TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,000ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
DIETARY90009943502700$435,027
VENDING COMMISSION9000991013300$10,133
OTHER OPERATING REVENUE900099-38455600-$384,556
FieldValueIRS element (for citing)
Total Other Revenue60604TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column150530364TotalRevenueColumn
Related Or Exempt Function Income150125460RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$187,984ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1397256Total
Program Services1397256ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1919948Total
Program Services0ProgramServices
Management And General1919948ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46650948Total
Program Services41587271ProgramServices
Management And General5063677ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1338842Total
Program Services1151404ProgramServices
Management And General187438ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6442824Total
Program Services5540829ProgramServices
Management And General901995ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4189963Total
Program Services3603368ProgramServices
Management And General586595ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3478332Total
Program Services954288ProgramServices
Management And General2524044ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total185354Total
Program Services92677ProgramServices
Management And General92677ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total160953Total
Program Services160953ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15000Total
Program Services0ProgramServices
Management And General15000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1728582Total
Program Services1728582ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total376143Total
Program Services338529ProgramServices
Management And General37614ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3048856Total
Program Services2622016ProgramServices
Management And General426840ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total48413Total
Program Services14950ProgramServices
Management And General33463ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total95820Total
Program Services5486ProgramServices
Management And General90334ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2574565Total
Program Services2574565ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10615893Total
Program Services8492714ProgramServices
Management And General2123179ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3004302Total
Program Services2814359ProgramServices
Management And General189943ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES36709288360998986093900
BAD DEBTS5770221577022100
EQUIPMENT RENTAL AND MAINT492134339318029895410
UTILITIES250573020045845011460

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5977635Total
Program Services3568556ProgramServices
Management And General2409079ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total143156211Total
Program Services124454308ProgramServices
Management And General18701903ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28353151BOY
EOY45260911EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY334189BOY
EOY274180EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18998403BOY
EOY17932176EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4300274BOY
EOY4540282EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1021483BOY
EOY1224493EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis163435123LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec68150232LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY95534858BOY
EOY95284891EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4421893BOY
EOY712668EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY152964251BOY
EOY165229601EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18267067BOY
EOY13608462EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY72500000BOY
EOY72500000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10232098BOY
EOY24597120EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY100999165BOY
EOY110705582EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY50764250BOY
EOY53106263EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1200836BOY
EOY1417756EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51965086BOY
EOY54524019EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY152964251BOY
EOY165229601EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7374153ReconcilationRevenueExpenses
Reconcilation Other Changes-4815220ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$15,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB15000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4998322OtherCostOrOtherBasis
Book Value4998322BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis97510553OtherCostOrOtherBasis
Depreciation31223129Depreciation
Book Value66287424BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis49000950OtherCostOrOtherBasis
Depreciation34301087Depreciation
Book Value14699863BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11925298OtherCostOrOtherBasis
Depreciation2626016Depreciation
Book Value9299282BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings95284891TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MALPRACTICE LIABILITY$7,853,576
INTEREST RATE SWAP LIABILITY$9,532,458
DUE TO AFFILIATES$7,211,086
FieldValueIRS element (for citing)
Total Of Amounts24597120TotalOfAmounts
Total Revenue150530364TotalRevenue
Total Expenses143156211TotalExpenses
Excess Or Deficit For Year7374153ExcessOrDeficitForYear
Net Unrealized GL On Investments-5101669NetUnrealizedGLOnInvestments
Other$286,449OtherAmount
Total Adjustments-4815220TotalAdjustments
Excess Or Deficit Per FS2558933ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt145778117TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-5101669NetUnrealizedGainsInvestments
Other Revenues349422OtherRevenues
Revenue Not Rptd F990-4752247RevenueNotRptdF990
Revenue Subtotal150530364RevenueSubtotal
Total Revenue Per Form990150530364TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt143219184TotExpensesEtcAuditedFinclStmt
Other Expenses Included62973OtherExpensesIncluded
Expenses Not Rptd F99062973ExpensesNotRptdF990
Expenses Subtotal143156211ExpensesSubtotal
Total Expenses Per Form990143156211TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER CHANGES IN NET ASSETSSCHEDULE D, PART XI, LINE 8CHANGE IN EQUITY IN EARNINGS OF AFFILIATES: 117,340 RELEASE OF NET ASSETS: 169,109 ---------- TOTAL 286,449
OTHER CHANGES IN REVENUESSCHEDULE D, PART XII, LINE 2ACHANGE IN FAIR MARKET OF INTEREST RATE: 5,101,669 SCHEDULE D, PART XII, LINE 2D CHANGE IN EQUITY IN EARNINGS OF AFFILIATES: 117,340 RELEASE OF NET ASSETS: 169,109 RENT EXPENSE: 62,973 ---------- TOTAL 349,422 OTHER CHANGES IN EXPENSES SCHEDULE D, PART XIII, LINE 2 RENT EXPENSE: 62,973
FIN 48 FOOTNOTESCHEDULE D, PART XIVTHE 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, 2012, 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 2008.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6188326TotalCommunityBenefitExpense
Net Community Benefit Expense6188326NetCommunityBenefitExpense
Percent Of Total Expense0.04320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6436206TotalCommunityBenefitExpense
Direct Offsetting Revenue4871147DirectOffsettingRevenue
Net Community Benefit Expense1565059NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12624532TotalCommunityBenefitExpense
Direct Offsetting Revenue4871147DirectOffsettingRevenue
Net Community Benefit Expense7753385NetCommunityBenefitExpense
Percent Of Total Expense0.05410PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense93841TotalCommunityBenefitExpense
Net Community Benefit Expense93841NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense93841TotalCommunityBenefitExpense
Net Community Benefit Expense93841NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12718373TotalCommunityBenefitExpense
Direct Offsetting Revenue4871147DirectOffsettingRevenue
Net Community Benefit Expense7847226NetCommunityBenefitExpense
Percent Of Total Expense0.05480PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense10966411TotalCommunityBuildingExpense
Net Community Building Expense10966411NetCommunityBuildingExpense
Percent Of Total Expense0.07700PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense10966411TotalCommunityBuildingExpense
Net Community Building Expense10966411NetCommunityBuildingExpense
Percent Of Total Expense0.07700PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,251,588BadDebtExpenseAmount
Amount Reimbursed By Medicare105295625AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare105680144CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-384519MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES TRI-COUNTY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES REG HOSPITAL OP SURGERYBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11501 US HIGHWAY 441 NORTH STE 1800AddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
Facility TypeAMB SURGERY CENTERFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FEDERAL POVERTY GUIDELINESSCHEDULE H, PART I, LINE 3CN/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES.
ANNUAL COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ATHE VILLAGES AND LEESBURG REGIONAL MEDICAL CENTER FILE A COMBINED COMMUNITY BENEFIT REPORT.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, LINE 7GTHIS AMOUNT DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS.
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4THE 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 METHODOLOGYSCHEDULE H, PART III, LINE 8LEESBURG REGIONAL MEDICAL CENTER IS THE SECOND LARGEST EMPLOYER IN LAKE COUNTY, EMPLOYING MORE THAN 2,200 TEAM MEMBERS WITH AN ANNUAL PAYROLL OF $78.8 MILLION. THE VILLAGES HEALTH SYSTEM HAS 1,200 TEAM MEMBERS ($48.5 MILLION PAYROLL). COMBINED, CENTRAL FLORIDA HEALTH ALLIANCE PROVIDED JOBS FOR 3,400 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 POLICIESSCHEDULE H, PART III, LINE 9BTHE 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 INFORMATIONSCHEDULE H, PART VIN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, WE LOOK AT THE POPULATION SERVED AT THE COMMUNITY MEDICAL CARE CENTER (A PRIMARY CARE CLINIC FOR THE UNINSURED OF WHICH CENTRAL FLORIDA HEALTH ALLIANCE HELPS SUPPORT FINANCIALLY AND WITH VOLUNTEERS), ANALYZE DATA BY AND WORK WITH THE LAKE COUNTY HEALTH DEPARTMENT, SERVE ON COMMUNITY TASK FORCES AND BOARDS WITH OTHER HEALTH CARE PROVIDERS, AND SURVEY PARTICIPANTS AT COMMUNITY OUTREACH HEALTH FAIRS, SCREENINGS AND EVENTS. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH CARE NEEDS, PARTICULARLY IN THE UNINSURED AND UNDERSERVED. THE COMMUNITY POPULATION IS PRIMARILY MEDICARE (APPROXIMATELY 75%) WITH THE REMAINDER MEDICAID, SELF PAY AND OTHER. WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM, THERE IS VERBIAGE ON OUR WEBSITE AND STATEMENTS REGARDING THE CHARITY CARE PROGRAM. ALSO, WE PROVIDE PATIENTS WITH THE "PATIENT CHARITY CARE POLICY" IF REQUESTED. OTHER COMMUNITY OUTREACH ACTIVITIES WHICH PROMOTE HEALTH OF THE COMMUNITY INCLUDE: - FREE DOC TALK PREVENTATIVE EDUCATION SERIES, - FREE OR REDUCED COST HEALTH SCREENINGS (RANGING FROM PERIPHERAL ARTERIAL DISEASE SCREENINGS TO BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE CHECKS), - HOSTING AND MAKING AVAILABLE (AT NO CHARGE) HOSPITAL SPEAKERS FOR A VARIETY OF SUPPORT GROUPS AND ORGANIZATIONS (AS WELL AS DONATED MEETING SPACE), - PARTNERING AND AFFILIATING WITH OUTSIDE GROUPS TO IDENTIFY HEALTH PRIORITIES AND ENHANCE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE, AND - PROVIDING HEALTHY HEROES (EMPLOYEE VOLUNTEERS) WHO CONTRIBUTE COUNTLESS HOURS TO THE COMMUNITY OUTSIDE OF OUR HOSPITALS BY PARTICIPATING IN MANY DIFFERENT PREVENTATIVE HEALTH EVENTS. IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARDS AND ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF. Part V, Section B, Line 13g 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 16e The hospital facility did engage third party non-reporting collection agencies and uses a local attorney to file liens against property in rare situations with respect to patients not qualifying for financial assistance, only after making reasonable efforts to determine the patient's eligibility under the facility's financial assistance policy. Part V, Section B, Line 17e 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 16 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 19d 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, QUESTION 2ReturnReference
ExplanationTHE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITY TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEE HUNTLEY
0657436000227001632005493068151900
TIMOTHY HAWKINS
02417850776980457202868308224036096200
PHYLLIS BAUM
028276207732006046012311010917038935600
DALE E HOCKING
0372843000652001183603062039426100
DANIEL CARLSON
0351202000305101064209309037420400
NANCY VESTER
0195457045362026650692503951025436000
DARLENE STONE
022829300087540832301932024730200
MARC WESTERMAN
017971000036300645000018979000
CARL DAN SACCO
021825300050730508606183023459500
MARYJANE CURRY PELYAK
1311750335460007335039520176008000
MARY PERFUMO
022418900024150761506772024099100
PHILIP BRAUN
0139455036268071750764502591019313400
SANDRA PELTON
15000305350533101837000157706000
ROSEMARY REINER
1276860315020484304776059870174794000
DAVID L JONES
0130257024128044360317600016199700
TED WILLIAMS
0129948034376045150700105335018117500

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION TO DIRECTORFORM 990, PART VII, SECTION ADURING THE ROUTINE COURSE OF BUSINESS, DR. DAVID L. SUSTARSIC, MD, PA EARNED $30,091 IN COMPENSATION FROM LEESBURG REGIONAL AND $2,695 FROM THE VILLAGES DURING CALENDAR YEAR 2011 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF THOSE ORGANIZATIONS DURING THE YEAR.
COMPENSATION TO DIRECTORFORM 990, PART VII, SECTION ADURING THE ROUTINE COURSE OF BUSINESS, DR. JOHN COWIN, MD, EARNED $18,761 IN COMPENSATION FROM LEESBURG REGIONAL AND $7,223 IN COMPENSATION FROM THE VILLAGES DURING CALENDAR YEAR 2011 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF LEESBURG REGIONAL AND THE VILLAGES DURING THE YEAR.
COMPENSATION TO DIRECTORFORM 990, PART VII, SECTION ADURING THE ROUTINE COURSE OF BUSINESS, DR. HANUBAL SHIVAKUMAR, MD, EARNED $116,351 IN COMPENSATION FROM LEESBURG REGIONAL DURING CALENDAR YEAR 2011 RELATED TO MEDICAL CARE HIS PRACTICE PROVIDED TO PATIENTS OF LEESBURG REGIONAL DURING THE YEAR.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF LEESBURG FLORIDA
596000362524360FM12009-12-1630000000HOSP REV REFDG BONDS SERIES 2009Afalsefalsefalse
CITY OF LEESBURG FLORIDA
5960003622011-10-0642500000HOSP REV REFDG BONDS SERIES 2011falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
003000000000300000000000002009truefalsetruetrue
004250000000425000000000002011truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruefalse0.007200.00720true
falsefalsetruetruefalse0.007200.00720true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsetruefalsefalsefalsefalse0falsefalse
0
falsetruefalsefalsefalsefalse0falsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (49 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DECISIONS SUBJECT TO MEMBER APPROVALFORM 990, PART VI, SECTION A, LINES 6, 7A, AND 7BCENTRAL 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 990FORM 990, PART VI, SECTION B, LINE 11DURING APRIL 2012, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2011 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 POLICYFORM 990, PART VI, SECTION B, LINE 12CTHE 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 COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15BTHE 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 VENTUREFORM 990, PART VI, SECTION B, LINE 16BBEFORE 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 PUBLICFORM 990, PART VI, SECTION C, LINE 19GENERALLY, 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.
PREPARING SCHEDULE KSCHEDULE K, PART I, LINE 1, COLUMNS E AND G AND LINE 1PLEASE NOTE THAT THE SCHEDULE K IS COMPLETED IN A MANNER THAT IS CONSISTENT WITH THE FORM 8038 FILED FOR THE 2008BC BOND ISSUE ALTHOUGH A PORTION OF THE 2008BC BOND WAS REFUNDED BY THE 2009A BOND ISSUE LISTED.
BOND DESCRIPTIONSCHEDULE K, PART I, COLUMN F, LINES A AND BDESCRIPTION LINE A: VILLAGES 2008BC ISSUE WAS USED TO REFUND THE SERIES 2006 ISSUE JANUARY 25, 2006 DESCRIPTION LINE B: VILLAGES 2009A ISSUE WAS USED TO REFUND A PORTION OF THE 2008BC ISSUE
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETS EQUITY IN EARNINGS OF UNCONSOLIDATED AFFILIATES 117,340 CHANGE IN FAIR MARKET OF INTEREST RATE SWAP (5,101,669) RELEASE OF NET ASSETS 169,109 ------------- TOTAL: (4,815,220)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID L SUSTARSIC MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT Q WILLIAMS ESQUIRE TITLE:CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:W THOMAS BROOKS TITLE:FORMER SECRETARY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GREGORY R LEWIS TITLE:TREASURER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SHIVAKUMAR S HANUBAL MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TIMOTHY H SENNETT TITLE:FORMER BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TIMOTHY I SULLIVAN TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TERRY R UPTON TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DON V HAHNFELDT TITLE:VICE CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROGER W. SHERMAN MD TITLE:Board Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EVAN RICHARDS TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANET BOLIVAR TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANE SPENCER TITLE:SECRETARY HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN A COWIN MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE E KAINZ MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RUSSEL J D'EMIDIO TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH A. SAMPONG MD TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:AMANDA J. WETTSTEIN TITLE:BOARD MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEE HUNTLEY TITLE:FORMER PRESIDENT/CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DALE E HOCKING TITLE:FORMER SVP/CFO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DON HENDERSON TITLE:PRESIDENT/CEO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANE HARDEN TITLE:SVP/CFO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TIMOTHY HAWKINS TITLE:SVP COO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHYLLIS BAUM TITLE:VP/CHIEF QUALITY OFFICER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL CARLSON TITLE:SENIOR VP MEDICAL AFFAIRS HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NANCY VESTER TITLE:VP/CIO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DARLENE STONE TITLE:FORMER VP/HR HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARC WESTERMAN TITLE:AVP/SUPPLY CHAIN HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CARL DAN SACCO TITLE:SVP, STRATEGIC PLANNING HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARYJANE CURRY PELYAK TITLE:VP PROFESSIONAL SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARY PERFUMO TITLE:VP/CNO HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PHILIP BRAUN TITLE:VP CHIEF COUNSEL HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROSEMARY REINER TITLE:VP/CCO TVRH HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID L JONES TITLE:AVP CONTROLLER HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TED WILLIAMS TITLE:VP/FOUNDATION PRESIDENT HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SANDRA PELTON TITLE:PHARMACIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WENDY DONATO TITLE:PHARMACIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDY GILLUM TITLE:PHARMACIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARK BERARD TITLE:PHARMACY MANAGER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:UDAY TALATI TITLE:PHARMACIST HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1VILLAGES REG HOSPITAL PHYSICIAN SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11451 EL CAMINO REALAddressLine1
CityTHE VILLAGESCity
StateFLState
ZIP Code32159ZIPCode
FieldValueIRS element (for citing)
EIN263978916EIN
Primary ActivitiesBILLING SERVPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TVRHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LEESBURG REGIONAL MEDICAL CENTER
600 EAST DIXIE AVENUELEESBURGFL34748590878982MEDICAL SRVCSFL501(C)(3)3CFHAfalse
CENTRAL FLORIDA HEALTH ALLIANCE
600 EAST DIXIE AVENUELEESBURGFL34748331197054PARENT HOSP.FL501(C)(3)11NAfalse
THE VILLAGES REGIONAL HOSPITAL AUXILIARY
1451 EL CAMINO REALTHE VILLAGESFL32159550818419SUPPORT HOSPFL501(C)(3)11TVRHfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CF CARDIOVASCULAR CO-MANAGEMENT CO LLC
600 E DIXIE AVELEESBURGFL34748270781065HEALTHCARE SERVSFLLRMCRELATED14952514694false$0false0.12500
CF ONCOLOGY CO-MANAGEMENT CO LLC
600 E DIXIE AVELEESBURGFL34748272818513HEALTHCARE SERVSFLLRMCRELATED10137127641false$0false0.27273

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1VENTURE HEALTH CARE CORPORATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 E DIXIE AVEAddressLine1
CityLEESBURGCity
StateFLState
ZIP Code34748ZIPCode
FieldValueIRS element (for citing)
EIN592689702EIN
Primary ActivityMANAGEMENT SRPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THE VILLAGES REGIONAL HOSPITAL AUXILIARYBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved216920AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination