2022-11-10T16:31:26-06:00 2021-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2021-01-01 050615150 BayCare Alliant Hospital Inc BAYC 7277346639 601 Main Street Dunedin FL 34698 Jacqueline Arocho President 7277346639 2022-11-10 true Dana Garstecki 999009999 Brittney Kocaj P01320603 9542028600 2021 2022-09-23 18:48:47Z Jacqueline Arocho 601 Main Street Dunedin FL 34698 19943014 false X www.baycare.org/hospitals/baycare-alliant-hospital/about-us X 2004 FL BayCare 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. 7 7 1 13 0 0 352660 136670 18042006 19801214 7333 0 2946710 5130 21348709 19943014 0 0 9856418 11380751 0 0 7331719 7760594 17188137 19141345 4160572 801669 9214251 10505745 6343386 6833211 2870865 3672534 BayCare 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. false false 16838484 19806344 BayCare 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. 16838484 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 false 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 false 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 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 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 0 X 0 0 0 SU REYNARD-SURIANO TRUSTEE 1.0 0 X 0 0 0 JACQUELINE AROCHO DIR/PRESIDENT ALLIANT HOSPITAL 45.0 0 X 303473 0 36 MARCI METZLER MANAGER FINANCE & OPERATIONS LTAC 45.0 0 X 126459 0 24029 ANABELL ESPACIO CLINICAL NURSE II - ICU 45.0 0 X 126726 0 30379 ESNALY METELLUS LICENSED RESPIRATORY THERAPIST II - LTAC 45.0 0 X 113022 0 30979 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 45.0 0 X 144002 0 32003 SHAWN BOOKHAMMER DIRECTOR PATIENT SVCS - LTAC 45.0 0 X 129877 0 30048 THERESA FRIEDMAN CLINICAL NURSE III - ICU 45.0 0 X 139650 0 20035 1083209 0 167508 1 false true true MEASE DUNEDIN HOSPITAL INC 601 MAIN ST DUNEDIN FL 34698 pharmacy/ancillary svcs 2762438 BAYCARE HEALTH SYSTEM INC 2985 Drew St Clearwater FL 33759 management fees 1364035 AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 medical services 899348 DVA HEALTHCARE RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 191781607 dialysis services 442477 COMMUNITY HOSPITAL CONSULTING 7950 LEGACY DR STE 1000 PLANO TX 75024 medical Consulting 199302 8 133975 2695 136670 MEDICARE /MEDICAID PAYMENTS 622310 13493060 13493060 HOSPITAL PATIENT CARE 622310 6308154 6308154 0 0 0 0 19801214 0 0 0 0 MISCELLANEOUS REVENUE 900099 5130 5130 0 0 0 0 5130 19943014 19806344 0 0 X 303510 303510 9366692 9154324 212368 250654 244971 5683 904551 884042 20509 555344 525659 29685 986653 986653 12610 12610 9677 9677 2955204 2328584 626620 0 39424 39424 248447 207688 40759 9382 7921 1461 908466 908466 11476 8862 2614 143050 143050 110020 78000 32020 MEDICAL SUPPLIES 1950826 1950775 51 ASSESSMENT 270155 270155 MISCELLANEOUS 105204 86563 18641 0 0 0 0 19141345 16838484 2302861 0 2217973 2427068 2074905 4104209 0 0 66927 69374 4808818 1277119 4521524 3531699 0 15104 31051 22912 19639 294906 322705 9214251 10505745 401420 726162 0 3810584 2979234 2131382 3127815 6343386 6833211 X 2870865 3672534 2870865 3672534 9214251 10505745 801669 0 X false true X true false X false false false false false false false false true 2432 2432 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 108878 149250 1640130 1168241 471889 2910560 0 2910560 3531699 DEFERRED COMPENSATION PLAN 322705 ESTIMATED THIRD PARTY SETTLEMENTS 93678 DUE TO AFFILIATES 2711432 3127815 X 19898953 0 0 19898953 44061 44061 19943014 19097284 0 0 19097284 44061 44061 19141345 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 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 statements Grants - 44061 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements Grants - 44061 true true X true X 250 false true true false false 41262 41262 0.0022 750231 225942 524289 0.0274 0 0.0 0 0 791493 225942 565551 0.0295 5527 5527 0.0003 0 0.0 0 0.0 0 0.0 652 652 0.0000 0 0 6179 0 6179 0.0003 0 0 797672 225942 571730 0.0299 0 0.0 0 0.0 30000 30000 0.0016 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 30000 0 30000 0.0016 true 0 0 6784790 7376438 -591648 X true true 1 1 BayCare Alliant Hospital Inc 601 Main Street Dunedin FL 34698 www.baycare.org/hospitals/baycare-alliant-hospital 4492 X Acute LTC Hospital BayCare Alliant Hospital Inc 1 false false true X X X X X X X X X 19 true true true true X https://baycare.org/hospitals/baycare-alliant-hospital/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/baycare-alliant-hospital/about-us/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.. 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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. 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 HEALTH 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 7 OF THE BAYCARE ALLIANT HOSPITAL, INC. NOTES TO FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE ALLIANT HOSPITAL REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions. Schedule H, Part V, Section B, Line 16a FAP website - BayCare Alliant Hospital, Inc.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - BayCare Alliant Hospital, Inc.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BayCare Alliant Hospital, Inc.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment BAYCARE ALLIANT HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. BAYCARE ALLIANT HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. BAYCARE ALLIANT HOSPITAL, INC. recognizes the importance of hearing from those they serve. Along with collecting generally available data, BAYCARE ALLIANT HOSPITAL, INC. conducts a community-based survey to allow for community residents' voices to be heard as well as informed decision making related to health priorities. IN ADDITION, BAYCARE ALLIANT HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST BAYCARE ALLIANT HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance BAYCARE ALLIANT HOSPITAL, INC.'S FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BAYCARE HEALTH SYSTEM, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, BAYCARE ALLIANT HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. Schedule H, Part VI, Line 4 Community information BayCare Alliant Hospital is a Long-Term Acute Care (LTAC) facility serving parts of Hillsborough, Pasco and Pinellas counties. The average household income of $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 health BAYCARE 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 system BayCare Health System, headquartered in Clearwater, Florida, is the leading, not-for-profit health care system that connects individuals and families to a wide range of services at 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. false false false false false false false false false JACQUELINE AROCHO DIR/PRESIDENT ALLIANT HOSPITAL 232884 0 26880 0 43710 0 0 0 36 0 303510 0 0 0 MARCI METZLER MANAGER FINANCE & OPERATIONS LTAC 116347 0 9988 0 124 0 6312 0 17717 0 150488 0 0 0 SHAWN BOOKHAMMER DIRECTOR PATIENT SVCS - LTAC 94859 0 34683 0 335 0 2423 0 27625 0 159925 0 0 0 ANABELL ESPACIO CLINICAL NURSE II - ICU 89389 0 37242 0 95 0 6444 0 23934 0 157104 0 0 0 THERESA FRIEDMAN CLINICAL NURSE III - ICU 123995 0 13795 0 1860 0 6866 0 13169 0 159685 0 0 0 ESNALY METELLUS LICENSED RESPIRATORY THERAPIST II - LTAC 104816 0 8110 0 96 0 3342 0 27637 0 144001 0 0 0 MARIA ROSELL VALLES CLINICAL NURSE II - ICU 116559 0 27425 0 17 0 7278 0 24725 0 176004 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 - 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 INDIVIDUAL NAME - 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 INDIVIDUAL NAME - 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 INDIVIDUAL NAME - 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 INDIVIDUAL NAME - 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 INDIVIDUAL NAME - 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. 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 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 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" 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 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 OTHER 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: ;