TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Richard Straughn 2nd Vice Chairman	2.00	X	X	0	0
(2) Mark Bostick Chairman	2.00	X	X	0	0
(3) Charles W McPherson Assistant Treasurer	2.00	X		0	0
(4) Todd Dantzler Secretary	2.00	X	X	0	0
(5) David K Speyerer Trustee	2.00	X		0	0
(6) Chip Tucker Trustee	2.00	X		0	0
(7) Tommy Oakley 3rd Vice Chairman	2.00	X	X	0	0
(8) Albert Cassidy Trustee	2.00	X		0	0
(9) Kelly Gray-Eurom MD Trustee	2.00	X		0	0
(10) Brian K Swain 1st Vice Chairman	2.00	X	X	0	0
(11) William G Burns Treasurer	2.00	X	X	0	0
(12) Eric Adamson Trustee	2.00	X		0	0
(13) Ben Hill Griffin III Trustee	2.00	X		0	0
(14) Eileen Holden Trustee	2.00	X		0	0
(15) William H Murrell Trustee	2.00	X		0	0
(16) Robert C Carter Assistant Secretary	2.00	X		0	0
(17) Lance Anastasio President and CEO	40.00		X	486,340	28,804

(A) Name and business address	(B) Description of services	(C) Compensation
Sodexo Inc & Affiliates PO Box 536922 Atlanta,GA303536922	Management Services	4,504,805
Doster Construction Co Inc 8529 South Park Circle Suite 130 Orlando,FL32819	Construction	1,898,894
OB Hospitalist Group LLC 10 Centimeters Drive Mauldin,SC29662	Physicians	1,386,902
Florida Clinical Practice PO Box 100247 Gainesville,FL32610	Physicians	1,045,212
Winter Haven Cardiovascular PO Box 3130 Ocala,FL344783130	Physicians	820,753
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 34

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	110,635,493	84,344,118	26,291,375
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	3,845,887	2,862,620	983,267
9	Other employee benefits .......	4,989,283	337,915	4,651,368
10	Payroll taxes ...........	8,140,515	5,987,889	2,152,626
11	Fees for services (non-employees):
a	Management ......	1,549,429		1,549,429
b	Legal .........	1,235,672		1,235,672
c	Accounting ...........	235,977		235,977
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	334,637		334,637
g	Other ..........	9,560,317	4,522,173	5,038,144
12	Advertising and promotion ....	563,614	53,471	510,143
13	Office expenses .......	1,358,868	118,762	1,240,106
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,671,529		4,671,529
17	Travel ............	316,448	176,394	140,054
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	99,367	45,344	54,023
20	Interest ...........	3,808,105		3,808,105
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	16,974,009		16,974,009
23	Insurance ..............	3,648,211		3,648,211
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	Supplies	48,132,847	44,977,363	3,155,484
b	Bad Debt	26,686,802	26,686,802
c	Equipment Rental & Main	9,095,990	4,101,013	4,994,977
d	Indigent Fund	2,677,299	2,677,299
e	Contract Labor	1,681,657	1,473,145	208,512
f	All other expenses	1,073,883	60,281	1,013,602
25	Total functional expenses. Add lines 1 through 24f	261,315,839	178,424,589	82,891,250	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	11,656	1	11,871
2	Savings and temporary cash investments .......	24,635,048	2	26,717,156
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	40,535,320	4	42,081,796
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,090,948	8	5,930,240
9	Prepaid expenses and deferred charges ............	5,022,175	9	4,888,590
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	275,491,506
b	Less: accumulated depreciation. .....	10b	166,421,049	110,236,585	10c	109,070,457
11	Investments—publicly traded securities ..........	56,358,300	11	48,931,109
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	8,408,841	15	11,005,089
16	Total assets. Add lines 1 through 15 (must equal line 34)...	250,298,873	16	248,636,308
	17	Accounts payable and accrued expenses .	28,616,785	17	28,965,683
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	82,644,483	20	80,808,817
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	9,245,650	23	6,363,826
24	Unsecured notes and loans payable to unrelated third parties ....	2,700,000	24	2,700,000
25	Other liabilities. Complete Part X of Schedule D.....	22,849,234	25	26,368,215
26	Total liabilities. Add lines 17 through 25.....	146,056,152	26	145,206,541
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	104,242,721	27	103,429,767
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	104,242,721	33	103,429,767
34	Total liabilities and net assets/fund balances .....	250,298,873	34	248,636,308

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Winter Haven Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization Winter Haven Hospital Inc
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
Winter Haven Hospital Inc

Employer identification number

59-0724462

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,164,198		4,164,198
b	Buildings ................	93,058,725	45,508,624	47,550,101
c	Leasehold improvements ............	4,146,612	2,977,748	1,168,864
d	Equipment ................	156,448,777	107,466,682	48,982,095
e	Other .................	17,673,194	10,467,995	7,205,199
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				109,070,457

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
Professional Liability and Workmens Comp		9,945,341
Other Liabilities		2,230,741
Swap Agreements		14,192,133






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		26,368,215
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	265,941,707
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	261,315,839
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	4,625,868
4	Net unrealized gains (losses) on investments ..........................	4	-2,932,754
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-2,506,068
9	Total adjustments (net). Add lines 4 - 8 .............................	9	-5,438,822
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-812,954

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	260,926,858
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-2,932,754
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	726,497
e	Add lines 2a through 2d .....................			2e	-2,206,257
3	Subtract line 2e from line 1.....................			3	263,133,115
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	2,808,592
c	Add lines 4a and 4b.......................			4c	2,808,592
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	265,941,707

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	260,727,062
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	260,727,062
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b	588,777
c	Add lines 4a and 4b.......................			4c	588,777
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	261,315,839

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Description of Uncertain Tax Positions Under FIN 48:	Part X:	The Hospital is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC) and from state income taxes under the provisions of Chapter 220.13 of the Florida Income Tax Code. Accordingly, no provision for income taxes is made in the accompanying consolidated financial statements. The IRC provides for taxation of unrelated business income under certain circumstances. During the years ended September 30, 2011 and 2010, the Hospital performed lab and laundry services for other hospitals, clinics and other health care providers in the community, which generated unrelated business income and resulted in no unrelated business income taxes. There are no significant gross deferred tax assets or liabilities at September 30, 2011 or 2010. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the return is filed, it is certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the tax-exempt status of each entity, the continued tax-exempt status of bonds, and various positions relative to potential sources of unrelated business taxable income. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. There were no unrecognized tax benefits identified and recorded as a liability as of September 30, 2011 and 2010.
Part XI, Line 8 - Other Adjustments:		Change in Value of Swap Liability -2,213,896. Transfer to Mid-Florida Medical Services Foundation, Inc. -286,253. Income from Investments in Partnerships -5,919.
		Part XII, Line 2d - Other Adjustments: Investment in Subsidiary 726,497 Part XII, Line 4b - Other Adjustments: Change in Value of Swap Liability 2,213,896 Income from Investment Partnerships 5,919 Expenses Netted with Revenues 588,777 Total 2,808,592 Part XIII, Line 4b - Other Adjustments: Expenses Netted with Revenues 588,777

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	9,987,961		9,987,961	4.260 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	34,362,268	25,863,917	8,498,351	3.620 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	1,998,401	970,886	1,027,515	0.440 %
dTotal Charity Care and Means-Tested Government Programs .....	46,348,630	26,834,803	19,513,827	8.320 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	318,469		318,469	0.140 %
f Health professions education (from Worksheet 5) ..	328,365		328,365	0.140 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	63,330		63,330	0.030 %
jTotal Other Benefits ...	710,164		710,164	0.310 %
kTotal. Add lines 7d and 7j. ..	47,058,794	26,834,803	20,223,991	8.630 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	242,933	242,933	0.100 %
9	Other	250,000	250,000	0.110 %
10	Total	492,933	492,933	0.210 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

6,050,427

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

65,764,787

Enter Medicare allowable costs of care relating to payments on line 5.....

84,150,685

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-18,385,898

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	Winter Haven Hospital Inc 200 Ave F NE Winter Haven,FL33881	X	X
2	Regency Medical Center 101 Avenue O NE Winter Haven,FL33880	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Winter Haven Hospital Inc

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Regency Medical Center

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?9
Name and address		Type of Facility (Describe)
1	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
2	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
3	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
4	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
5	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
6	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
7	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
8	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
9	Blood Banks of Mid-Florida Medical Svcs 460 First Street North Winter Haven,FL33881	Blood Bank
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		Part I, Line 7: Charity Care and Means-Tested Government Programs costs (lines a through d) are determined using a Cost-to-Charge ratio. Other Benefits were calculated based on actual cost (lines e through j).
		Part I, L7 Col(f): There is $26,686,802 of bad debt expense which is included in Form 990, Part IX, Line 25. This amount was removed in the calculation of the Percent of Total Expense on Schedule H Line 7f.
		Part II: The Hospital helps build the community in two major ways as mentioned above. First, if the hospital finds that there is a shortage in a certain health care specialty, it works to recruit those types of physicians to the area. In the past, the hospital has commissioned a Manpower study to determine what the community's needs are. Additionally, the hospital subsidizes the cost of anesthesia for women giving birth at the Regency Center for Women and Infants. This benefits the community by allowing those who are less fortunate to have access to anesthesia services.
		Part III, Line 4: The organization's financial statements do not include a footnote that describes bad debt expense. Bad debt expense at cost was calculated by multiplying bad debt expense by the Cost to Charge Ratio.Although the Hospital has excluded Bad Debt Expense from the calculation of community benefit found in Schedule H Part 1 in accordance with IRS instructions, Winter Haven Hospital considers Bad Debt as a community benefit because a large percentage of a Hospital's bad debt is really undocumented charity care. Hospital Bad Debt is different from other businesses' bad debt because hospitals continue to provide life saving services to people who cannot or will not pay.
		Part III, Line 8: A large percentage of the local community is elderly which results in a large amount of Medicare Shortfall. Winter Haven Hospital considers this a community benefit because it is committed to providing first class care to the elderly even though it is at a loss due to underpayment by the federal government. The hospital uses the Cost to Charge ratio method.
		Part III, Line 9b: At any time in the collection process the account can be determined to meet the criteria of medical indigency as defined by the Federal Poverty Guidelines and all further collection efforts may be suspended. Documentation of such criteria will be retained in the files.
		Part VI, Line 2: The hospital assesses the health care needs of the community by participating in several community organizations that develop community strategic plans such as Winter Haven's "Our Future by Design". The Hospital also works with the Polk County Health Department in order to conduct studies and help set priorities. Additionally, the Hospital works with and utilizes several community health surveys conducted by Polk Healthcare Alliance.
		Part VI, Line 3: All self-pay patients are screened for funding sources (Medicaid, Polk Health Care, Charity, etc.) at the time of admission or in the pre-admission process. The Hospital's Financial Counselors review the patient's family size, income, and estimated hospital bill to determine if the patient is eligible for any assistance. If he or she is not, the hospital offers a variety of payment plans to help accommodate the patient.
		Part VI, Line 4: Winter Haven is the second largest of 17 municipalities located in Polk County Florida. Over 3.5 million people live within 50 miles of Winter Haven Hospital, with 719,851 living within 25 miles. Of Polk County's citizens, 18% are under 15 years old, 10% are aged 15-24, 35% are 25-54, 10% are 54-64, and 27% are over 65 years old.
		Part VI, Line 6: Besides the previously mentioned benefits, the Hospital also benefits the community by providing the following:1. Scholarships to high school students2. Timely initiatives to address the community's emerging problems. (For instance, after the Polk Healthcare Alliance identified that African American infants die at a rate of 4 times the rate of white infants, the hospital developed the Pre Natal Passport which assists pregnant women in tracking their care and worked closely with the Healthy Start Coalition to provide education and portable cribs to new moms that can't afford them.)3. A corporate culture that motivates its employees to volunteer in the community.4. An active Speakers Bureau that provides free lectures to the community.5. Free meeting space for a variety of support groups such as epilepsy, grief, caregivers, lupus, leukemia, brain injury, AIDS, Alzheimers, and domestic violence.6. Sponsorship and fund raising for many other community organizations and events, such as: American Heart Association "Heart Walk" and the American Cancer Society "Relay for Life".7. Numerous free and/or at cost health screenings at health fairs in the community, with each fair specializing in men, women, cardiac or diabetic health issues. These screenings include screens for blood pressure, stress assessments, breast exams, prostate cancer, diet and exercise.
		Part VI, Line 7: The Hospital is affiliated with the University of Florida Medical School and continually draws on its expertise. Emergency Department physicians and the physician director of the Cancer Center are from the University of Florida. The University of Florida staff plays a significant role in providing continuing education for medical and nursing staff. This continuing education allows the hospital to improve the way it cares for patients.

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Lance Anastasio	(i) (ii)	0 465,850	0 0	0 20,490	0 17,129	0 11,675	0 515,144	0 0
(2) David MacDougall	(i) (ii)	0 248,253	0 0	0 3,856	0 17,145	0 22,539	0 291,793	0 0
(3) David Libby	(i) (ii)	0 156,856	0 0	0 6,196	0 11,497	0 11,346	0 185,895	0 0
(4) Mary Jo Schreiber	(i) (ii)	0 176,378	0 0	0 5,673	0 13,077	0 0	0 195,128	0 0
(5) Iftikhar Rasul MD	(i) (ii)	152,660 0	103,190 0	1,357 0	10,605 0	27,820 0	295,632 0	0 0
(6) George Winney MD	(i) (ii)	211,485 0	39,130 0	1,184 0	13,708 0	27,952 0	293,459 0	0 0
(7) Joseph Lynch MD	(i) (ii)	330,761 0	0 0	6,078 0	11,063 0	11,744 0	359,646 0	0 0
(8) Majd Alsamman MD	(i) (ii)	296,040 0	0 0	81,645 0	16,987 0	6,182 0	400,854 0	0 0
(9) Takkallapelli D Tao MD	(i) (ii)	143,149 0	88,450 0	1,467 0	9,902 0	11,204 0	254,172 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	Part I, Line 1a	Lance Anastasio, President and CEO was provided social club dues for membership in the Lake Region Country Club in the amount of $543. This membership was used to entertain and hold meetings with business associates, board members and employee relations. However, the payment for his social club dues ceased in January 2010. The full amount of $543 was included in taxable wages.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
Winter Haven Hospital Inc

Employer identification number
59-0724462

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Polk County Industrial Development Authority	59-1292108	NoneAvail	03-26-2009	19,000,000	Capital Expenditures		X		X		X
B	Polk County Industrial Development Authority	59-1292108	NoneAvail	05-13-2010	26,100,000	Capital Expenditures		X		X		X
C	Polk County Industrial Development Authority	59-1292108	7311B2AA5	05-13-2010	26,100,000	Capital Expenditures		X		X		X
D	Polk County Industrial Development Authority	59-1292108	73112BAB3	05-13-2010	14,600,000	Capital Expenditures		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	19,000,000		26,100,000		26,100,000		14,600,000
4 Gross proceeds in reserve funds . .	67		67		83		8
5 Capitalized interest from proceeds.	72,311
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	205,775		170,868		264,989		144,700
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	18,794,225		24,240,615		24,239,355		14,303,700
11 Other spent proceeds . .
12 Other unspent proceeds. . .	1,688,517		1,688,517		1,595,656		151,600
13 Year of substantial completion . . .
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?	X		X			X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X		X
16 Has the final allocation of proceeds been made? . .	X			X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X			X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .
6 Total of lines 4 and 5 . . .. . . . . .
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?	X		X		X		X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X	X		X		X
b Name of provider .	NA Stanley/Goldman		Morgan Stanley		Morgan Stanley/Goldman
c Term of hedge . .	24.500000000000		24.500000000000		24.500000000000		30.250000000000
d Was the hedge superintegrated? .	X		X		X		X
e Was a hedge terminated? .		X		X		X		X
4a Were gross proceeds invested in a GIC? .		X		X		X		X
b Name of provider .	NA		NA		NA		NA
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Identifier	Return Reference	Explanation
Program Service Accomplishments	Continuation of Form 990, Part III, Line 4a	Additionally, the hospital offers discounts for patients who are underinsured and whose insurance has minimal benefits and/or limited coverage. In order to ensure that everyone in the community has access to quality care, the hospital subsidizes the cost of various critical community healthcare needs such as: - Anesthesia for Medicaid and indigent patients at its Regency Center for Women and Infants - The cost of OB/GYN Hospitalists for Medicaid and indigent patients without a primary Obstetrician - The outpatient mental health programs offered at the Hospital's Center for Behavioral Health. Education: Community education - Working directly with the community to promote better health by educating them on a variety of topics taught by physicians or other licensed medical professionals, including but not limited to nutrition lectures, diabetes, stroke awareness, safe babysitting and behavioral disorders. A comprehensive listing of our education programs and support groups is published and distributed to 85,000 residents semi-annually in a publication entitled Here's to Your Health and can be found on our website www.winterhavenhospital.org. Some examples of our community education offerings include: - Health Connection - A service available to the community providing physician referrals, health information, and referrals to the many Hospital sponsored programs and events. - Speaker's Bureau - The Hospital provides speakers to community organizations on a range of medical topics at no charge. The hospital's Center for Behavioral Health offers lectures on mental health topics open to the public free of charge. - Medical Library - The hospital maintains a medical library that is open to the public. The library is available at the main campus of Winter Haven Hospital as well as an additional library at the Regency Medical Center and offers books, tapes and online clinical research tools. The Medical library also has an onsite Research Information Specialist who is trained by the National Library of Medicine and the Medical Library Association to assist with internet researches. - Diabetes Self-Management Education - The hospital offers low cost education for people with or at risk for developing Diabetes. The classes help these individuals gain the knowledge and skills needed to modify behavior and successfully self-manage the disease and its related conditions. Endowed Chair in Nursing - The Hospital is also committed to improving the education of nurses in the local area. In 2010, the Winter Haven Hospital Foundation made a substantial donation to Polk State College to create an endowed chair in nursing. This donation helped to underwrite a new teaching position at Polk State College and augment the college's efforts to add a bachelor's degree in nursing program. Watson Caring Science Institute & Jean Watson International Caritas Consortium - The hospital became an official Watson Caring Science Institute Affiliate in 2010. The Watson Caring Science Institute is a non-profit foundation that advances philosophies, theories, and practices of human caring. Additionally, the hospital became the first hospital to begin data collection for the International Watson Caritas Comparative Database which is database that collects and evaluates nurse caring behavior. In April 2011, the hospital had the privilege of hosting the International Caritas Consortium. The consortium is a forum for sharing original scholarship, discussing caring research, and mentoring Caritas Coaches. Attendants come from all over the world to join in the forum. Research: Research Council - The multidisciplinary team helps to identify and review potential research projects for Winter Haven Hospital. Additionally, they track research currently in progress and ensure that all policy, procedures and federal mandates are followed. Institutional Review Board - The purpose of the Institutional Review Board is to review, approve or disapprove the initiation of, and conduct periodic review of, biomedical research involving human subjects. The primary purpose of such review is to ensure the protection of the rights and welfare of human subjects. It further will serve as liaison between physicians, investigators, and all other interested parties, and ensure compliance with applicable federal laws and regulations regarding biomedical research involving human subjects. The Institutional Review Board includes engagement of physicians, nurses, board members, administration, pharmacy and three seats for members of the community. Research Studies - The Hospital's commitment to constant improvement has lead to its involvement in several research studies. A few examples from 2011 include research on the prevalence of postpartum depression in community hospitals as well as research on Coronary Intervention in women and new uses of Cardiac Stents. Annual Nursing Research Seminar - The hospital invites nurses from around central Florida to its exceptional Research Seminar where nationally known speakers educate and challenge the staff. In 2010, over 80 nurses from various hospitals attended the annual nursing research seminar. Memory Clinic - In 2012, the Hospital's Center for Behavioral Health launched a memory clinic in collaboration with the University of South Florida Polytechnic Applied Neuro Lab. The Memory Clinic assists elderly pre-dementia patients to delay onset of memory loss. Robotics - In 2010, the Hospital formed its Center for Robotics with initial focus on improving patient outcomes in the area of urology and gynecological surgery. In 2011, the hospital hosted the Ramses Robotic Surgery Conference to show care to other physicians across the county the patient care benefits of an effective robotic surgery program. Outreach: Community health screenings - Numerous free and/or at cost health screenings were performed at Health fairs in the community, with each fair specializing in women, cardiac or diabetic health issues. These screenings include screens for blood pressure, stress assessments, breast exams, prostate cancer, diet and exercise. Community Partnerships Our community partners are critical to helping us improve the health and well-being of eastern Polk County. Together, we combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of working with the following community partners: I. Polk Healthcare Alliance - A senior hospital employee serves as the liaison with the Polk Healthcare Alliance. As a member of a five person Executive Committee for the Polk Healthcare Alliance, the Liaison reviews progress toward the organization's Community Health Improvement Plan (CHIP). II. The Polk County Health Department - The Hospital jointly collaborated with the Polk County Health Department for the provision of maternity services to Medicaid patients. The Hospital guaranteed their access to maternity services by subsidizing and arranging for obstetrical physician services. The Polk County Health Department was selected to receive $1,950,000 over three years from the state Low Income Pool (LIP) program. These funds provide payments to health care safety net providers who serve the uninsured. Partnering with others they are seeking to link uninsured and underinsured individuals to healthcare coverage and a medical home. They are also seeking to expand access to primary care physicians and medications. Finally, they are assisting people with chronic health conditions in managing their diseases. They are working closely with hospital emergency departments to help ensure that low income individuals find a medical home. The funds were available up through July 2011. III. Haley Center - The Hospital was instrumental in the development of a free clinic in Winter Haven called the Haley Center. The First Baptist Church of Winter Haven asked for assistance and the health departments, the hospital, the country's Community Health and Social Services Department and others came together to ensure the free clinic's success. It has been operational since December 2005 and the hospital provides free Lab, X-ray and pulmonary function testing. Haley Center and Hospital volunteer staff has helped share their expertise with the Parkview Christian Church (Baptist) in Haines City which is now providing free services in their community.
Program Service Accomplishments	Continuation of Form 990, Part III, Line 4a	IV. We Care - The Hospital participates in the Polk County Medical Association's We Care program. Through a network of 215 medical specialists, We Care helps provide specialty medical care for low income, uninsured residents of Polk County. V. Angel Care Center of Eloise- The Hospital participates in the local church based program called the Angel Care Center of Eloise. This center offers a free diabetic clinic the second Wednesday of each month for persons whose income doesn't exceed 200 percent of the federal poverty level, who are not eligible for Medicaid or Medicare and who do not have private medical insurance. Hospital volunteers also provide their time to assist with free medical attention. VI. Polk Health Care Plan - The Hospital participates and accepts the Polk Healthcare Plan. Polk HealthCare Plan is a public/private partnership that allows for a comprehensive managed health care program for eligible Polk County residents. The Plan provides an integrated system of health care and social services through a wide range of primary and preventive medical care, specialty medical care, hospitalization, diagnostic testing, ancillary services and pharmaceuticals. In essence, the Plan functions as a County-operated HMO for qualified Polk County residents. A senior hospital employee attends the Citizen Oversight Committee, an Advisory body on health issues for the Polk Healthcare Plan. In 2010, the hospital joined with Polk Healthcare and another area hospital to start an initiative that would bring an additional $1 million worth of primary care services to low income residents of Polk County. VII. Physician Recruitment - The hospital has a full-time physician recruiter and actively recruits physicians in primary care and specialty care areas where it has identified a community need. The hospital also works closely with physician groups to assist them in recruiting new physicians to our area. Sponsored community events - Winter Haven Hospital and its employees provided sponsorship and fund raising for these and many other community organizations and events: I. Heart Smart Days: A luncheon, health fair and lecture series focused on heart health education II. Citrus Classic: Features a 5k run, three-mile walk and Kindergarten Dash. III. Heart Walk: A three-mile walk benefiting the American Heart Association. IV. Relay for Life: An 18-24 hour relay walk benefiting the American Cancer Society. V. Baby-to-be and Up-to-three: A fun and informative health fair for expecting parents and young children which includes exhibits, child ID fingerprinting, fire safety, bike helmet fittings, and free immunizations for children. VI. Just Culture Community Seminar: The hospital sponsored a seminar hosted by world-renowned expert Sidney Dekker which was part of the Hospital's ongoing effort to heighten awareness about safety issues in the work place. VII. Neighborhood Services Center: The Hospital maintains a Neighborhood Services Center and employs a full time director in order to coordinate speakers, entertainment and health fairs primarily for senior citizens. VIII. One Team One Goal: The One Team One Goal campaign provides employees with the opportunity to make a pledge to any combination of seven different charities and funds, including two Winter Haven Hospital Foundation funds and five external charities. The hospital also sponsors and offers free meeting space for a variety of support groups such as cancer, epilepsy, grief, caregivers, lupus, leukemia, brain injury, AIDS, Alzheimers, and domestic violence. Peer Recovery Program - The Hospital facilitates the Peer Recovery Program which provides education, socialization, employment skills, and support to consumers who have a mental health diagnosis. Membership and participation is free and open to everyone in the community. Community Leadership - The Hospital enables its leaders to participate in organizations that benefit the well being of the community including for example: The United Way, Girls, Inc., the Women's Resource Center, and the Chamber of Commerce for several local communities, and the American Heart Association. Volunteer Services Department The hospital has an active and important volunteer department with over 317 active members serving throughout the hospital for over 27,450 hours. The hospital volunteers have spent hours serving the community with a Patient I.D. Fair, HIM Bake Off, Polk Heartwalk, Heart Smart Day and the Women's Health Fair. They also provide special Christmas stockings for infants going home on Christmas and sponsor the Christmas Angel Tree program. Community Benefit Quantification The following financial information represents a quantification of Winter Haven Hospital's community benefit for the fiscal year ended September 30, 2011. This quantification was developed using the principals set forth under IRS Schedule H. The hospital will file IRS Schedule H with its 2010 Form 990 as required by IRS regulations for Fiscal Year ending September 30, 2011. 2011 Charity and Medicaid Cases: Charity Medicaid Emergency Department 5,206 8,967 Inpatient 532 2,171 Other 1,001 1,649 Total 6,739 12,787 Charity Care and Certain Other Community Benefits at Cost: Charity Care - at cost $ 9,987,961 Direct Community Based Healthcare Programs $ 440,419 Unreimbursed Cost of Medicaid Programs $ 8,498,351 Unreimbursed Cost of County Indigent Care Program $ 587,096 Donations and Community Groups $ 63,330 Education/Health Fairs $ 176,569 Enrollment Assistance in Government Programs $ 141,900 Health Professionals Education $ 328,365 Total Charity Care and Certain Other Community Benefits at Cost $ 20,223,991 Community Building Activities: Physician Recruitment $ 242,933 Subsidized Cost of Regency Anesthesia $ 250,000 Total Community Building Activities $ 492,933 Total Quantifiable Community Benefit $ 20,716,924 The Community Benefit Quantification shown above does not include the following additional important demonstrations of the Hospital's community support - Cost of Uncompensated Care to Patients above the poverty line $ 6,050,427 - Shortfall of Medicare Funding for Patient Care* $ 18,385,898 - Scholarship for Workforce Development $ 42,039 Total $ 24,478,364 *From Medicare Cost Report Excludes other Medicare (HMO, PPO, etc.) shortfall of $10,596,128
Form 990, Part VI, Section A, line 2		Mark Bostick and William H. Murrell, Board Members, have a family relationship.
Form 990, Part VI, Section A, line 6		The sole member of Winter Haven Hospital, Inc. is Mid-Florida Medical Services, Inc.
Form 990, Part VI, Section A, line 7a		The Trustees of the Winter Haven Hospital, Inc. shall be elected by the Sole Member, Mid Florida Medical Services, Inc., at its annual meeting each year for staggered three year terms.
Form 990, Part VI, Section A, line 7b		As stated in the Bylaws of Winter Haven Hospital - The Board of Trustees shall not, without the prior approval of the Sole Member of the Corporation: 1. Amend the Bylaws or the Articles of Incorporation of Winter Haven Hospital. 2. Approve a plan of dissolution of Winter Haven Hospital. 3. Approve a plan of merger or consolidation of Winter Haven Hospital with another Corporation. 4. Organize or acquire, or authorize or approve the organization or acquisition of any subsidiary or affiliate of the Corporation.
Form 990, Part VI, Section B, line 11		The Executive Director of Accounting and CFO of Winter Haven Hospital intially reviewed Form 990. After their review was completed, the final Form 990 was then presented and made available to all Board Members including all voting members of the governing body.
	Form 990, Part VI, Section B, line 12c	The Chairman of the Board of Directors inquires at least annually if there are any conflicts of interest. In addition all officers, directors, trustees and key employees are required to sign a conflict of interest statement annually.
	Form 990, Part VI, Section B, line 15	The Executive Compensation Committee of the Board of Directors sets compensation for the President and Vice Presidents of the hospital. The Executive Compensation Committee consists of four Board members, all of whom are independent. The Executive Compensation Committee has used the consulting firm of Sullivan and Cotter to advise them about executive compensation and to provide them with comparability data. Minutes of the Executive Compensation Committee meetings are kept and retained at the Hospital.
	Form 990, Part VI, Section C, line 19	The financial statements of Winter Haven Hospital are made availabe to the public upon request. The organization's governing documents and conflict of interest policy are not made available to the public.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized losses on investments: -2,932,754. Change in Value of Swap Liability -2,213,896. Transfer to Mid-Florida Medical Services Foundation, Inc. -286,253. Income from Investments in Partnerships -5,919. Total to Form 990, Part XI, Line 5: -5,438,822.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

Winter Haven Hospital Inc

Employer identification number

59-0724462

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Mid-Florida Medical Services Inc 200 Ave F NE Winter Haven,FL33881 59-2486580	Support Organization	FL	501(c)(3)	509(a)(3) - Type 1	N/A		No
(2) Mid-Florida Medical Services Foundation Inc 200 Ave F NE Winter Haven,FL33881 03-0406130	Fundraising	FL	501(c)(3)	509(a)(3) - Type 1			No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Mid-Florida Medical Services Foundation Inc	Q	286,252	Cost
(2) Mid-Florida Medical Services Foundation Inc	C	2,056,202	Cost
(3) Mid-Florida Medical Services Foundation Inc	L	464,681	Cost
(4) mid-Florida Medical Services Foundation Inc	P	1,959,379	Cost
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To provide hospital and healthcare services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	16
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,689
6	Total number of volunteers (estimate if necessary) ....	6	328
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	817,149
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,447,508	5,121,071
9	Program service revenue (Part VIII, line 2g) .........	271,607,748	256,334,293
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,735,788	3,891,619
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-2,596,543	594,724
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	275,194,501	265,941,707
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	127,607,606	127,611,178
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	147,668,177	133,704,661
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	275,275,783	261,315,839
19	Revenue less expenses. Subtract line 18 from line 12......	-81,282	4,625,868
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	250,298,873	248,636,308
21	Total liabilities (Part X, line 26)............	146,056,152	145,206,541
22	Net assets or fund balances. Subtract line 21 from line 20 .....	104,242,721	103,429,767

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 178,424,589 including grants of $ ) (Revenue $ 256,384,765 )
	The Community Benefit contributions of Winter Haven Hospital and the Winter Haven Hospital Foundation include programs and activities that improve access to healthcare and improve health in our communities. Winter Haven Hospital is a not-for-profit organization that is the leading healthcare provider in eastern Polk County, dedicated to the mission of improving the health of the people we serve, by providing the highest quality and most effective care and services - and to return value to the people in our communities. Our history of fulfilling this mission and providing access to medical excellence close to home began in 1926. Since that time we have remained dedicated to meeting the healthcare needs of individuals and businesses in central Florida.This statement of program service accomplishments is organized using the HERO methodology; Healthcare, Education, Research, Outreach.HealthcareEstablished in 1926, Winter Haven Hospital serves as the major medical center for eastern Polk County and the U.S. Highway 27/Ridge corridor. Since that time, the local population has grown substantially with over 660,000 people living within 25 miles of the hospital and over 3 million within 50 miles. The hospital is a division of Mid-Florida Medical Services, a locally owned and operated 501(C)(3), not-for-profit organization, which is governed by an independent Board of Trustees made up of local business and civic leaders who serve without pay. With 527 licensed beds, Winter Haven Hospital main campus is the larger of the two inpatient facilities in our healthcare system, followed by our Regency Center for Women and Infants. With approximately 2,400 employees, Winter Haven Hospital is the largest private employer in eastern Polk County. The hospital is fully accredited by the Joint Commission and has more than 300 board-certified physicians on its medical staff representing every major specialty. Winter Haven Hospital is affiliated with the University of Florida College of Medicine/Shands Healthcare in the areas of emergency medicine, oncology and urology. The hospital is also a member of the American Hospital Association, Florida Hospital Association, the Premier Alliance, and the West Central Florida Hospital Council.Hospital based services include:- The Bostick Heart Center- The Cassidy Cancer Center- Three 12-bed intensive care units for medical, surgical and coronary care- A Nationally recognized Stroke Center- The Nationally accredited Joy-Fuller Rehabilitation Center- The Regency Center for Women and Infants- Center for Robotic SurgeryWith community based facilities located throughout eastern Polk County, Winter Haven Hospital offers numerous specialty programs and units:- State-of-the-art OB/GYN women's facility- Level II neonatal intensive care- Comprehensive physical rehabilitation inpatient and outpatient centers accredited by the Commission on Accreditation of Rehabilitation Facilities, which are also state-designated for brain injury- Three cardiac catheterization laboratories- Clinical lab and regional Blood Bank- Ambulatory Surgery and Diagnostic Center including new operating rooms, endoscopy procedure rooms and prep and recovery areas. - Emergency Department- Seven primary care offices (Auburndale, Bartow, Dundee, Haines City, Lake Wales, Winter Haven (two))- Inpatient Center for Psychiatry/outpatient behavioral health services - Diabetes Care CenterWith approximately 17,000 total admissions last year, over 1,600 births and over 60,000 emergency and urgent care visits, Winter Haven Hospital continually seeks to fulfill its mission: To improve the health of the people we serve, by providing the highest quality and most effective care and services - and to return value to the people in our communities.Winter Haven Hospital's Regency Center for Women and Infants received the Premier Quality award for being one of the best Women's Hospitals in the country. Also in June 2011, Heathgrades awarded the Regency the Maternity Care Excellence Award.The Joy-Fuller Rehabilitation Center earned its seventh-consecutive 3-year Commission on Accreditation of Rehabilitation Facilities in December 2010. It is the only CARF-accredited inpatient rehabilitation center in Polk, Highlands and Hardee Counties. The Bostick Heart Care Center was given a three-star rating by Consumer Reports magazine for 3 years running with the latest published in April 2012. This designation for the Bostick Heart Center's heart-bypass program ranks it as among the top 50 such programs in the nation. Only two other Florida hospitals were given this designation. 2011 also marked the fourth year in a row that the Bostick Heart Center received the top rating of 3 stars from the Society of Thoracic Surgeons. In December 2008 the Hospital was awarded Magnet Status which is the highest level of recognition from the American Nurses Credentialing Center. Characteristics that define nursing services in a Magnet organization emphasize high-quality patient care, clinical autonomy and responsibility, participatory decision-making, strong nurse leaders, effective use of resources, and high levels of job satisfaction.The hospital was one of 60 hospitals to achieve the Gold Elite Award from the American Stroke Association acknowledging at least 2 years of 85% or higher adherence to all performance measures for stroke care with the most recent award coming in January 2009. The hospital program for the continuum of stroke care was initially certified by the Joint Commission in July 2005. The program received its second Joint Commission designation in December 2007 and its fourth designation in December 2011.Winter Haven Hospital is committed to the highest quality of compassionate patient care by adhering to the following nursing philosophy:- We believe there is a potential inherent in every human being for self-actualization that can be empowered through the caring nurse-patient relationship.- We value diversity of human experience and expression by accepting the person not only as he or she is now, but as what he or she may become.- We believe that we have an ethical and social responsibility to both individuals and society to protect human dignity and preserve humanity.- We are committed to teamwork and collaboration in which individuals engage in genuine communication, put aside individual and discipline agendas, and put the patient and the patient's social support systems first.- We actualize these beliefs by promoting and rewarding clinical, administrative, research, and education activities which maintain an exceptional caring relationship with those we are privileged to serve.Winter Haven Hospital meets the organizational description for tax exemption as evidenced by:- Operating a 24 hour emergency room that is open to all persons regardless of the ability to pay.- Having an open medical staff with privileges available to all qualified physicians in the area.- Having a governing body comprised of independent persons representative of the community.- Participating in Medicare, Medicaid, Champus, and other government sponsored healthcare programs.- Providing charity care to the indigent as more fully described below.Winter Haven Hospital offers financial assistance policies that help the low income and uninsured members of the community. All self-pay patients are screened for funding sources at the time of admission or in the pre-admission process. Patients are screened for qualification with federal, state, or county funded programs or the hospital's charity care policy. If the patient qualifies, the Financial Counseling staff assists the patient in the application process. If he or she does not qualify, the hospital offers a variety of payment plans to help accommodate the patient. Uninsured patients receive an automatic 40% discount on their bills. The hospital's charity care policy complies with Florida's Agency for Health Care Administration charity guidelines which enables us to provide healthcare to patients that are unable to pay due to financial hardship. This policy includes:- 100% write-off of charges for families whose income for the 12 months preceding the determination is below 200% of the current Federal poverty guidelines.- A sliding scale write-off of charges for families whose income for the 12 months preceding the determination is between 201% and 300% of the current Federal poverty guidelines.- A sliding scale write-off of charges for catastrophic cases where the bill exceeds 25% of family annual income.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 178,424,589

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) David MacDougall Vice President & CFO	40.00	X			0	252,109	39,684
(19) David Libby Vice President	40.00		X		0	163,052	22,843
(20) Mary Jo Schreiber Vice President	40.00		X		0	182,051	13,077
(21) Iftikhar Rasul MD Psychiatrist	40.00			X	257,207	0	38,425
(22) George Winney MD Psychiatrist	40.00			X	251,799	0	41,660
(23) Joseph Lynch MD Physician Intensivist	40.00			X	336,839	0	22,807
(24) Majd Alsamman MD Medical Director	40.00			X	377,685	0	23,169
(25) Takkallapelli D Tao MD Vice President	40.00			X	233,066	0	21,106

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,456,596	1,083,552	251,575

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,026,657
e	Government grants (contributions)1e		3,087,899

f	All other contributions, gifts, grants, and similar amounts not included above1f		6,515
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			5,121,071
			Business Code
2a	Patient Services		621,990	152,549,553	152,549,553
b	Medicare/Medicaid Paym		621,990	98,309,829	98,309,829
c	Other Services		621,990	4,775,608	3,028,653	240	1,746,715
d	Medicare/Medicaid Paym		621,500	492,178		492,178
e	Lab Outreach		621,500	207,125		207,125
f	All other program service revenue .
g	Total. Add lines 2a–2f........			256,334,293
3	Investment income (including dividends, interest
	and other similar amounts).....			2,044,467		2,817	2,041,650
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	488,050
b	Less: rental expenses	58,587
c	Rental income or (loss)	429,463
d	Net rental income or (loss).......			429,463			429,463
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	22,211,132	9,421
b	Less: cost or other basis and sales expenses	20,298,802	74,599
c	Gain or (loss)	1,912,330	-65,178
d	Net gain or (loss)..........			1,847,152			1,847,152
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Contract Rev - Linen		812,300	114,789		114,789
b	Other Revenue		621,990	50,472	50,472
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			165,261
12	Total revenue. See Instructions....			265,941,707	253,938,507	817,149	6,064,980


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			11,656	1	11,871
2	Savings and temporary cash investments .......			24,635,048	2	26,717,156
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			40,535,320	4	42,081,796
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,090,948	8	5,930,240
9	Prepaid expenses and deferred charges ............			5,022,175	9	4,888,590
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	275,491,506
b	Less: accumulated depreciation. .....	10b	166,421,049	110,236,585	10c	109,070,457
11	Investments—publicly traded securities ..........			56,358,300	11	48,931,109
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			8,408,841	15	11,005,089
16	Total assets. Add lines 1 through 15 (must equal line 34)...			250,298,873	16	248,636,308
17	Accounts payable and accrued expenses .			28,616,785	17	28,965,683
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			82,644,483	20	80,808,817
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			9,245,650	23	6,363,826
24	Unsecured notes and loans payable to unrelated third parties ....			2,700,000	24	2,700,000
25	Other liabilities. Complete Part X of Schedule D.....			22,849,234	25	26,368,215
26	Total liabilities. Add lines 17 through 25.....			146,056,152	26	145,206,541
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			104,242,721	27	103,429,767
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			104,242,721	33	103,429,767
34	Total liabilities and net assets/fund balances .....			250,298,873	34	248,636,308