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BAYCARE ALLIANT HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BAYCARE ALLIANT HOSPITAL INC (EIN 05-0615150)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202213149349306966
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T16:31:26-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050615150EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BayCare Alliant Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAYCBusinessNameControlTxt
Phone7277346639PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJacqueline ArochoPersonNm
Person TitlePresidentPersonTitleTxt
Phone7277346639PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDanaPersonFirstNm
Person LastGarsteckiPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrittney KocajPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Jacqueline ArochoBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,943,014GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.baycare.org/hospitals/baycare-alliant-hospital/about-usWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionBayCare Alliant, 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.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$352,660PYContributionsGrantsAmt
CY Contributions Grants$136,670CYContributionsGrantsAmt
PY Program Service Revenue$18,042,006PYProgramServiceRevenueAmt
CY Program Service Revenue$19,801,214CYProgramServiceRevenueAmt
PY Investment Income$7,333PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$2,946,710PYOtherRevenueAmt
CY Other Revenue$5,130CYOtherRevenueAmt
PY Total Revenue$21,348,709PYTotalRevenueAmt
CY Total Revenue$19,943,014CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,856,418PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,380,751CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,331,719PYOtherExpensesAmt
CY Other Expenses$7,760,594CYOtherExpensesAmt
PY Total Expenses$17,188,137PYTotalExpensesAmt
CY Total Expenses$19,141,345CYTotalExpensesAmt
PY Revenues Less Expenses$4,160,572PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$801,669CYRevenuesLessExpensesAmt
Total Assets BOY$9,214,251TotalAssetsBOYAmt
Total Assets EOY$10,505,745TotalAssetsEOYAmt
Total Liabilities BOY$6,343,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,833,211TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,870,865NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,672,534NetAssetsOrFundBalancesEOYAmt
MissionBayCare Alliant, 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,838,484ExpenseAmt
Revenue$19,806,344RevenueAmt
DescBayCare Alliant Hospital, Inc. (BAH) is a 48 bed, long-term acute care hospital. During 2021, BAH provided inpatient care to 395 patients and the average length of stay was 24.3 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 $602,000. Refer to Schedule H, Part I and II for additional information.Desc
Total Program Service Expenses$16,838,484TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dana Garstecki Finance ManagerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8635140728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALAN HOLDERITH
TRUSTEE/CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
CHARLES ROBINSON
TRUSTEE/SECRETARY1.00Yes (X)Yes (X)$0$0$0
GLENN WATERS
TRUSTEE/EVP, COO BAYCARE1.00Yes (X)$0$0$0
JON BRETHAUER
TRUSTEE1.00Yes (X)$0$0$0
KEN HAMILTON
TRUSTEE1.00Yes (X)$0$0$0
RONALD BEAMON
VP, CFO BAYCARE HOSP DIV1.00Yes (X)$0$0$0
SU REYNARD-SURIANO
TRUSTEE1.00Yes (X)$0$0$0
JACQUELINE AROCHO
DIR/PRESIDENT ALLIANT HOSPITAL45.00Yes (X)$303,473$0$36
MARCI METZLER
MANAGER FINANCE & OPERATIONS LTAC45.00Yes (X)$126,459$0$24,029
ANABELL ESPACIO
CLINICAL NURSE II - ICU45.00$126,726$0$30,379Yes (X)
ESNALY METELLUS
LICENSED RESPIRATORY THERAPIST II - LTAC45.00$113,022$0$30,979Yes (X)
MARIA ROSELL VALLES
CLINICAL NURSE II - ICU45.00$144,002$0$32,003Yes (X)
SHAWN BOOKHAMMER
DIRECTOR PATIENT SVCS - LTAC45.00$129,877$0$30,048Yes (X)
THERESA FRIEDMAN
CLINICAL NURSE III - ICU45.00$139,650$0$20,035Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,083,209TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$167,508TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MEASE DUNEDIN HOSPITAL INC
601 MAIN STDUNEDINFL34698pharmacy/ancillary svcs$2,762,438
BAYCARE HEALTH SYSTEM INC
2985 Drew StClearwaterFL33759management fees$1,364,035
AYA HEALTHCARE INC
5930 CORNERSTONE CT WSAN DIEGOCA92121medical services$899,348300
DVA HEALTHCARE RENAL CARE INC
PO BOX 8500-1607PHILADELPHIAPA191781607dialysis services$442,477
COMMUNITY HOSPITAL CONSULTING
7950 LEGACY DRPLANOTX75024medical Consulting$199,302STE 1000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$133,975GovernmentGrantsAmt
All Other Contributions$2,695AllOtherContributionsAmt
Total Contributions$136,670TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE /MEDICAID PAYMENTS622310$13,493,060$13,493,060
HOSPITAL PATIENT CARE622310$6,308,154$6,308,154

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,801,214TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$5,130TotalRevenueColumnAmt
Related Or Exempt Func Income$5,130RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,130OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,943,014TotalRevenueColumnAmt
Related Or Exempt Func Income$19,806,344RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$303,510TotalAmt
Management And General$303,510ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,366,692TotalAmt
Program Services$9,154,324ProgramServicesAmt
Management And General$212,368ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$250,654TotalAmt
Program Services$244,971ProgramServicesAmt
Management And General$5,683ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$904,551TotalAmt
Program Services$884,042ProgramServicesAmt
Management And General$20,509ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$555,344TotalAmt
Program Services$525,659ProgramServicesAmt
Management And General$29,685ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$986,653TotalAmt
Management And General$986,653ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,610TotalAmt
Management And General$12,610ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,677TotalAmt
Management And General$9,677ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,955,204TotalAmt
Program Services$2,328,584ProgramServicesAmt
Management And General$626,620ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,424TotalAmt
Program Services$39,424ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$248,447TotalAmt
Program Services$207,688ProgramServicesAmt
Management And General$40,759ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,382TotalAmt
Program Services$7,921ProgramServicesAmt
Management And General$1,461ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$908,466TotalAmt
Program Services$908,466ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,476TotalAmt
Program Services$8,862ProgramServicesAmt
Management And General$2,614ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$143,050TotalAmt
Program Services$143,050ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$110,020TotalAmt
Program Services$78,000ProgramServicesAmt
Management And General$32,020ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,950,826$1,950,775$51
ASSESSMENT$270,155$270,155
MISCELLANEOUS$105,204$86,563$18,641

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,141,345TotalAmt
Program Services$16,838,484ProgramServicesAmt
Management And General$2,302,861ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,217,973BOYAmt
EOY$2,427,068EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,074,905BOYAmt
EOY$4,104,209EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,927BOYAmt
EOY$69,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,808,818LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,277,119LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,521,524BOYAmt
EOY$3,531,699EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$15,104BOYAmt
EOY$31,051EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$22,912BOYAmt
EOY$19,639EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$294,906BOYAmt
EOY$322,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,214,251BOYAmt
EOY$10,505,745EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$401,420BOYAmt
EOY$726,162EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,810,584BOYAmt
EOY$2,979,234EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,131,382BOYAmt
EOY$3,127,815EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,343,386BOYAmt
EOY$6,833,211EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,870,865BOYAmt
EOY$3,672,534EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,870,865BOYAmt
EOY$3,672,534EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,214,251BOYAmt
EOY$10,505,745EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$801,669ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,432OtherActivitiesAmt
Total Lobbying Expenditures$2,432TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLine 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$258,128OtherCostOrOtherBasisAmt
Depreciation$108,878DepreciationAmt
Book Value$149,250BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,640,130OtherCostOrOtherBasisAmt
Depreciation$1,168,241DepreciationAmt
Book Value$471,889BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,910,560OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$2,910,560BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,531,699TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PLAN$322,705
ESTIMATED THIRD PARTY SETTLEMENTS$93,678
DUE TO AFFILIATES$2,711,432
FieldValueIRS element (for citing)
Total Liability$3,127,815TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$19,898,953TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$19,898,953RevenueSubtotalAmt
Other Revenues Not Included$44,061OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$44,061RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,943,014TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,097,284TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,097,284ExpensesSubtotalAmt
Other Expenses Not Included$44,061OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$44,061ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,141,345TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe 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 2021. 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, 2021.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsGrants - 44061
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsGrants - 44061

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,262NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$750,231TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$225,942DirectOffsettingRevenueAmt
Net Community Benefit Expns$524,289NetCommunityBenefitExpnsAmt
Total Expense0.0274TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$791,493TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$225,942DirectOffsettingRevenueAmt
Net Community Benefit Expns$565,551NetCommunityBenefitExpnsAmt
Total Expense0.0295TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,527NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$652TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$652NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$6,179TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,179NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$797,672TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$225,942DirectOffsettingRevenueAmt
Net Community Benefit Expns$571,730NetCommunityBenefitExpnsAmt
Total Expense0.0299TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,000NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$30,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,000NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,784,790ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,376,438CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$591,648MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BayCare Alliant Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.baycare.org/hospitals/baycare-alliant-hospitalWebsiteAddressTxt
State License4492StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherAcute LTC HospitalOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BayCare Alliant Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://baycare.org/hospitals/baycare-alliant-hospital/about-us/community-health-needsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://baycare.org/hospitals/baycare-alliant-hospital/about-us/community-health-needsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE 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 , 1Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. 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, 55 COMMUNITY STAKEHOLDERS IN THE BAYCARE ALLIANT HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 8 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: 1. ADVENT HEALTH (FLORIDA HOSPITAL) 2. JOHNS HOPKINS ALL CHILDREN'S HOSPITAL 3. MOFFITT CANCER CENTER IN ADDITION, The CHNA was conducted in conjunction with the BayCare Health System Community Benefits Team and included the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL, INC. 2. MORTON PLANT HOSPITAL ASSOCIATION, INC. 3. TRUSTEES OF MEASE HOSPITAL, INC. 4. ST. JOSEPH'S HOSPITAL, INC. 5. SOUTH FLORIDA BAPTIST HOSPITAL, INC. 6. WINTER HAVEN HOSPITAL, INC. 7. BARTOW REGIONAL MEDICAL CENTER, INC. 8. BAYCARE ALLIANT HOSPITAL, INC.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITIES: FLORIDA DEPARTMENT OF HEALTH IN PINELLAS COUNTY
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - BAYCARE ALLIANT HOSPITAL, INC.. BayCare Alliant Hospital is concentrating efforts during the 2020-2022 time period to address the following significant health needs of our community as identified in the most recent CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight BAYCARE ALLIANT HOSPITAL'S Implementation plan DESCRIBES specific activities that are underway to address these significant health needs during the 2020-2022 time period. Although the majority of the overarching goals, objectives and efforts will focus on these top three focus areas, BayCare Alliant Hospital remains 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'll continue 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 , 1Facility , 1 - BAYCARE ALLIANT HOSPITAL, Inc.. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 7 State filing of community benefit reportBAYCARE 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 carePATIENTS 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 calculation0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceFINANCIAL 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 HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS.
Schedule H, Part II Community Building ActivitiesBayCare 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 amountBAD 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 footnoteTHE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 7 OF THE BAYCARE ALLIANT HOSPITAL, INC. NOTES TO FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsCOST 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 assistancePATIENTS 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 assessmentBAYCARE 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 assistanceBAYCARE 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 informationBayCare Alliant Hospital is a Long-Term Acute Care (LTAC) facility serving parts of Hillsborough, Pasco and Pinellas counties. The average household income of $89,675 in this area is $4,276 less than the state average household income ($93,951) and $13,951 below the national average household income ($103,626). Those households with incomes below $15,000 represent 9.1% of the households in the service area. The population served is primarily Caucasian Non-Hispanic (71.6%); Hispanics are the second largest ethnic group representing 13.6% of the population. 91.0% 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 16 acute care hospitals (8 are not-for-profit), 1 rehab hospital, 1 behavioral health hospital & 2 long-term acute care hospitals. 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 3.6% in the next 5 years. The expected growth rate for Florida is 4.6% and the United States is 3.2%. The over 65 population is expected to grow 14.0% in the next five years. Based on Florida inpatient discharge data for the period of 10/01/20 - 9/30/21, the payer mix for the service area consists of 52.5% Medicare/Medicare HMO, 14.5% Medicaid/Medicaid HMO, 20.1% Commercial Insurance, 7.1% Self- pay/Non-pay and 5.8% Other.
Schedule H, Part VI, Line 5 Promotion of community healthBAYCARE ALLIANT HOSPITAL, INC. IS A 48-BED, LONG-TERM ACUTE CARE HOSPITAL (LTCH) AFFILIATED WITH BAYCARE HEALTH SYSTEM. IT IS THE ONLY FACILITY OF ITS KIND LOCATED WITHIN A 20 MILE RADIUS OF DUNEDIN, FLORIDA. THE 27,253-SQUARE-FOOT FACILITY PROVIDES DIAGNOSTIC, MEDICAL TREATMENT AND REHABILITATION FOR PATIENTS EXPERIENCING COMPLEX MEDICAL CONDITIONS DUE TO CHRONIC DISEASE OR INJURIES. THE HOSPITAL TAKES A MULTI-DISCIPLINARY, FAMILY-CENTERED APPROACH WITH PHYSICIANS, NURSING AND OTHER HEALTH CARE SPECIALISTS WORKING TOGETHER TOWARD THE GOAL OF THE BEST POSSIBLE RECOVERY FOR PATIENTS. BAYCARE ALLIANT IS LOCATED INSIDE MEASE DUNEDIN HOSPITAL. THIS PROXIMITY ENABLES BAYCARE ALLIANT TO PROVIDE THE COMMUNITY WITH ACCESS TO HIGH QUALITY PATIENT CARE AND MINIMIZES PATIENT TRANSPORTATION. LONG-TERM HOSPITALS LOCATED WITHIN GENERAL ACUTE CARE HOSPITALS ARE OFTEN REFERRED TO AS "HOSPITALS WITHIN A HOSPITAL." A TYPICAL STAY AT A LONG-TERM ACUTE CARE HOSPITAL IS 25 DAYS OR MORE. THE 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 HOSPITAL HAS PROVIDED EDUCATIONAL SESSIONS TO THE PHYSICIAN AND CLINICAL COMMUNITY, LECTURED TO LOCAL ORGANIZATIONS, AND SPONSORED CHARITABLE EVENTS. THERE IS A CRITICAL NEED FOR THE HOSPITAL GIVEN THAT IT IS THE ONLY LTCH WITHIN THE VICINITY AND GIVEN THAT IT SERVES THE MOST HIGHLY ACUTE AND CHRONICALLY ILL SEGMENT OF THE COMMUNITY. The second year of the coronavirus pandemic proved once again the mettle of BayCare team members and physicians. Demonstrating stamina and agility, our extraordinary team adapted constantly to the virus' variants and provided the exceptional care the community relies on. The year 2021 was an endurance test, from the year's optimistic start with a growing supply of COVID-19 vaccines to the incredible toil of the summer's Delta wave, and to the arrival, at year's end, of the Omicron variant. Addressing COVID-19 came in addition to the community's other health care needs, not in lieu of it. In the first quarter, office spaces were converted into vaccination clinics, delivering 89,368 doses of vaccine to BayCare employees plus other health care workers, patients age 65 and over, medically vulnerable adults under age 65 and other vulnerable populations. The clinics continued operations until retail pharmacies began offering vaccinations. Then, during the Delta surge, BayCare team members stepped away from their normal duties when they could to help out wherever they were needed as COVID-19 patient counts skyrocketed. They served food in hospital cafeterias, pushed gurneys, cleaned rooms, restocked supplies and sat with patients to provide frontline caregivers as much support as possible. While fighting the virus was job one for the health system in 2021, team members also worked steadily on achieving goals that had been set for the year and growing BayCare's services for the communities of West Central Florida, always remaining focused on BayCare's mission to set the standard for high-quality, compassionate care.
Schedule H, Part VI, Line 6 Affiliated health care systemBayCare 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 15 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 2021 Report to the Community can be viewed at BayCare.org/AnnualReport. BayCare's 15 hospitals are BayCare Alliant, Bartow Regional Medical Center, 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 2021, BayCare began construction of two new hospitals to provide acute care services in parts of the region experiencing rapid population growth. South Florida Baptist Hospital will receive a new facility near its current location and BayCare Hospital Wesley Chapel is expected to open in 2023. 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. With $4.9 billion in operating revenue in 2021, 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 3,892 hospital beds, 20 urgent care centers, 4 surgery centers, 15 outpatient imaging facilities, 177 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 27,739 team members. During 2021, BayCare provided $702.1 million in benefits for its employees, including more than $205.2 million in retirement, $182 million in medical insurance, $162.9 million in paid time off and $44.9 million in education and development. In 2021, FORTUNE magazine and Great Place to Work ranked BayCare 68th on the 100 Best Companies to Work For national list. BayCare also was ranked seventh out of 28 large U.S. companies on the list of Best Workplaces in Health Care and Biopharma 2021 by Great Place to Work and FORTUNE. BayCare also made the 2021 Top Workplaces list of the Tampa Bay Times newspaper. In 2021, BayCare provided $497 million in total Community Benefit, including $357 million in Medicaid and other income-based programs, $91 million in traditional charity care and $49 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 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 committed $450,000 to open food pantries in 18 public schools in lower-income neighborhoods across four counties. In 2021, BayCare distributed more than 2,650 "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. BayCare also invested $100,000 in underwriting the creation of a West Central Florida web portal that can connect individuals to social service agencies able to help them with long-term needs. 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 2021 retain its ranking in the top 20% of large U.S. health systems by IBM Watson Health. 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JACQUELINE AROCHO
DIR/PRESIDENT ALLIANT HOSPITAL$232,884$0$26,880$0$43,710$0$0$0$36$0$303,510$0$0$0
MARCI METZLER
MANAGER FINANCE & OPERATIONS LTAC$116,347$0$9,988$0$124$0$6,312$0$17,717$0$150,488$0$0$0
SHAWN BOOKHAMMER
DIRECTOR PATIENT SVCS - LTAC$94,859$0$34,683$0$335$0$2,423$0$27,625$0$159,925$0$0$0
ANABELL ESPACIO
CLINICAL NURSE II - ICU$89,389$0$37,242$0$95$0$6,444$0$23,934$0$157,104$0$0$0
THERESA FRIEDMAN
CLINICAL NURSE III - ICU$123,995$0$13,795$0$1,860$0$6,866$0$13,169$0$159,685$0$0$0
ESNALY METELLUS
LICENSED RESPIRATORY THERAPIST II - LTAC$104,816$0$8,110$0$96$0$3,342$0$27,637$0$144,001$0$0$0
MARIA ROSELL VALLES
CLINICAL NURSE II - ICU$116,559$0$27,425$0$17$0$7,278$0$24,725$0$176,004$0$0$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe 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 INDIVIDUALNAME - MARCI METZLER, COMPENSATION FROM UNRELATED ORGANIZATION - 150487.960000, 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 INDIVIDUALNAME - SHAWN BOOKHAMMER , COMPENSATION FROM UNRELATED ORGANIZATION - 159925.080000, 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 INDIVIDUALNAME - ANABELL ESPACIO , COMPENSATION FROM UNRELATED ORGANIZATION - 157104.310000, 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 INDIVIDUALNAME - THERESA FRIEDMAN, COMPENSATION FROM UNRELATED ORGANIZATION - 159684.820000, 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 INDIVIDUALNAME - ESNALY METELLUS , COMPENSATION FROM UNRELATED ORGANIZATION - 144000.650000, 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 INDIVIDUALNAME - MARIA ROSELL VALLES , COMPENSATION FROM UNRELATED ORGANIZATION - 176004.120000, 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a Number in Box 3 of Form 1096THE 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 compensationSEE NARRATIVE FOR PART VI, LINE 15A
Form 990, Part VI, Line 15a Process for determining compensationBAYCARE 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 OFFICER & 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 committeeThe 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 stockholdersTHE 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 bodyA. 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" AND "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 stockholdersTHE 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 bodyThe 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 policyBAYCARE 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 publicTHE 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 FeesOTHER OUTSIDE SERVICES - Total Expense: 727567, Program Service Expense: 481969, Management and General Expenses: 245598, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 494113, Program Service Expense: 494113, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1733524, Program Service Expense: 1352502, Management and General Expenses: 381022, 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: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;