Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
The Villages Tri-County Medical Center Inc
 
 
Doing business as
UF HEALTH THE VILLAGES HOSPITAL THE VILLAGES REGIONAL HOSPITAL
 
Number and street (or P.O. box if mail is not delivered to street address)
1451 EL Camino Real
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
The Villages, FL32159
D Employer identification number

59-3527036
E Telephone number

G Gross receipts $ 221,260,657
F Name and address of principal officer:
Heather Long
1451 EL Camino Real
The Villages,FL32159
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
https://centralflorida.ufhealth.org/about-us/uf-health-the-villages-hospital/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1998
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: The mission of The Villages Regional Hospital is to improve the health and quality of life of the patients and communities we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 1,446
6 Total number of volunteers (estimate if necessary) ............. 6 740
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,518,245 0
9 Program service revenue (Part VIII, line 2g) ......... 192,185,997 218,998,127
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 32,661 142,840
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,715,513 2,119,690
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 195,452,416 221,260,657
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 271,824 344,000
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) 106,709,628 113,968,411
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 98,229,464 99,944,554
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 205,210,916 214,256,965
19 Revenue less expenses. Subtract line 18 from line 12....... -9,758,500 7,003,692
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 255,947,721 238,789,153
21 Total liabilities (Part X, line 26)............. 172,590,750 147,428,490
22 Net assets or fund balances. Subtract line 21 from line 20..... 83,356,971 91,360,663
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: The mission of The Villages Regional Hospital is to improve the health and quality of life of the patients and communities we serve.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 194,540,592 including grants of $ 344,000 ) (Revenue $ 220,033,344 )
The Villages Regional Hospital ("UFHV"): UFHV is an acute care hospital located in The Villages, Florida. UFHV has been serving residents of The Villages as well as patients in Lake, Sumter, and Marion Counties since 2002. UFHV offers 24-hour emergent diagnostic and treatment services to patients presenting with acute ischemic stroke and other neurovascular disorders. UFHV earned The Joint Commission's Gold Seal of Approval and the American Heart Association/American Stroke Association's Heart-Check Mark for advanced certification for primary stroke centers. Joint Commission experts evaluate compliance with stroke-related standards and requirements, including program management, the delivery of clinical care and performance improvement. UFHV also provides inpatient rehabilitation services. Located on the hospital's fifth floor, the 30-bed acute inpatient rehabilitation facility features a physical therapy gym, communal dining hall, and an activities of daily living (ADL) suite. Patients who suffer from conditions including, but not limited to, stroke, spinal cord injury, amputation, brain injury, and neurological disorders receive around-the-clock care, advanced physical therapy, occupational therapy, speech pathology, social services, case management, neuropsychology, and more. The rehabilitation program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). This designation represents the highest level of accreditation that can be awarded to a rehabilitation facility. To earn a three-year accreditation, the facility underwent a rigorous peer review process and demonstrated to a team of surveyors during an on-site visit that its programs and services are accountable, measurable, and of the highest quality. In addition to being accredited by The Joint Commission, UFHV has been recognized for excellence in patient care and workplace health. The American College of Cardiology awarded UFHV its highest chest pain center accreditation and U.S. News and World Report has rated several of the hospital's clinical areas as "high performing."
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 expensesMediumBullet194,540,592
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
64
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,446
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
FL
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletRobert ThorntonPO BOX 100336   GAINESVILLE,FL326100336 (352) 265-7923
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) David Nelson MD
 
Chairman/President/UF SVP Health Affairs
 1.0
.................
49.0 		X   X       0 1,566,779 51,184
(2) Edward Jimenez
 
Director/CEO Shands Teaching Hospital & Clinics (THRU JULY 2022)
 1.0
.................
49.0 		X   X       0 2,899,973 38,142
(3) James J Kelly Jr
 
INTERIM CEO (BEG AUG 2022); SVP/CFO/TREASURER
 1.0
.................
49.0 		X   X       0 939,771 37,867
(4) Anita Zucker PHD
 
Director
 0.5
.................
1.5 		X           0 0 0
(5) C Parker Gibbs MD
 
Director/Chief Medical Officer (thru Jan 2023)
 0.5
.................
49.5 		X           0 911,601 38,962
(6) Christopher Cowen
 
Director/UF SVP and CFO
 0.5
.................
49.5 		X           0 748,858 102,891
(7) Colleen Koch MD
 
Director/UF College of Medicine Dean
 0.5
.................
49.5 		X           0 1,041,689 38,612
(8) Dana Zimmel DVM DACVIM
 
Director/UF College of Veterinary Medicine Dean
 0.5
.................
49.5 		X           0 394,207 50,294
(9) David Jasmund
 
Director
 0.5
.................
1.5 		X           0 0 0
(10) Edmund Beebe
 
Director
 0.5
.................
1.5 		X           0 0 0
(11) Gilbert Upchurch MD
 
Director/UF Dept of Surgery Chair
 0.5
.................
49.5 		X           0 1,039,177 40,307
(12) Gregory Lewis
 
DIRECTOR
 0.5
.................
1.5 		X           0 0 0
(13) Jennifer Hunt MD
 
DIRECTOR/UF PATHOLOGY DEPT CHAIR
 0.5
.................
49.5 		X           0 648,726 40,291
(14) Jonathan Licht MD
 
Director/UF Health Cancer Center Director
 0.5
.................
49.5 		X           0 812,623 40,618
(15) Li-Ming Su MD
 
Director/UF Dept of Urology Chairman
 0.5
.................
49.5 		X           0 792,666 51,268
(16) Linda Hudson
 
DIRECTOR (BEG OCT 2022)
 0.5
.................
1.5 		X           0 0 0
(17) Marsha Powers
 
Director
 0.5
.................
1.5 		X           0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Paul Broadie II PHD
 
DIRECTOR (BEG OCT 2022)
 0.5
.......................1.5 		X           0 0 0
(19) Thomas Kuntz
 
Director (Thru Dec 2022)
 0.5
.......................1.5 		X           0 0 0
(20) Timothy Morey MD
 
DIRECTOR/CHIEF MEDICAL OFFICER (BEG JAN 2023)
 0.5
.......................49.5 		X           0 699,898 51,375
(21) W Kent Fuchs PhD
 
Director/University of Florida President (Thru Feb 2023)
 0.5
.......................49.5 		X           0 1,147,887 120,025
(22) Amie Richason
 
VP Human Resources
 15.0
.......................35.0 		    X       0 352,704 36,520
(23) Heather Long
 
COO / CEO UF HEALTH CFH (BEG DEC 2022)
 15.0
.......................35.0 		    X       0 545,405 33,069
(24) Kevin Behrns MD
 
CMO
 25.0
.......................25.0 		    X       0 484,945 50,225
(25) Kevin Coleman ESQ
 
Assistant Secretary
 1.0
.......................49.0 		    X       0 185,010 31,184
(26) Lawrence McDowell ESQ
 
Assistant Secretary
 1.0
.......................49.0 		    X       0 249,272 39,923
(27) Philip Braun JD
 
VP/Chief Counsel/Secretary
 15.0
.......................35.0 		    X       0 363,137 37,689
(28) Randall Jenkins ESQ
 
Secretary/SVP and General Counsel
 1.0
.......................49.0 		    X       0 550,657 51,010
(29) Robert Thornton
 
Treasurer/STHC VP of Finance
 1.0
.......................49.0 		    X       0 520,133 46,072
(30) Thomas William Young ESQ
 
Secretary/CLO
 0.5
.......................49.5 		    X       0 418,420 60,189
(31) Ashley Simmons
 
VP Clinical Outcomes
 15.0
.......................25.0 		      X     0 234,422 20,745
(32) Cheryl Chestnutt
 
VP & CCO/Site Administrator
 15.0
.......................25.0 		      X     0 320,844 31,810
(33) David Steele
 
VP/CIO
 15.0
.......................35.0 		      X     0 376,845 42,228
(34) Joshua Fleming
 
VP Operations
 15.0
.......................35.0 		      X     0 342,825 41,778
(35) Phyllis Baum
 
VP/CQO
 15.0
.......................35.0 		      X     0 375,951 39,569
(36) Brittany Swan
 
RN
 50.0
.......................0 		        X   232,492 0 0
(37) Catresa Bowie
 
RN
 50.0
.......................0 		        X   267,753 0 0
(38) JONATHAN PETRONE
 
RN
 50.0
.......................0 		        X   257,603 0 0
(39) Pamela Jean Gould
 
RN
 50.0
.......................0 		        X   257,650 0 0
(40) SANDRA Tompke-Schalow
 
RN
 50.0
.......................0 		        X   243,173 0 0
(41) Donald Henderson
 
President/CEO Central Florida Health (through June 2021)
 0.0
.......................0.0 		          X 0 385,687 7,007
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,258,671 19,350,113 1,270,854
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet186
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MORRISON MANAGEMENT SPECIALISTS INC

PO Box 102289
Atlanta,GA30368 		Dietary Services 1,269,769
TOTAL RENAL CARE INC

PO Box 781607
Philadelphia,PA19178 		Kidney Dialysis Services 535,101
UF HEALTH SHANDS

1600 SW Archer Road
Gainesville,FL32610 		Pathology Laboratory Services 521,554
HEALOGICS LLC

PO Box 551187
Jacksonville,FL32255 		Wound Care / HBOT Treatments 520,224
ASPIRION

PO Box 1437
Columbus,GA31902 		Healthcare Revenue Cycle Management Services 402,979
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet15
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 622100 218,998,127 218,998,127    
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 218,998,127
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 98,408     98,408
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,084,473 6a
b Less: rental expenses   0 6b
c Rental income or (loss) 0 1,084,473 6c
d Net rental income or (loss).......MediumBullet 1,084,473     1,084,473
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 44,432   7a
b Less: cost or other basis and sales expenses 0   7b
c Gain or (loss) 44,432 0 7c
d Net gain or (loss).........MediumBullet 44,432     44,432
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..MediumBullet      
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a REVENUE FROM Cardiovascular Co-Mgmt Co 621300 15,933 15,933    
b Vending Machine revenue 454210 22,515 22,515    
c            
d All other revenue .... 996,769 996,769 0 0
e Total. Add lines 11a–11d ...... MediumBullet 1,035,217
12 Total revenue. See instructions.....MediumBullet 221,260,657 220,033,344 0 1,227,313
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 344,000 344,000
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 ...........        
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........ 96,043,652 87,977,036 8,066,616  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,837,666 5,347,366 490,300  
9 Other employee benefits ....... 6,400,545 5,862,969 537,576  
10 Payroll taxes ........... 5,686,548 5,208,940 477,608  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
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) 29,111,819 27,074,469 2,037,350 0
12 Advertising and promotion ....        
13 Office expenses ....... 507,063 458,499 48,564 0
14 Information technology ...... 180,294 163,026 17,268 0
15 Royalties ..        
16 Occupancy ........... 4,489,949 4,059,927 430,022 0
17 Travel ............ 24,549 22,198 2,351 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 5,094,668 4,606,730 487,938 0
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 14,815,864 13,396,885 1,418,979 0
23 Insurance ...        
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 43,335,091 37,711,922 5,623,169 0
b Assessment FEES 2,252,517 2,252,517 0 0
c
d
e All other expenses 132,740 54,108 78,632 0
25 Total functional expenses. Add lines 1 through 24e 214,256,965 194,540,592 19,716,373 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 15,629,935 1 15,011,652
2 Savings and temporary cash investments ......... 4,978,110 2 5,107,222
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 25,310,030 4 25,964,343
5 Loans and other receivables from 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 .......
0 5 0
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) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 5,500,159 8 5,639,847
9 Prepaid expenses and deferred charges ...... 1,365,972 9 1,272,355
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 378,220,829
b Less: accumulated depreciation 10b 211,836,195 160,071,794 10c 166,384,634
11 Investments—publicly traded securities . 0 11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 43,091,721 15 19,409,100
16 Total assets. Add lines 1 through 15 (must equal line 33)... 255,947,721 16 238,789,153
Liabilities 17 Accounts payable and accrued expenses ..... 37,634,582 17 20,851,785
18 Grants payable ...   18  
19 Deferred revenue ......... 4,861,373 19 4,760,516
20 Tax-exempt bond liabilities ......... 121,456,766 20 114,801,139
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 .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 6,138,029 23 4,911,088
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 2,500,000 25 2,103,962
26 Total liabilities. Add lines 17 through 25.. 172,590,750 26 147,428,490
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 83,356,971 27 91,360,663
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet 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 ........... 83,356,971 32 91,360,663
33 Total liabilities and net assets/fund balances ........ 255,947,721 33 238,789,153
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
221,260,657
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
214,256,965
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
7,003,692
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
83,356,971
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
1,000,000
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
91,360,663
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2022
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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  
12
12
 
13
First 5 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
14
14
 
15
15
 
16a
33 1/3% support test—2022. 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
b
33 1/3% support test—2021. 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—2022. 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
b
10%-facts-and-circumstances test—2021. 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
18
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) 2022

Schedule A (Form 990) 2022
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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 on 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.)..            
14
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. 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
b
33 1/3% support tests—2021. 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
20
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) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c 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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
By reason of the relationship described in line 2 above, 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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on line 2a, above 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
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) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
14,932
j
Total. Add lines 1c through 1i ....................................................................................................
14,932
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL LOBBYING EXPENSES REPRESENT HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING.
Schedule C (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
2021
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   9,140,249 9,140,249
b Buildings ....   213,625,085 201,036,014 12,589,071
c Leasehold improvements        
d Equipment ....   120,672,583 10,800,181 109,872,402
e Other .....   34,782,912 0 34,782,912
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 166,384,634
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
(1)Due from affiliates 12,291,373
(2)Deferred outflows on debt refunding 236,607
(3)Deferred outflows on swap valuation 1,974,328
(4)Investment in unconsolidated affiliates  
(5)Security deposits 552,022
(6)Lease Receivable 4,354,770
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 19,409,100
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.)Small Bullet 2,103,962
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) 2021

Schedule D (Form 990) 2021
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
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote STHC, Elder Care, Southeastern, Auxiliary, UFHCF, UFHL, UFHV, UFHL Foundation, and UFHV Foundation are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code and from state income taxes pursuant to Chapter 220.13 of the Florida Statutes. The other affiliates are single member LLCs and disregarded entities for federal and state tax purposes except for sales and use tax on non medical purchases.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
 
No
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    3,028,743 0 3,028,743 1.41 %
b Medicaid (from Worksheet 3, column a) . . . . .     8,380,035 3,553,172 4,826,863 2.25 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 11,408,778 3,553,172 7,855,606 3.67 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     0 0 0 0 %
f Health professions education (from Worksheet 5) . . .     0 0 0 0 %
g Subsidized health services (from Worksheet 6) . . . .     0 0 0 0 %
h Research (from Worksheet 7) .     0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     344,000 0 344,000 0.16 %
j Total. Other Benefits . . 0 0 344,000 0 344,000 0.16 %
k Total. Add lines 7d and 7j . 0 0 11,752,778 3,553,172 8,199,606 3.83 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
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
0
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
81,776,294
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
81,880,881
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-104,587
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
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 %
1CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC
  		HEALTHCARE SERVICES 8.93 % 0 % 50 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?1Name, 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) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 THE VILLAGES TRI-COUNTY MEDICAL CENTER
1451 EL CAMINO REAL
THE VILLAGES,FL32159
https://centralflorida.ufhealth.org/about-us/uf-health-the-villages-hospital/
4464 		X X         X      
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 CENTER
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://centralflorida.ufhealth.org/about-us/community-health-needs-assessment/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE VILLAGES TRI-COUNTY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://ufhealth.org/financial-assistance
b
https://ufhealth.org/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
THE VILLAGES TRI-COUNTY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE VILLAGES TRI-COUNTY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - THE VILLAGES TRI-COUNTY MEDICAL CENTER. 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. SEE PAGES 6, 7 AND 8 OF THE 2021-2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR A COMPLETE LIST OF THE ORGANIZATIONS THAT PROVIDED INPUT AS A PART OF THE UFHCF STEERING COMMITTEE. THE UFHCF STEERING COMMITTEE AND WELLFLORIDA BASED THE 2021-2022 CHNA EFFORT ON A NATIONALLY RECOGNIZED MODEL AND BEST PRACTICE FOR COMPLETING HEALTH ASSESSMENTS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THERE ARE FOUR CORE MAPP ASSESSMENTS: COMMUNITY HEALTH STATUS ASSESSMENT, COMMUNITY THEMES AND STRENGTHS ASSESSMENT, FORCES OF CHANGE ASSESSMENT, AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT. THE UF HEALTH CENTRAL FLORIDA STEERING COMMITTEE, IN PARTNERSHIP WITH WELLFLORIDA COUNCIL, COLLABORATED TO FORMULATE TWO SIMILAR ELECTRONIC SURVEYS TO QUERY INDIVIDUALS ABOUT COMMUNITY HEALTH ISSUES AND THEIR PERSPECTIVES ON HEALTHCARE. BOTH SURVEYS EMPLOYED A CONVENIENCE SAMPLING APPROACH WHERE RESPONDENTS WERE SELECTED BASED ON THEIR CONVENIENT ACCESSIBILITY TO THE SURVEYS. THE UFHCF STEERING COMMITTEE ASSISTED WITH THE SURVEY DISSEMINATION THROUGH THEIR RESPECTIVE ORGANIZATIONS AND BY CONNECTING WELLFLORIDA TO KEY STAKEHOLDERS AND COMMUNITY PARTNERS. THERE WERE 702 RESPONDENTS TO THE COMMUNITY SURVEY AND 106 TO THE HEALTHCARE PROFESSIONAL SURVEY. AFTER ELIMINATING THE INCOMPLETE AND INELIGIBLE SURVEYS, THERE WERE 608 COMMUNITY SURVEYS AND 23 HEALTHCARE PROFESSIONAL SURVEYS FOR ANALYSIS.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - THE VILLAGES TRI-COUNTY MEDICAL CENTER. LEESBURG REGIONAL MEDICAL CENTER
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - THE VILLAGES TRI-COUNTY MEDICAL CENTER. WELLFLORIDA COUNCIL
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - THE VILLAGES TRI-COUNTY MEDICAL CENTER. UF HEALTH THE VILLAGES HOSPITAL ("UFHV") HAS IDENTIFIED THE THREE FOLLOWING AREAS ON WHICH TO FOCUS: STRATEGIC PRIORITY 1: HEALTHY BIRTH OUTCOME UFHV IS ADDRESSING THE PERSISTENT DISPARITIES IN BIRTH OUTCOMES THROUGH IMPROVING ACCESS TO PRECONCEPTION WELLNESS RESOURCES, REMOVING BARRIERS TO PRENATAL CARE, AND PROVIDING HEALTH AND NUTRITION EDUCATION. FROM 2019 TO 2022, THE INFANT MORTALITY RATE FOR BIRTHS TO BLACK/AFRICAN AMERICAN WOMEN DECREASED BY MORE THAN 10%, AND UFHV CONTINUES TO FOCUS ON LOWERING THIS RATE EVEN FURTHER. UFHV ALSO FOCUSES ON INCREASING THE NUMBER OF WOMEN WHO RECEIVE PRENATAL CARE IN THEIR FIRST TRIMESTER. ADDITIONALLY, FROM 2019 TO 2022, UFHV SAW AN INCREASE IN BREASTFEEDING INITIATION RATES AND A REDUCTION IN PRIMARY CESAREAN BIRTHS AMONG LOW-RISK WOMEN. STRATEGIC PRIORITY 2: WELLNESS FOR LIFE A. UFHV PROMOTES WELLNESS CHECKS AND SCREENINGS BY IMPROVING ACCESS TO SCREENINGS, REMOVING BARRIERS TO PREVENTITIVE CARE AND WELLNESS ACTIVITIES, AND PROMOTING AND PROVIDING HEALTH EDUCATION AND SELF-CARE SKILLS DEVELOPMENT. B. UFHV IS ENHANCING ACCESS TO CARE BY ADDRESSING BARRIERS TO HEALTH CARE SERVICES AND PROMOTING HEALTH LITERACY. THE ORGANIZATION AIMS TO DECREASE THE PERCENTAGE OF ADULTS WHO COULD NOT SEE A DOCTOR IN THE PAST YEAR DUE TO COST BY 10% BY JUNE 30, 2025. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, UFHV ADMITTED 15,631 INDIVIDUALS INTO INPATIENT CARE, SAW 52,269 EMERGENCY ROOM VISITS, AND PERFORMED 5,114 SURGERIES. STRATEGIC PRIORITY 3: HEALTHY FOOD CHOICES FOR LIFE THE ORGANIZATION PROVIDES EVIDENCE-BASED NUTRITION EDUCATION FOR ALL BY OFFERING NUTRITION EDUCATION AND SKILL DEVELOPMENT, SCREENING FOR NUTRITION DEFICIENCIES, AND TAILORING INTERVENTIONS FOR PRIORITY POPULATIONS SUCH AS CHILDREN, TEENS, YOUNG ADULTS AND SENIORS. HEALTH NEEDS NOT ADDRESSED: ISSUES RELATED TO SUBSTANCE USE AND ABUSE, INCLUDING DRUG AND ALCOHOL-RELATED HEALTH PROBLEMS, WERE DISCUSSED IN SOME DETAIL DURING THE CHNA PROCESS. WHILE DEEMED CONCERNING, PERSISTENT PROBLEMS FOR MANY IN THE UF HEALTH CENTRAL FLORIDA SERVICE AREA, THE STEERING COMMITTEE MEMBERS CITED NUMEROUS HEALTHCARE AND SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY PARTNERS ALREADY ENGAGED IN LOCAL INTERVENTIONS TO ADDRESS SUBSTANCE ABUSE AND THE BROADER ISSUE OF MENTAL AND BEHAVIORAL HEALTH. AMONG THE PARTNER ORGANIZATIONS TACKLING THIS ISSUE ARE LIFESTREAM, THE CENTERS, NATIONAL ASSOCIATION ON MENTAL HEALTH (NAMI), AND THE REGION'S AREA AGENCY ON AGING.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?4
Name and address Type of Facility (describe)
1 Brownwood Freestanding ER
3800 Meggison Road
The Villages,FL32163 		EMERGENCY ROOM
2 UF Health Medical Lab Lake Sumter Landing
910 Old Camp Road Professional Plaz
a Suite 180
The Villages,FL32162 		Medical Lab
3 UF Health Medical Lab Pinellas Plaza
2464 Burnsed Blvd
The Villages,FL32163 		Medical Lab
4 UF Health Medical Lab Spanish Springs
1501 N US Highway 441 Building 1800
Suite 1810
The Villages,FL32159 		Medical Lab
5
6
7
8
9
10
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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
Schedule H, Part V, Section A List of hospital facilities The Villages Tri-County Medical Center and TVRH Rehabilitation Hospital are being reported as one hospital facility because they operate under one hospital license (license No. 4464), they are physically located in the same building, and they would each provide the same answer to each question posed on Schedule H, Part V, Section B of the Form 990.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THIS RATIO WAS DETERMINED USING IRS SCHEDULE H, WORKSHEET 2. THE AMOUNTS REPORTED AT LINE 7 ARE COMPUTED ON THE BASIS OF THE IRS SCHEDULE H WORKSHEETS FOR EACH RESPECTIVE LINE ITEM.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUNT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE SERVICE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization reports $0 bad debt expense because bad debts are included in net patient revenue service. Therefore, the amount of bad debts attributable to patients eligible under the organization's financial assistance policy is also $0.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The provision for bad debts is based on management's assessment of historical and expected net collections, considering business and economic conditions, trends in federal and state governmental health care coverage, and other collection indicators. Throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon these trends. The results of this review are then used to make any modification to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. Patient accounts receivable are written off after collection efforts have been followed under UFHV's policies.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The organization utilizes the Medicare cost report to report the total revenue received from Medicare and the Medicare allowable costs. UFHV accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the Health of the community. UFHV believes that any Medicare shortfall should be treated as a Community Benefit because Medicare does not typically fully compensate UFHV for the cost of providing hospital care to Medicare beneficiaries.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance According to the organization's Financial Assistance Policy (which contains certain billing and collection provisions), any balance not qualifying for financial assistance or account balances not related to initial approval based on diagnosis and/or place of service shall be subject to extraordinary collection actions (ECAs) unless appropriate financial arrangements have been established. Thus, patients known to qualify for financial assistance are not subject to ECAs.
Schedule H, Part V, Section B, Line 16a FAP website - THE VILLAGES TRI-COUNTY MEDICAL CENTER: Line 16a URL: https://ufhealth.org/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website - THE VILLAGES TRI-COUNTY MEDICAL CENTER: Line 16b URL: https://ufhealth.org/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - THE VILLAGES TRI-COUNTY MEDICAL CENTER: Line 16c URL: https://ufhealth.org/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment THE UFHCF STEERING COMMITTEE AND WELLFLORIDA BASED THE 2021-2022 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)
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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
Schedule H, Part VI, Line 4 Community information POPULATION POPULATION GROWTH IS A KEY DETERMINANT OF THE HEALTHCARE SERVICES A COMMUNITY REQUIRES TO BE ABLE TO SUSTAIN POSITIVE HEALTH BEHAVIORS AND IMPROVED HEALTH OUTCOMES. THE UFHV SERVICE AREA PRIMARILY SERVES AN ADULT POPULATION GREATER THAN 55 YEARS OF AGE AT 75.9 PERCENT OF THE POPULATION, COMPARED TO 68.6 PERCENT OF THE CENTRAL FLORIDA HEALTH (UFHCF) SERVICE AREA AND 33.4 PERCENT OF FLORIDA. THE OVERWHELMING MAJORITY OF THE UFHV SERVICE AREA POPULATION IS WHITE AT 90.8 PERCENT, WHICH IS COMPARABLE TO THE UFHCF SERVICE AREA AT 88.6 PERCENT BUT HIGHER THAN FLORIDA AT 75.1 PERCENT WHITE. THE BLACK, AMERICAN INDIAN AND ALASKA NATIVE, AND ASIAN POPULATIONS COMPRISE 5.4, 0.4, AND 1.1 PERCENT OF THE UFHV SERVICE AREA, RESPECTIVELY, WHILE 1.0 PERCENT IDENTIFY THEMSELVES AS ANOTHER RACE AND 1.2 PERCENT IDENTIFY AS HAVING TWO OR MORE RACES. BY 2015-2019 AMERICAN COMMUNITY SURVEY, U.S. CENSUS BUREAU ESTIMATES (ACS), 94.3 PERCENT OF THE POPULATION IN THE UFHV SERVICE AREA IDENTIFIED AS NON-HISPANIC OR LATINO WHICH IS COMPARABLE TO THE 93.1 PERCENT IN THE UFHCF SERVICE AREA AND 92.3 PERCENT IN THE UFHLH SERVICE AREA, BUT NOTABLY LARGER THAN IN FLORIDA AS A WHOLE AT 74.4 PERCENT. LIFE EXPECTANCY CONSIDERING ALL RACES AND ETHNICITIES, THE LONGEST LIFE EXPECTANCY FOR MALES, WHEN USING A THREE-YEAR ESTIMATE PERIOD (2017-2019), WAS FOUND IN SUMTER COUNTY (78.0 YEARS) FOLLOWED BY LAKE COUNTY (75.6 YEARS), AND MARION COUNTY (72.7 YEARS), COMPARED TO FLORIDA (77.0 YEARS). FOR FEMALES, WHEN USING A THREE-YEAR ESTIMATE PERIOD (2017-2019), THE LONGEST LIFE EXPECTANCY WAS ALSO IN SUMTER COUNTY (82.2 YEARS), FOLLOWED BY LAKE COUNTY (81.0 YEARS), AND MARION COUNTY (79.5 YEARS), COMPARED TO FLORIDA (82.6 YEARS). AS OFTEN SEEN THROUGHOUT THE STATE OF FLORIDA, THERE WAS A DISPARITY IN LIFE EXPECTANCY IN THE BLACK POPULATION AS COMPARED TO THE WHITE POPULATION IN THE UFHV SERVICE AREA COUNTIES. ECONOMIC CHARACTERISTICS AT 8.1 PERCENT OF THE POPULATION, THE UFHV SERVICE AREA HAD A LOWER PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS WHEN COMPARED TO FLORIDA AT 14.0 PERCENT ACCORDING TO 2016-2019 ACS DATA. THE UFHCF AND UFHLH SERVICE AREAS FARE WORSE THAN THE UFHV SERVICE AREA AT 10.1 PERCENT AND 10.4 PERCENT, RESPECTIVELY. WITHIN THE UFHV SERVICE AREA, THE ZIP CODES WHERE THIS INDICATOR OF POVERTY ARE HIGHEST INCLUDE SUMMERFIELD (34491) AT 12.8 PERCENT, LADY LAKE (32159) AT 10.8 PERCENT AND WILDWOOD (34785) AT 7.3 PERCENT WHILE THE VILLAGES (32162) WAS AT ONLY 4.7 PERCENT. ACROSS THE THREE COUNTIES IN THE UFHV SERVICE AREA FOR THIS SAME PERIOD, MARION COUNTY HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS (16.1 PERCENT) WHICH IS HIGHER THAN THE STATE OF FLORIDA (14.0 PERCENT). LAKE COUNTY, AT 12.0 PERCENT AND SUMTER COUNTY AT 8.2 PERCENT WERE BOTH LOWER THAN FOR FLORIDA. GENDER DIFFERENCES CAN BE SEEN IN RATES OF POVERTY. FOR 2015-2019, THE PERCENTAGE OF MALES HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE UFHV SERVICE AREA AT 7.2 PERCENT WAS LOWER THAN BOTH THE OVERALL THE UFHCF SERVICE AREA AND THE UFHLH SERVICE AREA AT 9.5 AND 9.1 PERCENT, RESPECTIVELY. ALL WERE BELOW THE 12.9 PERCENT STATE RATE FOR FLORIDA. THE RATE OF 8.8 PERCENT OF FEMALES HAVING LIVED IN POVERTY IN THE UFHV SERVICE AREA IN THE PAST 12 MONTHS WAS LOWER THAN THE UFHCF AND UFHLH SERVICE AREAS AT 11.0 PERCENT AND 11.3 PERCENT, RESPECTIVELY. ALTHOUGH THESE RATES FOR FEMALES WERE LOWER THAN THE STATE RATE OF 15.1 PERCENT, THE RATES WERE HIGHER THAN FOR MALES IN THE SAME GEOGRAPHIC AREAS. WHEN COMPARED BY SERVICE AREA COUNTY, BOTH MARION COUNTY MALES AT 15.0 PERCENT AND FEMALES AT 17.1 PERCENT HAD THE HIGHEST RATES FOR THIS POVERTY MEASURE WITH BOTH RATES EXCEEDING STATE RATES (12.9 PERCENT AND 15.1 PERCENT, RESPECTIVELY). SUMTER COUNTY MALES AND FEMALES HAD THE LOWEST RATES AT 7.4 PERCENT AND 8.9 PERCENT, RESPECTIVELY. LAKE COUNTY RATES WERE LOWER THAN STATE RATES BUT HIGHER THAN THE UFHCF SERVICE AREA RATE (9.1 AND 11.0 RESPECTIVELY). POVERTY RATES FOR CHILDREN (0-17 YEARS OF AGE) EXCEEDED STATE RATES IN THE UFHV SERVICE AREA. DATA SHOW THAT FROM 2015-2017 IN THE UFHV SERVICE AREA 23.7 PERCENT OF CHILDREN LIVED IN POVERTY IN THE PAST 12 MONTHS COMPARED TO 26.9 PERCENT IN THE UFHCF SERVICE AREA AND 23.7 PERCENT STATEWIDE. THE GREATEST NUMBERS OF CHILDREN LIVING IN POVERTY WERE IN SUMTER COUNTY AND MARION COUNTY AT 28.1 PERCENT AND 19.2 PERCENT, RESPECTIVELY, COMPARED TO LAKE COUNTY AT 17.3 PERCENT AND FLORIDA AT 20.1 PERCENT. FOR 2015-2019, THE ESTIMATED PERCENTAGE OF THE BLACK RESIDENTS HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS IN THE UFHV SERVICE AREA WAS 23.8 PERCENT COMPARED TO 7.2 PERCENT FOR THE WHITE RESIDENTS. THIS PERCENTAGE FOR THE BLACK RESIDENTS WAS LOWER THAN THE UFHCF SERVICE AREA RATE OF 25.7 PERCENT AND THE 22.8 PERCENT STATE RATE. THE PERCENTAGE OF THE BLACK POPULATION IN MARION COUNTY AT 32.8 PERCENT AND IN SUMTER COUNTY AT 24.3 PERCENT HAVING LIVED IN POVERTY IN THE PAST 12 MONTHS EXCEEDED THE STATE RATE OF 22.0. THE POVERTY RATE FOR THE WHITE POPULATION IN MARION COUNTY ALSO EXCEEDS THE STATE RATE AT 13.5 PERCENT AND 12.1 PERCENT, RESPECTIVELY. IN THE UFHV SERVICE AREA, SUMTER COUNTY PER CAPITA INCOME AND MEDIAN HOUSEHOLD INCOME EXCEEDED THE STATE FIGURES AS WELL AS THOSE FOR LAKE AND MARION COUNTIES FOR 2015-2019 FOR ALL RACES. THE WHITE RESIDENTS IN SUMTER COUNTY RECORDED HIGHER PER CAPITA INCOME AND MEDIAN HOUSEHOLD INCOME THAN ALL RACES IN MARION AND LAKE COUNTIES. DISPARITY WAS FOUND WHEN EXAMINING THE INCOME GAP BETWEEN THE SAME RACE IN DIFFERENT COUNTIES. MOST NOTABLY, THE PER CAPITA INCOME FOR BLACK RESIDENTS IN SUMTER COUNTY WAS $12,207, COMPARED TO THE PER CAPITA INCOME OF BLACK RESIDENTS IN LAKE COUNTY AT $18,647. BOTH ARE LOWER THAN THE STATEWIDE PER CAPITA INCOME FOR BLACK RESIDENTS OF $20,099. THE STATEWIDE PER CAPITA INCOME THE MEDIAN HOUSEHOLD INCOME FOR THE HISPANIC POPULATION AT $49,499 WAS THE HIGHEST AMONG THE UFHLH SERVICE AREA COUNTIES AND SLIGHTLY ABOVE THE STATE FIGURE OF $49,266. EDUCATIONAL ATTAINMENT ACCORDING TO ACS ESTIMATES FOR 2015-2019, THOSE IN THE UFHV SERVICE AREA 25 YEARS OF AGE AND OLDER WHOSE HIGHEST LEVEL OF EDUCATION COMPLETED WAS A HIGH SCHOOL DIPLOMA (INCLUDING EQUIVALENCY DIPLOMAS AND SOME COLLEGE BUT NO DEGREE) FOR ALL GENDERS WAS 55.6 PERCENT; THE COMPARABLE STATE RATE WAS 48.5 PERCENT. THOSE WITH A COLLEGE DEGREE (INCLUDING ASSOCIATE'S, BACHELOR'S, MASTER'S, PROFESSIONAL AND DOCTORATE DEGREES) FOR THE UFHV SERVICE AREA REPRESENTED 36.1 PERCENT OF THE POPULATION COMPARED TO 39.7 PERCENT FOR FLORIDA. FOR THE 2019-2020 SCHOOL YEAR, OF THE UFHV SERVICE AREA COUNTIES LAKE COUNTY ACHIEVED THE BEST HIGH SCHOOL GRADUATION RATE AT 91.2 PERCENT WHICH EXCEEDED THE 90.0 PERCENT STATE RATE AND OUTPACED SUMTER COUNTY AT 88.0 PERCENT AND MARION COUNTY AT 87.1 PERCENT. LAKE COUNTY ALSO RECORDED THE HIGHEST HIGH SCHOOL DROPOUT RATE FOR THE SERVICE AREA FOR 2018-2019 AT 4.8 PERCENT, PERFORMING WORSE THAN THE STATE AT 3.4 PERCENT, AND MARION AND SUMTER COUNTIES AT 3.6 PERCENT AND 4.1 PERCENT, RESPECTIVELY. CAUSES OF DEATH THE TOP FIVE LEADING CAUSES OF DEATH IN THE UFHV SERVICE AREA FOR ALL RACES IN 2018-2020 WERE CANCER, HEART DISEASE, UNINTENTIONAL INJURIES, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASE (CLRD). FOR THE UFHCF SERVICE AREA AND THE STATE OF FLORIDA THE FIVE LEADING CAUSES OF DEATH WERE THE SAME AS FOR THE UFHV SERVICE AREA WITH A SLIGHT DIFFERENCE IN RANK ORDER. HEART DISEASE WAS THE LEADING CAUSE OF DEATH FOR THE UFHLH SERVICE AREA AND FLORIDA WHILE CANCER WAS AT THE TOP OF THE LIST FOR UFHV. THE ONSET OF THE COVID-19 PANDEMIC IN MARCH 2020 IMPACTED DEATH RATES FOR THE ENTIRETY OF THE 2018-2020 TIME PERIOD. AGE-ADJUSTED DEATH RATES FOR THE TOP FIVE CAUSES OF DEATH IN THE UFHCF SERVICE AREA COUNTIES HAS VAST DIFFERENCES BETWEEN EACH OTHER.
Schedule H, Part VI, Line 5 Promotion of community health THE MAJORITY OF UFHV'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE UF HEALTH SYSTEM'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF UFHV, NOR FAMILY MEMBERS THEREOF. UFHV EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY AND USES SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS. UFHV IS A PRIVATE, NOT-FOR-PROFIT HOSPITAL SYSTEM AFFILIATED WITH THE UNIVERSITY OF FLORIDA. IT IS PART OF UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE, LEESBURG, AND THE VILLAGES. UFHV IS BASED IN THE VILLAGES. UFHV IS ONE OF THE COUNTRY'S ONLY GOLF-CAR ACCESSIBLE HOSPITALS, OFFERING WORLD-CLASS HEALTH CARE CLOSE TO HOME. UFHV FEATURES INPATIENT ACUTE HOSPITAL SERVICES, INPATIENT REHABILITATION SERVICES, DIAGNOSTIC LABORATORY SERVICES, ROBOTIC-ASSISTED MINIMALLY-INVASIVE SURGERY, COMPREHENSIVE CARDIAC REHABILITATION SERVICES, AND A TOTAL JOINT REPLACEMENT PROGRAM. In June 2023, UFHV opened a new Heart and Vascular Center, featuring an all-inclusive approach to comprehensive cardiovascular care. This 26,000 square foot facility combines existing service lines of diagnostic cardiology, interventional cardiology, electrophysiology, vascular surgery and cardiac rehab in one cohesive space. It includes 16 private patient beds for pre- and post-procedural care, state-of-the-art cardiovascular cardiac suites, dedicated rooms for cardio diagnostics and an expansive cardiac rehabilitation gym. UFHV IS ALSO HOME TO AN AWARD-WINNING PRIMARY STROKE CENTER, CHEST PAIN CENTER, AND CANCER PROGRAM. UFHV IS AFFILIATED WITH MORE THAN 50 UF HEALTH PHYSICIANS' PRIMARY CARE AND SPECIALTY MEDICAL PRACTICES LOCATED THROUGHOUT FLORIDA AND HAS AFFILIATION RELATIONSHIPS WITH COMMUNITY HOSPITALS LOCATED THROUGHOUT FLORIDA. IT HAS BUILT RELATIONSHIPS WITH AFFILIATES THROUGHOUT THE STATE IN SERVICES SUCH AS CANCER, HEART SURGERY, NEUROSURGERY, PEDIATRICS, PEDIATRIC CARDIOLOGY, PEDIATRIC NEPHROLOGY, VASCULAR SURGERY, AND ADDICTION MEDICINE. AFFILIATIONS WITH OTHER HOSPITALS AND HEALTH CARE PROVIDERS ALLOW UFHV TO COLLABORATE WITH THESE ORGANIZATIONS TO EXPAND CLINICAL PROGRAMS AND RESEARCH AND EDUCATION EFFORTS. FOOTNOTE 3 TO THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS SUMMARIZES THE FY23 COMMUNITY BENEFIT PROVIDED BY UF HEALTH, THROUGH COLLABORATIONS WITH UF'S HEALTH SCIENCE COLLEGES, RESEARCH CENTERS AND INSTITUTES, UFHV AND OTHER HEALTH CARE ENTITIES.
Schedule H, Part VI, Line 6 Affiliated health care system The sole member of UFHV is Central Florida Health, Inc ("UFHCF"). The sole member of UFHCF is Shands Teaching Hospital and Clinics, Inc. ("STHC"). Prior to January 1, 2020, UFHCF did not have a corporate member. Effective January 1, 2020, STHC acquired UFHCF, pursuant to which STHC became the sole corporate member of UFHCF. STHC controls or owns various other affiliated entities that operate facilities and provide services as part of STHC. STHC and certain of its affiliated entities operate under names beginning with "UF Health." UFHCF manages and operates two acute care hospitals in central Florida: Leesburg Regional Medical Center, Inc. ("UFHL "UFHLH") and The Villages Tri-County Medical Center, Inc. ("UFHV"). UFHCF is also affiliated with Leesburg Regional Medical Center Foundation, Inc., and The Villages Regional Hospital Auxiliary Foundation, Inc. In strategic partnership with its fellow UF Health affiliates, UFHV works to improve the health and quality of life of Lake County, Marion County, and Sumter County communities.
Schedule H (Form 990) 2022
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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
2022
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
1
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? ........................
2
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) FLORIDA ESSENTIAL HEALTHCARE PARTNERSHIPS FOUNDATION
401 W 15TH STREET
SUITE 840
Austin,TX78701 		85-3682775 501(C)(3) 344,000 0 N/A N/A PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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 FUND FOR PROPER PURPOSES.
Schedule I (Form 990) 2022



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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
2022
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
No
1a
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.
b
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 .....
1b
 
 
2
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? ....
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Edward Jimenez
 
Director/CEO Shands Teaching Hospital & Clinics (THRU JULY 2022) 		(i)

(ii)		 0
-------------
623,811 		0
-------------
363,242 		0
-------------
1,912,920 		0
-------------
24,400 		0
-------------
13,742 		0
-------------
2,938,115 		0
-------------
0
2James J Kelly Jr
 
INTERIM CEO (BEG AUG 2022); SVP/CFO/TREASURER 		(i)

(ii)		 0
-------------
710,988 		0
-------------
146,900 		0
-------------
81,883 		0
-------------
21,350 		0
-------------
16,517 		0
-------------
977,638 		0
-------------
0
3David Nelson MD
 
Chairman/President/UF SVP Health Affairs 		(i)

(ii)		 0
-------------
1,201,967 		0
-------------
360,000 		0
-------------
4,812 		0
-------------
28,609 		0
-------------
22,575 		0
-------------
1,617,963 		0
-------------
0
4Christopher Cowen
 
Director/UF SVP and CFO 		(i)

(ii)		 0
-------------
728,138 		0
-------------
20,720 		0
-------------
0 		0
-------------
90,945 		0
-------------
11,946 		0
-------------
851,749 		0
-------------
0
5W Kent Fuchs PhD
 
Director/University of Florida President (Thru Feb 2023) 		(i)

(ii)		 0
-------------
966,197 		0
-------------
181,690 		0
-------------
0 		0
-------------
96,289 		0
-------------
23,736 		0
-------------
1,267,912 		0
-------------
0
6C Parker Gibbs MD
 
Director/Chief Medical Officer (thru Jan 2023) 		(i)

(ii)		 0
-------------
825,994 		0
-------------
79,484 		0
-------------
6,123 		0
-------------
23,493 		0
-------------
15,469 		0
-------------
950,563 		0
-------------
0
7Colleen Koch MD
 
Director/UF College of Medicine Dean 		(i)

(ii)		 0
-------------
862,166 		0
-------------
173,400 		0
-------------
6,123 		0
-------------
16,099 		0
-------------
22,513 		0
-------------
1,080,301 		0
-------------
0
8Li-Ming Su MD
 
Director/UF Dept of Urology Chairman 		(i)

(ii)		 0
-------------
727,674 		0
-------------
60,180 		0
-------------
4,812 		0
-------------
27,361 		0
-------------
23,907 		0
-------------
843,934 		0
-------------
0
9Gilbert Upchurch MD
 
Director/UF Dept of Surgery Chair 		(i)

(ii)		 0
-------------
870,438 		0
-------------
162,616 		0
-------------
6,123 		0
-------------
16,104 		0
-------------
24,203 		0
-------------
1,079,484 		0
-------------
0
10Jonathan Licht MD
 
Director/UF Health Cancer Center Director 		(i)

(ii)		 0
-------------
795,331 		0
-------------
7,692 		0
-------------
9,600 		0
-------------
16,197 		0
-------------
24,421 		0
-------------
853,241 		0
-------------
0
11Dana Zimmel DVM DACVIM
 
Director/UF College of Veterinary Medicine Dean 		(i)

(ii)		 0
-------------
394,207 		0
-------------
0 		0
-------------
0 		0
-------------
27,708 		0
-------------
22,586 		0
-------------
444,501 		0
-------------
0
12Timothy Morey MD
 
DIRECTOR/CHIEF MEDICAL OFFICER (BEG JAN 2023) 		(i)

(ii)		 0
-------------
590,551 		0
-------------
104,535 		0
-------------
4,812 		0
-------------
28,609 		0
-------------
22,766 		0
-------------
751,273 		0
-------------
0
13Jennifer Hunt MD
 
DIRECTOR/UF PATHOLOGY DEPT CHAIR 		(i)

(ii)		 0
-------------
570,054 		0
-------------
75,000 		0
-------------
3,672 		0
-------------
15,983 		0
-------------
24,308 		0
-------------
689,017 		0
-------------
0
14Donald Henderson
 
President/CEO Central Florida Health (through June 2021) 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
385,687 		0
-------------
0 		0
-------------
7,007 		0
-------------
392,694 		0
-------------
0
15Philip Braun JD
 
VP/Chief Counsel/Secretary 		(i)

(ii)		 0
-------------
298,951 		0
-------------
45,300 		0
-------------
18,886 		0
-------------
18,300 		0
-------------
19,389 		0
-------------
400,826 		0
-------------
0
16Randall Jenkins ESQ
 
Secretary/SVP and General Counsel 		(i)

(ii)		 0
-------------
501,524 		0
-------------
45,161 		0
-------------
3,972 		0
-------------
27,994 		0
-------------
23,016 		0
-------------
601,667 		0
-------------
0
17Amie Richason
 
VP Human Resources 		(i)

(ii)		 0
-------------
290,661 		0
-------------
43,900 		0
-------------
18,143 		0
-------------
18,300 		0
-------------
18,220 		0
-------------
389,224 		0
-------------
0
18Heather Long
 
COO / CEO UF HEALTH CFH (BEG DEC 2022) 		(i)

(ii)		 0
-------------
459,111 		0
-------------
85,100 		0
-------------
1,194 		0
-------------
18,300 		0
-------------
14,769 		0
-------------
578,474 		0
-------------
0
19Kevin Behrns MD
 
CMO 		(i)

(ii)		 0
-------------
484,945 		0
-------------
0 		0
-------------
0 		0
-------------
27,191 		0
-------------
23,034 		0
-------------
535,170 		0
-------------
0
20Thomas William Young ESQ
 
Secretary/CLO 		(i)

(ii)		 0
-------------
332,533 		0
-------------
83,125 		0
-------------
2,762 		0
-------------
32,157 		0
-------------
28,032 		0
-------------
478,609 		0
-------------
0
21Robert Thornton
 
Treasurer/STHC VP of Finance 		(i)

(ii)		 0
-------------
391,616 		0
-------------
72,400 		0
-------------
56,117 		0
-------------
21,350 		0
-------------
24,722 		0
-------------
566,205 		0
-------------
0
22Lawrence McDowell ESQ
 
Assistant Secretary 		(i)

(ii)		 0
-------------
223,389 		0
-------------
24,700 		0
-------------
1,183 		0
-------------
20,477 		0
-------------
19,446 		0
-------------
289,195 		0
-------------
0
23Kevin Coleman ESQ
 
Assistant Secretary 		(i)

(ii)		 0
-------------
181,022 		0
-------------
0 		0
-------------
3,988 		0
-------------
15,138 		0
-------------
16,046 		0
-------------
216,194 		0
-------------
0
24Phyllis Baum
 
VP/CQO 		(i)

(ii)		 0
-------------
305,426 		0
-------------
47,200 		0
-------------
23,325 		0
-------------
18,300 		0
-------------
21,269 		0
-------------
415,520 		0
-------------
0
25Joshua Fleming
 
VP Operations 		(i)

(ii)		 0
-------------
280,598 		0
-------------
43,200 		0
-------------
19,027 		0
-------------
18,300 		0
-------------
23,478 		0
-------------
384,603 		0
-------------
0
26David Steele
 
VP/CIO 		(i)

(ii)		 0
-------------
305,922 		0
-------------
47,200 		0
-------------
23,723 		0
-------------
18,300 		0
-------------
23,928 		0
-------------
419,073 		0
-------------
0
27Cheryl Chestnutt
 
VP & CCO/Site Administrator 		(i)

(ii)		 0
-------------
282,942 		0
-------------
35,600 		0
-------------
2,302 		0
-------------
16,177 		0
-------------
15,633 		0
-------------
352,654 		0
-------------
0
28Ashley Simmons
 
VP Clinical Outcomes 		(i)

(ii)		 0
-------------
214,783 		0
-------------
19,300 		0
-------------
339 		0
-------------
8,979 		0
-------------
11,766 		0
-------------
255,167 		0
-------------
0
29JONATHAN PETRONE
 
RN 		(i)

(ii)		 257,571
-------------
0 		0
-------------
0 		32
-------------
0 		0
-------------
0 		0
-------------
0 		257,603
-------------
0 		0
-------------
0
30SANDRA Tompke-Schalow
 
RN 		(i)

(ii)		 243,173
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		243,173
-------------
0 		0
-------------
0
31Catresa Bowie
 
RN 		(i)

(ii)		 267,753
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		267,753
-------------
0 		0
-------------
0
32Pamela Jean Gould
 
RN 		(i)

(ii)		 257,650
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		257,650
-------------
0 		0
-------------
0
33Brittany Swan
 
RN 		(i)

(ii)		 232,492
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		0
-------------
0 		232,492
-------------
0 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS DETERMINED AND PAID BY SHANDS TEACHING HOSPITAL AND CLINICS, INC. ("STHC"), A RELATED TAX-EXEMPT ORGANIZATION. STHC UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2022: EDWARD JIMENEZ - $1,638,750 DONALD HENDERSON - $343,501
Schedule J, Part I, Line 7 Non-fixed payments BONUSES ARE PAID AT VARYING PERCENTAGES OF SALARIES. THE SPECIFIC PERCENTAGE THAT EACH INDIVIDUAL RECEIVES IS BASED ON LEVEL WITHIN MANAGEMENT, GOAL ACHIEVEMENT, AND PERFORMANCE, AND IS DETERMINED AT THE DISCRETION OF EACH INDIVIDUAL'S LEADER.
Schedule J (Form 990) 2022

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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
Yes No Yes No Yes No
A City of Leesburg Florida
  		59-6000362 000000000 10-06-2011 42,500,000 PURPOSE OF HOSPITAL REVENUE REFUNDING BONDS, SERIES 2011: Refund 2008A, 2008C, and 2009B bonds.   X   X X  
B SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
  		38-3816771 86652QAT9 03-11-2014 50,261,365 PURPOSE OF HOSPITAL REVENUE BONDS SERIES 2014A: Finance Capital improvement projects.   X   X   X
C SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
  		38-3816771 86652QBM3 11-05-2014 20,430,232 PURPOSE OF HOSPITAL REV BONDS SERIES 2014B: Finance Capital improvement projects; refund 2002 bond.   X   X X  
D CITY OF LEESBURG FLORIDA
  		59-6000362 000000000 12-21-2017 30,000,000 PURPOSE OF HOSPITAL Revenue REFUNDING BOND (CFH PROJECTS), SERIES 2017: refund series 2009A BOND.   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 0 7,370,000 7,890,000 4,415,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 42,500,000 50,261,365 20,430,232 30,000,000
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
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 .............   49,660,505 20,000,000  
11 Other spent proceeds ............. 42,500,000     30,000,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2014 2014 2017
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 2020, a current refunding issue)? ........ 		X     X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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
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 ....SchKMediumBullet 1 % 1 % 1 % 1 %
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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 1 % 1 % 1 % 1 %
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   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   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  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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 .......... Royal Bank of Canada
  		 
  		 
  		PNC Bank
 
c Term of hedge ......... 2290 %     2540 %
d Was the hedge superintegrated? ...... X           X  
e Was the hedge terminated? ........   X           X
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, Part I 2011 bond issue THE 2011 BOND LISTED ON SCH K PART 1 LINE A IS A JOINTLY ISSUED BOND WITH UFHL. THERE WAS A SINGLE ISSUANCE REPORTED ON FORM 8038, BUT THE BOND LIABILITY HAS BEEN SPLIT BETWEEN UFHL AND UFHV. UFHV REPORTS THEIR PORTION OF THE BOND ISSUANCE AND LIABILITY ON SCHEDULE K.
Schedule K, Part I 2014B BOND ISSUE THE 2014B BOND LISTED ON SCH K PART 1 LINE A IS A JOINTLY ISSUED BOND WITH UFHL. THERE WAS A SINGLE ISSUANCE REPORTED ON FORM 8038, BUT THE BOND LIABILITY HAS BEEN SPLIT BETWEEN UFHL AND UFHV. UFHV REPORTS THEIR PORTION OF THE BOND ISSUANCE AND LIABILITY ON SCHEDULE K.
Schedule K, Part IV, Line 2c COLUMN A Issuer name: City of Leesburg, Florida The calculation for computing no rebate due was performed on 06/30/2021
Schedule K, Part IV, Line 2c COLUMN B Issuer name: SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 06/30/2021
Schedule K, Part IV, Line 2c COLUMN C Issuer name: SUMTER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY The calculation for computing no rebate due was performed on 06/30/2021
Schedule K, Part IV, Line 2c COLUMN D Issuer name: CITY OF LEESBURG, FLORIDA The calculation for computing no rebate due was performed on 12/21/2022
Schedule K (Form 990) 2021

Additional Data


Software ID: 22016089
Software Version: 2022v5.0

SCHEDULE O
(Form 990)

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
2021
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, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The filing organization does not compensate the top management official of the organization and instead relies on a related organization to establish compensation for the top management official; therefore, Form 990, Part VI, Line 15a has intentionally been answered "no" in accordance with the IRS instructions to the Form 990. The organization's top management official was compensated by Shands Teaching Hospital and Clinics, Inc. ("STHC"), a related tax-exempt organization. STHC's process for establishing the compensation of the top management official is as follows. Mercer, an independent firm engaged in the development of compensation surveys on executive pay levels across different industries, provides competitive data and guidance on determining appropriate and reasonable ranges and salaries. The organization's Executive Compensation Committee of the Board of Directors utilizes the information provided by Mercer to establish the compensation of the CEO. Mercer's methodology consists of the following standard steps: *Analysis by position based on job content *Reference of multiple national survey sources similarly situated for not-for-profit healthcare executive compensation *Existing base salary range midpoints were updated to more closely align with the market 50th percentile value for each role. Mercer followed a similar process to evaluate the competitiveness of UF Health Shands Hospital total cash compensation (base salary, annual incentive bonus, and benefits) levels, and provides recommended incentive compensation ranges to ENSURE total cash compensation is also reasonable. Mercer periodically reviews all other aspects of executive compensation-including all elements of supplemental benefits-to ENSURE that they compare with competitive and reasonable total remuneration levels. THIS PROCESS WAS LAST UNDERTAKEN IN SEPTEMBER 2021 AND WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE MEETING. THIS PROCESS IS TYPICALLY UNDERTAKEN ANNUALLY.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES The filing organization does not compensate the officers or key employees of the organization and instead relies on a related organization to establish compensation for these individuals; therefore, Form 990, Part VI, Line 15b has intentionally been answered "no" in accordance with the IRS instructions to the Form 990. The organization's other officers and key employees were compensated by The University of Florida ("UF"), a related governmental organization, or by Shands Teaching Hospital and Clinics, Inc. ("STHC"), a related tax-exempt organization. The process for establishing the compensation of these employees is as follows. All executive, officer, and key employee positions are reviewed each year by Mercer to ensure salary scales are in line with comparable positions in similar institutions. The Executive Compensation Committee of the Board of Directors utilizes the information provided by Mercer to establish the compensation of the organization's officers and key employees. THIS PROCESS WAS LAST UNDERTAKEN IN SEPTEMBER 2021 AND WAS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE MEETING. THIS PROCESS IS TYPICALLY UNDERTAKEN ANNUALLY.
Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL INCLUDE THE FOLLOWING INDIVIDUALS: -CHAIRPERSON OF THE BOARD -VICE PRESIDENT FOR HEALTH AFFAIRS OF THE UNIVERSITY OF FLORIDA -DEAN OF THE COLLEGE OF MEDICINE OF THE UNIVERSITY OF FLORIDA -CEO OF THE ORGANIZATION -UP TO SIX ADDITIONAL BOARD MEMBERS -THE PRESIDENT OF THE UNIVERSITY OF FLORIDA, IF DIFFERENT FROM THE CHAIRPERSON OF THE BOARD, MAY ELECT TO BE A MEMBER OF THE EXECUTIVE COMMITTEE. The Executive Committee shall have the authority to transact all business of the Board of Directors, except that it may not: -Elect or remove officers or members of the Board -Create or abolish any committees -Appoint or remove any committee members -Amend the Articles of Incorporation or the Bylaws of the organization -Modify or cause violation of any policies adopted by the Board of Directors -Approve the sale of assets of the organization having a value in excess of $5,000,000, unless specifically authorized by the Board of Directors -Incur indebtedness on behalf of the organization in a principal amount in excess of $5,000,000, unless specifically authorized by the Board of Directors -Take any action that is required by law to be taken by the full Board of Directors.
Form 990, Part VI, Line 6 Classes of members or stockholders The organization's members include Central Florida Health, Inc., Shands Teaching Hospital and Clinics, Inc., and University of Florida.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The members of the Board shall be those same individuals who are serving as members of the board of directors of Shands Teaching Hospital and Clinics, Inc., unless otherwise determined by the University of Florida President. Prior to the commencement of the Corporation's Annual meeting, the Secretary shall present to the President a list of all Standing and Special Board Committees. In response thereto, the University of Florida President shall elect or decline any initial or continuing membership thereon. The officers of the Corporation shall consist of: a President, who shall be the President of the University of Florida or his or her designee; a Chairman of the Board, who shall be the President of the University of Florida or his or her designee; a Vice Chairman of the Board, who shall be the Vice President for Health Affairs of the University of Florida; a Chief Executive Officer (the "CEO"); a Secretary (and any assistant secretary) who shall be appointed by the Chairman of the Board; a Treasurer (and any assistant treasurer) who shall be appointed by the Chairman of the Board; and such other officers and assistant officers as may be deemed necessary by the Board.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders In any majority approval of the incurrence of "debt" by the Corporation such approval shall include the affirmative votes of the President of the University of Florida or his or her designee and the member or representative of the University of Florida Board of Trustees serving on the Board of Directors in their respective capacities as ex officio directors. The University of Florida President shall have the right to sit as a voting member of any Board Committee. The President of the University of Florida shall be a member of the Executive Compensation Committee. The Corporation shall at all times comply with the provisions of the Enhanced Governance Standards adopted by the University of Florida Board of Trustees on December 7, 2018, and review annually thereafter, unless governance standards change, at which time the Corporation will review for approval at the next scheduled board meeting.
Form 990, Part VI, Line 11b Review of form 990 by governing body A DRAFT COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT IN ADVANCE OF FILING THE FORM. SUBSEQUENTLY, A COMPLETE COPY OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
Form 990, Part VI, Line 12c Conflict of interest policy 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 interested persons (board members, officers and key employees) 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 VP GENERAL COUNSEL AND CORPORATE COMPLIANCE DEPARTMENT WHO NOTIFY THE BOARD IF ANY CONCERNS ARISE. 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, Line 19 Required documents available to the public THE YEAR END FINANCIAL STATEMENTS ARE AVAILABLE ON THE UFHEALTH.ORG WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 996769, Related or Exempt Function Revenue: 996769, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees HEALTHCARE PROFESSIONALs - Total Expense: 7980385, Program Service Expense: 7980385, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER CONSULTANTS - Total Expense: 3110278, Program Service Expense: 2812393, Management and General Expenses: 297885, Fundraising Expenses: 0; REPAIRS & MAINTENANCE - Total Expense: 3882468, Program Service Expense: 3510627, Management and General Expenses: 371841, Fundraising Expenses: 0; LAUNDRY & LINEN SERVICES - Total Expense: 738170, Program Service Expense: 667472, Management and General Expenses: 70698, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 13400518, Program Service Expense: 12103592, Management and General Expenses: 1296926, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS FROM AFFILIATES - 1000000;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
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 0 0 THE VILLAGES TRI-COUNTY MEDICAL CENTER
 










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?
Yes No
(1)University of Florida
226 Tigert Hall

Gainesville,FL32611
59-6002052 		Education FL     NA
 
 
No
(2)Shands Jacksonville HealthcareInc
655 West 8th Street

Jacksonville,FL32209
59-2441966 		SUPPORT SJMC FL 501(c)(3) Type II UF
 
 
No
(3)Shands Jacksonville Medical Center Inc
655 West 8th Street

Jacksonville,FL32209
59-2142859 		MEDICAL SERVICES FL 501(c)(3) 3 SJHC
 
 
No
(4)SHANDS JACKSONVILLE PROPERTIES INC
655 West 8th Street

Jacksonville,FL32209
59-1158241 		SUPPORT SJMC FL 501(c)(3) Type II SJHC
 
 
No
(5)SHANDS JACKSONVILLE COMMUNITY SERVICES INC
655 West 8th Street

Jacksonville,FL32209
51-0173761 		SUPPORT SJMC FL 501(c)(3) Type II SJHC
 
 
No
(6)SHANDS JACKSONVILLE FOUNDATION INC
655 West 8th Street

Jacksonville,FL32209
59-2622323 		SUPPORT SJMC FL 501(c)(3) Type II SJHC
 
 
No
(7)SHANDS JACKSONVILLE AFFILIATES INC
655 West 8th Street

Jacksonville,FL32209
59-1913819 		SUPPORT SJMC FL 501(c)(3) Type I SJMC
 
 
No
(8)UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
653 WEST 8TH STREET

Jacksonville,FL32209
59-1867557 		SUPPORT UF COLLEGE OF MEDICINE - JACKSONVILLE FL 501(c)(3) Type I UF
 
 
No
(9)SHANDS TEACHING HOSPITAL AND CLINICS INC
PO Box 100336

Gainesville,FL32610
59-1943502 		MEDICAL SERVICES FL 501(c)(3) 3 UF
 
 
No
(10)Elder Care of Alachua County Inc
PO Box 100336

Gainesville,FL32610
59-3051104 		Services for the Elderly FL 501(c)(3) 7 STHC
 
 
No
(11)Shands Lake Shore Inc
PO Box 100336

Gainesville,FL32610
59-2699965 		Health Care FL 501(c)(3) 3 STHC
 
 
No
(12)Southeastern Healthcare Foundation
PO Box 100336

Gainesville,FL32610
59-2357609 		Hospital Support FL 501(c)(3) Type II STHC
 
 
No
(13)Shands Auxiliary Inc
PO Box 100336

Gainesville,FL32610
59-3551267 		Hospital Support FL 501(c)(3) Type I SEHF
 
 
No
(14)Central Florida Health Inc dba UF Health Central Florida
600 EAST DIXIE AVENUE

Leesburg,FL34748
33-1197054 		SUPPORT STHC, UFHL, AND UFHV FL 501(c)(3) Type II STHC
 
 
No
(15)Leesburg Regional Medical Center Inc dba UF Health Leesburg Hospital
600 EAST DIXIE AVENUE

LEESBURG,FL34748
59-0878982 		MEDICAL SERVICES FL 501(c)(3) 3 UFHCF
 
 
No
(16)Leesburg Regional Medical Center Foundation Inc dba UF Health Leesburg Hosp
ital Foundation600 EAST DIXIE AVENUE

LEESBURG,FL34748
59-1800743 		SUPPORT UFHL FL 501(c)(3) Type I UFHL
 
 
No
(17)The Villages Regional Hospital Auxiliary Foundation Inc dba UF Health The V
illages Hospital Auxiliary Foundation1501 N US Highway 441 Suite 182

THE VILLAGES,FL32159
55-0818419 		SUPPORT UFHV FL 501(c)(3) Type I UFHV
 
Yes
 
(18)FACULTY CLINIC INC
PO BOX 44008

Jacksonville,FL32231
59-2856153 		SUPPORT UF JAX PHYSICIANS FL 501(c)(3) Type I UF
 
 
No
(19)University of Florida Foundation Inc
PO Box 14425

Gainesville,FL326042425
59-0974739 		Support the University of Florida FL 501(c)(3) 7 UF
 
 
No
(20)University of Florida Investment Corporation (UFICO)
4510 NW 6th Place 2nd Floor

Gainesville,FL32607
20-1226494 		Investment Management FL 501(c)(3) Type I UF
 
 
No
(21)University of Florida Development Corporation
747 SW 2nd Avenue IMB 49

Gainesville,FL32601
35-2427022 		Support the University of Florida and Promote Economic Development FL 501(c)(3) Type I UF
 
 
No
(22)Florida Clinical Practice Association Inc
PO Box 100205

Gainesville,FL326100205
59-1680273 		Enhance medical education and research at the University of Florida FL 501(c)(3) Type I UF
 
 
No
(23)GatorCare Health Management Corporation
1329 SW 16th Street

Gainesville,FL32610
46-1185106 		Self-Insured Health Ins Plan FL 501(c)(3) Type I UF
 
 
No
(24)University of Florida Medical Guild of Gainesville Inc
PO Box 100215

Gainesville,FL32610
51-0153878 		Support UF FL 501(c)(3) 10 UF
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes No Yes No
(1) CENTRAL FLORIDA CARDIOVASCULAR CO-MANAGEMENT

600 EAST DIXIE AVENUE
LEESBURG,FL34748
27-0781065 		HEALTHCARE FL na
  		Related 38,394 35,835   No 0   No 8.93 %
(2) CARE DELIVERY ALLIANCE LLC

600 EAST DIXIE AVENUE
LEESBURG,FL34748
47-3889954 		PHYSICIAN-HOSPITAL ORGANIZATION FL NA
  		N/A                










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?
Yes No












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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
(1) THE VILLAGES REGIONAL HOSPITAL AUXILIARY FOUNDATION INC

 S 1,000,000 FMV





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


Software ID: 22016089
Software Version: 2022v5.0