FOUNDATION RESOLUTION CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION RESOLUTION CORPORATION (EIN 59-2890430)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-30
IRS object ID
201322119349300112
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)
Timestamp2013-07-30T08:43:40-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN621517792EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PERSHING YOAKLEY & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12963 GULF TO BAY BLVD STE 267AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code337594255ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592890430EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Citrus Memorial Health Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCITRNameControl
Phone3525606898Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1502 W Highland BlvdAddressLine1
CityInvernessCity
StateFLState
ZIP Code344524720ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark WilliamsName
TitleCFOTitle
Phone3525606898Phone
Date Signed2013-07-30DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTerry HaefnerName
PTINP01258953PTIN
Phone7274427110Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRyan Beaty CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1502 W Highland BlvdAddressLine1
CityInvernessCity
StateFLState
ZIP Code344524720ZIPCode
FieldValueIRS element (for citing)
Gross Receipts176152535GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.citrusmh.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionThe organization's primary purpose is to provide a wide range of healthcare services for the benefit of the citizens and residents of Citrus County.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1737TotalNbrEmployees
Total Nbr Volunteers467TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year200168ContributionsGrantsPriorYear
Contributions Grants Current Year664383ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177011889ProgramServiceRevenuePriorYear
Program Service Revenue CY174033357ProgramServiceRevenueCY
Investment Income Prior Year264086InvestmentIncomePriorYear
Investment Income Current Year225844InvestmentIncomeCurrentYear
Other Revenue Prior Year3546696OtherRevenuePriorYear
Other Revenue Current Year182907OtherRevenueCurrentYear
Total Revenue Prior Year181022839TotalRevenuePriorYear
Total Revenue Current Year175106491TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year76956388SalariesEtcPriorYear
Salaries Etc Current Year71383568SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year177436TotalFundrsngExpCurrentYear
Other Expense Prior Year104162410OtherExpensePriorYear
Other Expenses Current Year109830769OtherExpensesCurrentYear
Total Expenses Prior Year181118798TotalExpensesPriorYear
Total Expenses Current Year181214337TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-95959RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6107846RevenuesLessExpensesCY
Total Assets BOY141299059TotalAssetsBOY
Total Assets EOY136989081TotalAssetsEOY
Total Liabilities BOY107868469TotalLiabilitiesBOY
Total Liabilities EOY115483806TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33430590NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21505275NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCitrus Memorial Health System exists to improve the health and quality of life of the people and communities we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense141463154Expense
Revenue148250038Revenue
DescriptionCitrus Memorial Hospital is a 198-bed, general short-term acute care hospital. The hospital's services include Same Day Surgery, 24-hour Emergency and Lab Services, Diagnostic Imaging, Rehabilitation, Cardiology and Catherization, Critical Care, Ear-Nose-Throat, Endoscopy, General Surgery, Gynecology and Obstetrics, Laparoscopic Surgery, Laser Surgery, Lithotripsy, Neurology, Opthalmology, Orthopedic, Pediatric Pulmonary, Radiation Therapy, Urology, Vascular Services and community education programs. Citrus Memorial Hospital was established as a general short-term acute care hospital in 1957. It is operated by the Citrus Memorial Health Foundation, Inc. The hospital charges each patient for services rendered; however, it is recognized that not all individuals have the ability to pay for these services. A determination is made to identify those persons that qualify for hospital sponsored care. The hospital follows the guidelines established by the State of Florida for qualifying hospital sponsored care. When an individual is qualified for hospital sponsored care, the bill is written off in most cases and partially written off in the remaining cases. When a patient does not have insurance, additional discounts are available. The total amount of uncompensated care absorbed by the hospital in 2012 was $44,866,266 including $12,333,735 of charity care, $23,700,946 of bad debt and $8,831,585 of self-pay discounts. The rate of reimbursement for Medicare and Medicaid payments is below the cost of providing such care. Thus, the hospital must recognize these amounts as necessary in meeting its mission.The following statistics show the level of care that was provided by the hospital in 2012, thus enhancing the quality of life in its service area: Annual Admissions 10,369Newborn Admissions 577Patient Days 43,283Newborn Days 1,017Operations Performed 5,844ER Visits 41,681Outpatient Registrations 145,529 The hospital has many other activities in keeping with its commitment to serve the healthcare needs of Citrus County:- Distributes a wide variety of literature that educates patients on topics ranging from emergency medical problems to Medicare benefits.- Sponsors a free Share Club for senior citizens to provide health care seminars and screenings, Medicare assistance and other opportunities to its over 10,000 members.- Provides some 200 educational programs annually that are available at no cost to the community, medical workers and physicians.- Operates walk-in and diagnostic imaging centers to provide health care to the residents in the center of the county.- Participates in and hosts health fairs throughout the county, offering health care screenings and information in order to foster health education in the community.- Sponsors various health awareness programs and seminars to educate the general public about various health topics.- Provides speakers for various civic organizations.- Sponsors free 24/7 physician referral service for Citrus and Sumter counties to help increase accessibility to healthcare.- Offers periodic free or low-cost health exams and screenings such as blood pressure, cholesterol, hemoglobin and various cancer screenings, among others. This aids awareness of personal health and detects problems or possible problems.- Sponsors and participates in events such as local parades, safety fairs, Chamber of Commerce events and an annual county baby shower to increase community awareness of our services.- Provides organizational and operational skills and meeting facilities for numerous groups including but not limited to Ostomy Support Group, Diabetes Support Group, American Cancer Society, Mended Hearts, various cancer support groups, Stroke Support Group, American Heart Association and Breast Cancer Support Group.- Provides assistance to educators through our work with student nursing, radiology technologist and phlebotomist programs in the local community colleges and vocational training center. Also participates in local high school career fairs to increase awareness of career opportunities in healthcare.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17947341Expense
Revenue23003378Revenue
DescriptionCitrus Memorial maintains offsite external services for the community including family practice, internal medicine and rehab services. These clinics are located conveniently throughout the county. In addition, the offices participate in local health fairs, provide free physicals for various local student organizations and host educational seminars on a variety of healthcare related topics.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2307741Expense
Revenue2404359Revenue
DescriptionThe Citrus Memorial Home Health Agency was established to provide care to those that are homebound or need continuing post-hospital care. Services include skilled nursing, rehabilitation therapy, social and nutritional. This agency provides an alternative to hospitalization or nursing home placement. The home health agency is certified by the Joint Commission on accreditation of healthcare organizations.Description
FieldValueIRS element (for citing)
Total Program Service Expense161718236TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account1EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1737NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark WilliamsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3525606898TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1502 W Highland BlvdAddressLine1
CityInvernessCity
StateFLState
ZIP Code34452ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
James T Sanders
Chairperson10.00X000
Robert Collins
Vice-Chairperson5.00X000
Sandra Chadwick
Secretary/Treasurer5.00X000
Joseph S Brannen
Director1.00X000
Robert L Henigar
Director5.00X000
Venugopala Reddy MD
Director2.00X000
David Langer
Director1.00X000
Ralph Abadier MD
Director1.00X000
Ryan D Beaty
CEO50.00356721044428X
Mark A Willams
CFO50.00171811016112X
Jerrald W DeLoach
COO50.00186188015585X
Linda M McCarthy
CNO50.00177457018419X
Lee A Glotzback
CHRO50.00136859026159X
Charles L Nutinsky DO
CMO50.00000X
Michael P Brown
Physician50.00571138019353X
John D Gelin
Physician50.00364392029710X
Quehong P Mast
Physician50.00344071017220X
Marc E Fernandez
Physician50.00337924020447X
Declan F Hegarty
Physician50.0026147602947X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2908037TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation210380TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Carlton Fields Attorney at Law
PO Box 3238TampaFL336013239legal services3865311
Associated Radiologists of Inverness P
2325 Stonebridge DriveFlintMI48532radiology1380555
LifeSouth Community Blood Centers Inc
PO Box 915079OrlandoFL328915079lab1153480
Citrus Anesthesiology
131 S Citrus AvenueInvernessFL34452anesthesia792132
Citrus Cardiovascular Associates PL
PO Drawer 3130OcalaFL344783130cardiovascular698660
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K
Fundraising Events157005FundraisingEvents
All Other Contributions507378AllOtherContributions
Noncash Contributions22520NoncashContributions
Total Contributions664383TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Hospital Service Reven621110170527659170527659
Citrus County Hospital62111017000001700000
SMP-Florida Medicaid62111013960441396044
Cafeteria Sales900099375582$375,582
Miscellaneous Program9000993407234072
FieldValueIRS element (for citing)
Total Program Service Revenue174033357TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column223966TotalRevenueColumn
Exclusion$223,966ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real252422Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real123761Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real128661Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column128661TotalRevenueColumn
Exclusion$128,661ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities860004Securities
Other16078Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities870170Securities
Other4034Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-10166Securities
Other12044Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1878TotalRevenueColumn
Exclusion$1,878ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events65620GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events157005CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses48079FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column17541TotalRevenueColumn
Exclusion$17,541ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous RevenueDescription
Business Code900099BusinessCode
Total Revenue Column36705TotalRevenueColumn
Related Or Exempt Function Income36705RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue36705TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column175106491TotalRevenueColumn
Related Or Exempt Function Income173694480RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$747,628ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1193571Total
Management And General1193571ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total57545082Total
Program Services54444127ProgramServices
Management And General2967494ManagementAndGeneral
Fundraising133461Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1517595Total
Program Services1369663ProgramServices
Management And General142316ManagementAndGeneral
Fundraising5616Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6946154Total
Program Services5038564ProgramServices
Management And General1890248ManagementAndGeneral
Fundraising17342Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4181166Total
Program Services3868555ProgramServices
Management And General302738ManagementAndGeneral
Fundraising9873Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2078192Total
Management And General2078192ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78607Total
Management And General78607ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17680317Total
Program Services14373140ProgramServices
Management And General3305860ManagementAndGeneral
Fundraising1317Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total557550Total
Program Services5280ProgramServices
Management And General551269ManagementAndGeneral
Fundraising1001Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37877986Total
Program Services37665125ProgramServices
Management And General210600ManagementAndGeneral
Fundraising2261Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3739239Total
Program Services3729475ProgramServices
Management And General9764ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8859671Total
Program Services8737134ProgramServices
Management And General119917ManagementAndGeneral
Fundraising2620Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total189999Total
Program Services154484ProgramServices
Management And General34374ManagementAndGeneral
Fundraising1141Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22870Total
Program Services12330ProgramServices
Management And General10540ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2732531Total
Management And General2732531ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7757360Total
Program Services7757360ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1469456Total
Program Services257030ProgramServices
Management And General1212426ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debts2370094623700946
Indigent Assessment18346151834615
Miscellaneous9540753445216069762578
Education29735526050236627226

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181214337Total
Program Services161718236ProgramServices
Management And General19318665ManagementAndGeneral
Fundraising177436Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21483661BOY
EOY25699170EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY172397BOY
EOY174550EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16499513BOY
EOY20017400EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3793534BOY
EOY3469244EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2665009BOY
EOY2442024EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis165404845LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec99543133LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66153498BOY
EOY65861712EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY575604BOY
EOY567216EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY4901000BOY
EOY4901000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25054843BOY
EOY13856765EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY141299059BOY
EOY136989081EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19890870BOY
EOY21826540EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY56914451BOY
EOY55349539EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY412381BOY
EOY1363373EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30650767BOY
EOY36944354EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY107868469BOY
EOY115483806EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31721478BOY
EOY17184050EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1709112BOY
EOY4321225EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33430590BOY
EOY21505275EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141299059BOY
EOY136989081EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6107846ReconcilationRevenueExpenses
Reconcilation Other Changes-5817469ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7368434OtherCostOrOtherBasis
Book Value7368434BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis87064005OtherCostOrOtherBasis
Depreciation45033434Depreciation
Book Value42030571BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3687480OtherCostOrOtherBasis
Depreciation3264326Depreciation
Book Value423154BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65435310OtherCostOrOtherBasis
Depreciation51245373Depreciation
Book Value14189937BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1849616OtherCostOrOtherBasis
Book Value1849616BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings65861712TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivable2117345
Other Assets737214
Malpractice Funding Arrangement2103004
Under Indenture Agreement4093378
Deferred Bond Costs468767
Assets Limited as to Use4337057
FieldValueIRS element (for citing)
Total Book Value Other Assets13856765TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Liability for Pension Benefits$30,563,783
CSI Recourse Liability$7,141
Other Current Liabilities$4,131,141
Professional Liability$2,007,976
Third Party Settlements$234,313
FieldValueIRS element (for citing)
Total Of Amounts36944354TotalOfAmounts
Total Revenue175106491TotalRevenue
Total Expenses181214337TotalExpenses
Excess Or Deficit For Year-6107846ExcessOrDeficitForYear
Net Unrealized GL On Investments736NetUnrealizedGLOnInvestments
Other-$5,818,205OtherAmount
Total Adjustments-5817469TotalAdjustments
Excess Or Deficit Per FS-11925315ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt150947436TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal150947436RevenueSubtotal
Other Revenues Not Included24159055OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt24159055RevenueNotRptdOnFinStmt
Total Revenue Per Form990175106491TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt157556511TotExpensesEtcAuditedFinclStmt
Other Expenses Included43120OtherExpensesIncluded
Expenses Not Rptd F99043120ExpensesNotRptdF990
Expenses Subtotal157513391ExpensesSubtotal
Other Expenses Not Included23700946OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt23700946ExpensesNotRptdOnFinStmt
Total Expenses Per Form990181214337TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X:The Foundation is exempt from income taxes under Section 501(c)(3) of the IRC. Accordingly, the financial statements do not reflect a provision for income taxes. At September 30, 2012, the Foundation does not have any uncertain tax positions that would require recognition or disclosure in the financial statements. The Foundation is no longer subject to federal or state income tax examinations by tax authorities for the years before 2008.
Part XI, Line 8 - Other Adjustments:Contributions in Net Assets 2,586,651. Net Assets Released from Restrictions -86,124. Pension Plan Adjustments -8,318,193. Other Changes in Net Assets -539. Total to Schedule D, Part XI, Line 8: -5,818,205.
Part XII, Line 4b - Other Adjustments:Bad Debts Netted with Revenue 23,700,946. Other Revenue 481. Contributions in Net Assets 457,628.
Part XIII, Line 2d - Other Adjustments:Other Expenses 58. Net Assets Released from Restrictions Used for Operations 43,062.
Part XIII, Line 4b - Other Adjustments:Bad Debts Netted with Revenues 23,700,946.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event1139624GrossReceiptsEvent1
Charitable Contributions Event1101119CharitableContributionsEvent1
Gross Revenue Event138505GrossRevenueEvent1
Cash Prizes Event12980CashPrizesEvent1
Non Cash Prizes Event1539NonCashPrizesEvent1
Rent Facility Costs Event112276RentFacilityCostsEvent1
Food And Beverage Event16960FoodAndBeverageEvent1
Other Direct Expenses Event110005OtherDirectExpensesEvent1
Name Of Event2Charity BallNameOfEvent2
Gross Receipts Event283001GrossReceiptsEvent2
Charitable Contributions Event255886CharitableContributionsEvent2
Gross Revenue Event227115GrossRevenueEvent2
Non Cash Prizes Event2700NonCashPrizesEvent2
Food And Beverage Event28700FoodAndBeverageEvent2
Entertainment Event22800EntertainmentEvent2
Other Direct Expenses Event23119OtherDirectExpensesEvent2
Gross Receipts Total222625GrossReceiptsTotal
Charitable Contributions Total157005CharitableContributionsTotal
Gross Revenue Total Events65620GrossRevenueTotalEvents
Cash Prizes Total Events2980CashPrizesTotalEvents
Non Cash Prizes Total Events1239NonCashPrizesTotalEvents
Rent Facility Costs Total Events12276RentFacilityCostsTotalEvents
Food And Beverage Total Events15660FoodAndBeverageTotalEvents
Entertainment Total Events2800EntertainmentTotalEvents
Other Direct Expenses Total Events13124OtherDirectExpensesTotalEvents
Direct Expense Summary Events48079DirectExpenseSummaryEvents
Net Income Summary17541NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6637196TotalCommunityBenefitExpense
Direct Offsetting Revenue1396044DirectOffsettingRevenue
Net Community Benefit Expense5241152NetCommunityBenefitExpense
Percent Of Total Expense0.03330PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14574371TotalCommunityBenefitExpense
Direct Offsetting Revenue10037496DirectOffsettingRevenue
Net Community Benefit Expense4536875NetCommunityBenefitExpense
Percent Of Total Expense0.02880PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21211567TotalCommunityBenefitExpense
Direct Offsetting Revenue11433540DirectOffsettingRevenue
Net Community Benefit Expense9778027NetCommunityBenefitExpense
Percent Of Total Expense0.06210PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense242217TotalCommunityBenefitExpense
Net Community Benefit Expense242217NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense12240TotalCommunityBenefitExpense
Net Community Benefit Expense12240NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense43116TotalCommunityBenefitExpense
Net Community Benefit Expense43116NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense297573TotalCommunityBenefitExpense
Net Community Benefit Expense297573NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21509140TotalCommunityBenefitExpense
Direct Offsetting Revenue11433540DirectOffsettingRevenue
Net Community Benefit Expense10075600NetCommunityBenefitExpense
Percent Of Total Expense0.06400PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,377,745BadDebtExpenseAmount
Amount Reimbursed By Medicare59225037AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare67662650CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8437613MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Nature Coast Development Group-Crystal River
Rental0.500000.000000.25000
2 Nature Coast Development Group-Meadowcrest
Rental0.500000.000000.50000
3 Citrus County Medical Group
Rental0.170000.00000
4 North Central Florida Health Partners
Buying Group0.500000.00000
FieldValueIRS element (for citing)
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 Line1Citrus Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1502 W Highland BlvdAddressLine1
CityInvernessCity
StateFLState
ZIP Code34452ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Citrus Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities23NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Citrus Memorial Home Health Agency
502 W Highland BlvdInvernessFL34452home healthcare
Inverness Laboratory Collection Ctr
131 S Citrus AvenueInvernessFL34452laboratory
Inverness Diagnostic Imaging Center
131 S Citrus AvenueInvernessFL34452diagnostic imaging ctr
Allen Ridge Family Care Center
540 N Lecanto HwyLecantoFL34461outpatient physician clinic
Sugarmill Woods Family Care Center
7945 S Suncoast BlvdHomosassaFL34446outpatient physician clinic
Citrus Primary Care - Floral City
7648 S Florida AvenueFloral CityFL34436outpatient physician clinic
Citrus Primary Care - Crystal River
700 SE 5th Terrace Suite 7Crystal RiverFL34429outpatient physician clinic
Citrus Primary Care - Beverly Hills
450 W Roosevelt BlvdBeverly HillsFL34465outpatient physician clinic
Citrus Primary Care - Inverness
131 S Citrus AvenueInvernessFL34452outpatient physician clinic
Citrus Primary Care - Bushnell
417 Market Street 7BushnellFL33513outpatient physician clinic
Citrus Primary Care - Citrus Springs
10334 N Citrus Springs BlvdCitrus SpringsFL34434outpatient physician clinic
Citrus Primary Care - Homosassa
7945 S Suncoast BlvdHomosassaFL34446outpatient physician clinic
HomosassaSugarmill Woods Lab Col Ctr
7945 S Suncoast BlvdHomosassaFL34446laboratory draw station
Beverly Hills Lab Collection Ctr
8 Regina BlvdBeverly HillsFL34465laboratory draw station
Dunnellon Lab Collection Center
11352 N Williams StreetDunnellonFL34432laboratory draw station
Citrus Hills Lab Collection Ctr
1978 N Prospect AvenueLecantoFL34461laboratory draw station
Sugarmill Woods Rehabilitation Center
7945 S Suncoast BlvdHomosassaFL34446rehabilitation clinic
Gulf Coast Aquatic & Rehab
6043 W Nordling LoopCrystal RiverFL34429rehabilitation clinic
Gulf Coast Aquatic & Rehab
819 Medical Court EastInvernessFL34452rehabilitation clinic
Citrus Orthopedic & Joint Institute
951 N Avalon WayLecantoFL34461rehabilitation clinic
Citrus Springs Rehabilitation Center
10489 N Florida Avenue Suite FCitrus SpringsFL34434rehabilitation clinic
Allen Ridge Diagnostic Imaging Center
520 N Lecanto HwyLecantoFL34461diagnostic imaging center
Sugarmill Woods Diagnostic Imaging Ctr
7945 S Suncoast BlvdHomosassaFL34446diagnostic imaging center

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifier
Part I, L7 Col(f): Bad debt expense included in Form 990, part IX, line 24, column (a) is $23,700,946. The Hospital excluded the full amount, $23,700,946, for purposes of calculating the percentage in column (f), on part I, line 7.Bad debt expense at cost was determined by multiplying charges written off by the cost-to-charge ratio calculated using the methodology in Worksheet 2 of the instructions to this form. Although there is a significant dollar amount associated with the bad debt expense that could be considered charity, we are unable to make that determination. It has been estimated in the past to be 40% of bad debt expense.
Part III, Line 8: Although we were not able to determine a dollar amount, we believe a portion of the Medicare shortfall could be considered community benefit since Medicare is such a predominant payor in our facility. Typically commercial or managed care providers make up the deficit of the governmental payors; unfortunately we do not have the better paying population to make up for these deficits. Our tax exempt status allows CMHS to provide care at a level that would be impossible without this determination. Since we are the largest provider of care in the community, residents would need to travel a significant distance for healthcare service. The organization provides a vital service to the community for the insured as well as the uninsured alike.
Part III, Line 9b: The collection policy describes the criteria for those who qualify for hospital-sponsored care and states that the account balance will be forgiven. The policy also describes the criteria for the reduction of an account balance based on income level and assets.
Part V, Section B, Line 13g: The policy is available on the Citrus Memorial Health System website and also at registration points at all of our facilities. In addition, the policy reminds patients to call our registration department to inquire about financial assistance options.Citrus Memorial Hospital
Part V, Section B, Line 19d: Patients are charged the same regardless of eligibility. Self-pay patients are given a 30% discount automatically.Citrus Memorial Hospital
Part VI, Line 2: Citrus Memorial Health System personnel is actively involved with the community and strives to "feel the pulse" of the county's needs. CMH hosted a round table discussion with members of the community who represent the underserved including clergy, social workers, and the local food bank. An advisory group was then formed to brainstorm ideas to reach out to those in need. As a result, CMHS welcomes patients at our clinics for check-ups and treatment at no cost. Lifesaving surgeries and diagnostic testing have been performed to patients at no cost - otherwise they would have received no care. One patient told us that he had not seen a doctor since Vietnam! At our clinics, we turn away no patients based on their ability to pay. Many of these patients were referred to us by "for profit" physician practices.Our hospital also has an "Advisory Committee" where representatives from throughout the community discuss the best use of donated funds from our philanthropy endeavors. An education center, among other things, is being planned resulting from the discussions that ensued from those meetings.Citrus Memorial also develops a strategic plan based on the needs of the community. Consultants and community experts are utilized to determine the underserved programs and patients in our community. We then determine a "roadmap" to direct our activities in the best possible manner.
Part VI, Line 3: Citrus Memorial's financial counselors are well schooled in the area of financial assistance. Upon registration and once a need is determined, our patients are informed of possible Medicaid eligibility and charity care sponsorship. We are affiliated with a company that qualifies patients for Medicaid and we also have a Medicaid service center to which community members can come and complete paperwork to become eligible for this service. We have even partnered with other community agencies and conducted "healthcare fairs" to provide screenings and financial direction to patients. We provided information on our sponsorship program and provide information on Medicaid to the needy in the community.
Part VI, Line 4: Citrus County is a rural area with a significant elderly and indigent population. Citrus County is the second oldest population in the state. According to the latest census, 31% of residents are older than 65 - Florida's average is 17.2% aged greater than 65. There is virtually no industry in the area, and most jobs are related to the "service industry". The per capita income in the county is $22,714 with the Florida average being $26,503. Citrus County residents have fewer years of education with only 16.7% of the population holding a bachelor's degree or higher with the Florida average being 25.6%. Citrus County has 141,236 residents with Citrus Memorial being the primary provider of hospital care in the county. There is a smaller for-profit hospital on the other side of the county that does not offer the array of services of CMHS and does not have the capacity to serve the volume of patients CMHS serves.
Part VI, Line 5: Citrus Memorial Health System provides critical services to the citizens of Citrus County. Not only do we provide acute care hospital services, but also Home Health and primary care - all providing care to the indigent. We receive many indigent referrals from the other for-profit health establishments in the community including diagnostic imaging, infusion therapy, endoscopy, lab testing, and OP therapy. In addition, we also provide office space free of charge to the American Cancer Society. This office space on our campus enables the ACS to provide cancer patients with prosthesis and prosthetic fittings as well as wigs, hats and education materials. Please see schedule O for a more comprehensive list of our services.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 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
Ryan D Beaty
34587500010846041691027370401149000
Mark A Willams
1718110000010615054970187923000
Jerrald W DeLoach
1861880000011388041970201773000
Linda M McCarthy
1774570000014472039470195876000
Lee A Glotzback
1368590000021212049470163018000
Michael P Brown
5618950009243016406029470590491000
John D Gelin
124418023997400025763039470394102000
Quehong P Mast
31250302723204336010973062470361291000
Marc E Fernandez
31480302312100016500039470358371000
Declan F Hegarty
261476000000029470264423000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1bReturnReference
ExplanationThese amounts are paid in accordance with the employment contracts. There is no written policy regarding payment or provision of the benefits described above.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Citrus County Hospital Board
596017150NoneAvail2006-09-2610000000See Part V000
Citrus County Hospital Board
596017150NoneAvail2008-09-0110000000See Part V000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1000000076169992386120080011
1000000055189994481120100011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010000

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line A, Column F, Description of Purpose:(1) Financing a portion of the construction of hospital facilities and equipment including, but not limited to: the bed tower and emergency services expansion and ancillary department renovation located at Citrus Memorial Health System. (2) Providing for reimbursement of capital expenditures and to finance future routine capital expenditures at Citrus Memorial Health System. (3) Paying certain costs of issuance.
Part I, Line B, Column F, Description of Purpose:(1) Renovation of the emergency department located at Citrus Memorial Health System, including renovation of the existing space and 5,400 new square feet, an increase of 12 patient beds and an ability to improve patient flow. (2) Sugarmill Woods Diagnostic, Rehabilitation and Clinic facility, an approximately 21,400 square foot single store outpatient facility. (3) Renovations to patient elevators. (4) Paying certain costs of issuance.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJoseph S BrannenNamePerson
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction185762AmountOfTransaction
Description Of TransactionMr. Brannen's family owns Brannen Bank, and Citrus Memorial Health Foundation, Inc. holds accounts at Brannen Bank. The transaction represents the amount of bank fees paid by the Foundation.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9902633NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9904814NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F990840NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9901355NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGive Aways84945Selling Price
XGift Cards246307Selling Price
XTrips71626Selling Price
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 6:The number of volunteers was obtained through the Volunteer Works System which is used on a daily basis. The main purpose of the system is to maintain a personal profile on each volunteer and to be able to track volunteer service hours and assignments. It is also used for recognition awards and various reports that are needed throughout the year. The types of positions/services provided by the volunteers are as follows: Transporters; Couriers/Information Desk; Patient Care Partners (PCPs); ER Greeters/PCPs; Assistants to Cardiac Rehab, Chart Room, EVS, General Stores, Nutritional Services, Pharmacy and office assistants in various other departments; Gift Shop Buyers/Clerks; Lab Host/Hostess; Medical Records Messengers; newspaper delivery to the floors/departments; OB PCPs; Pre-Admit Host/Hostess and Stamping; Shuttle Drivers, Share Club Visitors, Surgery Host/Hostess and Wheelchair Repair.
Form 990, Part VI, Section A, line 2Directors Robert L. Henigar and James T. Sanders have a business relationship.
Form 990, Part VI, Section A, line 8bThe Foundation has no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11A copy of the Form 990 is provided to the Board of Directors prior to filing the return. Any questions or concerns are addressed as quickly as possible. In addition, the accounting staff review each section of the return upon receipt of the draft. The staff ensure that the statements contained in the Form 990 are accurate and the figures are true to the audited financial statements. The CFO also reviews the return to ensure it is complete and accurate.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy covers all members of the Board of Directors as well as all officers of the organization. Board members are required to abstain from voting on matters where a conflict of interest may exist.
Form 990, Part VI, Section B, line 15A national human resources firm was used to provide information regarding compensation for the following positions: Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer and Chief Human Resources Officer. The firm used a combination of national and regional data to provide their comparisons. The results of the study, including recommended compensation, were approved by the Compensation Committee.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy and financial statements are all made available to the public upon request. The financial statements are also made available on our website (unaudited are posted monthly and the audited financials are posted upon receipt).
Form 990, Part XI, line 5:Net unrealized gains on investments: 736. Contributions in Net Assets 2,586,651. Net Assets Released from Restrictions -86,124. Pension Plan Adjustments -8,318,193. Other Changes in Net Assets -539. Total to Form 990, Part XI, Line 5: -5,817,469.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
Citrus County Hospital Board
PO Box 1030InvernessFL34451596017150hospitalFLN/A0
Citrus Memorial Hospital Auxiliary
502 W Highland BlvdInvernessFL34452592774537hospitalFLN/A1501(c)(3)Line 3

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Nature Coast Development Group-Crystal River
502 W Highland BlvdInvernessFL34452550907519real estateFLN/Aexcluded1542223696901
Nature Coast Development Group-Meadowcrest
502 W Highland BlvdInvernessFL34452203938808real estateFLN/Aexcluded-1203224362500
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.