Adventhealth Polk South Inc
- Assets
- $53.8m
- Revenue
- $19.9m
- Investments
- $0.0
- Employees
- 0
- Location
- Lake Wales, FL
- Founding
- Data as of
- 12/2019
- EIN
- 83-4672945
Organization Overview
Adventhealth Polk South Inc, operating under the name AdventHealth Lake Wales, is located in Lake Wales, FL. This organization is a subordinate organization within an affiliated group for tax-exemption purposes. 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.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Tol Daryl Director (beg 4/19) | Trustee | 0.1 | $0 |
Rathbun Paul Director (beg 4/19; End 9/19) | Trustee | 0.1 | $0 |
Trimble Tamara Director (beg 4/19; End 9/19) | Trustee | 0.1 | $0 |
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 |
Outside Vendors & Contractors
| 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 |
Hhs Environmental Services Llc Environmental Services | 12/30/19 | $481,566 |
Florida Hospital Medical Group Inc Physician Services | 12/30/19 | $429,776 |
View All Vendors
Financial Statements
| 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 |