FLORIDA HOSPITAL ASSN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FLORIDA HOSPITAL ASSN INC (EIN 59-0690327)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201323179349305582
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T16:14:32-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11713 MAHAN DRIVEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590690327EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLORIDA HOSPITAL ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFLORNameControl
Phone8502229800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 EAST COLLEGE AVEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE RUEBENName
TitlePRESIDENTTitle
Phone8502229800Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameL THOMAS COXName
PTINP00108148PTIN
Phone8508788777Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE RUEBENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1306 E COLLEGE AVEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8754441GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionDEVELOP & PROMOTE HEALTH CARE EDUCATION, INFORMATION & CONSULTATION PROGRAMS AND SERVICES THAT ENHANCE THE QUALITY OF HEALTH CARE PROVIDED IN FLORIDA.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI-12492TotalGrossUBI
Net Unrelated Business Txbl Income-14013NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year548315ContributionsGrantsPriorYear
Contributions Grants Current Year613750ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6954716ProgramServiceRevenuePriorYear
Program Service Revenue CY8077526ProgramServiceRevenueCY
Investment Income Prior Year73121InvestmentIncomePriorYear
Investment Income Current Year19269InvestmentIncomeCurrentYear
Other Revenue Prior Year19140OtherRevenuePriorYear
Other Revenue Current Year5477OtherRevenueCurrentYear
Total Revenue Prior Year7595292TotalRevenuePriorYear
Total Revenue Current Year8716022TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY432250GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3931763SalariesEtcPriorYear
Salaries Etc Current Year4295515SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3574140OtherExpensePriorYear
Other Expenses Current Year3916842OtherExpensesCurrentYear
Total Expenses Prior Year7505903TotalExpensesPriorYear
Total Expenses Current Year8644607TotalExpensesCurrentYear
Revenues Less Expenses Prior Year89389RevenuesLessExpensesPriorYear
Revenues Less Expenses CY71415RevenuesLessExpensesCY
Total Assets BOY5806626TotalAssetsBOY
Total Assets EOY5779903TotalAssetsEOY
Total Liabilities BOY2844743TotalLiabilitiesBOY
Total Liabilities EOY2787827TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2961883NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2992076NetAssetsOrFundBalancesEOY
Mission DescriptionDEVELOP & PROMOTE HEALTH CARE EDUCATION, INFORMATION & CONSULTATION PROGRAMS AND SERVICES THAT ENHANCE THE QUALITY OF HEALTH CARE PROVIDED IN FLORIDA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROMOTED ABILITY OF MEMBER HOSPITALS AND HEALTHCARE SYSTEMS TO EFFECTIVELY AND EFFICIENTLY SERVE HEALTHCARE NEEDS OF THEIR COMMUNITIES THROUGH ADVOCACY, EDUCATION, RESEARCH, REPRESENTATION AND SERVICE.Description
Described In501 C30DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
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 Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKAYE LYNN MATTERNNamePerson
Telephone Number4078416230TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1307 PARK LAKE CIRCLEAddressLine1
CityORLANDOCity
StateFLState
ZIP Code32803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeAverage Hours Per Week RelatedAverageHoursPerWeekRelatedFormerFormer
STEVEN JOHNSON
TRUSTEE5.00X000
TIMOTHY GOLDFARB
TRUSTEE5.00X000
DOUGLAS BAER
TRUSTEE5.00X000
ZEFF ROSS
TRUSTEE5.00X000
LAURA KAISER
TRUSTEE5.00X000
GARY CARNES
TRUSTEE5.00X000
STEVE PURVES
TRUSTEE5.00X000
LANCE ANASTASIO
TRUSTEE5.00X000
BOB BRIGHAM
TRUSTEE5.00X000
JOHN KOLOSKY
TRUSTEE5.00X000
SHERRIE SITARIK
TRUSTEE5.00X000
ANTHONY DEGINA JR
TRUSTEE5.00X000
ROY WRIGHT
TRUSTEE5.00X000
WAYNE BRACKIN
TRUSTEE5.00X000
GWEN MACKENZIE
TRUSTEE5.00X000
GEORGE MIKITARIAN
TRUSTEE5.00X000
MARK ROBITAILLE
TRUSTEE5.00X000
MARK O'BRYANT
TRUSTEE5.00X000
SUE BRODY
TRUSTEE5.00X000
JOSEPH GORDY
TRUSTEE5.00X000
ALLEN WEISS
TRUSTEE5.00X000
HUGH GREENE
CHAIR5.00000X
STEVEN SONENREICH
VICE CHAIRMAN5.00000X
ALFRED STUBBLEFIELD
TREASURER5.00000X
LARS HOUMANN
IMMEDIATE PAST CHAIR5.00000X
BRUCE RUEBEN
PRESIDENT40.001107341039792X
PAUL BELCHER
SR VICE PRESIDENT40.0025806700X
RALPH GLATFELTER
SR VICE PRESIDENT40.0026676200X
WILLIAM BELL
GENERAL COUNSEL40.00234385057144X
RICHARD RASMUSSEN
VP, STRATEGIC COMMUNICATIO40.00185140038046X
KIM STREIT
VP/HLTH CARE RSRCH & INFO40.00158459030080X
MARTHA DECASTRO
VP OF NURSING40.00146502038975X
KATHERINE HOLZER
VP OF HEALTH POLICY40.0011298805106X
KATHRYN REEP
VP OF FINANCIAL SERVICES40.00149194038510X
CHARLIE PIERCE
FORMER EXECUTIVE DIRECTOR0.00161829000.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2780667TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation247653TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOLLAND & KNIGHT
100 N TAMPA STTAMPAFL33602LOBBYING/CONSULTING463984
JOHNSON & BLANTON LLC
PO BOX 10805TALLAHASSEEFL32302LOBBYING/CONSULTING170099
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants213750GovernmentGrants
All Other Contributions400000AllOtherContributions
Total Contributions613750TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES90009970371817037181
PROGRAM REVENUE900099649707649707
CONFERENCES900099234218234218
SPONSORSHIPS9000991352051329552250
DATA SERVICES9000992121521215
FieldValueIRS element (for citing)
Total Program Service Revenue8077526TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19269TotalRevenueColumn
Exclusion$19,269ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real17748Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real38419Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-20671Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-20671TotalRevenueColumn
Unrelated Business Revenue-17516UnrelatedBusinessRevenue
Exclusion-$3,155ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS INCOME9000992337423374
ADVERTISING INCOME54180027742774
FieldValueIRS element (for citing)
Total Other Revenue26148TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8716022TotalRevenueColumn
Related Or Exempt Function Income8098650RelatedOrExemptFunctionIncome
Unrelated Business Revenue-12492UnrelatedBusinessRevenue
Exclusion$16,114ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total432250Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2857023Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total910801Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total150082Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total188644Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total188965Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78184Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total314333Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1543019Total

Advertising Advertising

FieldValueIRS element (for citing)
Total4602Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total232048Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total66358Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total80104Total

Travel Travel

FieldValueIRS element (for citing)
Total219120Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total893416Total

Interest Interest

FieldValueIRS element (for citing)
Total107990Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total80705Total

Insurance Insurance

FieldValueIRS element (for citing)
Total45982Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
PROJECT EXPENSE312212
DUES & SUBSCRIPTIONS80403
MISCELLANEOUS65155
TAXES & LICENSES36784

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-243573Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8644607Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1525807BOY
EOY1065980EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY567268BOY
EOY516206EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55077BOY
EOY258996EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY96250BOY
EOY18496EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4000BOY
EOY4000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75010BOY
EOY187005EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3306973LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2123393LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1244204BOY
EOY1183580EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY515811BOY
EOY429188EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1723199BOY
EOY2116452EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5806626BOY
EOY5779903EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY567402BOY
EOY471255EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY115750BOY
EOY254222EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2161591BOY
EOY2062350EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2844743BOY
EOY2787827EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2961883BOY
EOY2992076EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2961883BOY
EOY2992076EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5806626BOY
EOY5779903EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses71415ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-41221ReconciliationUnrealizedInvest
Reconcilation Other Changes-1ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Substantially All Dues Nondeduct0SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear
Dues Assessments7037181DuesAssessments
Non Ded Lobby Political Current489102NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Carryover151956NonDedLobbyPoliticalCarryover
Non Ded Lobby Political Total641058NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices1055577AggrAmtReportedInDuesNotices
Taxable-$414,519TaxableAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis539021OtherCostOrOtherBasis
Book Value539021BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1503547OtherCostOrOtherBasis
Depreciation943337Depreciation
Book Value560210BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis35442OtherCostOrOtherBasis
Depreciation29734Depreciation
Book Value5708BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1228963OtherCostOrOtherBasis
Depreciation1150322Depreciation
Book Value78641BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1183580TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT/SUN LIFE428884F
TRUST ACCOUNT - FIRST UNION1F
INVESTMENTS IN SUBSIDIARY - PREF. STOCK251F
FBO - IPI52F
FieldValueIRS element (for citing)
Total Of Book Value Securities429188TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES589671
ACCRUED INCOME140000
CASH SURRENDER VALUE OF LIFE INSURANCE1386781
FieldValueIRS element (for citing)
Total Book Value Other Assets2116452TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCUMULATED BENEFIT OBLIGATION - SEDescription
Amount$2,062,350Amount
FieldValueIRS element (for citing)
Total Of Amounts2062350TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt8713220TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-41221NetUnrealizedGainsInvestments
Other Revenues38419OtherRevenues
Revenue Not Rptd F990-2802RevenueNotRptdF990
Revenue Subtotal8716022RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908716022TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8683027TotExpensesEtcAuditedFinclStmt
Other Expenses Included38419OtherExpensesIncluded
Expenses Not Rptd F99038419ExpensesNotRptdF990
Expenses Subtotal8644608ExpensesSubtotal
Other Expenses Not Included-1OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-1ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908644607TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ASSOCIATION UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC 740, INCOME TAXES. USING THIS GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF DECEMBER 31, 2012 THE ASSOCIATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE 38,419.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 38,419.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING -1.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COALITION TO HEAL HEALTHCARE IN FLORIDA INC
306 E COLLEGE AVETALLAHASSEEFL32301453852911501(C)(4)422150OPERATING
TALLAHASSEE MEMORIAL HEALTHCARE INC
1300 MICCOSUKEE RDTALLAHASSEEFL32308591917016501(C)(3)5000FUNDRAISER
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase 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
BRUCE RUEBEN
PRESIDENT10266370008070402625002032101153912000
PAUL BELCHER
SR VICE PRESIDENT255225000284200000258067000
RALPH GLATFELTER
SR VICE PRESIDENT257920000884200000266762000
WILLIAM BELL
GENERAL COUNSEL23298200014030336080248830292876000
RICHARD RASMUSSEN
VP, STRATEGIC COMMUNICATIO18514000000195350197580224433000
KIM STREIT
VP/HLTH CARE RSRCH & INFO1570970001362022005091600189624000
MARTHA DECASTRO
VP OF NURSING14650200000154390245520186493000
KATHRYN REEP
VP OF FINANCIAL SERVICES1486910005030217700178010188765000
CHARLIE PIERCE
FORMER EXECUTIVE DIRECTOR161829000000000161829000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationBRUCE RUEBEN PAY INCLUDES $70,231 OF NONQUALIFIED DEFERRED COMPENSATION PAYMENTS WHICH BECAME TAXABLE THIS YEAR UPON FULL VESTING.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonCHARLIE PIERCENamePerson
Relationship With OrganizationFORMER EXECUTIVE DIRECTORRelationshipWithOrganization
Purpose Of LoanTAXES ON SERP DISTRIBUTION WHEN RETIREDPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$599,949OriginalPrincipalAmount
Balance Due18496BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due18496TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6MEMBERSHIP INCLUDES FLORIDA HOSPITALS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ELECT A BOARD OF DIRECTORS EACH YEAR.
FORM 990, PART VI, SECTION A, LINE 7BTHERE ARE TIMES THAT THE MEMBERSHIP WILL VOTE ON DECISIONS OF THE GOVERNING BODY, INCLUDING BUDGETS AND BY-LAWS CHANGES.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE TAX RETURN IS PROVIDED TO THE BOARD OF DIRECTORS AFTER FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CIT IS REGULARLY MONITORED THROUGH CONVERSATIONS WITH BOARD MEMBERS AND EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE PRESIDENT'S SALARY IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND HIS NEGOTIATED CONTRACT. THE OFFICERS AND KEY EMPLOYEES' SALARIES ARE DETERMINED BY AN EVALUATION PROCESS AND THE PRESIDENT DETERMINES WHAT SALARY INCREASE THE EMPLOYEE WILL RECEIVE WITHIN THE PARAMETERS OF THE BUDGET FOR SALARIES FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ASSOCIATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AND ARE ISSUED ELECTRONICALLY.
FORM 990, PART IX, LINE 11GCONTRACT/OUTSIDE SERVICES : TOTAL EXPENSES 371,502. PROFESSIONAL FEES : TOTAL EXPENSES 1,171,517.OTHER FEES
FORM 990, PART XI, LINE 9:ROUNDING -1.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XI, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
FLORIDA HOSPITAL ASSOCIATION RESEARCH AND EDUCATION FOUNDATION
PO BOX 531107ORLANDOFL32853596151162EDUCATIONFL501(C)(3)509(A)(2)FLORIDA HOSPITAL ASSOCIATION0
FLORIDA HOSPITAL ASSOCIATION PAC FOR QUALITY HEALTH CARE
306 E COLLEGE AVETALLAHASSEEFL32301300038016POLITICAL COMMITTEEFL5270
FLORIDA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE
306 E COLLEGE AVETALLAHASSEEFL32301592602507POLITICAL COMMITTEEFL5270
FLORIDA HOSPITAL ASSOCIATION PAC FOR HEALTHY COMMUNITIES
306 E COLLEGE AVETALLAHASSEEFL32301593741580POLITICAL COMMITTEEFL5270

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
FLORIDA HOSPTIAL ASSOCIATION MANAGEMENT CORPORATION INC
PO BOX 536905ORLANDOFL32853592233660ADMINISTRATIVE SERVICESFLN/AC0
INSURANCE BENEFITS INC
PO BOX 536905ORLANDOFL32853593069962INSURANCEFLN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
FLORIDA HOSPITAL ASSOCIATION MANAGMENT COMPANY INC
A17748FMV
FLORIDA HOSPITAL ASSOCIATION MANAGMENT COMPANY INC
K115972FMV
FLORIDA HOSPITAL ASSOCIATION MANAGMENT COMPANY INC
P246229FMV
FLORIDA HOSPITAL ASSOCIATION MANAGMENT COMPANY INC
Q250566FMV

Comments

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