SCHF FOR-PROFIT WIND-DOWN INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SCHF FOR-PROFIT WIND-DOWN INC (EIN 59-0688798)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-13
IRS object ID
201102279349302355
Schema version
2009v1.2
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)
Timestamp2011-08-13T14:13:24-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590688798EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Wuesthoff Memorial Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWUESNameControl
Phone3216372606Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHNETTE GINDLINGName
TitleEXECUTIVE DIRECTOR/SVPTitle
Phone3216372606Phone
Date Signed2011-07-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKPMG LLPName
Phone3362753394Phone
Date Prepared2011-07-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOHNETTE GINDLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts816796995GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.wuesthoff.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionWuesthoff Memorial Hospital will provide quality comprehensive and accessible healthcare services in a cost-effective manner to the community we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2512TotalNbrEmployees
Total Nbr Volunteers620TotalNbrVolunteers
Total Gross UBI1918438TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year945137ContributionsGrantsPriorYear
Contributions Grants Current Year643374ContributionsGrantsCurrentYear
Program Service Revenue Prior Year813126087ProgramServiceRevenuePriorYear
Program Service Revenue CY807066450ProgramServiceRevenueCY
Investment Income Prior Year1749533InvestmentIncomePriorYear
Investment Income Current Year17657InvestmentIncomeCurrentYear
Other Revenue Prior Year3736531OtherRevenuePriorYear
Other Revenue Current Year2731442OtherRevenueCurrentYear
Total Revenue Prior Year819557288TotalRevenuePriorYear
Total Revenue Current Year810458923TotalRevenueCurrentYear
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 Year94349002SalariesEtcPriorYear
Salaries Etc Current Year98364278SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year717314657OtherExpensePriorYear
Other Expenses Current Year721492862OtherExpensesCurrentYear
Total Expenses Prior Year811663659TotalExpensesPriorYear
Total Expenses Current Year819857140TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7893629RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9398217RevenuesLessExpensesCY
Total Assets BOY230194001TotalAssetsBOY
Total Assets EOY139944474TotalAssetsEOY
Total Liabilities BOY193310502TotalLiabilitiesBOY
Total Liabilities EOY127234698TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36883499NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12709776NetAssetsOrFundBalancesEOY
Mission DescriptionWuesthoff Memorial Hospital will provide quality comprehensive and accessible healthcare services in a cost-effective manner to the community we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense812624071Expense
Grants0Grants
Revenue807234822Revenue
DescriptionPATIENT CARE: SEE ATTACHED SCHEDULEDescription
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense812624071TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096180NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2512NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Committees1MinutesOfCommittees
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
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHNETTE GINDLINGNamePerson
Telephone Number3216372606TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormerHighest Compensated EmployeeHighestCompensatedEmployee
RONALD BURK MD
BOARD MEMBER2X000
FRAN PICKETT
VICE CHAIRMAN2X000
LARRY SHULTZ
BOARD MEMBER2X000
HOMI COOPER
BOARD MEMBER2X000
JAMES DWIGHT
BOARD MEMBER2X000
JEFFREY SHUMAN
BOARD MEMBER2X000
JOHN BANKS
TREASURER2X000
EUGENE JOHNSON
BOARD MEMBER2X000
KENNETH KOREY
BOARD MEMBER2X000
MAXWELL KING
BOARD MEMBER2X000
REBEKAH DAVIS
BOARD MEMBER2X000
ROBERT ANDERSON
BOARD MEMBER2X000
STEVEN PHELPS
CHAIRMAN2X000
VALERIE BROWN KRIMSLEY
SECRETARY2X000
WILLIAM P BANCROFT
BOARD MEMBER2X000
EMIL MILLER
CEO2064219134655X
GEORGE FAYER
CFO2043927532891X
BRIAN BODI
CONTROLLER2016979027907X
JOHNETTE GINDLING
SR VICE PRESIDENT2020961927341X
MARCHITA MARINO
SR VICE PRESIDENT2025903826281X
KELLY SULLIVAN
SR VICE PRESIDENT2021791911686X
DOREEN WOODS
VP QUALITY & RESCOURCE MNG207455910024XX
KAREN DAVILA
SVP LEGAL206092687XX
GLENN BORDELON
VP OF SUPPORT SERVICES40126072024260X
JANET DOUGHERTY
VP40119342020176X
CHANTAL LECONTE
COO40349126027480X
SUZANNE BEAUREGARD
CHIEF NURSING OFFICER40181131020641X
WILLIAM HINES
COO40277919013802X
DONALD MCKENNA
COO401150801774XX
GUILLERMO SANABRIA
CARDIOLOGIST40327757034386X
DAVID SIMS
CARDIOLOGIST40323127034668X
MICHAEL DESCHAINE
PHARMACY DIRECTOR40159937014965X
VINAY MEHINDRU
VP OF MEDICAL AFFAIRS40145979016925X
STEVEN YUHR
PHARMACIST40126663015722X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2148561TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2018483TotalReportableCompFrmRltdOrgs
Total Other Compensation396271TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers Listed1FormersListed
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
CROTHALL HEALTHCARE
955 CHESTERBROOK BLVD SUITE 300WAYNEPA19087ENVIRONMENTAL SERVICES2552737
CENTRAL BREVARD ANESTHESIOLOGISTS
PO Box 561420RockledgeFL32956Medical Services1413773
DOUG WILSON ENTERPRISES
PO BOX 865CAPE CANAVERALFL329200865CONSTRUCTION666551
SPACE COAST HOSPITAL SERVICES
1895 MURRELL ROADROCKLEDGEFL32955LINEN SERVICES901518
HORIZON HEALTH
PO BOX 840839DALLASTX752840839PSYCHIATRIC SERVICES2392081
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations643374RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions643374TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT SERVICE REVENUE RELATED6220008052603538052603530$0
HOME MEDICAL EQUIPMENT SERVICES6219908887538887530$0
CAFETERIA SALES-(PATIENTS & EMPLOYEES)6219908500318500310$0
FLUOROSCOPY SERVICES62150067313673130$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue807066450TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1122499TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,122,499ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real823979Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real10975Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real813004Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column813004TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$813,004ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4392347Securities
Other271401Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5249563Securities
Other519027Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-857216Securities
Other-247626Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1104842TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$1,104,842ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Gross Sales Of Inventory2017577GrossSalesOfInventory
Cost Of Goods Sold558507CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1459070TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue1459070UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REFERENCE LAB6215003632960363296$0
SERVICE FEES62399096072096072$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue459368TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column810458923TotalRevenueColumn
Related Or Exempt Function Income807066450RelatedOrExemptFunctionIncome
Unrelated Business Revenue1918438UnrelatedBusinessRevenue
Exclusion$830,661ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2448141Total
Program Services0ProgramServices
Management And General2448141ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total75826273Total
Program Services75826273ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total540465Total
Program Services540465ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13642886Total
Program Services13642886ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5906513Total
Program Services5906513ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total21002187Total
Program Services16801750ProgramServices
Management And General4200437ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total189619Total
Program Services189619ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total828163Total
Program Services810367ProgramServices
Management And General17796ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total139265Total
Program Services56649ProgramServices
Management And General82616ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47675769Total
Program Services47539470ProgramServices
Management And General136299ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total234095Total
Program Services234095ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7694133Total
Program Services7680576ProgramServices
Management And General13557ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total342374Total
Program Services310077ProgramServices
Management And General32297ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18704Total
Program Services16316ProgramServices
Management And General2388ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1096675Total
Program Services1096675ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total5690133Total
Program Services5690133ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6732519Total
Program Services6732519ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5806455Total
Program Services5806455ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES2230370522238461652440
TAXES & LICENSES35778235778200
BAD DEBT & CONTRACTUAL ALLOWANCES60097816660097816600
MISC EXPENSE403118168824234294

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total819857140Total
Program Services812624071ProgramServices
Management And General7233069ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16362092BOY
EOY28617277EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27882021BOY
EOY24972611EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY84541744BOY
EOY18640097EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7431811BOY
EOY6625328EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY874301BOY
EOY638218EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis170933409LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec129467975LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40808865BOY
EOY41465434EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY54785189BOY
EOY21656983EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY-2492022BOY
EOY-2671474EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY230194001BOY
EOY139944474EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY144787267BOY
EOY74846872EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7885358BOY
EOY5390192EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11464878BOY
EOY10834423EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29172999BOY
EOY36163211EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY193310502BOY
EOY127234698EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY34499131BOY
EOY10574306EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1462807BOY
EOY1052330EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY921561BOY
EOY1083140EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36883499BOY
EOY12709776EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY230194001BOY
EOY139944474EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$70,374MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB70374TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationMEMBER OF THE FLORIDA HOSPITAL ASSOCIATION. DUES ALLOCABLE TO LOBBYING ACTIVITIES BY THE ASSOCIATION.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6395992OtherCostOrOtherBasis
Book Value6395992BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis69455134OtherCostOrOtherBasis
Depreciation54187670Depreciation
Book Value15267464BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis95082283OtherCostOrOtherBasis
Depreciation75280305Depreciation
Book Value19801978BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings41465434TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH & CASH EQUIVALENTS4139649F
SECURITIES16024700F
COMMON STOCK20287F
CERTIFICATE OF DEPOSIT1472347F
FieldValueIRS element (for citing)
Total Of Book Value Securities21656983TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN SPACE COAST HOSPITAL SERVICES761423
INVESTMENT IN COASTAL1379285
INVESTMENT-BREVARD CARDIOLOGY GROUP-6998169
INVESTMENT-SUNTREE DIAGNOSTIC CENTER-15226
ACCOUNTS RECEIVABLE-PHYSICIANS35102
DEFERRED FINANCING COSTS30641
BENEFICIAL INTEREST IN WUESTHOFF HEALTH SYSTEMS FOUNDATION2135470
FieldValueIRS element (for citing)
Total Book Value Other Assets-2671474TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASES$1,013,538
ACCRUED WORKERS COMP & ASSESSMENTS$700,131
ACCRUED PENSION COSTS$21,388,385
ACCRUED PROFESSIONAL LIABILITY INSURANCE$12,420,583
ACCRUED POST-RETIREMENT BENEFITS$640,574
FieldValueIRS element (for citing)
Total Of Amounts36163211TotalOfAmounts
Total Revenue810458923TotalRevenue
Total Expenses819857140TotalExpenses
Excess Or Deficit For Year-9398217ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$14,526,607OtherAmount
Total Adjustments-14526607TotalAdjustments
Excess Or Deficit Per FS-23924824ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt236387234TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3624147NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9903624147RevenueNotRptdF990
Revenue Subtotal232763087RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included577695836OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt577695836RevenueNotRptdOnFinStmt
Total Revenue Per Form990810458923TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt242161306TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal242161306ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included577695834OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt577695834ExpensesNotRptdOnFinStmt
Total Expenses Per Form990819857140TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P10_S00_L00Schedule D, Part XNO UNCERTAIN TAX POSITIONS
SchD_P11_S00_L08Schedule D, Part XI, Line 8TRANSFERS (TO) FROM AFFILIATED ORGANIZATIONS-($12,284,384) CHANGE IN NET UNREALIZED GAINS/LOSSES ON OTHER-THAN-TRADING SECURITIES-$3,624,147 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS-($5,866,368)
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bCONTRACTUAL ALLOWANCES-$578,528,632 RENTAL PROPERTY-($10,975) PURCHASE DISCOUNTS-($16,561) COST OF GOODS SOLD-(805,262)
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bCONTRACTUAL ALLOWANCES-$578,528,632 RENTAL PROPERTY EXPENSE-($10,975) PURCHASE DISCOUNTS-($16,561) COST OF GOODS SOLD-($805,262)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12499308TotalCommunityBenefitExpense
Direct Offsetting Revenue1566806DirectOffsettingRevenue
Net Community Benefit Expense10932502NetCommunityBenefitExpense
Percent Of Total Expense0.05PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense26922159TotalCommunityBenefitExpense
Direct Offsetting Revenue16062692DirectOffsettingRevenue
Net Community Benefit Expense10859467NetCommunityBenefitExpense
Percent Of Total Expense0.05PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense39421467TotalCommunityBenefitExpense
Direct Offsetting Revenue17629498DirectOffsettingRevenue
Net Community Benefit Expense21791969NetCommunityBenefitExpense
Percent Of Total Expense0.10PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense39421467TotalCommunityBenefitExpense
Direct Offsetting Revenue17629498DirectOffsettingRevenue
Net Community Benefit Expense21791969NetCommunityBenefitExpense
Percent Of Total Expense0.10PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,927,209BadDebtExpenseAmount
Amount Attributable To5927209AmountAttributableTo
Amount Reimbursed By Medicare68987194AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79764756CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10777562MedicareSurplusOrShortfall

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 V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
WUESTHOFF MEMORIAL HOSPITAL
1116 GEIGER STROCKLDEGEFL32955XXX
WUESTHOFF MEDICAL CENTER MELBOURNE
1116 GEIGER STROCKLEDGEFL32955XXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaNOT APPLICABLE SINCE WUESTHOFF HEALTH SYSTEM AND ITS AFFILIATES (WUESTHOFF) USE THE FEDERAL POVERTY GUIDELINES.IncomeBasedCriteria
Annual Community Benefit ExplnTHE ENTITIES IN THE WUESTHOFF HEALTH SYSTEM PREPARE A COMBINED COMMUNITY BENEFIT REPORT.AnnualCommunityBenefitExpln
Costing Method UsedUsed a Cost to Charge Ratio of 26.4% from wksht2CostingMethodUsed
Subsidized Health Services ExplnNOT APPLICABLE SINCE WUESTHOFF'S SCHEDULE H, PART I, LINE 7 DOES NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICES FROM PHYSICIAN CLINICS. SCHEDULE H, PART I, LINE 7 - USED A COST TO CHARGE RATIO OF 26.4% FROM WORKSHEET 2SubsidizedHealthServicesExpln
Bad Debt FootnoteWUESTHOFF DOES NOT HAVE A SPECIFIC BAD DEBT FOOTNOTE IN ITS FINANCIAL STATEMENTS. HOWEVER, BAD DEBT IS IDENTIFIED IN THE AUDITED FINANCIAL STATEMENTS AS AN OPERATING EXPENSE. WUESTHOFF IDENTIFIES CHARITY CARE PATIENTS USING THE SAME CRITERIA USED BY THE STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION. WUESTHOFF'S POLICY STATES THAT A PATIENT WHOSE INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES WILL BE CLASSIFIED AS A CHARITY CARE PATIENT. ADDITIONALLY, IF THE PATIENT'S TOTAL CHARGES EXCEED 25% OF THE PATIENT'S ANNUAL INCOME, THEN THE PATIENT WILL BE CLASSIFIED AS A CHARITY CARE PATIENT UNLESS THE PATIENT'S INCOME EXCEEDS FOUR TIMES THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR. BECAUSE WUESTHOFF DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. A COST TO CHARGE RATIO IS USED TO DETERMINE COSTS ON LINE 2 AND 3.BadDebtFootnote
Shortfall As Community BenefitMEDICARE ALLOWABLE COSTS ARE TAKEN FROM THE MEDICARE COST REPORTS. THE MEDICARE PROGRAMS PAY THE HOSPITAL LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO THESE PATIENTS. THE SHORTFALL REFLECTS UNREIMBURSED PROVISION OF HEALTHCARE TO PATIENTS, WHICH REPRESENTS A BENEFIT TO THE COMMUNITY.ShortfallAsCommunityBenefit
Debt Collection PolicyWUESTHOFF DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE.DebtCollectionPolicy
Number Of Facility Type ExplnTHE RETURNS REFLECT ALL LICENSED FACILITIES REQUIRED TO BE LISTED IN PART V.NumberOfFacilityTypeExpln
Needs AssessmentLINES 2 THROUGH 8 - IN THE WORKPLACE AND THROUGHOUT THE COMMUNITY, WHS SPONSORS MORE THAN 50 AREA HEALTH FAIRS, HELPING THOUSANDS OF RESIDENTS LEARN ABOUT THEIR RISK FACTORS FOR DISEASES AND WAYS TO LIVE LONGER, HEALTHIER, MORE ACTIVE LIVES. FREE OR LOW-COST HEALTH SCREENINGS HELP PEOPLE IDENTIFY POTENTIAL PROBLEMS EARLY, WHEN THEY ARE MOST TREATABLE. WHS SCREENINGS HAVE INCLUDED PROSTATE, DIABETES, BLOOD PRESSURE, CHOLESTEROL, SKIN CANCER, RESPIRATORY, OSTEOPOROSIS AND CARDIAC RISK FACTORS. IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, WUESTHOFF HEALTH SYSTEM PAYS PARTICULAR ATTENTION TO THE POPULATION SERVED AT THE BREVARD HEALTH ALLIANCE CLINICS (PRIMARY CARE CLINICS FOR THE UNINSURED AND UNDERINSURED WHICH THE HOSPITAL HELPS SUPPORT FINANCIALLY). IN ADDITION WE REVIEW CENSUS DATA, REVIEW DATA FROM AND WORK WITH THE COUNTY HEALTH DEPARTMENT AND SERVE ON THE BOARD OF THE BREVARD HEALTHCARE FORUM. THROUGH THE FORUM WE RECEIVE THE STATISTICAL RESULTS OF A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT FOR OUR PLANNING PURPOSES. OUR COMMUNITY BENEFIT EFFORT IS A MEASURED APPROACH TO MEET IDENTIFIED COMMUNITY HEALTH CARE NEEDS, PARTICULARLY OF THE UNINSURED AND UNDERSERVED. THE COMMUNITY POPULATION IS PRIMARILY MEDICARE (APPROXIMATELY 33%) WITH THE REMAINDER MEDICAID, SELF PAY AND OTHER. WE VERBALLY INFORM PATIENTS OF OUR CHARITY CARE PROGRAM. THERE IS ALSO VERBIAGE ON OUR WEBSITE AND IN THE PATIENT HANDBOOK REGARDING THE CHARITY CARE PROGRAM. IF REQUESTED, PATIENTS ARE ALSO GIVEN A COPY OF THE "PATIENT CHARITY CARE POLICY." OTHER COMMUNITY OUTREACH ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITIES INCLUDE: * EDUCATIONAL PRESENTATIONS BY PHYSICIANS ON A VARIETY OF HEALTH CARE TOPICS * FREE OR REDUCED COST HEALTH SCREENING (RANGING FROM PERIPHERAL ARTERIAL DISEASE SCREENINGS TO BLOOD PRESSURE, CHOLESTEROL AND GLUCOSE CHECKS. * HOSTING AND MAKING AVAILABLE (AT NO CHARGE) HOSPITAL SPEAKERS FOR A VARIETY OF SUPPORT GROUPS AND ORGANIZATIONS (AS WELL AS DONATED MEETING SPACE FOR SUPPORT GROUPS) * PARTNERING AND AFFILIATING WITH OUTSIDE GROUPS SUCH AS BREVARD HEALTH ALLIANCE, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY TO IDENTIFY HEALTH PRIORITIES AND ENHANCE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE, AND * PROVIDE EMPLOYEE VOLUNTEERS WHO CONTRIBUTE COUNTLESS HOURS TO THE COMMUNITY OUTSIDE OF OUR HOSPITALS AND SERVICES BY PARTICIPATING IN A VARIETY OF DIFFERENT PREVENTATIVE HEALTH EVENTS, SUCH AS HEALTH SCREENINGS AND AWARENESS WALKS. IN ADDITION, MANY OF OUR LEADERS AND TEAM MEMBERS VOLUNTEER THEIR TIME TO A VARIETY OF COMMUNITY BOARD AND ORGANIZATIONS, SUCH AS AREA ROTARY CLUBS, UNITED WAY, FLORIDA HOSPITAL ASSOCIATION, JUVENILE DIABETES, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, CHAMBERS OF COMMERCE, ETC. IN ADDITION, THE HOSPITAL GENERALLY MAINTAINS AN OPEN MEDICAL STAFF.NeedsAssessment
Patient Education AssistanceSEE ABOVEPatientEducationAssistance
Community InformationSEE ABOVECommunityInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
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 (15 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
EMIL MILLER
0521201013886010710408250026405067684600
GEORGE FAYER
028880206568208479005305027587047216600
BRIAN BODI
01502440001954503134024773019769600
KELLY SULLIVAN
0181379000365400715010970022960400
JOHNETTE GINDLING
016521901778402661503406023935023695900
MARCHITA MARINO
016954302079006870603982022299028532000
WILLIAM HINES
203059032248042611017310120720291721000
CHANTAL LECONTE
228361040023080742051110223690376606000
SUZANNE BEAUREGARD
14082300040307013650192760201771000
GLENN BORDELON
11276700013306018240224360150333000
JANET DOUGHERTY
1193420000000201760139518000
GUILLERMO SANABRIA
3115800600015577053800290060362143000
DAVID SIMS
30489900018227057500289180357794000
MICHAEL DESCHAINE
13738500022552000149650174902000
VINAY MEHINDRU
11285900033120000169250162904000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L04Identifier
Return ReferenceSchedule J, Part I, Line 4ReturnReference
ExplanationDuring 2009, Wuesthoff paid Karen Davila, Senior Vice-President, a severance payment of $6,092.16 for her years of service to the Wuesthoff Health Systems and its affiliates.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11Form 990, Part VI, Section B, Line 11Prior to filing the Form 990, management and accounting staff reviewed the draft. CFO, management and accounting provided comments. Based upon feedback received prior to finalization, revisions were made to the return. The board of directors received a final copy prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cWuesthoff Health Systems, Inc. and affiliates (referred to as "Wuesthoff") has established a Conflict of Interest policy which requires all board members and officers to affirm adherence to our conflict of interest policy and to disclose all related party transactions. The conflict of interest policy has been reviewed and approved by the Board of Directors. Wuesthoff's policy requires certain individuals to disclose participation in activities or circumstances that may present a conflict of interest on an annual basis or if at any time such individual becomes aware of circumstances that may present a conflict of interest. These disclosures are reviewed as necessary. The board of director reviews all potential transactions with related parties. The board of directors approves a transaction between Wuesthoff and a related party only when such transaction is determined to be in the best interests of Wuesthoff.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15A third party administrator (Hay Group) on behalf of the Executive/Compensation Committee of the Board of Directors annually conducts an independent review of the competitiveness of compensation for the executive team. The process includes documentation review to re-familiarize themselves with the organization to ensure a good understanding of the environment in which Wuesthoff operates. Each executive's role is assessed based on position, size and complexity. Compensation structure and each executive's placement in a salary grade are reviewed. A market analysis is done to determine base salary and total cash compensation ranges for each individual position. Recommendations for potential changes to salaries are then made to the Executive/Compensation Committee of the Board of directors for their review and implementation is necessary. The last review was done in August of 2009 of the following positions: Chief Executive Officer Chief Financial Officer Chief Operating Officer - Melbourne Chief Operating Officer - Rockledge Senior Vice President - Human Resources Senior Vice President - Chief Legal Senior Vice President - Marketing Vice President - Medical Affairs Vice President - Nursing Rockledge Vice President - Nursing Melbourne Vice President - Health Services President - Foundation Corporate Controller Vice President - Quality Assurance Vice President - Managed Service Organization Vice President - Support Services
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Wuesthoff does not make its governing documents or conflict of interest policy available to the public. Wuesthoff's Articles of Incorporation are available on www.sunbiz.org. The form 990 is based on the audited financial statements of Wuesthoff.
F990_P07_S0A_L01aForm 990, Part VII, Section A, Line 1aOFFICERS AND KEY EMPLOYEES COMPENSATED BY RELATED ORGANIZATIONS WORK 40 HOURS PER WEEK.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Wuesthoff Health Systems Inc
PO BOX 565002ROCKLEDGEFL32955592432318HOME OFFICEFL501 (c) (3) exemptLine 11 Type 1
Wuesthoff Medical Center - Melbourne Inc
PO BOX 565002ROCKLEDGEFL32955593759043HOSPITALFL501 (c) (3) exemptLine 3
Brevard Cardiology Group
PO BOX 565002ROCKLEDGEFL32955650732075CARDIOLOGY PHYSICIANSFL501 (c) (3) exemptLine 11 Type 1N/A
Wuesthoff Health Systems Foundation Inc
PO BOX 565002ROCKLEDGEFL32955593226582FOUNDATIONFL501 (c) (3) exemptLine 7
Wuesthoff Health Services Inc
PO BOX 565002ROCKLEDGEFL32955592432321HOSPITAL SUPPORT SERVICESFL501 (c) (3) exemptLine 3
Wuesthoff Family Physicians Inc
PO BOX 565002ROCKLEDGEFL32955593398532PHYSICIAN CLINICSFL501 (c) (3) exemptLine 11 Type 1N/A
Wuesthoff Assisted Living Facility at IRCC Inc
PO BOX 565002ROCKLEDGEFL32955593759049ASSISTED LIVING FACILITYFL501 (c) (3) exemptLine 9
Wuesthoff Progressive Care Center Inc
PO BOX 565002ROCKLEDGEFL32955593759051REHAB/NURSING HOMEFL501 (c) (3) exemptLine 9
Wuesthoff Health System Auxiliary
PO BOX 565002ROCKLEDGEFL32955591008664HOSPITAL AUXILIANSFL501 (c) (3) exemptLine 9N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SUNTREE DIAGNOSTIC CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
EIN593048318EIN
Primary ActivityDIAGNOSTIC SERVICESPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WUESTHOFF HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CARESPAN INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11116 GEIGER STAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
EIN593401464EIN
Primary ActivityMANAGEMENT SERVICESPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WUESTHOFF HEALTH SYSTEMSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income34576ShareOfTotalIncome
Share Of EOY Assets2833959ShareOfEOYAssets
Percentage Ownership1PercentageOwnership
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 Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
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 (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Wuesthoff Health Systems Inc
o4219597
Brevard Cardiology Group
o1214
Wuesthoff Health Services Inc
o4345177
Wuesthoff Health Systems Foundation Inc
o1142630
Wuesthoff Assisted Living Facility at IRCC Inc
o73206
Wuesthoff Progressive Care Center Inc
p7351
Wuesthoff Family Physicians Inc
p107817

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