2011-08-15T11:20:37-05:00 2010-09-30 PURVIS GRAY & COMPANY 2347 SE 17TH STREET OCALA FL 34471 990 2009-10-01 592890430 CITRUS MEMORIAL HEALTH FOUNDATION INC CITR 3525606898 502 W HIGHLAND BLVD INVERNESS FL 344524754 MARK WILLIAMS 3525606898 2011-08-12 true TIMOTHY M WESTGATE CPA 3527323872 2011-08-12 2009 2016-02-24 21:20:13Z RYAN BEATY CEO 502 W HIGHLAND BLVD INVERNESS FL 344524754 200805536 false X WWW.CITRUSMH.COM X 1987 FL THE ORGANIZATION'S PRIMARY PURPOSE IS TO PROVIDE A WIDE RANGE OF HEALTH CARE SERVICES FOR THE BENEFIT OF THE CITIZENS AND RESIDENTS OF CITRUS COUNTY. 13 8 1488 425 3762 265754 1689544 184146022 171754870 1757514 1089843 243858 271056 186413148 174805313 0 0 66083766 73059287 0 265700 112874897 106749257 178958663 179808544 7454485 -5003231 153640294 143277438 97007382 94134824 56632912 49142614 THE ORGANIZATION'S PRIMARY PURPOSE IS TO PROVIDE A WIDE RANGE OF HEALTH CARE SERVICES FOR THE BENEFIT OF THE CITIZENS AND RESIDENTS OF CITRUS COUNTY. false false 145903110 154239669 CITRUS 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, CARDIOVASCULAR AND CATHERIZATION, CRITICAL CARE, EAR-NOSE-THROAT, ENDOSCOPY,GENERAL SURGERY, GYNECOLOGIC, LAPAROSCOPIC SURGERY, LASER SURGERY, LITHOSTRIPSY, NEUROLOGICAL, OBSTETRIC, OPHTHALMIC, ORTHOPEDIC, PEDIATRIC PULMONARY, RADIATION THERAPY, UROLOGICAL, VASCULAR SERVICES, AND COMMUNITY EDUCATION PROGRAMS. CITRUS MEMORIAL HOSPITAL IS OPERATED BY THE CITRUS MEMORIAL HEALTH FOUNDATION, INC. CITRUS MEMORIAL HOSPITAL WAS ESTABLISHED AS A GENERAL SHORT-TERM ACUTE-CARE HOSPITAL IN 1957. 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 THE INDIVIDUAL IS QUALIFIED FOR HOSPITAL SPONSORED CARE, THE BILL IS WRITTEN OFF IN MOST CASES, OR 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 THE FYE 2010 WAS 41,941,898 INCLUDING 16,805,980 OF CHARITY CARE, 16,193,045 OF BAD DEBT AND 8,942,873 OF SELF-PAY DISCOUNTS. THE RATE OF REIMBURSEMENT FOR MEDICARE AND MEDICAID PATIENTS IS BELOW THE COST OF PROVIDING SUCH CARE. SINCE THE RATE OF REIMBURSEMENT IS BELOW THE HOSPITAL'S COST, 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 FY 2010, THUS ENHANCING THE QUALITY OF LIFE IN THE SERVICE AREA: ANNUAL ADMISSIONS 10,388 NEWBORN ADMISSIONS 564 PATIENT DAYS 43,400 NEWBORN DAYS 1,086 OPERATIONS PERFORMED 6,528 EMERGENCY DEPARTMENT VISITS 37,058 OUTPATIENT REGISTRATIONS 158,060 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, EXERCISE PROGRAMS, MEDICARE ASSISTANCE AND OTHER OPPORTUNITITES TO ITS OVER 14,000 MEMBERS. - PROVIDES SOME 200 EDUCATIONAL PROGRAMS ANNUALLY THAT ARE AVAILABLE AT NO COST TO THE COMMUNITY, MEDICAL WORKERS, AND PHYSICIANS. - OPERATES A WALK-IN CLINIC AND A DIAGNOSTIC IMAGING CENTER TO PROVIDE HEALTH CARE TO THE RESIDENTS IN THE CENTER OF THE COUNTY. - PARTICIPATES IN 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 HEALTH TOPICS. - PROVIDES SPEAKERS FOR VARIOUS CIVIC ORGANIZATIONS. - SPONSORS FREE COMMUNITY RESOURCE SERVICE TO PROVIDE INFORMATION ON HEALTH SERVICES, SUPPORT GROUPS AND ASSISTANCE PROGRAMS AVAILABLE AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. - SPONSORS FREE 24/7 PHYSICIAN REFERRAL SERVICE FOR CITRUS AND SUMTER COUNTIES TO HELP INCREASE ACCESSIBILITY TO HEALTHCARE. - DISTRIBUTES AT EVENTS INFORMATION ON THE HOSPITAL, THE WALK-IN CLINICS, COMMUNITY RESOURCE SERVICES AND PHYSICIAN REFERRAL SERVICE. - OFFERS MONTHLY AND PERIODIC FREE OR LOW COST HEALTH EXAMS AND SCREENINGS, SUCH AS BLOOD PRESSURE, CHOLESTEROL, HEMOGLOBIN AND VARIOUS CANCER SCREENINGS, AMONG OTHERS. THIS INCREASES A PERSON'S AWARENESS OF THEIR OWN HEALTH AND DETECTS PROBLEMS OR POTENTIAL PROBLEMS. - SPONSORS AND PARTICIPATES IN EVENTS SUCH AS LOCAL PARADES, CHILDREN AND SENIORS HEALTH AND SAFETY FAIR, CHAMBER OF COMMERCE EVENTS AND AN ANNUAL COUNTY BABY SHOWER; TO INCREASE COMMUNITY AWARENESS OF HOSPITAL SERVICES. - PROVIDES ORGANIZATIONAL AND OPERATIONAL SKILLS AND MEETING FACILITIES FOR NUMEROUS GROUPS INCLUDING: -- OSTOMY SUPPORT GROUP -- DIABETES SUPPORT GROUP -- AMERICAN CANCER SOCIETY -- MENDED HEARTS SUPPORT GROUP -- HEART-HEALTHY EATING WORKSHOPS -- VARIOUS CANCER SUPPORT GROUPS -- STROKE SUPPORT GROUP -- AMERICAN HEART ASSOCIATION -- BREAST CANCER SUPPORT GROUP HELD AT ROBERT BOISSONEAULT CANCER CENTER AT ALLEN RIDGE MEDICAL MALL - PROVIDES ASSISTANCE TO EDUCATORS THROUGH OUR WORK WITH STUDENT NURSING, RADIOLOGY TECHNOLOGIST AND PHLEBOTOMIST PROGRAMS IN THE LOCAL COMMUNITY COLLEGES AND VOCATIONAL TRAINING CENTER. PARTICIPATES IN CAREER FAIRS AT LOCAL HIGH SCHOOLS TO INCREASE AWARENESS OF CAREER OPPORTUNITIES IN THE HEALTH CARE INDUSTRY. - WORKS WITH THE AMERICAN CANCER SOCIETY IN SPONSORING PERIODIC CANCER SCREENINGS AND EDUCATIONAL PROGRAMS. - PUBLISHES A QUARTERLY DIRECT MAILING THAT FEATURES ARTICLES ON VARIOUS HEALTH PROBLEMS AND INFORMATION ON MEDICAL BREAKTHROUGHS AND NEW PROCEDURES. IT ALSO FEATURES UPDATES ON HOSPITAL PROGRAMS AND SCREENINGS OFFERED FOR THE COMMUNITY AND HIGHLIGHTS SPECIFIC DEPARTMENTS AND THE SERVICES THEY OFFER. - PROVIDES DISCOUNT PRESCRIPTION CARD FREE OF CHARGE TO MEMBERS OF THE HOSPITAL SHARE CLUB. THE PROGRAM MAKES DISCOUNTS ON MANY PRESCRIPTION DRUGS AVAILABLE AT MOST PHARMACIES IN THE SERVICE AREA. - PROVIDES FREE TO SHARE CLUB MEMBERS THE "FILE OF LIFE" REFRIGERATOR ATTACHMENT CONTAINING HEALTH CONDITION AND PRESCRIPTION DRUG INFORMATION TO INFORM AND ASSIST EMERGENCY MEDICAL PERSONNEL. - PROVIDES STAFF MEMBERS TO SERVE ON PLANNING COMMITTEES FOR HEALTH AND SAFETY EVENTS AND GROUPS, INCLUDING SALT COUNCIL (SENIORS AND LAW ENFORCEMENT TOGETHER), AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN CANCER SOCIETY AND UNITED WAY. CITRUS MEMORIAL MAINTAINS OFFSITE EXTERNAL SERVICES FOR THE COMMUNITY INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OTHOPEDICS AND MANY REHABILITATIVE SPECIALTIES. THESE CLINICS ARE LOCATED CONVENIENTLY THROUGHOUT THE COUNTY INCLUDING INVERNESS, FLORAL CITY, LECANTO, CRYSTAL RIVER, CITRUS SPRINGS, BEVERLY HILLS, AND HOMOSASSA. THE EXTERNAL SERVICES ARE ACTIVE IN THE COMMUNITY BY PARTICIPATING IN HEALTH FAIRS AND PROVIDING COMPLIMENTARY PHYSICALS FOR THE BOY SCOUTS AND ATHLETES AT LOCAL HIGH SCHOOLS. THE CITRUS HEALTH SYSTEM PRACTITIONERS FREQUENTLY HOLD EDUCATIONAL SEMINARS ON A VARIETY OF TOPICS INCLUDING DIABETES AND ORTHOPEDICS. THE CITRUS MEMORIAL HOME HEALTH AGENCY WAS ESTABLISHED TO PROVIDE CARE TO THOSE THAT ARE HOMEBOUND OR NEED CONTINUING POST-HOSPITAL CARE. THE SERVICE INCLUDES SKILLED NURSING SERVICES, REHABILITATION THERAPY, AND NUTRITIONIST SERVICE. 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. 9306947 15466657 CITRUS MEMORIAL MAINTAINS OFFSITE EXTERNAL SERVICES FOR THE COMMUNITY INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OTHOPEDICS AND MANY REHABILITATIVE SPECIALTIES. THESE CLINICS ARE LOCATED CONVENIENTLY THROUGHOUT THE COUNTY INCLUDING INVERNESS, FLORAL CITY, LECANTO, CRYSTAL RIVER, CITRUS SPRINGS, BEVERLY HILLS, AND HOMOSASSA. THE EXTERNAL SERVICES ARE ACTIVE IN THE COMMUNITY BY PARTICIPATING IN HEALTH FAIRS AND PROVIDING COMPLIMENTARY PHYSICALS FOR THE BOY SCOUTS. THE CITRUS HEALTH SYSTEM PRACTITIONERS FREQUENTLY HOLD EDUCATIONAL SEMINARS ON A VARIETY OF TOPICS INCLUDING DIABETES AND ORTHOPEDICS. 2540185 2367418 THE CITRUS MEMORIAL HOME HEALTH AGENCY WAS ESTABLISHED TO PROVIDE CARE TO THOSE THAT ARE HOMEBOUND OR NEED CONTINUING POST-HOSPITAL CARE. THE SERVICE INCLUDES SKILLED NURSING SERVICES, REHABILITATION THERAPY, SOCIAL SERVICE AND NUTRITIONIST SERVICE. 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. 157750242 true true false false false false false false false true true false false false false false false false true false true false false true true false true false false false false false false true true true false false false false true true false false true 61 0 1488 true true true false false false false true true false false false false false 13 8 true false false false false false false true false false false true true true true true true true true true false X MARK WILLIAMS CFO 3525606898 502 W HIGHLAND BLVD INVERNESS FL 34452 ROBERT L HENIGAR 2.00 X X 0 0 0 VENUGOPALA REDDY MD 2.00 X 0 0 0 DEBORAH FRANKEL ESQ 2.00 X 0 0 0 JOE BRANNEN ESQ 2.00 X X 0 0 0 DAVID LANGER 2.00 X X 0 0 0 SANDRA CHADWICK 2.00 X 0 0 0 JAMES T SANDERS 2.00 X 0 0 0 UPENDER RAO MD 2.00 X 0 0 0 WILLIAM HARRER MD 2.00 X 0 0 0 ROBERT COLLINS 2.00 X 0 0 0 MIKE SMALLRIDGE 2.00 X 0 0 0 DEBORAH RESSLER 2.00 X 0 0 0 JAMES WOOD 2.00 X 0 0 0 RYAN BEATY 60.00 X 409703 0 73296 LINDA MCCARTHY 60.00 X 202762 0 16913 JERRALD DELOACH 60.00 X 201449 0 20237 EMERY HENSLEY 60.00 X 194762 0 45977 LEE GLOTZBACK 60.00 X 149210 0 16118 MARK WILLIAMS 60.00 X 0 0 0 ERIC HIRSCH 60.00 X 500053 0 43864 NEIL T KATZ 60.00 X 454134 0 3680 JOHN D GELIN 60.00 X 350462 0 116862 JULIE SUDDUTH 60.00 X 273561 0 19839 MICHAEL H BERNACKI 60.00 X 244649 0 3934 2980745 360720 40 false true false ROBINS & MORTON GROUP OF CITRUS 400 SHADES CREEK PARKWAY SUITE 200 BIRMINGHAM AL 35209 CONTRACTOR 2760046 ASSOCIATED RADIOLOGISTS OF INVERNESS 2325 STONEBRIDGE DRIVE FLINT MI 48532 RADIOLOGY 1535466 LIFESOUTH COMMUNITY BLOOD CENTERS PO BOX 915079 ORLANDO FL 328915079 LABORATORY 1299088 CITRUS ANESTHESIOLOGY 131 S CITRUS AVE INVERNESS FL 34452 ANESTHESIOLOGY 978590 BUCHANAN INGERSOLL AND ROONEY PC ONE OXFORD CENTRE PITTSBURGH PA 152191410 ATTORNEY 957000 29 169400 1520144 30425 1689544 HOSPITAL SERVICE REVENUE 621110 167526992 167526992 SMP - FL MEDICAID 621110 2211425 2211425 CITRUS COUNTY HOSPITAL BOARD 621110 1587438 1587438 CAFETERIA SALES 900099 397409 397409 MISC PROGRAM SERVICE REVENUE 900099 31606 31606 171754870 1187115 1187115 292635 104705 187930 187930 187930 25744752 25744752 97272 -97272 -97272 -97272 74952 169400 53494 21458 21458 MISCELLANEOUS REVENUE 900099 57906 57906 CATERING 722320 3762 3762 61668 174805313 171436825 3762 1675182 1218199 1218199 53211543 49864302 3174113 173128 4512955 3611816 888619 12520 9876186 7513193 2343555 19438 4240404 3831142 396606 12656 1594976 1594976 142907 142907 17817063 11813788 5998423 4852 821277 18495 792456 10326 48352043 48034960 292717 24366 3387184 3361283 25901 2891318 2891318 208740 186079 21879 782 35157 9531 22379 3247 2914598 66656 2847942 7709401 7736460 -27059 2409002 306934 2102068 NET BAD DEBTS 16193045 16193045 INDIGENT ASSESSMENT 2068923 2068923 EDUCATION 214303 164207 45711 4385 COGS 3386 3386 MISCELLANEOUS -14066 78110 -92176 179808544 157750242 21792602 265700 18893316 23338401 1000000 42589 145871 16429788 14295273 3304218 3455880 4003766 2742651 155086200 89553881 61913934 65532319 38554213 14070556 8243821 15215051 2254649 3481436 153640294 143277438 22992762 22666890 59821089 58193072 1650086 986285 12543445 12288577 97007382 94134824 X 55317404 47628625 1315508 1513989 56632912 49142614 153640294 143277438 X false true true X false X THE ORIGINAL DETERMINATION LETTER RECEIVED BY THE FOUNDATION FROM THE INTERNAL REVENUE SERVICES CLASSIFIES THE FOUNDATION AS A SUPPORTING ORGANIZATION, HOWEVER THE CLASSIFICATION OF HOSPITAL IS MORE APPROPRIATE. ADDITIONALLY, THE SUPPORTED ORGANIZATION IS NOW CLASSIFIED AS A GOVERNMENTAL ENTITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 7217686 7217686 78307795 39666081 38641714 3606594 3104737 501857 59146837 46783063 12363774 6807288 6807288 65532319 LONG-TERM INVESTMENTS 15031803 F CERTIFICATE OF DEPOSIT ASSIGNED 183248 C 15215051 LIABILITY FOR PENSION BENEFITS 12270068 CSI RECOURSE LIABILITY 18509 12288577 174805313 179808544 -5003231 -1287067 -1287067 -6290298 175070389 265076 265076 174805313 174805313 181360687 1552143 1552143 179808544 179808544 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 RENTAL EXPENSES NETTED ON STATEMENT OF REVENUES 104,705 CONTRIBUTIONS USED FOR PURCHASE OF PROPERTY 25,987 UNREALIZED GAINS ON INVESTMENTS OTHER THAN SECURITIES 134,384 RENTAL EXPENSES NETTED ON STATEMENT OF REVENUES -104,705 RECOGNITION OF PREVIOUSLY UNRECOGNIZED GAINS AND 0 PRIOR SERVICE COST AND TRANSITION OBLIGATION -1,447,438 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSES NETTED ON STATEMENT OF REVENUES 104,705 CONTRIBUTIONS USED FOR PURCHASE OF PROPERTY 25,987 UNREALIZED GAINS ON INVESTMENTS OTHER THAN SECURITIES 134,384 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D RENTAL EXPENSES NETTED ON STATEMENT OF REVENUES 104,705 RECOGNITION OF PREVIOUSLY UNRECOGNIZED GAINS AND 0 PRIOR SERVICE COST AND TRANSITION OBLIGATION 1,447,438 GOLF TOURNAMENT 135806 96674 39132 1200 29906 2253 CMH BALL 108546 72726 35820 4000 238 500 10843 1500 3054 244352 169400 74952 5200 238 30406 10843 1500 5307 53494 21458 true true true X true X true true false true true 4267629 360848 3906781 0.02170 18119687 16132874 1986813 0.01100 22387316 16493722 5893594 0.03280 420474 420474 0.00230 17902 17902 0.00010 59199 59199 0.00030 497575 497575 0.00280 22884891 16493722 6391169 0.03550 true 4105487 1231646 80853733 106665422 -25811689 X true false NATURE COAST DG - CR RENTAL 0.50000 0.25000 NATURE COAST DG - MC RENTAL 0.50000 0.50000 CITRUS COUNTY MED GR RENTAL 0.17000 MGMT SERVICES COMP STAFFING POOL 1.00000 N CENTRAL FL HEALTH BUYING GROUP 0.50000 CITRUS MEMORIAL HOSPITAL

502 W HIGHLAND BLVD INVERNESS FL 34452

CITRUS MEMORIAL HOME HEALTH AGENCY

402 GRACE STREET INVERNESS FL 34452

INVERNESS LABORATORY COLLECTION CENTER (MEDICAL OFFICE BUILDING)

131 S CITRUS AVENUE INVERNESS FL 34452

INVERNESS DIAGNOSTIC IMAGING CENTER (MEDICAL OFFICE BUILDING)

131 S CITRUS AVENUE INVERNESS FL 34452

ALLEN RIDGE FAMILY CARE CENTER

540 N LECANTO HIGHWAY LECANTO FL 34461

SUGARMILL WOODS FAMILY CARE CENTER

7945 S SUNCOAST BLVD HOMOSASSA FL 34446

CITRUS PRIMARY CARE - FLORAL CITY

7648 S FLORIDA AVENUE FLORAL CITY FL 34436

CITRUS PRIMARY CARE - CRYSTAL RIVER

700 SE 5TH TERRACE SUITE 7 CRYSTAL RIVER FL 34429

CITRUS PRIMARY CARE - BEVERLY HILLS

450 W ROOSEVELT BLVD BEVERLY HILLS FL 34465

CITRUS PRIMARY CARE - INVERNESS

131 S CITRUS AVENUE INVERNESS FL 34452

CITRUS PRIMARY CARE - BUSHNELL

417 MARKET STREET 7 BUSHNELL FL 33513

CITRUS PRIMARY CARE -CITRUS SPRINGS

10334 N CITRUS SPRINGS BLVD CITRUS SPRINGS FL 34434

CITRUS PRIMARY CARE - HOMOSASSA

7945 S SUNCOAST BLVD HOMOSASSA FL 34446

LECANTOALLEN RIDGE LABORATORY COLLECTION CENTER

540 N LECANTO HIGHWAY LECANTO FL 34461

HOMOSASSASUGARMILL WOODS LABORATORY COLLECTION CENTER

7945 S SUNCOAST BLVD HOMOSASSA FL 34446

BEVERLY HILLS LABORATORY COLLECTION CENTER

8 REGINA BLVD BEVERLY HILLS FL 34465

DUNNELLON LABORATORY COLLECTION CENTER

11352 N WILLIAMS STREET DUNNELLON FL 34432

CITRUS HILLS LABORATORY COLLECTION CENTER

1978 N PROSPECT AVENUE CITRUS HILLS FL 34461

BEVERLY HILLS REHABILITATION CENTER

3402 N LECANTO HIGHWAY SUITE D BEVERLY HILLS FL 34465

SUGARMILL WOODS REHABILITATION CENTER

7945 S SUNCOAST BLVD HOMOSASSA FL 34446

GULF COAST AQUATIC & REHAB

6043 W NORDLING LOOP CRYSTAL RIVER FL 34429

GULF COAST AQUATIC & REHAB

819 MEDICAL COURT EAST INVERNESS FL 34452

ALLEN RIDGE DIAGNOSTIC IMAGING CENTER

520 N LECANTO HIGHWAY SUITE 100 LECANTO FL 34461

SUGARMILL WOODS DIAGNOSTIC IMAGING CENTER

7945 S SUNCOAST BLVD HOMOSASSA FL 34446

CMH ORTHOPEDIC & JOINT SPECIALISTS

3402 N LECANTO HIGHWAY SUITE C BEVERLY HILLS FL 34465

CITRUS MEMORIAL HEALTH SYSTEM USED A COST TO CHARGE RATIO EXCLUDING OTHER OPERATING REVENUE, P.R, DEVELOPMENT SERVICE, AND SR. COMMUNITY SERVICE. 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. 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. 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 NOW SPONSORS A BIWEEKLY PROGRAM WHERE APPROXIMATELY 6 PATIENTS PER WEEK FROM A VERY IMPOVERISHED AREA ARE TRANSPORTED TO ONE OF OUR PRIMARY CARE FACILITIES 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. 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 RECENTLY OPENED A MEDICAID SERVICE CENTER IN WHICH COMMUNITY MEMBERS CAN COME TO OUR CENTER 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 PROVIDED INFORMATION ON MEDICAID TO THE NEEDY IN THE COMMUNITY. CITRUS COUNTY IS A RURAL AREA WITH A SIGNIFICANT ELDERLY AND INDIGENT POPULATION - CITRUS COUNTY HAS THE SECOND OLDEST POPULATION IN THE STATE. ACCORDING TO THE LATEST CENSUS, 31% OF RESIDENTS ARE OLDER THAN 65 - FLORIDA 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 WITH 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. 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. PLEASE SEE SCHEDULE O FOR A MORE COMPREHENSIVE LIST OF OUR SERVICES. X X false true X X X X X false false false true false true false false false RYAN BEATY 332715 66756 10232 72682 614 482999 LINDA MCCARTHY 174979 27783 14233 2680 219675 JERRALD DELOACH 173324 28125 15653 4584 221686 EMERY HENSLEY 168342 26420 44154 1823 240739 LEE GLOTZBACK 136026 13184 13484 2634 165328 ERIC HIRSCH 500053 41230 2634 543917 NEIL T KATZ 454134 3680 457814 JOHN D GELIN 129083 221379 113228 3634 467324 JULIE SUDDUTH 122698 150863 17205 2634 293400 MICHAEL H BERNACKI 244649 3934 248583 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A TRAVEL FOR COMPANIONS - MR. RYAN BEATY, CEO, RECEIVED TRAVEL FOR COMPANIONS. THIS BENEFIT WAS NOT INCLUDED IN TAXABLE WAGES. HEALTH/SOCIAL CLUB DUES - MR. RYAN BEATY, CEO, AND MR. JERRY DELOACH, COO, RECEIVED THIS BENEFIT. THIS BENEFIT WAS NOT INCLUDED IN TAXABLE WAGES. WRITTEN REIMBURSEMENT POLICY EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1B THERE IS NO WRITTEN POLICY REGARDING PAYMENT OR PROVISION OF THE BENEFITS DESCRIBED IN LINE 1A. COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 5A CERTAIN PHYSICIANS LISTED IN FORM 990, PART VII, SECTION A COLLECT A BONUS BASED ON PRODUCTIVITY DEMONSTRATED BY CASH COLLECTIONS. PHYSICIANS HAVE SIGNED CONTRACTS WITH THE FOUNDATION THAT SET PARAMETERS ON BASE CASH COLLECTIONS. AMOUNTS RECEIVED ABOVE THE SET PARAMETERS ARE "SHARED" WITH THE PHYSICIAN AS A BONUS PAYMENT. BASE SALARY FOR EACH PHYSICIAN IS SET AT OR BELOW THE MEDIAN FOR THEIR SPECIALTY ACCORDING TO THE MEDICAL GROUP MANAGEMENT ASSOCIATION. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A THE CORPORATE OFFICERS' ANNUAL BONUS IS BASED ON ACHIEVEMENT OF SEVERAL ESTABLISHED GOALS, ONE OF WHICH IS NET EARNINGS. OFFICERS' ARE INCENTIVIZED TO ACHIEVE AND EXCEED THE BUDGETED EARNINGS. IN ADDITION, CERTAIN PHYSICIANS HAVE A BONUS PROGRAM BASED ON EXCESS REVENUE OVER EXPENSE. REFER TO FORM 990, PART VI, LINE 15B FOR A DESCRIPTION OF THE COMPENSATION PROCESS FOR OFFICERS. CITRUS COUNTY HOPSITAL BOARD 596017150 2006-09-26 10000000 SEE SCHEDULE O false false CITRUS COUNTY HOSPITAL BOARD 596017150 2008-09-01 10000000 SEE SCHEDULE O false false 10000000 76169 9923831 9923831 2008 false false true true 10000000 55189 9944811 9944811 2010 false false true true false false false false true true false false false false true true false true false false false false false true false false false false DIAGNOSTIC PATHOLOGY SEE SCHEDULE O 16000 LAB SERVICES false CITRUS COUNTY HOSPITAL BOARD SEE SCHEDULE O SEE SCHEDULE O false X FOOD/BEVERAGES 13 1914 MARKET X GIVE AWAYS 69 23566 MARKET X GIFT CARDS 26 1657 MARKET X TRIPS 9 3288 MARKET false false false SUPPLEMENTAL INFORMATION SCHEDULE M, PAGE 2, PART II THE AMOUNTS REPORTED IN PART I, COLUMN (B) REPRESENT THE NUMBER OF ITEMS RECEIVED. EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, 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 THIS 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 AND SERVICES PROVIDED BY THE VOLUNTEERS ARE AS FOLLOWS: TRANSPORTERS, COURIERS/INFORMATION DESK, CARDIAC REHAB ASSISTANT, PATIENT CARE PARTNERS (PCP), EMERGENCY ROOM GREETERS/PCP, CHART ROOM ASSISTANT, ENVIRONMENTAL SERVICES ASSISTANT, GENERAL STORE ASSISTANT, GIFT SHOP BUYER, GIFT SHOP CLERK, LAB HOST/HOSTESS, MEDICAL RECORDS MESSENGER, NEWSPAPER CARRIER, NUTRITIONAL SERVICES ASSISTANT, OBSTETRICS PCP, OFFICE ASSISTANTS IN VARIOUS DEPARTMENTS, PHARMACY ASSISTANT, PRE-ADMITTING HOST/HOSTESS, PRE-ADMITTING STAMPING, SHUTTLE DRIVE, SHARE CLUB VISITOR, SURGERY HOST/HOSTESS, WHEELCHAIR REPAIR. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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 THE INDIVIDUAL IS QUALIFIED FOR HOSPITAL SPONSORED CARE, THE BILL IS WRITTEN OFF IN MOST CASES, OR 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 THE FYE 2010 WAS 41,941,898 INCLUDING 16,805,980 OF CHARITY CARE, 16,193,045 OF BAD DEBT AND 8,942,873 OF SELF-PAY DISCOUNTS. THE RATE OF REIMBURSEMENT FOR MEDICARE AND MEDICAID PATIENTS IS BELOW THE COST OF PROVIDING SUCH CARE. SINCE THE RATE OF REIMBURSEMENT IS BELOW THE HOSPITAL'S COST, 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 FY 2010, THUS ENHANCING THE QUALITY OF LIFE IN THE SERVICE AREA: ANNUAL ADMISSIONS 10,388 NEWBORN ADMISSIONS 564 PATIENT DAYS 43,400 NEWBORN DAYS 1,086 OPERATIONS PERFORMED 6,528 EMERGENCY DEPARTMENT VISITS 37,058 OUTPATIENT REGISTRATIONS 158,060 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, EXERCISE PROGRAMS, MEDICARE ASSISTANCE AND OTHER OPPORTUNITITES TO ITS OVER 14,000 MEMBERS. - PROVIDES SOME 200 EDUCATIONAL PROGRAMS ANNUALLY THAT ARE AVAILABLE AT NO COST TO THE COMMUNITY, MEDICAL WORKERS, AND PHYSICIANS. - OPERATES A WALK-IN CLINIC AND A DIAGNOSTIC IMAGING CENTER TO PROVIDE HEALTH CARE TO THE RESIDENTS IN THE CENTER OF THE COUNTY. - PARTICIPATES IN 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 HEALTH TOPICS. - PROVIDES SPEAKERS FOR VARIOUS CIVIC ORGANIZATIONS. - SPONSORS FREE COMMUNITY RESOURCE SERVICE TO PROVIDE INFORMATION ON HEALTH SERVICES, SUPPORT GROUPS AND ASSISTANCE PROGRAMS AVAILABLE AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. - SPONSORS FREE 24/7 PHYSICIAN REFERRAL SERVICE FOR CITRUS AND SUMTER COUNTIES TO HELP INCREASE ACCESSIBILITY TO HEALTHCARE. - DISTRIBUTES AT EVENTS INFORMATION ON THE HOSPITAL, THE WALK-IN CLINICS, COMMUNITY RESOURCE SERVICES AND PHYSICIAN REFERRAL SERVICE. - OFFERS MONTHLY AND PERIODIC FREE OR LOW COST HEALTH EXAMS AND SCREENINGS, SUCH AS BLOOD PRESSURE, CHOLESTEROL, HEMOGLOBIN AND VARIOUS CANCER SCREENINGS, AMONG OTHERS. THIS INCREASES A PERSON'S AWARENESS OF THEIR OWN HEALTH AND DETECTS PROBLEMS OR POTENTIAL PROBLEMS. - SPONSORS AND PARTICIPATES IN EVENTS SUCH AS LOCAL PARADES, CHILDREN AND SENIORS HEALTH AND SAFETY FAIR, CHAMBER OF COMMERCE EVENTS AND AN ANNUAL COUNTY BABY SHOWER; TO INCREASE COMMUNITY AWARENESS OF HOSPITAL SERVICES. - PROVIDES ORGANIZATIONAL AND OPERATIONAL SKILLS AND MEETING FACILITIES FOR NUMEROUS GROUPS INCLUDING: -- OSTOMY SUPPORT GROUP -- DIABETES SUPPORT GROUP -- AMERICAN CANCER SOCIETY -- MENDED HEARTS SUPPORT GROUP -- HEART-HEALTHY EATING WORKSHOPS -- VARIOUS CANCER SUPPORT GROUPS -- STROKE SUPPORT GROUP -- AMERICAN HEART ASSOCIATION -- BREAST CANCER SUPPORT GROUP HELD AT ROBERT BOISSONEAULT CANCER CENTER AT ALLEN RIDGE MEDICAL MALL - PROVIDES ASSISTANCE TO EDUCATORS THROUGH OUR WORK WITH STUDENT NURSING, RADIOLOGY TECHNOLOGIST AND PHLEBOTOMIST PROGRAMS IN THE LOCAL COMMUNITY COLLEGES AND VOCATIONAL TRAINING CENTER. PARTICIPATES IN CAREER FAIRS AT LOCAL HIGH SCHOOLS TO INCREASE AWARENESS OF CAREER OPPORTUNITIES IN THE HEALTH CARE INDUSTRY. - WORKS WITH THE AMERICAN CANCER SOCIETY IN SPONSORING PERIODIC CANCER SCREENINGS AND EDUCATIONAL PROGRAMS. - PUBLISHES A QUARTERLY DIRECT MAILING THAT FEATURES ARTICLES ON VARIOUS HEALTH PROBLEMS AND INFORMATION ON MEDICAL BREAKTHROUGHS AND NEW PROCEDURES. IT ALSO FEATURES UPDATES ON HOSPITAL PROGRAMS AND SCREENINGS OFFERED FOR THE COMMUNITY AND HIGHLIGHTS SPECIFIC DEPARTMENTS AND THE SERVICES THEY OFFER. - PROVIDES DISCOUNT PRESCRIPTION CARD FREE OF CHARGE TO MEMBERS OF THE HOSPITAL SHARE CLUB. THE PROGRAM MAKES DISCOUNTS ON MANY PRESCRIPTION DRUGS AVAILABLE AT MOST PHARMACIES IN THE SERVICE AREA. - PROVIDES FREE TO SHARE CLUB MEMBERS THE "FILE OF LIFE" REFRIGERATOR ATTACHMENT CONTAINING HEALTH CONDITION AND PRESCRIPTION DRUG INFORMATION TO INFORM AND ASSIST EMERGENCY MEDICAL PERSONNEL. - PROVIDES STAFF MEMBERS TO SERVE ON PLANNING COMMITTEES FOR HEALTH AND SAFETY EVENTS AND GROUPS, INCLUDING SALT COUNCIL (SENIORS AND LAW ENFORCEMENT TOGETHER), AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN CANCER SOCIETY AND UNITED WAY. CITRUS MEMORIAL MAINTAINS OFFSITE EXTERNAL SERVICES FOR THE COMMUNITY INCLUDING FAMILY PRACTICE, INTERNAL MEDICINE, OTHOPEDICS AND MANY REHABILITATIVE SPECIALTIES. THESE CLINICS ARE LOCATED CONVENIENTLY THROUGHOUT THE COUNTY INCLUDING INVERNESS, FLORAL CITY, LECANTO, CRYSTAL RIVER, CITRUS SPRINGS, BEVERLY HILLS, AND HOMOSASSA. THE EXTERNAL SERVICES ARE ACTIVE IN THE COMMUNITY BY PARTICIPATING IN HEALTH FAIRS AND PROVIDING COMPLIMENTARY PHYSICALS FOR THE BOY SCOUTS AND ATHLETES AT LOCAL HIGH SCHOOLS. THE CITRUS HEALTH SYSTEM PRACTITIONERS FREQUENTLY HOLD EDUCATIONAL SEMINARS ON A VARIETY OF TOPICS INCLUDING DIABETES AND ORTHOPEDICS. THE CITRUS MEMORIAL HOME HEALTH AGENCY WAS ESTABLISHED TO PROVIDE CARE TO THOSE THAT ARE HOMEBOUND OR NEED CONTINUING POST-HOSPITAL CARE. THE SERVICE INCLUDES SKILLED NURSING SERVICES, REHABILITATION THERAPY, AND NUTRITIONIST SERVICE. 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. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 ROBERT HENIGAR JAMES SANDERS BOARD MEMBER BOARD MEMBER JOINT BUSINESS OWNERSHIP DOCUMENTATION BY COMMITTEE FORM 990, PAGE 6, PART VI, LINE 8B THE FOUNDATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. THE REVIEW OF THE FORM 990 CONSISTS OF ACCOUNTING PERSONNEL REVIEWING EACH SECTION UPON RECEIPT OF THE DRAFT. 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 FORM 990 TO ENSURE THE RETURN IS COMPLETE AND ACCURATE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL MEMBERS OF THE BOARD OF DIRECTORS AS WELL AS OFFICERS OF THE ORGANIZATION. BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON MATTERS WHERE A CONFLICT OF INTEREST MAY EXIST. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A A NATIONAL HUMAN RESOURCES CONSULTING FIRM WAS UTILIZED TO PROVIDE INFORMATION REGARDING COMPENSATION FOR THE CEO POSITION. THE CONSULTING 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B A NATIONAL HUMAN RESOURCES CONSULTING FIRM WAS UTILIZED TO PROVIDE INFORMATION REGARDING COMPENSATION FOR THE FOLLOWING POSITIONS - CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER AND VICE PRESIDENT OF HUMAN RESOURCES. THE CONSULTING 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONAL INFORMATION SCHEDULE R PART IV, COLUMN (B): LINE 1 - THE PARTNERSHIP'S PRIMARY ACTIVITY IS REAL ESTATE. LINE 2 - THE PARTNERSHIP'S PRIMARY ACTIVITY IS REAL ESTATE. PART IV, COLUMN (B): THE CORPORATION IS A MANAGEMENT COMPANY THAT PROVIDES NURSING SERVICES TO THE CITRUS MEMORIAL HEALTH FOUNDATION. ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART VI, LINE 16B: THE ORGANIZATION DOES NOT HAVE A SPECIFIC WRITTEN POLICY REGARDING EVALUATING PARTICIPATION IN JOINT VENTURE ARRANGEMENTS, HOWEVER THERE ARE SEVERAL CORPORATE POLICIES THAT ARE DESIGNED TO ENSURE THAT THE ORGANIZATION IS IN COMPLIANCE WITH APPLICABLE FEDERAL TAX LAW. IN ADDITION, ANY JOINT VENTURE AGREEMENT IS REVIEWED AND/OR DRAFTED BY ATTORNEYS OF THE ORGANIZATION TO ENSURE COMPLIANCE WITH ALL APPLICABLE LAWS. FORM 990, SCHEDULE D: DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, THE FOUNDATION PERFORMED ADDITIONAL ANALYSIS OF THE AMOUNTS CLASSIFIED AS RECEIVABLE FROM THE CITRUS COUNTY HOSPITAL BOARD IDENTIFYING AN OVERSIGHT OF FACTS RELATED TO THE COLLECTABILITY OF THOSE RECEIVABLES. THE FOUNDATION RESTATED ITS FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2009. THE FOUNDATION'S FORM 990 BEGINNING BALANCE SHEET AGREES TO THE 2008 FORM 990 ENDING BALANCE SHEET. THE 1,200,000 RESTATEMENT IS A RECONCILIATION DIFFERENCE IN THE CURRENT YEAR CHANGE IN NET ASSETS. SCHEDULE K, 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 FOR CAPITAL EXPENDITURES AND TO FINANCE FUTURE ROUTINE CAPITAL EXPENDITURES AT CITRUS MEMORIAL HEALTH SYSTEM (3) PAYING CERTAIN COSTS OF ISSUANCE SCHEDULE K, 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) SUGAR MILL WOODS DIAGNOSTIC, REHABILITATION, AND CLINIC FACILITY, AN APPROXIMATE 21,400 SQUARE FOOT SINGLE STORE OUT-PATIENT FACILITY (3) RENOVATIONS TO PATIENT ELEVATORS (4) PAYING CERTAIN COSTS OF ISSUANCE SCHEDULE L, PART IV, COLUMN (B)(1), RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: DIAGNOSTIC PATHOLOGY IS OWNED BY THE HUSBAND OF BOARD MEMBER DEBORAH FRANKEL. SCHEDULE L, PART IV, COLUMN (B)(2), RELATIONSHIP BETWEEN THE INTERESTED PERSON AND THE ORGANIZATION: THE FOLLOWING MEMBERS OF THE BOARD OF DIRECTORS SERVED AS MEMBERS OF THE CITRUS COUNTY HOSPITAL BOARD DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2010 - - UPENDER RAO, MD - DEBORAH FRANKEL, ESQ. - DEBORAH RESSLER - MIKE SMALLRIDGE - JAMES WOOD SCHEDULE L, PART IV, COLUMN (C) AND (D) - DETAILS OF THE TRANSACTIONS BETWEEN THE ORGANIZATION AND THE CITRUS COUNTY HOSPITAL BOARD CAN BE FOUND IN SCHEDULE A AND SCHEDULE R. SCHEDULE R, PART V, LINE 2(3): THIS AMOUNT REPRESENTS REPAYMENT OF PRINCIPAL AND INTEREST ON THE SERIES 2006 AND SERIES 2008 BONDS. CITRUS COUNTY HOSPITAL BOARD PO BOX 1030 INVERNESS FL 344511030 596017150 HOSPITAL FL 501 3 NA CITRUS MEMORIAL HOSPITAL AUXILIARY 502 W HIGHLAND BLVD INVERNESS FL 34452 592774537 HOSPITAL FL 501 3 NA NATURE COAST DVPMT GRP-CRYSTAL RIV 502 HIGHLAND BLVD INVERNESS FL 34452 550907519 SEE SCH O FL NA EXCLUDED 15625 205915 false true NATURE COAST DVPMT GRP-MEADOWCREST 502 HIGHLAND BLVD INVERNESS FL 34452 203938808 SEE SCH O FL NA EXCLUDED 6806 264769 false true CMH FOUNDATION MGT SERVICES CORP 502 W HIGHLAND BLVD INVERNESS FL 344524720 650409040 SEE SCH O FL N/A false false true false false false false false false true true false true true false false true false CITRUS COUNTY HOSPITAL BOARD J 3468089 CMH FOUNDATION MGMT SERVICES CORP L 3931871 CITRUS COUNTY HOSPITAL BOARD Q 1271228 CITRUS COUNTY HOSPITAL BOARD K 3077166