2023-11-14T18:04:23+00:00 2022-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-01-01 050615150 BayCare Alliant Hospital Inc BAYC 7277346639 601 Main Street Dunedin FL 34698 Jacqueline Arocho President 7277346639 2023-11-15 true Dana Garstecki 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z Jacqueline Arocho 601 Main Street Dunedin FL 34698 21088553 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 2354 0 136670 1446 19801214 21085871 0 5130 1236 19943014 21088553 30000 0 11380751 13241383 0 0 7760594 7957860 19141345 21229243 801669 -140690 10505745 9225740 6833211 5693896 3672534 3531844 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 16837676 30000 21084753 BayCare Alliant Hospital, Inc. (BAH) is a 48 bed, long-term acute care hospital. During 2022, BAH provided inpatient care to 356 patients and the average length of stay was 28.4 days. Through efforts of the medical assistance program and the hospital's charity care program, BAH saw a net benefit to the community of approximately $682,000. Refer to Schedule H, Part I and II for additional information. 16837676 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 GLENN WATERS TRUSTEE/EVP, COO BAYCARE (until Oct 2022) 1.0 0 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 BAYCARE HOSP DIV 1.0 0 X 0 0 0 SU REYNARD-SURIANO TRUSTEE 1.0 0 X 0 0 0 DANA GARSTECKI MANAGER FINANCE & OPERATIONS LTAC (eff May 2022) 45.0 0 X 64464 0 27002 JACQUELINE AROCHO DIR/PRESIDENT ALLIANT HOSPITAL 45.0 0 X 317878 0 36 MARCI METZLER MANAGER FINANCE & OPERATIONS LTAC (until April 2022) 45.0 0 X 72865 0 5706 JEANNEPOMUSCENE NKOMEJE LICENSED RESPIRATORY THERAPIST II - LTAC 45.0 0 X 139467 0 39027 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 45.0 0 X 155026 0 34632 PATRICIA VAN HUNNIK MANAGER CLINICAL SERVICES - ALLIANT 45.0 0 X 120739 0 37900 SHAWN BOOKHAMMER DIRECTOR PATIENT SVCS - LTAC 45.0 0 X 155364 0 36252 THERESA FRIEDMAN CLINICAL NURSE III - ICU 45.0 0 X 151836 0 21086 1177638 0 201640 1 false true true AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 medical services 3244277 MEASE DUNEDIN HOSPITAL INC 601 MAIN ST DUNEDIN FL 34698 pharmacy/ancillary svcs 2808186 BAYCARE HEALTH SYSTEM INC 2985 DREW ST CLEARWATER FL 33759 management services 1457567 DVA HEALTHCARE RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 191781607 dialysis services 298112 LEONARD J DUNN 3201 LEPRECHAUN LN PALM HARBOR FL 34683 physician services 141054 6 1446 1446 MEDICARE/MEDICAID PAYMENTS 622310 14042499 14042499 HOSPITAL PATIENT CARE 622310 7043372 7043372 0 0 0 0 21085871 0 0 0 0 MISCELLANEOUS REVENUE 900099 1236 -1118 2354 0 0 0 0 1236 21088553 21084753 2354 0 X 30000 30000 317914 317914 11129851 10297301 832550 282445 263546 18899 923940 862116 61824 587233 516499 70734 12920 12920 9650 9650 3666754 1619557 2047197 0 41605 30000 11605 220085 164204 55881 17951 1402 16549 908862 13884 894978 26136 18455 7681 137950 137124 826 110359 78000 32359 MEDICAL SUPPLIES 2019938 2019938 ASSESSMENT 291084 291084 MISCELLANEOUS 494566 494566 0 0 0 0 21229243 16837676 4391567 0 2427068 2330846 4104209 3900698 0 0 0 0 69374 77861 4016839 1402203 3531699 2614636 0 31051 34225 19639 16366 322705 251108 10505745 9225740 726162 569790 0 0 0 0 0 0 2979234 2119534 3127815 3004572 6833211 5693896 X 3672534 3531844 0 3672534 3531844 10505745 9225740 -140690 0 X false true X true false X false false false false false false false false true 1483 1483 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 126587 131541 1717136 1275616 441520 2041575 0 2041575 2614636 0 DEFERRED COMPENSATION PLAN ESTIMATED THIRD PARTY SETTLEMENTS DUE TO AFFILIATES DEFERRED COMPENSATION PLAN 251108 DUE TO AFFILIATES 2672082 ESTIMATED THIRD PARTY SETTLEMENTS 81382 3004572 X 21088553 0 0 21088553 0 0 21088553 21229243 0 0 21229243 0 0 21229243 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 2022. 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, 2022. true true X true X 250 false true true false false 26609 26609 0 0.0 924757 273165 651592 0.0307 0 0.0 0 0 951366 299774 651592 0.0307 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 951366 299774 651592 0.0307 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 8284059 9912617 -1628558 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 efforts in the 2020-2022 time period to address the following significant health needs of our community as identified in the 2020-2022 CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight BayCare Alliant Hospital's 2020-2022 Implementation plan is attached to this return and described specific activities that were underway to address these significant health needs in the 2020-2022 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 2020-2022 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. 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 it serves. 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 $91,715 in this area is $1,480 less than the state average household income ($93,195) and $13,257 below the national average household income ($104,972). Those households with incomes below $15,000 represent 9.0% of the households in the service area. The population served is primarily White Non-Hispanic (69.2%); Hispanics are the second largest ethnic group representing 13.1% of the population. 91.0% of the population are high school graduates or higher educated. BayCare Alliant Hospital serves the west central Florida area which has 14 acute care hospitals (8 not-for-profit; 6 for-profit), 1 for-profit rehab hospital, 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 2.8% in the next 5 years. The expected growth rate for Florida is 5.0% and the United States is 2.1%. The over 65 population is expected to grow 13.2% in the next five years. Based on Florida inpatient discharge data for the period of 10/01/21 - 9/30/22, the payer mix for the service area consists of 53.9% Medicare/Medicare HMO, 13.8% Medicaid/Medicaid HMO, 20.7% Commercial Insurance, 6.1% Self- pay/Non-pay and 5.5% Other. Schedule H, Part VI, Line 5 Promotion of community health BayCare Alliant Hospital (Alliant) opened its doors on March 8, 2008. This Specialty Acute Care Hospital was created after BayCare Health System identified a need in the community for patients requiring hospital-level care for an extended period. This new hospital in north Pinellas County would provide care for patients on ventilators, with complex illnesses, cardiac needs, or complex wounds by transitioning them out of intensive care units into a facility with critical care specialists. Alliant would serve the community by providing focused care for chronic medical conditions requiring weeks of treatment and by helping the acute care hospitals meet the demand for critical care patient beds. Physically located within Mease Dunedin Hospital, with a separate entrance on Main Street, Alliant is a hospital-within-a-hospital (HIH). As an HIH, Alliant has 24-hour access to essential diagnostic equipment and surgical services. Medical emergencies can be managed onsite without the need for ambulance transport or external transfer. Alliant's state-of-the-art Intensive Care Unit is equipped with eCare, which means physicians can monitor patients round-the-clock. The ICU allows Alliant to accept critically ill patients earlier in their hospitalization and provide 2-to-1 nursing ratios in the unit; 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. Alliant's mission has remained the same: to provide excellence in care for patients with prolonged illnesses, recognizing that optimum healing requires a team approach to address mind, body, and spirit. Its Board of Trustees is comprised of persons who reside in the organization's community 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. The organization uses surplus funds for improvements in facilities and equipment, patient care, medical training, education, and research. Alliant continues its commitment to enhancing residents' quality of life by actively participating in community health events and providing education to patients, physicians, and allied health professionals as important resources within the community. For several years, Alliant has partnered with Dunedin Cares Community Food Pantry holding food drives, donating foodstuffs, participating in health screenings, and offering nutrition education. Since 2021, as part of its CHNA initiative, Alliant has awarded Dunedin Cares a monetary contribution to support procurement of fresh produce and dairy products to help eradicate food insecurity. This support became especially crucial during the pandemic and has remained essential due to the increased prices of food and lodging in the community. BayCare Alliant has also established an ongoing partnership with the Homeless Empowerment Program (HEP) assisting homeless and low-income individuals and families, including veterans, with housing, food, clothing, and support. When COVID forced Alliant to stop its educational inservices at HEP (Wellness Wednesdays), Alliant started holiday and back-to-school drives to assist families in need; a practice that continues. Since 2021, as part of its CHNA initiative, Alliant has provided contributions to fund both HEP's Vision Program and Behavioral Health Program. HEP has provided testimonials to speak to the positive impact Alliant's sponsorship has had on its clients. As activities in the community reopen post-pandemic, Alliant actively participates and builds alliances with local business leaders and residents through BayCare-sponsored activities such as Pitch for Pink and Holiday Lights. These events provide enjoyable learning opportunities to educate residents about health resources in their community. In addition, Alliant clinical nurse liaisons establish relationships with care coordinators and physicians in Pinellas County and beyond and partner with these healthcare professionals to help establish the correct level of care for patients in the community. The liaisons meet with patients and families as an important resource for information and to help manage the anxiety created by critical illness. When needed, Alliant also assists family members with transportation to visit their loved ones at the hospital; Alliant also collaborates with sister hospitals on complex and hardship cases to ensure that those in the community can receive the care they need. Schedule H, Part VI, Line 6 Affiliated health care system BayCare Health System (BayCare), 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 the Tampa Bay and West Central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, surgery centers, wellness centers, behavioral health, home care and urgent care. BayCare's 2022 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.) During 2022, BayCare continued construction of two new hospitals to provide acute care services in parts of the region experiencing rapid population growth: BayCare Hospital Wesley Chapel opened in March 2023, and construction progressed on a replacement South Florida Baptist Hospital near its current location, with opening expected in late 2023. BayCare celebrated its 25th anniversary in 2022. It 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. With $5.1 billion in operating revenue in 2022, 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. BayCare has 3,946 hospital beds, 21 urgent care centers, 4 surgery centers, 15 outpatient imaging facilities, 193 physician practice locations and 36 walk-in care stations in Publix supermarkets. BayCare annually generates $8.5 billion in economic impact in the region and state. BayCare is one of the largest employers in the Tampa Bay area, with 29,402 team members. During 2022, BayCare provided $699.7 million in benefits for its employees, including $218.8 million in retirement, $192 million in medical insurance, $174 million in paid time off and $53 million in education and development. In 2022, BayCare was named to these prestigious national lists: Fortune Best Workplaces in Health Care, PEOPLE Companies that Care, and BOLD Programs of Distinction from the National Center for Healthcare Leadership. BayCare also made the 2022 Top Workplaces list of the Tampa Bay Times newspaper. In 2022, BayCare provided $492 million in total Community Benefit, including $332 million in Medicaid and other income-based programs, $97 million in traditional charity care and $63 million in unbilled community services, all measured in unreimbursed costs. After a Community Health Needs Assessment conducted in 2019 identified food insecurity as one of the top issues in the Tampa Bay and West Central Florida regions - an issue only exacerbated by the pandemic - BayCare stepped up to help not just our patients, but individuals and families throughout the area we serve. BayCare partnered with not-for-profit Feeding Tampa Bay and in 2022 helped to fund food pantries in 42 public schools in lower-income neighborhoods across four counties. In 2022, BayCare distributed more than 9,200 "Healing Bags" of food to our patients who identified food insecurity as a problem. BayCare also adjusted its patient record system to prompt case managers to ask every vulnerable, high-risk patient about food insecurity and record the answer so that hunger can be diagnosed and treated like other medical problems. During 2022, 103,000 patients were asked those questions and their answers were recorded in their electronic medical records. BayCare's financial strength, the efficiencies gained from its operating model, its visionary leadership, the hard work of its team members, and its determination to provide exceptional care to its patients helped BayCare in 2022 retain its ranking in the top 20% of large U.S. health systems clinical excellence by Fortune/Merative. Twenty-five years after it was created, BayCare is achieving the goal of its founders to preserve 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 238992 0 33820 0 45065 0 0 0 36 0 317914 0 0 0 DANA GARSTECKI MANAGER FINANCE & OPERATIONS LTAC (eff May 2022) 62010 0 0 0 2454 0 3677 0 23325 0 91466 0 0 0 MARCI METZLER MANAGER FINANCE & OPERATIONS LTAC (until April 2022) 39454 0 15798 0 17613 0 0 0 5706 0 78571 0 0 0 SHAWN BOOKHAMMER DIRECTOR PATIENT SVCS - LTAC 136579 0 18098 0 687 0 5772 0 30480 0 191616 0 0 0 THERESA FRIEDMAN CLINICAL NURSE III - ICU 147470 0 2420 0 1947 0 7639 0 13447 0 172922 0 0 0 JEANNEPOMUSCENE NKOMEJE LICENSED RESPIRATORY THERAPIST II - LTAC 137615 0 1820 0 32 0 7349 0 31677 0 178494 0 0 0 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 150765 0 1750 0 2510 0 8085 0 26547 0 189657 0 0 0 PATRICIA VAN HUNNIK MANAGER CLINICAL SERVICES - ALLIANT 106102 0 14284 0 353 0 6182 0 31717 0 158639 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 - 91465.830000, 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 - MARCI METZLER, COMPENSATION FROM UNRELATED ORGANIZATION - 78571.000000, 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 - SHAWN BOOKHAMMER, COMPENSATION FROM UNRELATED ORGANIZATION - 191616.030000, 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 - 172921.970000, 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 - JEANNEPOMUSCENE NKOMEJE, COMPENSATION FROM UNRELATED ORGANIZATION - 178493.500000, 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 - 189657.060000, 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 - PATRICIA VAN HUNNIK, COMPENSATION FROM UNRELATED ORGANIZATION - 158639.140000, 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 2021, 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: 2043233, Program Service Expense: 1244111, Management and General Expenses: 799122, Fundraising Expenses: ; Management Fee Allocation - Total Expense: 1020577, Program Service Expense: , Management and General Expenses: 1020577, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 568873, Program Service Expense: 361873, Management and General Expenses: 207000, Fundraising Expenses: ; Other - Total Expense: 34071, Program Service Expense: 13573, Management and General Expenses: 20498, 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: ;