2024-11-12T09:44:26+00:00 2023-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2023-01-01 050615150 BayCare Alliant Hospital Inc BAYC 7277346639 601 Main Street Dunedin FL 34698 Jacqueline Arocho President 7277346639 2024-11-12 true Brittney Kocaj P01320603 9542028600 2024-11-12 2023 2024-10-15 13:58:12Z Jacqueline Arocho 601 Main Street Dunedin FL 34698 21660635 false X www.baycare.org/hospitals/baycare-alliant-hospital/about-us X 2004 FL BayCare Alliant Hospital, Inc. will provide excellence in care for patients with prolonged illnesses recognizing that optimum healing requires a team approach to both medical and human values. 7 7 1 7 1780 0 1446 3340 21085871 21620142 36427 1236 726 21088553 21660635 30000 30000 0 13241383 13041810 0 0 7957860 8201628 21229243 21273438 -140690 387197 9225740 8508464 5693896 4589423 3531844 3919041 BayCare Alliant Hospital, Inc. will provide excellence in care for patients with prolonged illnesses recognizing that optimum healing requires a team approach to both medical and human values. false false 16469724 30000 21619088 BayCare Alliant Hospital, Inc. (BAH) is a 48 bed, long-term acute care hospital. During 2023, BAH provided inpatient care to 385 patients and the average length of stay was 28.1 days. Through efforts of the medical assistance program and the hospital's charity care program, BAH saw a net community benefit expense of almost $589,000. Refer to Schedule H for additional information. 16469724 true false false true false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false false false false false true X 0 0 1 true true true false false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true false false false FL X Dana Garstecki Finance Manager 8635140728 601 Main Street Dunedin FL 34698 ALAN HOLDERITH TRUSTEE/CHAIRMAN 1.0 0 X X 0 0 0 CHARLES ROBINSON TRUSTEE/SECRETARY 1.0 0 X X 0 0 0 JON BRETHAUER TRUSTEE 1.0 0 X 0 0 0 KEN HAMILTON TRUSTEE 1.0 0 X 0 0 0 LISA JOHNSON TRUSTEE/Chief Nursing Executive BayCare 1.0 0 X 0 0 0 RONALD BEAMON TRUSTEE/VP, CFO HOSPITAL DIVISION 1.0 0 X 0 0 0 SU REYNARD-SURIANO TRUSTEE 1.0 0 X 0 0 0 DANA GARSTECKI MANAGER FINANCE & OPERATIONS LTAC 45.0 0 X 111233 0 33508 JACQUELINE AROCHO DIR/PRESIDENT ALLIANT HOSPITAL 45.0 0 X 297337 0 33 JEANNEPOMUSCENE NKOMEJE LICENSED RESPIRATORY THERAPIST II - LTAC 45.0 0 X 129381 0 39419 JOYCE ASANTE CLINICAL NURSE III 45.0 0 X 131368 0 10853 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 45.0 0 X 165736 0 35383 THERESA FRIEDMAN CLINICAL NURSE III - ICU 45.0 0 X 138845 0 21433 VESTA JACKSON CLINICAL NURSE II 45.0 0 X 129107 0 33295 1103007 0 173924 1 false true true MEASE DUNEDIN HOSPITAL INC 601 MAIN ST DUNEDIN FL 34698 pharmacy/ancillary svcs 2880332 AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 medical services 2375798 BAYCARE HEALTH SYSTEM INC 2985 DREW ST CLEARWATER FL 33759 management services 1386898 DVA HEALTHCARE RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 191781607 dialysis services 347465 COMMUNITY HOSPITAL CONSULTING 7950 LEGACY DR STE 1000 PLANO TX 75024 Medical Consulting 175753 9 3340 3340 Patient Service Revenue 622310 21620142 21620142 0 0 0 0 21620142 36427 36427 0 0 0 0 MISCELLANEOUS REVENUE 900099 726 -1054 1780 0 0 0 0 726 21660635 21619088 1780 36427 X 30000 30000 297370 297370 10737523 9691468 1046055 310680 260294 50386 1049603 879377 170226 646634 546549 100085 31744 31744 3862526 2422671 1439855 0 39439 39439 77382 47780 29602 29418 29418 909094 13609 895485 4324 4324 123704 122878 826 115091 115091 MEDICAL SUPPLIES 2107622 2107622 Billing & Collections 436341 436341 All Other 328479 22740 305739 Dietary 136464 136464 0 0 0 0 21273438 16469724 4803714 0 2330846 2501374 0 0 3900698 3952776 0 0 0 0 0 0 77861 81195 3116265 1494193 2614636 1622072 0 0 34225 21184 16366 13093 251108 316770 9225740 8508464 569790 570751 0 0 0 0 0 0 0 0 0 0 2119534 1230620 0 3004572 2788052 5693896 4589423 X 3531844 3919041 0 0 0 0 0 3531844 3919041 9225740 8508464 387197 0 X false true X true false X false false false false false false false false true 1012 1012 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Line 1i. Dues were paid to National Association of Long Term Hospitals, Florida Hospital Association, and American Hospital Association. These associations use a portion of their respective dues to conduct lobbying activities. 0 0 0 0 0 258128 144296 113832 1688696 1349897 338799 1169441 0 1169441 1622072 DEFERRED COMPENSATION PLAN 316770 DUE TO AFFILIATES 2339160 ESTIMATED THIRD PARTY SETTLEMENTS 132122 2788052 X 21660635 0 0 21660635 0 0 21660635 21273438 0 0 21273438 0 0 21273438 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Hospital is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code, is exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code and is also exempt from state income taxes. The Hospital had no significant unrelated business income in 2023. The Hospital accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management has determined that no material unrecognized tax benefits or liabilities exist as of December 31, 2023. true true X true X 250 false true true false false 32345 32345 0 0.0 742227 183668 558559 0.0263 0 0.0 0 0 774572 216013 558559 0.0263 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 774572 216013 558559 0.0263 0 0.0 0 0.0 30000 30000 0.0014 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 30000 0 30000 0.0014 true 0 0 8344997 9294847 -949850 X true true 1 1 BayCare Alliant Hospital Inc 601 Main Street Dunedin FL 34698 www.baycare.org/alliant 4492 X Acute LTC Hospital BayCare Alliant Hospital Inc 1 false false true X X X X X X X X X 22 true true true true X https://baycare.org/about-us/community-benefit-and-community-health-needs X https://www.all4healthfl.org X true 22 true https://baycare.org/about-us/community-benefit-and-community-health-needs false true X 250.0 0.0 X X X X X X true true X X X true X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X X X X X X true X false X X X X true X false false 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 - BAYCARE ALLIANT HOSPITAL, INC.. In 2022 BayCare Alliant Hospital SOLICITed INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, via AN ONLINE KEY INFORMANT SURVey. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY BayCare Alliant HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 119 COMMUNITY STAKEHOLDERS IN THE BayCare Alliant HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON APPENDIX E OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. Additionally, in an effort to ensure the voices of those who are historically underrepresented in our communities were heard, specific focus groups were conducted by engaging individuals from diverse backgrounds including children, older adult populations, Hispanic/LatinX, LGBTQIA+, and Black/African American communities. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. The Community Health Needs Assessment was conducted with the following hospital facilities: Bartow Regional Medical Center BayCare Hospital Wesley Chapel Mease Countryside Hospital Mease Dunedin Hospital Morton Plant Hospital Morton Plant North Bay Hospital South Florida Baptist Hospital St. Anthony's Hospital St. Joseph's Hospital Winter Haven Hospital Bayfront Health St. Petersburg - Orlando Health Johns Hopkins All Children's Hospital Lakeland Regional Medical Center Moffitt Cancer Center Tampa General Hospital AdventHealth Carrollwood AdventHealth Connerton AdventHealth Dade City AdventHealth Heart of Florida AdventHealth Lake Wales AdventHealth North Pinellas AdventHealth Tampa AdventHealth Wesley Chapel AdventHealth Zephyrhills Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. The Community Health Needs Assessment was conducted with the following non-hospital facilities: Florida Department of Health in Hillsborough County Florida Department of Health in Pasco County Florida Department of Health in Pinellas County Florida Department of Health in Polk County Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. BayCare Alliant Hospital concentrated or will concentrate efforts in the 2023-2025 time period to address the following significant health needs of our community as identified in the 2023-2025 CHNA: * Access to health and social services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight BayCare Alliant Hospital's 2023-2025 Implementation plan describes specific activities that were underway to address these significant health needs in the 2023-2025 time period. Although the majority of the overarching goals, objectives and efforts focus on these top three focus areas, BayCare Alliant Hospital remained committed to supporting positive advancements in addressing diabetes, heart disease and stroke, while addressing the focus area of exercise, nutrition and weight. There were five additional health focus areas identified through the CHNA. These were: * Cancer * Immunization and infectious disease * Maternal, fetal and infant health * Oral health * Respiratory disease These remaining health needs are significant, but they're not directly addressed in 2023-2025 health improvement plan strategies. However, they continued to be impacted through existing hospital strategies for clinical excellence and BayCare Alliant Hospital partnerships within the community, including the Florida Department of Health and community organizations who may be in a better position to address these health issues. SEE NARRATIVE FOR SCHEDULE H, PART VI, LINE 5 FOR ADDITIONAL DETAIL REGARDING HOW THE HOSPITAL ADDRESSES NEEDS IDENTIFIED IN THE CHNA. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - BAYCARE ALLIANT HOSPITAL, Inc.. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE BALANCE OWED ON THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. 0 Schedule H, Part VI, Line 7 State filing of community benefit report BAYCARE ALLIANT HOSPITAL OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. BAYCARE ALLIANT HOSPITAL IS INCLUDED IN THE COMMUNITY BENEFIT REPORT OF BAYCARE HEALTH SYSTEM, AN AFFILIATE. THE BayCare Health System COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. BAYCARE ALLIANT HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY BENEFIT DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. Schedule H, Part II Community Building Activities BAYCARE ALLIANT HOSPITAL SUPPORTS ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBTS reported in Part III (if any) represent charges written off due to demise of the individual prior to the balance being paid in full or financial obligations discharged in bankruptcy. The amount reported is actual and is NOT AN ESTIMATE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 8 OF THE BAYCARE ALLIANT HOSPITAL, INC. NOTES TO FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE ALLIANT HOSPITAL REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions. Schedule H, Part V, Section B, Line 16a FAP website - BayCare Alliant Hospital, Inc.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - BayCare Alliant Hospital, Inc.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BayCare Alliant Hospital, Inc.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment BAYCARE ALLIANT HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. BAYCARE ALLIANT HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. BAYCARE ALLIANT HOSPITAL, INC recognizes the importance of hearing from those they serve. Along with collecting generally available data, BAYCARE ALLIANT HOSPITAL, INC conducts a community-based survey to allow for community residents' voices to be heard as well as informed decision making related to health priorities. IN ADDITION, BAYCARE ALLIANT HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST BAYCARE ALLIANT HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance BAYCARE ALLIANT HOSPITAL, INC.'S FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BAYCARE HEALTH SYSTEM, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, BAYCARE ALLIANT HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. Schedule H, Part VI, Line 4 Community information BayCare Alliant Hospital is a Long-Term Acute Care (LTAC) facility serving parts of Hillsborough, Pasco and Pinellas counties. The average household income of $95,385 in this area is $2,952 less than the state average household income ($98,337) and $13,285 below the national average household income ($108,670). Those households with incomes below $15,000 represent 9.4% of the households in the service area. The population served is primarily White Non-Hispanic (67.7%); Hispanics are the second largest ethnic group representing 15.3% of the population. 91.9% of the population are high school graduates or higher educated. BayCare Alliant Hospital is part of BayCare Health System that serves west central Florida. The area served by BayCare Alliant Hospital has 13 acute care hospitals (7 not-for-profit; 6 for-profit), 1 for-profit behavioral health hospital & 2 long-term acute care hospitals (one for-profit & one not-for-profit). There are 7 federally designated medically underserved areas/populations in Pinellas County which contains BayCare Alliant Hospital's primary service area. The population served by BayCare Alliant Hospital is expected to grow 3.2% in the next 5 years. The expected growth rate for Florida is 5.3% and the United States is 2.4%. The over 65 population is expected to grow 15.3% in the next five years. Based on Florida inpatient discharge data for the period of 10/01/22 - 9/30/23, the payer mix for the BayCare Alliant service area consists of 53.6% Medicare/Medicare HMO, 13.5% Medicaid/Medicaid HMO, 22.0% Commercial Insurance, 5.5% Self- pay/Non-pay and 5.4% Other. Schedule H, Part VI, Line 5 Promotion of community health BayCare Alliant Hospital opened its doors on March 8, 2008. Recognizing a gap in the continuum of care and services for the medically complex needs of patients in our community, this Specialty Long Term Acute Care Hospital was created for patients who were identified as needing hospital-level care for an extended period. Located in Pinellas County, BayCare Alliant provides care for patients who need cardiopulmonary care, particularly ventilator-dependent patients; treatment of patients with multiple illnesses or multiple system failure; treatment of wounds caused by disease or accident and treatment of patients requiring interdisciplinary comprehensive medical rehabilitation. By providing placement for these patients, we can transition them out of acute care settings and into a facility with critical care specialists. BayCare Alliant continues to serve the community by providing specialized care for chronic medical conditions requiring extended care and treatment, while helping the acute care hospitals meet the demand for critical care patient beds. BayCare Alliant is identified as a hospital within-a-hospital (HIH). Physically located within our host hospital, Mease Dunedin Hospital, BayCare Alliant has its own entrance. This provides distinction between hospital setting as well as our team members, providers and visitors direct access to Alliant Hospital. As a HIH, BayCare Alliant has 24-hour access to essential diagnostic equipment and surgical services. Medical emergencies can be managed onsite, preventing unnecessary external transfers. BayCare Alliant's Intensive Care Unit is equipped with eCare, allowing our physicians to monitor patients round-the-clock. Our ICU allows us to accept critically ill patients earlier in their hospitalization and provide 2-to-1 nursing ratios for patient care. The eCare team uses advanced technology to electronically monitor each patient's medical condition 24 hours a day, seven days a week and provides a specialty-trained critical care physician from 7 pm to 7 am. BayCare Alliant's mission: We will provide excellence in care for patients with prolonged illnesses recognizing that optimum healing requires a team approach to both medical and human values. Our Board of Trustees is comprised of people who reside in the community we serve. These board members are neither employees nor independent contractors of the organization. A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. The organization uses surplus funds for improvements in facilities and equipment, patient care, medical training, education, and research. BayCare Alliant participates in the collaboration of the community health needs assessment (CHNA) for Pinellas County to better understand our community and identify areas of need. The CHNA process ensures the voices of Pinellas County are heard and that we engage those most impacted by health issues and access to care. For several years, BayCare Alliant has partnered with Dunedin Cares Community Food Pantry, holding food drives, participating in health screenings, and offering nutrition education. Since 2021, as part of our CHNA initiative, BayCare Alliant awards Dunedin Cares a monetary contribution to support procurement of fresh produce and dairy products to help eradicate food insecurity. BayCare Alliant has also established an ongoing partnership with the Homeless Empowerment Program (HEP), assisting homeless and low-income individuals, families, and veterans with housing, food, and clothing. In addition, Throughout the year, BayCare Alliant facilitates holiday toy drives and back to-school drives for families in need. As an additional CHNA initiative, BayCare Alliant has provided contributions to fund both HEP's Vision Program and Behavioral Health Program. BayCare Alliant actively participates and builds strong relationships within our community. We work to provide visibility and collaboration with our local business leaders. BayCare Alliant remains active in BayCare-sponsored initiatives such as Pitch for Pink and Holiday Lights. These events provide enjoyable learning opportunities to educate our community members about health resources and services in their local communities. In addition, BayCare Alliant's dedicated leadership team maintains strong relationships with our community care coordinators and physicians. These healthcare professionals work together to ensure the correct level of care for patients is identified and that patients and their families feel included and engaged in decisions being made about their loved one. Schedule H, Part VI, Line 6 Affiliated health care system BayCare Health System, headquartered in Clearwater, Florida, is the leading, not-for-profit health care system that connects individuals and families to a wide range of services at 16 hospitals and hundreds of other convenient locations throughout West Central Florida, including Tampa Bay. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, surgery centers, wellness centers, behavioral health, home care and urgent care. BayCare's 2023 Report to the Community can be viewed at BayCare.org/Annual-Report. BayCare's 16 hospitals are Bartow Regional Medical Center, BayCare Alliant, BayCare Hospital Wesley Chapel, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, St. Joseph's, St. Joseph's Children's, St. Joseph's Women's, St. Joseph's-North, St. Joseph's-South, South Florida Baptist, Winter Haven and Winter Haven Women's. (In certain cases, hospital locations with the same tax identification and state license number are listed as one facility on Form 990, Schedule H, consistent with IRS reporting guidelines.) In March 2023, BayCare opened its 16th hospital, BayCare Hospital Wesley Chapel, to serve a rapidly growing area of Pasco County on Florida's gulf coast. BayCare also continued construction of a replacement hospital for South Florida Baptist Hospital in Plant City, with an expected opening in 2024, and announced plans to build a new hospital for St. Joseph's Children's Hospital in Tampa. In April 2023, BayCare made its first move into Manatee County with the opening of a primary care medical office. BayCare is working on plans to build Manatee's first not-for-profit hospital, with a projected opening in 2027. BayCare was founded in 1997 after leaders of several of the area's independent, not-for-profit hospitals began discussing ways to ensure that high-quality, not-for-profit health care would remain a viable option for the Tampa Bay community for decades to come. The founding hospitals agreed to sacrifice some of their autonomy to be operated by a new entity, BayCare Health System. With $5.5 billion in operating revenue in 2023, BayCare is now a fully integrated health system dedicated to providing high-quality, compassionate care to all we serve, regardless of their ability to pay. In 2023, BayCare had 4,004 hospital beds, 18 urgent care centers, 4 surgery centers, 15 outpatient imaging facilities, 185 physician practice locations and 20 behavioral health practice locations. BayCare annually generates $10 billion in economic impact in the region and state. BayCare is one of the largest employers in the Tampa Bay area, with 31,993 team members. During 2023, BayCare provided $766 million in benefits for its employees, including $238 million in retirement savings, $208 million in medical insurance, $193 million in paid time off and $70 million in education assistance. In 2023, BayCare was ranked in the top quartile of large U.S. health systems by Fortune/PINC AI based on clinical outcomes, operational efficiency and patient experience. In addition, all 11 of BayCare's eligible acute care hospitals received "A" grades on patient safety from The Leapfrog Group in fall 2023; BayCare hospitals earned numerous five-star ratings on clinical outcomes from Healthgrades; and BayCare earned 12 Press Ganey awards for extraordinary patient experience based on patient surveys. In the area of workplace honors, BayCare was named to two prestigious national lists: Fortune Best Workplaces in Health Care and PEOPLE Companies that Care. BayCare also made the 2023 Top Workplaces list of the Tampa Bay Times newspaper, an achievement annually since 2015. In 2023, BayCare provided $557 million in total Community Benefit, including $399 million in Medicaid and other income-based programs, $81 million in traditional charity care and $77 million in unbilled community services, all measured in unreimbursed costs. Addressing hunger has been a vital mission for BayCare since 2019, when a Community Health Needs Assessment identified food insecurity as one of the top issues in the Tampa Bay and West Central Florida regions. After a second needs survey in 2022 established that food insecurity was still a pressing issue, BayCare expanded its efforts. During 2023, BayCare contributed major financial support to 42 school-based food pantries operated by BayCare partner Feeding Tampa Bay, providing free food to students, their families and others who live near each school. The pantries served 30,000 households during 2023. BayCare also asks all patients admitted to its 16 hospitals if they are food insecure and offers a "Healing Bag" upon discharge to anyone who answers "yes." The bags contain two to three days of nonperishable food, plus information about food resources near their homes. More than 13,000 Healing Bags were distributed during 2023. Also in 2023, BayCare stepped up on another issue of great concern across Florida and the nation: children's mental health. BayCare brought to the Tampa Bay region "On Our Sleeves," a national movement to address the mental health needs of children. BayCare is making a $250,000 annual investment so parents and caregivers can utilize the program's tools and resources. Twenty-six years after BayCare was created, it is achieving the goal of its founders to preserve access to not-for-profit health care for the communities of Tampa Bay and West Central Florida, and it is fulfilling its Mission as an organization to "improve the health of all we serve through community-owned services that set the standard for high-quality, compassionate care." true Homeless Emergency Project 1120 N Betty Lane Clearwater FL 33755 592729694 501(C)(3) 20000 Access to Healthcare Dunedin Cares Inc 1630 Pinehurst Rd Dunedin FL 34698 472522602 501(C)(3) 10000 Nutrition 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BAYCARE ALLIANT HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS. false false false false false false false false false JACQUELINE AROCHO DIR/PRESIDENT ALLIANT HOSPITAL 229283 0 27725 0 40329 0 0 0 33 0 297370 0 0 0 DANA GARSTECKI MANAGER FINANCE & OPERATIONS LTAC 95901 0 9724 0 5609 0 4709 0 28799 0 144741 0 0 0 JOYCE ASANTE CLINICAL NURSE III 129580 0 1600 0 188 0 6556 0 4297 0 142221 0 0 0 THERESA FRIEDMAN CLINICAL NURSE III - ICU 132419 0 995 0 5431 0 6986 0 14447 0 160278 0 0 0 VESTA JACKSON CLINICAL NURSE II 129068 0 0 0 39 0 5081 0 28214 0 162402 0 0 0 JEANNEPOMUSCENE NKOMEJE LICENSED RESPIRATORY THERAPIST II - LTAC 126991 0 104 0 2286 0 6969 0 32450 0 168800 0 0 0 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 161441 0 100 0 4195 0 8678 0 26704 0 201118 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish compensation of the CEO of the filing organization. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - DANA GARSTECKI, COMPENSATION FROM UNRELATED ORGANIZATION - 144740.860000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - JOYCE ASANTE, COMPENSATION FROM UNRELATED ORGANIZATION - 142221.350000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - THERESA FRIEDMAN, COMPENSATION FROM UNRELATED ORGANIZATION - 160278.150000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - VESTA JACKSON, COMPENSATION FROM UNRELATED ORGANIZATION - 162402.000000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - JEANNEPOMUSCENE NKOMEJE, COMPENSATION FROM UNRELATED ORGANIZATION - 168799.970000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL NAME - MARIA ROSELL VALLES, COMPENSATION FROM UNRELATED ORGANIZATION - 201118.320000, NAME OF UNRELATED ORGANIZATION - BAYCARE HEALTH SYSTEM, INC., TYPE OF COMPENSATION - COMPENSATION PAID BY MEMBER ORGANIZATION THAT IS UNRELATED TO BAYCARE ALLIANT HOSPITAL, INC. Form 990, Part V, Line 1a Number in Box 3 of Form 1096 THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN. Form 990, Part VI, Line 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A Form 990, Part VI, Line 15a Process for determining compensation BAYCARE ALLIANT HOSPITAL, INC. FOLLOWS THE COMPENSATION POLICY OF ITS MEMBER ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICERS & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEE MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2023, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. Form 990, Part VI, Line 1a Delegate broad authority to a committee The organization has committees with authority to make decisions and/or act in regard to specific matters. The composition and scope of authority for any such committees are described in the organization's governing documents. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF BAYCARE ALLIANT HOSPITAL, INC. IS BAYCARE HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body A. THE BOARD OF DIRECTORS SHALL BE COMPOSED OF SEVEN (7) DIRECTORS. THE DIRECTORS SHALL BE DESIGNATED AS "NUMBER 1", "NUMBER 2", "NUMBER 3", "NUMBER 4", "NUMBER 5", "NUMBER 6 "NUMBER 7" RESPECTIVELY. B. DIRECTOR NUMBERS 1,2,3,4 AND 5 (COLLECTIVELY, THE "SELF-PERPETUATING DIRECTORS") SHALL BE INITIALLY APPOINTED BY BAYCARE. THEREAFTER, AT THE END OF A TERM OF OFFICE OR TO OTHERWISE FILL THE VACANCY OF ANY SELF-PERPETUATING DIRECTOR, ALL THE THEN SELF-PERPETUATING DIRECTORS BY MAJORITY VOTE SHALL APPOINT A SUCCESSOR SELF-PERPETUATING DIRECTOR. NO SELF-PERPETUATING DIRECTOR MAY ALSO SERVE AS A DIRECTOR, OFFICER OR EMPLOYEE OF BAYCARE OR ANY OTHER PARTICIPANTS IN THE BAYCARE JOINT OPERATING AGREEMENT. FURTHERMORE, NO SELF-PERPETUATING DIRECTOR MAY BE A MEMBER OF THE MEDICAL STAFF OF A HOSPITAL OWNED, LEASED, MANAGED OR OTHERWISE OPERATED BY BAYCARE. C. DIRECTOR NUMBERS 6 AND 7 (COLLECTIVELY, THE "BAYCARE APPOINTEES") SHALL BE APPOINTED BY BAYCARE. AT LEAST SIXTY (60) DAYS BEFORE THE EXPIRATION OF THE TERM OF ANY BAYCARE APPOINTEE, THE BOARD OF DIRECTORS SHALL NOTIFY BAYCARE OF (I) ITS OBLIGATION TO APPOINT A SUCCESSOR TO SUCH BAYCARE APPOINTEE AND (II) THE DATE UPON WHICH TERM OF SUCH BAYCARE APPOINTEE SHALL EXPIRE. D. EACH DIRECTOR SHALL SERVE FOR A TERM OF THREE (3) YEARS, EXCEPT THAT IN ORDER TO PROVIDE FOR STAGGERED TENURES OF THE INITIAL BOARD OF DIRECTORS, DIRECTOR NUMBERS 1, 2, 5 AND 6 SHALL SERVE AN INITIAL TERM OF THREE (3) YEARS, AND DIRECTOR NUMBERS 3, 4, AND 7 SHALL SERVE AN INITIAL TERM OF TWO (2) YEARS. EACH DIRECTOR THEREAFTER APPOINTED TO FILL AN EXPIRED TERM SHALL BE APPOINTED FOR AND SHALL SERVE THE FULL TERM OF THREE (3) YEARS. E. EACH DIRECTOR SHALL SERVE UNTIL HIS OR HER SUCCESSOR IS APPOINTED. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING ACTIONS OF THE BOARD ARE SUBJECT TO THE MEMBER BAYCARE HEALTH SYSTEM'S APPROVAL: 1) CHANGING THE NAME OF THE CORPORATION. 2) CHANGES TO BYLAWS. 3) THE SALE OR MERGER OF THE ASSETS OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body The form 990 is prepared by the organization and reviewed by the Manager of Finance & Operations as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the form 990 is made available to the entire Board. Form 990, Part VI, Line 12c Conflict of interest policy BAYCARE ALLIANT HOSPITAL, INC. HAS AN AFFIRMATIVE POLICY WHICH REQUIRES THAT ALL ACTUAL OR APPARENT CONFLICTS BE DISCLOSED PROMPTLY AND FULLY TO ALL NECESSARY PARTIES AND WHICH PROHIBITS SPECIFIED INVOLVEMENT IN THE AFFAIRS OF THE CORPORATION BY PERSONS HAVING SUCH CONFLICTS. THE POLICY APPLIES TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND CORPORATE OFFICERS, AGENTS AND EMPLOYEES OF THE CORPORATION, INCLUDING INDEPENDENT CONTRACTOR PROVIDERS OF SERVICES AND MATERIALS. THE CORPORATION'S MANAGEMENT HAS THE AFFIRMATIVE OBLIGATION TO PUBLICIZE PERIODICALLY THIS POLICY TO ALL PARTIES. ALL PERSONS TO WHOM THE POLICY APPLIES MUST PROMPTLY DISCLOSE ALL REAL AND APPARENT CONFLICTS WHICH THEY DISCOVER OR HAVE BROUGHT TO THEIR ATTENTION TO THE APPROPRIATE PERSONS IN THE FORM OF A WRITTEN DESCRIPTION OF THE FACTS COMPRISING THE REAL AND APPARENT CONFLICT. AN ANNUAL DISCLOSURE STATEMENT MUST BE CIRCULATED TO ALL PERSONS TO WHOM THIS POLICY APPLIES TO ASSIST THEM IN CONSIDERING SUCH DISCLOSURES, BUT DISCLOSURE IS APPROPRIATE WHENEVER CONFLICTS ARISE. THE WRITTEN DISCLOSURE NOTICES OF CONFLICTS MUST BE FILED ANNUALLY WITH THE PRESIDENT OF THE CORPORATION OR ANY OTHER PERSONS DESIGNATED BY HER FROM TIME TO TIME TO RECEIVE SUCH NOTIFICATIONS. ALL DISCLOSURE NOTICES RECEIVED WILL BE NOTED FOR RECORD IN THE MINUTES OF THE MEETING OF THE BOARD OF DIRECTORS. WHEN AN INDIVIDUAL DIRECTOR, OFFICER, AGENT OR EMPLOYEE BELIEVES THAT HE OR A MEMBER OF HIS IMMEDIATE FAMILY MIGHT HAVE OR DOES HAVE A REAL OR APPARENT CONFLICT, HE SHOULD, IN ADDITION TO FILING THE DISCLOSURE NOTICE, ABSTAIN FROM MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER SIMILAR DIRECT ACTION ON BEHALF OF THE CORPORATION WHERE THE CONFLICT MIGHT PERTAIN. ANY PERSON MAY REQUEST IN WRITING OR, UPON ITS OWN INITIATIVE, THE BOARD AT ANY TIME MAY ESTABLISH FURTHER GUIDELINES CONSISTENT WITH THE INTERESTS OF THE CORPORATION FOR THE RESOLUTION OF ANY REAL OR APPARENT CONFLICTS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE FLORIDA DEPARTMENT OF STATE AND CAN BE LOCATED AT SUNBIZ.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees OUTSIDE SERVICES - Total Expense: 1829066, Program Service Expense: 1531830, Management and General Expenses: 297236, Fundraising Expenses: ; MANAGEMENT FEE ALLOCATION - Total Expense: 950556, Program Service Expense: , Management and General Expenses: 950556, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 699823, Program Service Expense: 507760, Management and General Expenses: 192063, Fundraising Expenses: ; OTHER - Total Expense: 383081, Program Service Expense: 383081, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;