TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) GREGORY LEWIS...................................................................... CHAIRPERSON	2.00 ................. 3.00	X	X	0	0
(2) ROGER A BEYERS...................................................................... VICE CHAIRPERSON	2.00 ................. 3.00	X	X	0	0
(3) DIANE B SPENCER...................................................................... SECRETARY	2.00 ................. 3.00	X	X	0	0
(4) LINDSAY BLAISE...................................................................... TREASURER	2.00 ................. 3.00	X	X	0	0
(5) ROBERT Q WILLIAMS ESQ...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(6) H MARLENE O'TOOLE...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(7) SHAHBAZ A CHEEMA MD...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(8) RUSSELL J D'EMIDIO...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(9) SHIVAKUMAR S HANUBAL MD...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(10) GEORGE E KAINZ MD...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(11) GEORGE F MCCABE...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(12) DAVID L SUSTARSIC MD...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(13) LYNNE S WINKLER...................................................................... BOARD MEMBER	2.00 ................. 4.00	X		0	0
(14) DWARAK R BANALA MD...................................................................... BOARD MEMBER	2.00 ................. 3.00	X		0	0
(15) DONALD HENDERSON...................................................................... PRESIDENT/CEO	17.00 ................. 33.00		X	782,168	28,080
(16) DIANE HARDEN...................................................................... SVP/CFO	17.00 ................. 33.00		X	413,917	20,619
(17) SAAD EHTISHAM...................................................................... SVP/COO	18.00 ................. 32.00		X	468,289	28,080

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) PHYLLIS BAUM........................................................................ VP/CQO	20.00 .......................30.00	X		0	341,998	22,218
(19) AMIE RICHASON........................................................................ VP/HUMAN RESOURCES	20.00 .......................30.00	X		0	283,171	27,445
(20) DAVID STEELE........................................................................ VP/CIO	20.00 .......................30.00	X		0	276,760	24,498
(21) PHILIP BRAUN........................................................................ VP/CHIEF COUNSEL	20.00 .......................30.00	X		0	234,376	25,168
(22) WILLIAM PFINGSTEN........................................................................ VP OF AMBULATORY SERVICES	20.00 .......................30.00	X		0	233,507	17,591
(23) TED E WILLIAMS........................................................................ VP/FOUNDATION PRESIDENT	1.00 .......................49.00	X		0	211,871	16,625
(24) ALEXANDER CHANG........................................................................ VP, SUPPORT SERVICES	20.00 .......................30.00	X		0	229,763	24,558
(25) MICHAEL PITTMAN........................................................................ VP/CCO & SITE ADMINSTRATOR	48.00 .......................2.00	X		246,990	0	17,280
(26) FELIX SMITH........................................................................ PHARMACY	50.00 .......................		X	156,527	0	11,951
(27) MICHAEL LAND........................................................................ PHARMACY	50.00 .......................		X	156,729	0	24,125
(28) SANDRA PELTON........................................................................ PHARMACY	50.00 .......................		X	175,927	0	17,280
(29) HEATHER SCHWEIZER MD........................................................................ PHYSICIAN	50.00 .......................		X	368,937	0	5,158
(30) DAVID BOWERS MD........................................................................ PHYSICIAN	50.00 .......................		X	512,857	0	13,333

(A) Name and business address	(B) Description of services	(C) Compensation
TEAMHEALTH ANESTHESIA 7111 FAIRWAY DRIVE SUITE 540 PALM BEACH GARDEN,FL33418	ANESTHESIA SERVICES	1,023,397
ANGELICA PO BOX 535122 ATLANTA,GA30353	LINEN SERVICES	712,446
HEALOGICS WOUND CARE & HYPERBARIC CTR 3087 MOMENTUM PLACE CHICAGO,IL60689	PROFESSIONAL SERVICES	711,488
ALLIED UNIVERSAL SECURITY SERVICES 1551 N TUSTIN AVE SUITE 650 SANTA ANA,CA92705	SECURITY	666,026
SHC SERVICES PO BOX 677896 DALLAS,TX75267	TEMPORARY LABOR	515,462
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 14

- 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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. If the organization did not check a 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—2019. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. 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 VI 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

31,084

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

12,985

Total. Add lines 1c through 1i ....................................................................................................

44,069

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LOBBYING EXPENSES REPORTED ABOVE REPRESENT A COMBINATION OF HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING, AS WELL AS AMOUNTS PAID TO CAPITAL CITY CONSULTING FOR CERTAIN DIRECT LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2019

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, 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)

Revenue included on 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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on 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	Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	6,919,788		6,919,788
b	Buildings ....	189,945,876	67,244,724	122,701,152
c	Leasehold improvements
d	Equipment ....	95,699,556	67,151,355	28,548,201
e	Other .....	9,360,406	4,391,486	4,968,920
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				163,138,061

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,836,673
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
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 XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE ORGANIZATION'S MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2018 AND 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule D (Form 990) 2019

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	2,973,553		2,973,553	1.570 %
b	Medicaid (from Worksheet 3, column a) . . . . .	9,341,863	3,010,918	6,330,945	3.340 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	12,315,416	3,010,918	9,304,498	4.910 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .
k	Total. Add lines 7d and 7j .	12,315,416	3,010,918	9,304,498	4.910 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(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
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,515,446

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

88,590,681

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

87,848,927

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

741,754

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	THE VILLAGES TRI-COUNTY MEDICAL CTR 1451 EL CAMINO REAL THE VILLAGES,FL32159 HTTP://WWW.TVRH.ORG/	X	X	X
2	TVRH RHABILITATION HOSPITAL 1451 EL CAMINO REAL THE VILLAGES,FM32159 HTTP://WWW.TVRH.ORG/	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	THE VILLAGES TRI-COUNTY MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE VILLAGES TRI-COUNTY MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V

The FAP application form was widely available on a website (list url):

SEE PART V

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	THE VILLAGES TRI-COUNTY MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	THE VILLAGES TRI-COUNTY MEDICAL CTR
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	TVRH RHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TVRH RHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of %
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V

The FAP application form was widely available on a website (list url):

SEE PART V

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	TVRH RHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	TVRH RHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. MORE SPECIFICALLY, IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE THREE SIMILAR, THOUGH SLIGHTLY DIFFERENT SURVEYS (BUSINESS LEADER, CITIZEN, AND PHYSICIAN) TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND HEALTHCARE SYSTEM PERSPECTIVES. A CONVENIENCE SAMPLING APPROACH (RESPONDENTS ARE SELECTED DUE TO THEIR CONVENIENT ACCESSIBILITY) WAS UTILIZED FOR ALL THREE SURVEYS. THE CFH STEERING COMMITTEE ASSISTED WITH THE DISSEMINATION OF SURVEYS THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 380 RESPONDENTS TO THE VARIOUS SURVEYS. HOWEVER, ONLY 257 PARTICIPANTS COMPLETED THE VARIOUS SURVEYS IN ITS ENTIRETY (227 CITIZENS, 21 BUSINESS LEADERS, AND 10 PHYSICIANS).ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM --THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THIS ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS, OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY.ON FEBRUARY 9, 2016, THE STEERING COMMITTEE FOR THE CENTRAL FLORIDA HEALTH COMMUNITY HEALTH ASSESSMENT CONVENED A GROUP OF SEVERAL COMMUNITY LEADERS TO PARTICIPATE IN THIS FORCES OF CHANGE ASSESSMENT. PRIOR TO THE MEETING, WELLFLORIDA COUNCIL DISTRIBUTED A FORCES OF CHANGE BRAINSTORMING TOOL AS WELL AS A THREATS AND OPPORTUNITIES WORKSHEET AND ENCOURAGED INVITEES TO THE MEETING TO BEGIN TO BRAINSTORM THE POSSIBLE FORCES THAT MAY HINDER OR HELP THE COMMUNITY IN ITS QUEST FOR COMMUNITY HEALTH IMPROVEMENT. THE FORCES OF CHANGE FOR THE VILLAGES SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE THE VILLAGES SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT.
TVRH RHABILITATION HOSPITAL	PART V, SECTION B, LINE 5: IN GENERAL, INPUT WAS OBTAINED FROM THE FOLLOWING PERSONS REPRESENTING THE BROAD INTERST OF THE COMMUNITY SERVED BY THE HOSPITAL: BUSINESS LEADERS, MEMBERS OF LOCAL CHURCHES, COMMUNITY NON-PROFIT ORGANIZATIONS, HEALTH DEPARTMENTS, AND REPRESENTATIVES FROM LOCAL NEIGHBORHOOD COMMUNITIES. MORE SPECIFICALLY, IN ASSESSING OUR COMMUNITIES' HEALTH CARE NEEDS, THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE THREE SIMILAR, THOUGH SLIGHTLY DIFFERENT SURVEYS (BUSINESS LEADER, CITIZEN, AND PHYSICIAN) TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND HEALTHCARE SYSTEM PERSPECTIVES.A CONVENIENCE SAMPLING APPROACH (RESPONDENTS ARE SELECTED DUE TO THEIR CONVENIENT ACCESSIBILITY) WAS UTILIZED FOR ALL THREE SURVEYS. THE CFH STEERING COMMITTEE ASSISTED WITHT HE DISSEMINATION OF SURVEYS THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE A TOTAL OF 380 RESPONDENTS TO THE VARIOUS SURVEYS, HOWEVER, ONLY 258 PARTICIPANTS COMPLETED THE VARIOUS SURVEYS IN ITS ENTIRETY (227 CITIZENS, 21 BUSINESS LEADERS, AND 10 PHYSICIANS).ONE OF THE MAIN ELEMENTS OF THE NEEDS ASSESSMENT PROCESS INCLUDED A FORCES OF CHANGE ASSESSMENT (FCA). THE FORCES OF CHANGE ASSESSMENT FOR CENTRAL FLORIDA HEALTH WAS CONDUCTED FOR BOTH HOSPITALS WITHIN THE HOSPITAL SYSTEM -- THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER. THE ASSESSMENT WAS AIMED AT IDENTIFYING FORCES SUCH AS TRENDS, FACTORS. OR EVENTS THAT ARE OR WILL BE INFLUENCING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY. ON FEBRUARY 9. 2016, THE STEERING COMMITTEE FOR THE CENTRAL FLORIDA HEALTH COMMUNITY HEALTH ASSESSMENT CONVENED A GROUP OF SEVERAL COMMUNITY LEADERS TO PARTICIPATE IN THIS FORCES OF CHANGE ASSESSMENT. PRIOR TO THE MEETING. WELLFLORIDA COUNCIL DISTRIBUTED A FORCES OF CHANGE BRAINSTORMING TOOL AS WELL AS THREATS AND OPPORTUNITIES WORKSHEET AND ENCOURAGED INVITEES TO THE MEETING TO BEGIN TO BRAINSTORM THE POSSIBLE FORCES THAT MAY HINDER OR HELP THE COMMUNITY IN ITS QUEST FOR COMMUNITY HEALTH IMPROVEMENT. THE FORCES OF CHANGE FOR THE VILLAGES SUMMARIZES THE FORCES OF CHANGE IDENTIFIED FOR THE VILLAGES SERVICE AREA AND POSSIBLE OPPORTUNITIES AND/OR THREATS THAT MAY NEED TO BE CONSIDERED IN ANY STRATEGIC PLANNING PROCESS RESULTING FROM THIS ASSESSMENT.
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTERTHE VILLAGES TRI-COUNTY MEDICAL CENTER
TVRH RHABILITATION HOSPITAL	PART V, SECTION B, LINE 6A: LEESBURG REGIONAL MEDICAL CENTER
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL
TVRH RHABILITATION HOSPITAL	PART V, SECTION B, LINE 6B: WELLFLORIDA COUNCIL
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 11: THE VILLAGES HAS IDENTIFIED FIVE AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:OBESITY IN ADULTS THE ORGANIZATION WILL CONTINUE PARTICIPATION IN THE ANNUAL CORPORATE WELLNESS CHALLENGE IN PARTNERSHIP WITH THE LEESBURG AND SUMTER COUNTY CHAMBER OF COMMERCE TO PROMOTE WEIGHT LOSS AND WELLNESS AMONG THE AREA'S LARGEST EMPLOYERS (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY THREE PERCENT THE COMBINED, CUMULATIVE WEIGHT AMONG CORPORATE WELLNESS CHALLENGE MEMBERS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION EVENTS (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EACH YEAR ADDRESSING NUTRITION AND EXERCISE IN LAKE AND SUMTER COUNTIES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY MASS INDEX AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).LACK OF PHYSICAL ACTIVITY THE ORGANIZATION WILL CONTINUE DEVELOPMENT OF THE COMMUNITY/TEAM MEMBER WELLNESS TRACK ON THE CAMPUS OF THE VILLAGES (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY 5 PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH TEAM MEMBERS WHO UTILIZE THE TRACK ON A WEEKLY BASIS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO SPONSOR ANNUAL COMMUNITY WALK/YOUTH DANCE COMPETITION EVENTS IN LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) DESIGNED TO ENCOURAGE FAMILIES TO USE PRACTICAL ACTIVITIES TO INCORPORATE EXERCISE INTO THEIR DAILY LIVES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY WEIGHT AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).SHORTAGE OF HEALTH SERVICES THE ORGANIZATION WILL DEVELOP AN AWARENESS CAMPAIGN (TARGETING RESIDENTS OF LEESBURG AND FRUITLAND PARK) FOR THE COMMUNITY MEDICAL CARE CLINIC, A MEDICAL HOME OPERATED IN PARTNERSHIP WITH CENTRAL FLORIDA HEALTH THAT OFFERS NO-COST PRIMARY HEALTH CARE SERVICES, INCLUDING MAMMOGRAMS, MEDICATIONS AND DENTAL CARE TO UNDERSERVED RESIDENTS IN LAKE COUNTY (WITH A THREE YEAR OUTCOME GOAL OF INCREASING CLINIC VOLUMES BY 3 PERCENT BY JULY 1, 2019). THE ORGANIZATION WILL ALSO EXPAND ITS URGENT CARE CENTER PRESENCE TO MEET THE NEEDS OF ITS RAPIDLY GROWING POPULATION WITH THE ENTRANCE OF A THIRD LOCATION IN A YET-TO-BE-NAMED COMMUNITY (WITH A THREE YEAR OUTCOME GOAL OF REDUCING CAPACITY CONSTRAINTS BY FIVE PERCENT IN THE EMERGENCY DEPARTMENTS AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL). FINALLY, THE ORGANIZATION WILL CONTINUE TO RECRUIT NEEDED PHYSICIAN SPECIALISTS AND SUB-SPECIALISTS TO THE COMMUNITY BASED ON A BI-ANNUAL PHYSICIAN COMMUNITY NEEDS ANALYSIS (WITH A THREE YEAR OUTCOME GOAL OF THE SUCCESSFUL RECRUITMENT OF PHYSICIANS FROM EACH IDENTIFIED SPECIALTY, INCLUDING URGENT CARE, NEUROLOGY AND OTOLARYNGOLOGY (EAR, NOSE AND THROAT) BY JULY 1, 2019).INAPPROPRIATE USE OF EMERGENCY CARETHE ORGANIZATION WILL LAUNCH A PUBLIC AWARENESS CAMPAIGN THROUGHOUT LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EDUCATING THE COMMUNITY ABOUT WHEN IT IS BEST TO UTILIZE THEIR PRIMARY CARE PHYSICIAN OR URGENT CARE CENTER AND WHEN MOST APPROPRIATE TO VISIT THEIR LOCAL EMERGENCY DEPARTMENT (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY FIVE PERCENT THE NUMBER OF PATIENTS WHO PRESENT TO CENTRAL FLORIDA HEALTH URGENT CARE CENTERS AND INDICATE THAT THEY LEARNED ABOUT URGENT CARE SERVICES THROUGH THE CAMPAIGN BY JULY 1, 2019). THE ORGANIZATION WILL ALSO IMPLEMENT A PHYSICIAN TRIAGE PROGRAM AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL TO OPTIMIZE SYMPTOM AND TREATMENT MANAGEMENTS FOR PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT FOR CARE (WITH A THREE YEAR OUTCOME GOAL OF DECREASING BY FIVE PERCENT WAIT TIMES IN THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENTS BY JULY 1, 2019).OTHER IDENTIFIED HEALTHCARE ISSUESTHE ORGANIZATION WILL MAINTAIN ITS PARTNERSHIP PLEDGE WITH THE AMERICAN CANCER SOCIETY TO RAISE THE RATE OF COLON CANCER SCREENINGS TO 80 PERCENT BY THE YEAR 2018 (WITH A THREE YEAR OUTCOME GOAL OF REDUCING THE NUMBER OF COLON CANCER DEATHS BY TWO PERCENT IN ITS SERVICE AREA BY JULY 1, 2019). THE ORGANIZATION WILL ALSO CONTINUE ITS HIRING POLICY THAT EXCLUDES INDIVIDUALS WHO USE TOBACCO FROM BEING ELIGIBLE TO JOIN THE CENTRAL FLORIDA HEALTH TEAM (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY FIVE PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH EMPLOYEES WHO USE TOBACCO PRODUCTS BY JULY 1, 2019). FINALLY, THE ORGANIZATION WILL FURTHER DEVELOP PARTNERSHIPS WITH FAITH-BASED ORGANIZATIONS IN COMMUNITIES WHERE THERE ARE IDENTIFIED HEALTH DISPARITIES (PRIMARILY LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) TO PROVIDE DIABETES, HEART DISEASE AND CANCER EDUCATION AND SCREENINGS (WITH A THREE THREE YEAR OUTCOME GOAL OF HAVING 25 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT GLUCOSE AND BLOOD PRESSURE LEVELS AND RECEIVE EDUCATION ABOUT HOW TO PREVENT AND/OR MANAGE HYPERTENSION AND DIABETES BY JULY 1, 2019).THE ORGANIZATION IS NOT ABLE TO ADDRESS ALL OF THE NEEDS OF THE COMMUNITY IDENTIFIED IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT DUE TO RESOURCE CONSTRAINTS. THE VILLAGES RECOGNIZES THAT OTHER COMMUNITY GROUPS HAVE MORE EXPERIENCE TO MEET THOSE NEEDS. THE NEEDS IDENTIFIED THAT ARE BEING ADDRESSED BY OTHER ORGANIZATIONS ARE DENTAL CARE, AGING PROBLEMS, RESPIRATORY/LUNG DISEASE, MENTAL HEALTH, NUTRITION AND UTILIZING VOLUNTEER WORKFORCE.
TVRH RHABILITATION HOSPITAL	PART V, SECTION B, LINE 11: TVRH REHABILITATION HOSPITAL HAS IDENTIFIED FIVE AREAS THAT IT PLANS TO ADDRESS OVER THE NEXT THREE YEARS:OBESITY IN ADULTSCFH WILL CONTINUE PARTICIPATION IN THE ANNUAL CORPORATE WELLNESS CHALLENGE IN PARTNERSHIP WITH THE LEESBURG AND SUMTER COUNTY CHAMBER OF COMMERCE TO PROMOTE WEIGHT LOSS AND WELLNESS AMONG THE AREA'S LARGEST EMPLOYERS (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY THREE PERCENT THE COMBINED, CUMULATIVE WEIGHT AMONG CORPORATE WELLNESS CHALLENGE MEMBERS BY JULY 1, 2019). THE ORGANIZATION WILL ALSO PROVIDE FOUR NO-COST COMMUNITY HEALTH EDUCATION EVENTS (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EACH YEAR ADDRESSING NUTRITION AND EXERCISE IN LAKE AND SUMTER COUNTIES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY MASS INDEX AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).LACK OF PHYSICAL ACTIVITY THE ORGANIZATION WILL CONTINUE DEVELOPMENT OF THE COMMUNITY/TEAM MEMBER WELLNESS TRACK ON THE CAMPUSES OF LRMC AND THE VILLAGES (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY 5 PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH TEAM MEMBERS WHO UTILIZE THE TRACK ON A WEEKLY BASIS BY JULY 1, 2019). THE ORGANIZATION WILL SPONSOR ANNUAL COMMUNITY WALK/YOUTH DANCE COMPETITION EVENTS IN LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) DESIGNED TO ENCOURAGE FAMILIES TO USE PRACTICAL ACTIVITIES TO INCORPORATE EXERCISE INTO THEIR DAILY LIVES (WITH A THREE YEAR OUTCOME GOAL OF HAVING 15 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT BODY WEIGHT AND RECEIVE EDUCATION ABOUT HOW TO MAINTAIN A HEALTHY WEIGHT BY JULY 1, 2019).SHORTAGE OF HEALTH SERVICESTHE ORGANIZATION WILL DEVELOP AN AWARENESS CAMPAIGN (TARGETING RESIDENTS OF LEESBURG AND FRUITLAND PARK) FOR THE COMMUNITY MEDICAL CARE CLINIC. A MEDICAL HOME OPERATED IN PARTNERSHIP WITH CENTRAL FLORIDA HEALTH THAT OFFERS NO-COST PRIMARY HEALTH CARE SERVICES, INCLUDING MAMMOGRAMS, MEDICATIONS AND DENTAL CARE TO UNDERSERVED RESIDENTS IN LAKE COUNTY (WITH A THREE YEAR OUTCOME GOAL OF INCREASING CLINIC VOLUMES BY 3 PERCENT BY JULY 1, 2019). THE ORGANIZATION WILL ALSO EXPAND ITS URGENT CARE CENTER PRESENCE TO MEET THE NEEDS OF ITS RAPIDLY GROWING POPULATION WITH THE ENTRANCE OF A THIRD LOCATION IN A YET-TO-BE NAMED COMMUNITY (WITH A THREE YEAR OUTCOME GOAL OF REDUCING CAPACITY CONSTRAINTS BY FIVE PERCENT IN THE EMERGENCY DEPARTMENT AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL). FINALLY, THE ORGANIZATION WILL CONTINUE TO RECRUIT NEEDED PHYSICIAN SPECIALISTS AND SUB-SPECIALISTS TO THE COMMINITY BASED ON A BI-ANNUAL PHYSICIAN COMMUNITY NEEDS ANALYSIS (WITH A THREE YEAR OUTCOME GOAL OF THE SUCCESSFUL RECRUITMENT OF PHYSICIANS FROM EACH IDENTIFIED SPECIALTY, INCLUDING URGENT CARE, NEUROLOGY AND OTOLARYNGOLOGY (EAR, NOSE, THROAT) BY JULY 1, 2019).INAPPROPRIATE USE OF EMERGENCY CARETHE ORGANIZATION WILL LAUNCH A PUBLIC AWARENESS CAMPAIGN THROUGHOUT LAKE AND SUMTER COUNTIES (TARGETING RESIDENTS OF LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) EDUCATING THE COMMUNITY ABOUT WHEN IT IS BEST TO UTILIZE THEIR PRIMARY CARE PHYSICIAN OR URGENT CARE CENTER AND WHEN MOST APPROPRIATE TO VISIT THEIR LOCAL EMERGENCY DEPARMENT (WITH A THREE YEAR OUTCOME GOAL OF INCREASING BY FIVE PERCENT THE NUMBER OF PATIENTS WHO PRESENT TO CENTRAL FLORIDA HEALTH URGENT CARE CENTERS AND INDICATE THAT THEY LEARNED ABOUT URGENT CARE SERVICES THROUGH THE CAMPAIGN BY JULY 1, 2019). THE ORGANIZATION WILL ALSO IMPLEMENT A PHYSICIAN TRIAGE PROGRAM AT LEESBURG REGIONAL MEDICAL CENTER AND THE VILLAGES REGIONAL HOSPITAL TO OPTIMIZE SYMPTOM AND TREATMENT MANAGEMENTS FOR PATIENTS WHO ARRIVE AT THE EMERGENCY DEPARTMENT FOR CARE (WITH A THREE YEAR OUTCOME GOAL OF DECREASING BY FIVE PERCENT WAIT TIMES IN THE VILLAGES REGIONAL HOSPITAL AND LEESBURG REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENTS BY JULY 1, 2019).OTHER IDENTIFIED HEALTHCARE ISSUESTHE ORGANIZATION WILL MAINTAIN ITS PARTNERSHIP PLEDGE WITH THE AMERICAN CANCER SOCIETY TO RAISE THE RATE OF COLON CANCER SCREENINGS TO 80 PERCENT BY THE YEAR 2018 (WITH A THREE YEAR OUTCOME GOAL OF REDUCING THE NUMBER OF COLON CANCER DEATHS BY TWO PERCENT IN ITS SERVICE AREA BY JULY 1, 2019). THE ORGANIZATION WILL ALSO CONTINUE ITS HIRING POLICY THAT EXCLUDES INDIVIDUALS WHO USE TOBACCO FROM BEING ELIGIBLE TO JOIN THE CENTRAL FLORIDA HEALTH TEAM (WITH A THREE YEAR OUTCOME GOAL OF REDUCING BY FIVE PERCENT THE NUMBER OF CENTRAL FLORIDA HEALTH EMPLOYEES WHO USE TOBACCO PRODUCTS BY JULY 1, 2019). FINALLY, THE ORGANIZATION WILL FURTHER DEVELOP PARTNERSHIPS WITH FAITH-BASED ORGANIZATIONS IN COMMUNITIES WHERE THERE ARE IDENTIFIED HEALTH DISPARITIES (PRIMARILY LEESBURG, FRUITLAND PARK, BUSHNELL, WILDWOOD AND SUMTERVILLE) TO PROVIDE DIABETES, HEART DISEASE AND CANCER EDUCATION AND SCREENINGS (WITH A THREE YEAR OUTCOME GOAL OF HAVING 25 PERCENT OF EVENT PARTICIPANTS LEARN THEIR CURRENT GLUCOSE AND BLOOD PRESSURE LEVELS AND RECEIVE EDUCATION ABOUT HOW TO PREVENT AND/OR MANAGE HYPERTENSION AND DIABETES BY JULY 1, 2019).
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 16J: THE HOSPITAL FACILITY PUBLICIZES ITS WRITTEN FINANCIAL ASSISTANCE POLICY THROUGH ITS WEBSITE, COPIES AVAILABLE AT THE PATIENT REGISTRATION DESKS AND FINANCIAL COUNSELORS ALSO HAVE IT FOR DISTRIBUTION TO PATIENTS. IT IS ALSO AVAILABLE TO ANYONE WHO REQUESTS IT.
THE VILLAGES TRI-COUNTY MEDICAL CTR	PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITY'S MEDICAID ELIGIBILITY COMPANY. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING - MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT ("HCRA").THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED IN ITS PATIENT HEALTH MANAGEMENT SYSTEM.THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE FIRST STATEMENT IS SENT TO THE PATIENT FROM THE PATIENT ACCOUNTING SYSTEM AFTER THE ACCOUNT HAS BEEN FINAL BILLED. THREE SUBSEQUENT STATEMENTS ARE SENT ON A 30 DAY CYCLE PERIOD UNITL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BAD DEBT COLLECTION AGENCY.
TVRH RHABILITATION HOSPITAL	PART V, SECTION B, LINE 20E: ALL SELF PAY PATIENTS THAT COME THROUGH THE EMERGENCY DEPARTMENT OR ARE A DIRECT ADMIT AS URGENT OR EMERGENT ARE SEEN BY A FINANCIAL COUNSELOR/PATIENT DISCHARGE CASHIER AND/OR A REPRESENTATIVE FROM THE HOSPITAL FACILITITY'S MEDICAID ELIGIBILITY COMPANT. THE HOSPITAL FACILITY ALWAYS ATTEMPTS TO COLLECT FROM A PATIENT FIRST BUT IF THEY STATE THEY ARE UNABLE TO PAY, WE LOOK FOR OTHER SOURCES OF FUNDING -- MEDICAID OR FLORIDA'S HEALTH CARE RESPONSIBILITY ACT (HCRA). THE HOSPITAL FACILITY HAS A DETAILED APPLICATION PROCESS FOR CHARITY. ALL OF THE HOSPITAL FACILITY'S COMMUNICATION WITH THE PATIENT/FAMILY IS DOCUMENTED IN IT PATIENT HEALTH MANAGEMENT SYSTEM.THE HOSPITAL FACILITY WILL TAKE THE FOLLOWING ACTIONS BEFORE INITIATING ANY OF THE COLLECTION EFFORTS INDICATED IN LINE 18 AS FOLLOWS. THE FIRST STATEMENT IS SENT TO THE PATIENT FROM THE PATIENT ACCOUNTING SYSTEM AFTER THE ACCOUNT HAS BEEN FINAL BILLED. THREE SUBSEQUENT STATEMENTS ARE SENT ON A 30 DAY CYCLE PERIOD UNTIL THE ACCOUNT REACHES 120 DAYS. AFTER WHICH IF THERE IS A BALANCE OUTSTANDING THE ACCOUNT IS PLACED WITH A BED DEBT COLLECTION AGENCY.
PART V, SECTION B, LINES 7, 10, AND 16	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN FOR THE VILLAGES TRI-COUNTY MEDICAL CENTER AND TVRH REHABILITATION HOSPITAL CAN BE FOUND AT HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION FOR TWO HOSPITAL FACILITIES CAN BE FOUND AT HTTPS://WWW.THEVILLAGESREGIONALHOSPITAL.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-TRANSPARENCY/.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART III, LINE 2:	THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED AGAINST GROSS BAD DEBT CHARGES TO ARRIVE AT THE AMOUNT SHOWN ON PART III, LINE 2.
PART III, LINE 4:	THE FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS RELATED TO BAD DEBT IS AS FOLLOWS: ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS.
PART III, LINE 8:	CHARITY CARE IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH TO PROVIDE MEDICAL SERVICES TO THOSE PATIENTS WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY. CHARITY CARE DOES NOT INCLUDE BAD DEBT. THE MEDICARE AND MEDICAID PROGRAMS PAY CENTRAL FLORIDA HEALTH LESS THAN IT COSTS THE ORGANIZATION TO PROVIDE CARE TO ITS MEDICARE AND MEDICAID PATIENTS. THE AMOUNTS SHOWN ARE THE ACTUAL COSTS TO PROVIDE THESE SERVICES ABOVE REIMBURSEMENT. BAD DEBT IS THE TOTAL COST OF SERVICES INCURRED BY CENTRAL FLORIDA HEALTH FOR SERVICES PROVIDED TO PATIENTS WHO HAVE NOT PAID THEIR BILLS AND WHO HAVE DEMONSTRATED THEIR INABILITY TO PAY.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION POLICIES DO NOT CONTAIN PROVISIONS RELATING TOCOLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITYCARE OR FINANCIAL ASSISTANCE. THE HOSPITAL WORKS TO MAKE A DETERMINATION EXPEDIENTLY THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIALASSISTANCE, AND AS SUCH, SHOULD NOT BE PURSUED FOR COLLECTIONS.
PART VI, LINE 2:	THE CENTRAL FLORIDA HEALTH STEERING COMMITTEE AND WELLFLORIDA BASED THE 2015-2016 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS AND IMPROVEMENT PLANS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THE MAPP TOOL WAS DEVELOPED BY THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) IN COOPERATION WITH THE PUBLIC HEALTH PRACTICE PROGRAM OFFICE, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). NACCHO AND CDC'S VISION FOR IMPLEMENTING MAPP IS:"COMMUNITIES ACHIEVING IMPROVED HEALTH AND QUALITY OF LIFE BY MOBILIZING PARTNERSHIPS AND TAKING STRATEGIC ACTION."AT THE HEART OF THE MAPP PROCESS ARE THE FOUR CORE MAPP ASSESSMENTS. THESE ARE: - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FCA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) THESE FOUR MAPP ASSESSMENTS WORK IN CONCERT TO IDENTIFY COMMON THEMES AND CONSIDERATIONS IN ORDER TO HONE IN ON KEY COMMUNITY HEALTH NEEDS. THREE OF THE FOUR MAPP ASSESSMENTS ARE FULLY INTEGRATED INTO THE 2016 CHNA. PLEASE NOTE, THIS DOCUMENT IS A HEALTH NEEDS ASSESSMENT AND ITS PURPOSE IS TO UNCOVER OR SUBSTANTIATE THE HEALTH NEEDS AND HEALTH ISSUES IN THE SERVICE AREA. THIS REPORT WILL NOT ESTABLISH PRIORITY GOALS AND OBJECTIVES FOR ADDRESSING THESE ISSUES OR CREATE A STRATEGIC PLAN FOR ACHIEVING THOSE GOALS AND OBJECTIVES. THESE ARE THE NEXT PHASES OF THE MAPP PROCESS REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).
PART VI, LINE 3:	IN ADDITION TO SIGNAGE THROUGHOUT VARIOUS PARTS OF THE HOSPITAL AND WRITTEN INFORMATION PROVIDED TO PATIENTS DURING PRE-REGISTRATION, THE HOSPITAL PROVIDES THE FOLLOWING PATIENT EDUCATION:- FINANCIAL COUNSELING- WRITTEN ESTIMATES FOR HOSPITAL SERVICES - ITEMIZED BILLINGS (UPON REQUEST)- INFORMATION ABOUT EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE USED AFTER REASONABLE COLLECTION EFFORTS HAVE TAKEN PLACE- A LIST OF SERVICE PROVIDERS THAT PROVIDE SERVICES UNDER THE FAP
PART VI, LINE 4:	POPULATIONPOPULATION GROWTH IS A KEY DETERMINANT OF THE NECESSARY HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND EFFECTIVE HEALTH OUTCOMES. TVRH SERVICE AREA PRIMARILY SERVES AN ADULT POPULATION GREATER THAN 55 YEARS OF AGE (70.2%), COMPARED TO THE 62.1% THE CENTRAL FLORIDA HEALTH (CFH) SERVICE AREA AND 29.7% FLORIDA SERVE. TVRH SERVICE AREA ALSO SERVES A SMALLER PERCENTAGE (7.1%) OF ADOLESCENTS (0-17 YEARS OLD), COMPARED TO THE CFH SERVICE AREA (9.6%) AND FLORIDA (21.0%). THE OVERWHELMING MAJORITY OF TVRH SERVICE AREA POPULATION IS WHITE (89.8%), COMPARED TO THE CFH SERVICE AREA AND FLORIDA, WITH A SMALLER WHITE POPULATION (87.3% AND 75.0%, RESPECTIVELY). FURTHERMORE, THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, AND ASIAN ONLY POPULATION COMPRISE 6.8%, 0.3%, AND 0.8% OF TVRH SERVICE AREA, RESPECTIVELY, WHILE 1.3% IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.0% IDENTIFY AS HAVING TWO OR MORE RACES. LASTLY, 94.5%, OF THE POPULATION IN TVRH SERVICE AREA IDENTIFY AS "NON-HISPANIC OR LATINO," WHICH IS COMPARABLE TO THE PERCENTAGE OF "NON-HISPANICS OR LATINOS" IN THE CFH SERVICE AREA, BUT GREATER THAN THE STATE OF FLORIDA (77.5%). LIFE EXPECTANCYCONSIDERING ALL RACES AND ETHNICITIES, THE GREATEST LIFE EXPECTANCY FOR MALES IN 2010 WAS IN SUMTER COUNTY (78.3 YEARS) FOLLOWED BY LAKE COUNTY (75.8 YEARS), AND MARION COUNTY (74.3 YEARS), COMPARED TO FLORIDA (76.3 YEARS). SIMILARLY, THE GREATEST LIFE EXPECTANCY FOR FEMALES IN 2010 WAS IN SUMTER COUNTY (82.5 YEARS), FOLLOWED BY LAKE COUNTY (81.3 YEARS), AND MARION COUNTY (80.3 YEARS), COMPARED TO FLORIDA (81.6 YEARS). AS COMMONLY SEEN THROUGHOUT THE STATE OF FLORIDA, THERE IS A GREATER DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN TVRH SERVICE AREA.ECONOMIC CHARACTERISTICSCOMPARED TO FLORIDA (16.3%) AND THE CFH SERVICE AREA (11.2%), TVRH SERVICE AREA (9.1%) HAS A SUBSTANTIALLY LOWER PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY. CONSIDERING THE ZIP CODES ASSOCIATED WITH TVRH SERVICE AREA, THE ESTIMATED PERCENTAGE OF POVERTY IS HIGHEST IN WILDWOOD (19.1%) AND LOWEST IN THE VILLAGES (5.0%). ACROSS ALL THREE COUNTIES WITHIN TVRH SERVICE AREA, MARION COUNTY HAS THE MOST INDIVIDUALS LIVING IN POVERTY (18.1%), WHICH IS HIGHER THAN THE STATE OF FLORIDA (16.3%) BY A DIFFERENCE OF 11.0%, COMPARED TO LAKE COUNTY (13.8%) AND SUMTER COUNTY (12.0%), WHICH ARE LOWER THAN FLORIDA BY A DIFFERENCE OF 15.3% AND 26.4%, RESPECTIVELY. THE PERCENTAGE OF MALES LIVING IN POVERTY IN TVRH SERVICE AREA (8.3%) REMAINS LOWER THAN THE CFH SERVICE AREA (10.7%) AND THE STATE OF FLORIDA (15.3%). SIMILARLY, THE PERCENTAGE OF FEMALES LIVING IN POVERTY IN THE LRMC SERVICE AREA (9.8%) REMAINS LOWER THAN THE CFH SERVICE AREA (11.7%) AND THE STATE OF FLORIDA (17.3%). THERE ARE MORE FEMALES LIVING IN POVERTY IN MARION COUNTY (19.1%) COMPARED TO FLORIDA (17.3%), AND SIMILARLY, MORE MALES LIVING IN POVERTY IN MARION COUNTY (17.0%) COMPARED TO FLORIDA (15.3%). THERE ARE A GREATER NUMBER OF CHILDREN (0-17 YEARS OF AGE) THAN ADULTS (18-64) AND ELDERLY (65+) LIVING IN POVERTY IN TVRH SERVICE (29.1%) WHEN COMPARED TO BOTH THE CFH SERVICE AREA (28.9%) AND FLORIDA (23.6%). THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY ARE IN SUMTER COUNTY AND MARION COUNTY (31.4% AND 29.4%, RESPECTIVELY) COMPARED TO LAKE COUNTY (21.4%) AND FLORIDA (23.6%) (TABLE 39). THERE ARE A SMALLER PERCENTAGE OF ELDERLY (65 -74 YEARS OF AGE) LIVING IN POVERTY ACROSS LAKE COUNTY, MARION COUNTY, AND SUMTER COUNTY (6.6%, 7.8%, AND 3.9%, RESPECTIVELY) COMPARED TO FLORIDA (9.6%).THE PERCENTAGE OF THE BLACK POPULATION LIVING IN POVERTY IN TVRH SERVICE AREA (25.0%) IS LOWER THAN THE CFH SERVICE AREA AND FLORIDA (30.6% AND 28.2%, RESPECTIVELY). SIMILARLY, THE PERCENTAGE OF THE WHITE POPULATION LIVING IN POVERTY IN TVRH SERVICE AREA (8.2%) IS LOWER THAN THE CFH SERVICE AREA (9.4%) AND FLORIDA (13.6%). THE PERCENTAGE OF THE BLACK POPULATION (24.3% IN LAKE COUNTY, 31.1% IN MARION COUNTY, AND 33.3% IN SUMTER COUNTY) LIVING IN POVERTY IS GREATER THAN THE PERCENTAGE OF THE WHITE POPULATION (12.5% IN LAKE COUNTY, 15.6%, AND 10.6% IN SUMTER COUNTY). WHILE THE PER CAPITA INCOME IN SUMTER COUNTY ($27,504) IS SLIGHTLY HIGHER THAN FLORIDA ($26,236), THE PER CAPITA INCOME IN LAKE COUNTY ($24,183) AND MARION COUNTY ($21,992) IS LESS THAN FLORIDA. THE MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY ($45,035) AND MARION COUNTY ($39,453) IS LESS THAN FLORIDA ($46,956), WHILE SUMTER COUNTY ($48,493) IS GREATER. EDUCATIONAL ATTAINMENTIN 2013, OF THE POPULATION GREATER THAN 25 YEARS OF AGE IN TVRH SERVICE AREA, 56.1% HAVE AT MOST A HIGH SCHOOL DIPLOMA COMPARED TO THE CFH SERVICE AREA (58.6%) AND FLORIDA (50.8%). COMPARED TO FLORIDA (13.9%), 9.9% OF TVRH SERVICE AREA AND 10.7% OF THE CFH SERVICE AREA HAVE LESS THAN A HIGH SCHOOL DIPLOMA. IT IS NOTABLE THAT WHEN COMPARED TO FLORIDA (35.3%), BOTH TVRH SERVICE AREA (34.1%) AND THE CFH SERVICE AREA (30.6%) HAVE A SMALLER PERCENTAGE OF COLLEGE GRADUATES. CAUSES OF DEATH THE OVERALL TOP 5 LEADING CAUSES OF DEATH IN TVRH SERVICE AREA ARE: 1) CANCER, 2) HEART DISEASE, 3) UNINTENTIONAL INJURIES, 4) CHRONIC LOWER RESPIRATORY DISEASE (CLRD) AND 5) STROKE. ALTHOUGH IN A DIFFERENT ORDER, THE TOP 5 LEADING CAUSES OF DEATH FOR TVRH SERVICE AREA ARE COMPARABLE TO THE CFH SERVICE AREA AND FLORIDA'S TOP FIVE LEADING CAUSES OF DEATH.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number
59-3527036

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) THE VILLAGES CHARTER SCHOOL 1350 TOTONKA TERRACE THE VILLAGES,FL32162	59-3597803	501(C)(3)	10,000				SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE GRANTS MADE BY THE ORGANIZATION WERE MADE TO PUBLIC CHARITIES FOR USE IN THEIR EXEMPT MISSIONS. ACCORDINGLY, THE ORGANIZATION EXPECTS THE CHARITY TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT SUBSEQUENTLY MONITOR THE GRANT.

Schedule I (Form 990) 2019

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

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 on 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

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

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? .........

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1DONALD HENDERSON PRESIDENT/CEO	(i) (ii)	0 ------------- 640,986	0 ------------- 131,737	0 ------------- 9,445	0 ------------- 10,800	0 ------------- 17,280	0 ------------- 810,248	0 ------------- 0
2DIANE HARDEN SVP/CFO	(i) (ii)	0 ------------- 353,841	0 ------------- 58,049	0 ------------- 2,027	0 ------------- 9,201	0 ------------- 11,418	0 ------------- 434,536	0 ------------- 0
3SAAD EHTISHAM SVP/COO	(i) (ii)	0 ------------- 402,292	0 ------------- 63,013	0 ------------- 2,984	0 ------------- 10,800	0 ------------- 17,280	0 ------------- 496,369	0 ------------- 0
4PHYLLIS BAUM VP/CQO	(i) (ii)	0 ------------- 305,408	0 ------------- 35,000	0 ------------- 1,590	0 ------------- 10,800	0 ------------- 11,418	0 ------------- 364,216	0 ------------- 0
5AMIE RICHASON VP/HUMAN RESOURCES	(i) (ii)	0 ------------- 254,115	0 ------------- 28,629	0 ------------- 427	0 ------------- 10,165	0 ------------- 17,280	0 ------------- 310,616	0 ------------- 0
6DAVID STEELE VP/CIO	(i) (ii)	0 ------------- 248,362	0 ------------- 26,773	0 ------------- 1,625	0 ------------- 7,218	0 ------------- 17,280	0 ------------- 301,258	0 ------------- 0
7PHILIP BRAUN VP/CHIEF COUNSEL	(i) (ii)	0 ------------- 209,430	0 ------------- 23,946	0 ------------- 1,000	0 ------------- 8,377	0 ------------- 16,791	0 ------------- 259,544	0 ------------- 0
8WILLIAM PFINGSTEN VP OF AMBULATORY SERVICES	(i) (ii)	0 ------------- 208,309	0 ------------- 23,887	0 ------------- 1,311	0 ------------- 6,071	0 ------------- 11,520	0 ------------- 251,098	0 ------------- 0
9TED E WILLIAMS VP/FOUNDATION PRESIDENT	(i) (ii)	0 ------------- 187,650	0 ------------- 21,621	0 ------------- 2,600	0 ------------- 5,207	0 ------------- 11,418	0 ------------- 228,496	0 ------------- 0
10ALEXANDER CHANG VP, SUPPORT SERVICES	(i) (ii)	0 ------------- 203,649	0 ------------- 23,576	0 ------------- 2,538	0 ------------- 7,278	0 ------------- 17,280	0 ------------- 254,321	0 ------------- 0
11MICHAEL PITTMAN VP/CCO & SITE ADMINSTRATOR	(i) (ii)	221,647 ------------- 0	24,433 ------------- 0	910 ------------- 0	0 ------------- 0	17,280 ------------- 0	264,270 ------------- 0	0 ------------- 0
12FELIX SMITH PHARMACY	(i) (ii)	146,483 ------------- 0	10,044 ------------- 0	0 ------------- 0	5,783 ------------- 0	6,168 ------------- 0	168,478 ------------- 0	0 ------------- 0
13MICHAEL LAND PHARMACY	(i) (ii)	156,169 ------------- 0	560 ------------- 0	0 ------------- 0	6,845 ------------- 0	17,280 ------------- 0	180,854 ------------- 0	0 ------------- 0
14SANDRA PELTON PHARMACY	(i) (ii)	175,242 ------------- 0	685 ------------- 0	0 ------------- 0	0 ------------- 0	17,280 ------------- 0	193,207 ------------- 0	0 ------------- 0
15HEATHER SCHWEIZER MD PHYSICIAN	(i) (ii)	368,937 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	5,158 ------------- 0	374,095 ------------- 0	0 ------------- 0
16DAVID BOWERS MD PHYSICIAN	(i) (ii)	482,857 ------------- 0	30,000 ------------- 0	0 ------------- 0	0 ------------- 0	13,333 ------------- 0	526,190 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 4B	THE ORGANIZATION MADE CONTRIBUTIONS TO A 457F PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS: DONALD HENDERSON 94,040 DIANE HARDEN 43,976 SAAD EHTISHAM 49,998 PHYLLIS BAUM 30,000 AMIE RICHASON 25,266 DAVID STEELE 24,694 PHILIP BRAUN 20,823 WILLIAM PFINGSTEN 20,771 TED E. WILLIAMS 18,801 ALEXANDER CHANG 20,500
PART I, LINE 7	THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUAILITY OF AND OTHER PERFORMANCE FACTORS

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number
59-3527036

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	CITY OF LEESBURG FLORIDA	59-6000362		10-06-2011	42,500,000	HOSP REV REFDG BONDS SERIES 2011		X		X		X
B	SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	38-3816771	86652QAT9	03-11-2014	50,000,000	HOSPITAL REV BONDS, SERIES 2014A		X		X		X
C	SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	38-3816771	86652QBM3	11-05-2014	38,725,000	HOSPITAL REV BONDS, SERIES 2014B		X		X		X
D	CITY OF LEESBURG FLORIDA	59-6000362	NONEAVAIL	12-21-2017	30,000,000	HOSPITAL REV. REFUNDING BOND (CENTRAL FLORIDA HEALTH PROJECTS), SERIES 2017		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			2,625,000		4,895,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	42,500,000		50,000,000		38,725,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	42,500,000
7 Issuance costs from proceeds ...............			600,860		430,232
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			49,399,140		20,000,000
11 Other spent proceeds .............					18,294,768		30,000,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2011		2014		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

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 of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 ....	1.000 %		1.000 %		1.000 %		1.000 %
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 .............	1.000 %		1.000 %		1.000 %		1.000 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X	X		X			X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X							X
b Exception to rebate? ........		X						X
c No rebate due? .........		X						X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X	X			X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2019

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	CENTRAL FLORIDA HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	CENTRAL FLORIDA HEALTH APPOINTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY AND CERTAIN DECISIONS OF THE ORGANIZATION, AS DEFINED IN THE ORGANIZATION'S BYLAWS, ARE SUBJECT TO CENTRAL FLORIDA HEALTH'S APPROVAL.
FORM 990, PART VI, SECTION A, LINE 7B	SEE LINE 7A EXPLANATION
FORM 990, PART VI, SECTION B, LINE 11B	DURING APRIL 2019, MANAGEMENT DISTRIBUTED A DRAFT OF THE 2017 FORM 990 TO THE CFH FINANCE COMMITTEE FOR ITS REVIEW. THE CFH FINANCE COMMITTEE MEMBERS HAD AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK PROVIDED FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. UPON FINALIZATION OF THE DOCUMENT, MANAGEMENT PROVIDED A FINALIZED COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE ORGANIZATION'S POLICY REQUIRES CERTAIN INDIVIDUALS TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY THE BOARD. INDIVIDUALS COVERED BY THE CONFLICT OF INTEREST POLICY MUST ABSTAIN FROM DELIBERATIONS AND VOTING WITH RESPECT TO TRANSACTIONS WHEREIN A CONFLICT IS DEEMED TO EXIST.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF THE ORGANIZATION APPOINTS THE COMPENSATION COMMITTEE. THE INDIVIDUALS SERVING ON THE COMPENSATION COMMITTEE ALSO SERVE ON THE EXECUTIVE COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS THE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS. THE COMPENSATION COMMITTEE HAS A COMPENSATION CHARTER AND PHILOSOPHY. THE ORGANIZATION UTILIZES COMPARABLE COMPENSATION INFORMATION FROM A THIRD PARTY INDEPENDENT SOURCE TO PREPARE AND GATHER MARKET INFORMATION FOR REVIEW BY THE COMPENSATION COMMITTEE. MINUTES ARE KEPT OF ALL ACTIONS.
FORM 990, PART VI, SECTION C, LINE 19	GENERALLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. HOWEVER, THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE WWW.SUNBIZ.COM.
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED CAPITAL 1,141,133.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

THE VILLAGES TRI-COUNTY MEDICAL CENTER
INC

Employer identification number

59-3527036

Part I

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

(a) Name, address, and EIN (if applicable) 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
(1) VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES 1451 EL CAMINO REAL THE VILLAGES,FL32159 26-3978916	BILLING SERVICE	FL			N/A
(2) THE VILLAGES REGIONAL HOSPITAL SURGERY CENTER LLC 1501 N US HWY 441 NORTH SUITE 1800A THE VILLAGES,FL32159 46-5332363	FREE STANDING OUTPATIENT SURGERY CENTER	FL	1,323,471	1,136,305	N/A

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 entity?
(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)LEESBURG REGIONAL MEDICAL CENTER 600 EAST DIXIE AVE LEESBURG,FL34748 59-0878982	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	CFH		No
(2)CENTRAL FLORIDA HEALTH 600 EAST DIXIE AVE LEESBURG,FL34748 33-1197054	PARENT COMPANY	FL	501(C)(3)	LINE 12B, II	N/A		No
(3)VILLAGES REGIONAL HOSPITAL AUXILIARY FOUNDATION 1451 EL CAMINO REAL THE VILLAGES,FL32159 55-0818419	SUPPORT ORGANIZATION	FL	501(C)(3)	LINE 12A, I	TVRH		No
(4)LEESBURG REGIONAL MEDICAL CENTER FOUNDATION 600 EAST DIXIE AVE LEESBURG,FL34748 59-1800743	SUPPORT ORGANIZATION	FL	501(C)(3)	LINE 12A, I	LRMC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CF CARDIOVASCULAR COMGMT 600 EAST DIXIE AV LEESBURG,FL34748 27-0781065	HEALTHCARE SVCS	FL	LRMC	RELATED				No		Yes		37.290 %

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) VENTURE HEALTH CARE CORPORATION 600 EAST DIXIE AV LEESBURG,FL34748 59-2689702	MANAGEMENT SR	FL		C			100.000 %		No

Schedule R (Form 990) 2019

Page 3

Part V

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

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

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, or (iv) rent from a controlled entity .....................

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

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

Yes

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

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

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2019

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

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE PATIENTS AND COMMUNITIES WE SERVE.
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 2019 (Part V, line 2a) ......	5	1,680
6	Total number of volunteers (estimate if necessary) .............	6	900
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	593,635	675,385
9	Program service revenue (Part VIII, line 2g) .........	190,680,763	185,104,918
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	153,738	241,905
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,100	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	191,437,236	186,022,208
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	254,221	154,043
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)	87,579,965	87,389,356
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–24e)....	101,343,213	102,013,153
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	189,177,399	189,556,552
19	Revenue less expenses. Subtract line 18 from line 12.......	2,259,837	-3,534,344
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	270,995,308	269,716,038
21	Total liabilities (Part X, line 26).............	171,039,606	170,462,643
22	Net assets or fund balances. Subtract line 21 from line 20.....	99,955,702	99,253,395

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 170,131,496 including grants of $ 154,043 ) (Revenue $ 185,104,918 )
	THE VILLAGES REGIONAL HOSPITAL, PART OF CENTRAL FLORIDA HEALTH, IS A 277 BED ACUTE CARE HOSPITAL WITH A 20 BED REHAB UNIT LOCATED IN THE HEART OF THE VILLAGES, A NATIONALLY KNOWN ADULT COMMUNITY SPECIALLY DESIGNED TO BRING HOSPITALITY TO HEALTH CARE. THE FACILITY SERVES THE TRI-COUNTY AREA -- LAKE, SUMTER, AND SOUTH MARION COUNTIES, AND IS A RECIPIENT OF THE HEALTHGRADES PATIENT SAFETY EXCELLENCE AWARD. THE VILLAGES REGIONAL HOSPITAL IS COMMITTED TO PROVIDING QUALITY CARE AND SERVICE EXCELLENCE. (SEE CONTINUATION ON SCHEDULE O)THE FACILITY CONSISTS OF 32 ICU BEDS, 16 IMCU BEDS, STATE OF THE ART SURGICAL SUITES, A RADIOLOGY DEPARTMENT FEATURING FILMLESS COMPUTER IMAGING, PHARMACY, CLINICAL LABORATORY, AND A FULL SERVICE EMERGENCY DEPARTMENT. THE VILLAGES REGIONAL HOSPITAL IS HOME TO ONE OF THE WORLD'S FIRST PHILIPS AMBIENT EXPERIENCE CATHETER LABS DESIGNED TO IMPROVE THE EXPERIENCE DURING HEART CATHETER PROCEDURES. OUR TEAM MEMBERS, PHYSICIANS, AND VOLUNTEERS HAVE A PASSION FOR DELIVERING AWARD WINNING HEALTHCARE AND IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.

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 expenses170,131,496

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,617,967	3,475,820	324,009

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	675,385

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		675,385

		Business Code
2a	PATIENT REVENUE	621400	182,876,773	182,876,773
b	OTHER OPERATING REVENUE	621400	2,228,145	2,228,145
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		185,104,918

3 Investment income (including dividends, interest, and othersimilar amounts) ......			248,592			248,592
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	46,269		7a
b	Less: cost or other basis and sales expenses	0	52,956	7b
c	Gain or (loss)	46,269	-52,956	7c
d	Net gain or (loss).........			-6,687			-6,687
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			186,022,208	185,104,918	0	241,905

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	154,043	154,043
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,715,969		2,715,969
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........	69,616,834	63,334,048	6,282,786
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,208,017	1,930,000	278,017
9	Other employee benefits .......	7,246,491	6,336,337	910,154
10	Payroll taxes ...........	5,602,045	4,896,678	705,367
11	Fees for services (non-employees):
a	Management ......	3,330,407	2,465,751	864,656
b	Legal .........	61,128	30,564	30,564
c	Accounting ...........	367,100		367,100
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	4,429,974	3,634,492	795,482
12	Advertising and promotion ....	880,893	748,761	132,132
13	Office expenses .......	711,184	192,764	518,420
14	Information technology ......	4,646,398	4,061,647	584,751
15	Royalties ..
16	Occupancy ...........	3,068,133	2,539,658	528,475
17	Travel ............	53,580	27,225	26,355
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	144,870	76,964	67,906
20	Interest ...........	4,846,211	4,846,211
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	14,206,603	12,008,606	2,197,997
23	Insurance ...	1,339,532	812,962	526,570
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	44,044,917	43,722,018	322,899
b	BAD DEBT	6,258,926	6,258,926
c	EQUIPMENT RENTALS AND S	5,390,467	5,141,934	248,533
d	PHYSICIAN EXPENSES	3,598,653	3,598,653
e	All other expenses	4,634,177	3,313,254	1,320,923
25	Total functional expenses. Add lines 1 through 24e	189,556,552	170,131,496	19,425,056	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			13,304,687	1	3,200
2	Savings and temporary cash investments .........			4,863,366	2	4,714,550
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			66,678,107	4	79,703,061
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			4,430,001	8	4,306,425
9	Prepaid expenses and deferred charges ......			4,585,369	9	2,474,160
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	301,925,626
b	Less: accumulated depreciation	10b	138,787,565	160,579,739	10c	163,138,061
11	Investments—publicly traded securities .			15,318,100	11	15,345,415
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 ...........			155,471	15	31,165
16	Total assets. Add lines 1 through 15 (must equal line 33)...			270,995,308	16	269,716,038

17	Accounts payable and accrued expenses .....	18,152,604	17	24,020,077
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	144,903,468	20	140,605,893
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	5,354,287	25	5,836,673
26	Total liabilities. Add lines 17 through 25..	171,039,606	26	170,462,643

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	99,955,702	32	99,253,395
33	Total liabilities and net assets/fund balances ........	270,995,308	33	269,716,038