AdventHealth Polk South Inc, operating under the name AdventHealth Lake Wales, is located in Lake Wales, FL. AdventHealth Lake Wales is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2019
Describe the Organization's Mission:
Part 3 - Line 1
THE PROVISION OF MEDICAL CARE TO THE COMMUNITY THROUGH THE OPERATION OF A 160 BED HOSPITAL.
Describe the Organization's Program Activity:
Part 3 - Line 4a
OPERATION OF A 160-BED ACUTE CARE HOSPITAL LOCATED IN POLK COUNTY, FL BEGINNING 9/1/19. DURING THE CURRENT SHORT YEAR THERE WERE 2,017 PATIENT ADMISSIONS, 8,581 PATIENT DAYS, AND 21,585 OUTPATIENT VISITS.
Name (title) | Role | Hours | Compensation |
---|---|---|---|
Adams Brian Dir/ceo Ah Polk Sth/nrth (beg 9/19) | OfficerTrustee | 16.65 | $0 |
Heinrich William Dir/cfo Ah Polk Sth/nrth (beg 9/19) | OfficerTrustee | 16.65 | $0 |
Rathbun Paul Director (beg 4/19; End 9/19) | Trustee | 0.1 | $0 |
Tol Daryl Director (beg 4/19) | Trustee | 0.1 | $0 |
Trimble Tamara Director (beg 4/19; End 9/19) | Trustee | 0.1 | $0 |
Vendor Name (Service) | Service Year | Compensation |
---|---|---|
Chspsc Llc It Services | 12/30/19 | $475,000 |
Hospital Management Services Of Florida Patient Financial Services | 12/30/19 | $432,096 |
Florida Hospital Medical Group Inc Physician Services | 12/30/19 | $429,776 |
Hhs Environmental Services Llc Environmental Services | 12/30/19 | $481,566 |
Statement of Revenue | |
---|---|
Federated campaigns | $0 |
Membership dues | $0 |
Fundraising events | $0 |
Related organizations | $0 |
Government grants | $0 |
All other contributions, gifts, grants, and similar amounts not included above | $0 |
Noncash contributions included in lines 1a–1f | $0 |
Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
Total Program Service Revenue | $19,759,584 |
Investment income | $68,470 |
Tax Exempt Bond Proceeds | $0 |
Royalties | $0 |
Net Rental Income | $0 |
Net Gain/Loss on Asset Sales | $34,294 |
Net Income from Fundraising Events | $0 |
Net Income from Gaming Activities | $0 |
Net Income from Sales of Inventory | $0 |
Miscellaneous Revenue | $0 |
Total Revenue | $19,862,348 |
Statement of Expenses | |
---|---|
Grants and other assistance to domestic organizations and domestic governments. | $0 |
Grants and other assistance to domestic individuals. | $0 |
Grants and other assistance to Foreign Orgs/Individuals | $0 |
Benefits paid to or for members | $0 |
Compensation of current officers, directors, key employees. | $143,117 |
Compensation of current officers, directors, key employees. | $143,117 |
Compensation to disqualified persons | $0 |
Other salaries and wages | $0 |
Pension plan accruals and contributions | $0 |
Other employee benefits | $0 |
Payroll taxes | $0 |
Fees for services: Management | $0 |
Fees for services: Legal | $0 |
Fees for services: Accounting | $0 |
Fees for services: Lobbying | $0 |
Fees for services: Fundraising | $0 |
Fees for services: Investment Management | $11,043 |
Fees for services: Other | $17,471,551 |
Advertising and promotion | $17,830 |
Office expenses | $881,847 |
Information technology | $258,417 |
Royalties | $0 |
Occupancy | $768,614 |
Travel | $12,602 |
Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
Conferences, conventions, and meetings | $2,828 |
Interest | $0 |
Payments to affiliates | $0 |
Depreciation, depletion, and amortization | $1,033,930 |
Insurance | $483 |
All other expenses | $9,744 |
Total functional expenses | $23,385,283 |
Balance Sheet | |
---|---|
Cash—non-interest-bearing | $2,125 |
Savings and temporary cash investments | $6,439,892 |
Pledges and grants receivable | $0 |
Accounts receivable, net | $11,341,376 |
Loans from Officers, Directors, or Controlling Persons | $0 |
Loans from Disqualified Persons | $0 |
Notes and loans receivable | $0 |
Inventories for sale or use | $1,059,724 |
Prepaid expenses and deferred charges | $339,523 |
Net Land, buildings, and equipment | $32,878,661 |
Investments—publicly traded securities | $0 |
Investments—other securities | $0 |
Investments—program-related | $0 |
Intangible assets | $0 |
Other assets | $1,769,247 |
Total assets | $53,830,548 |
Accounts payable and accrued expenses | $2,714,800 |
Grants payable | $0 |
Deferred revenue | $0 |
Tax-exempt bond liabilities | $0 |
Escrow or custodial account liability | $0 |
Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
Secured mortgages and notes payable | $0 |
Unsecured mortgages and notes payable | $0 |
Other liabilities | $6,423,101 |
Total liabilities | $9,137,901 |
Net assets without donor restrictions | $44,692,647 |
Net assets with donor restrictions | $0 |
Capital stock or trust principal, or current funds | $0 |
Paid-in or capital surplus, or land, building, or equipment fund | $0 |
Retained earnings, endowment, accumulated income, or other funds | $0 |
Total liabilities and net assets/fund balances | $53,830,548 |
Over the last fiscal year, we have identified 1 grants that AdventHealth Polk South Inc has recieved totaling $27,510.
Awarding Organization | Amount |
---|---|
West Central Florida Disasterservices Incorporated Saint Petersburg, FL PURPOSE: FUND FOR EMERGENCIES | $27,510 |
Organization Name | Assets | Revenue |
---|---|---|
Horizon Development Properties Inc Charlotte, NC | $420,836,852 | $43,904,469 |
Tideland Electric Membership Corp Pantego, NC | $155,003,665 | $49,716,262 |
Pruitt Corporation Employee Welfare Norcross, GA | $5,026,472 | $52,038,649 |
Trustbridge Inc West Palm Beach, FL | $246,958,049 | $48,624,490 |
Brevard Health Alliance Inc West Melbourne, FL | $40,519,404 | $57,510,485 |
South Alabama Electric Cooperative Troy, AL | $170,308,337 | $49,282,613 |
Gulf Coast Electric Coop Inc Wewahitchka, FL | $224,365,619 | $58,878,465 |
Meridian Behavioral Healthcare Inc Gainesville, FL | $28,925,919 | $54,907,387 |
Norton Community Hospital Inc Johnson City, TN | $0 | $44,059,462 |
Srcco Inc Durham, NC | $42,497,453 | $49,465,239 |
Educational Foundation Inc Chapel Hill, NC | $193,854,804 | $63,834,996 |
Morton Plant Mease Health Services Inc Clearwater, FL | $47,164,450 | $51,425,427 |