2022-11-10T16:38:24-06:00 2021-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2021-01-01 590724462 Winter Haven Hospital Inc WINT 8632931121 200 Avenue F NE Winter Haven FL 33881 Ron Beamon VP, CFO - BayCare Hospital Div 8635338111 2022-11-10 true Ron Beamon 999009999 Brittney Kocaj P01320603 9542028600 2021 2022-09-23 18:48:47Z Glenn Waters 2985 Drew Street Clearwater FL 33759 467841643 false X www.baycare.org/hospitals/winter-haven-hospital X 1926 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 14 13 2834 135 429761 0 7941883 4455851 370080488 433522178 3784934 7812062 2919420 6724545 384726725 452514636 379350 97123 0 164956573 201475825 0 0 211836595 235259883 377172518 436832831 7554207 15681805 408702021 434764430 166144704 179408404 242557317 255356026 To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 379451189 97123 438050855 WINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 519 BED COMMUNITY HOSPITAL. DURING 2021, WHH PROVIDED INPATIENT CARE TO 19,872 PATIENTS, TREATED 68,170 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,776 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $54.3 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING OVER $5 MILLION. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 379451189 true true false true false false false false false true false false false true true false true false false true false false false false false true true true false true false false false false false false true false false false false false false true false false false true X 0 0 2834 true true true false false false false false false false false false false false X 14 13 true false false false true true true true true false false true true true true true true false false false FL X Janice Polo 7278208021 2985 Drew Street Clearwater FL 33759 CHARLES MCPHERSON TRUSTEE/SECRETARY 1.0 0 X X 0 0 0 CHIP TUCKER TRUSTEE/VICE CHAIR 1.0 0 X X 0 0 0 RICHARD STRAUGHN TRUSTEE/TREASURER 1.0 0 X X 0 0 0 TODD DANTZLER TRUSTEE/Chair 1.0 0 X X 0 0 0 AL CASSIDY TRUSTEE 1.0 0 X 0 0 0 ALAN GUSTAFSON TRUSTEE 1.0 0 X 0 0 0 ANGELA FALCONETTI TRUSTEE 1.0 0 X 0 0 0 CINDY ALEXANDER TRUSTEE 1.0 0 X 0 0 0 CINDY HENRY TRUSTEE 1.0 0 X 0 0 0 DON INGRAM TRUSTEE 1.0 1.0 X 0 0 0 EDGAR WILLARD TRUSTEE 5.0 0 X 78808 0 0 KOLLAGUNTA CHANDRASEKHAR TRUSTEE 1.0 0 X 0 0 0 MARK BOSTICK TRUSTEE 1.0 0 X 0 0 0 MIKE MAHALAK TRUSTEE 1.0 0 X 0 0 0 GLENN WATERS EVP, COO BAYCARE 1.0 64.0 X 0 2413986 68185 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 52.0 X 0 509475 113133 DIANE GIBBS DIRECTOR OPERATIONS - WHH 45.0 0 X 162567 0 37200 GLENN WYSOCK MANAGER, PHARMACY 45.0 0.0 X 138575 43657 19541 JENNIFER NEFF DIRECTOR PATIENT SVCS - WHH 45.0 0 X 194338 0 34436 KERRI GAMBREL DIRECTOR PATIENT SVCS - WHH 45.0 0 X 158291 0 4973 LAURIE SHANK DIRECTOR SURGICAL SERVICES WHH 45.0 0 X 173605 0 30061 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.0 0 X 546146 0 71091 DOUGLAS GROCHOLSKE CLINICAL NURSE III 45.0 0 X 212562 0 32456 IMELDA AZURIN CLINICAL NURSE III 45.0 0 X 194685 0 36415 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 45.0 0 X 202433 0 0 JOHN DAVIDYOCK VP/CHIEF MEDICAL OFFICER - WHH 45.0 0 X 247254 0 34846 MISTY HOLLAND VP PATIENT SVCS/CNO - POLK 45.0 0 X 415117 0 16717 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0.0 52.0 X 0 681973 63958 JENNIFER BLANK Former DIR, EMERGENCY SVCS/NURSE STAFFING WHH 0.0 0 X 132451 0 0 2856832 3649090 563011 192 true true false AYA HEALTHCARE INC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 medical services 24295991 HOSPITAL MEDICINE ASSOCIATES PO BOX 634850 CINCINNATI OH 452604850 medical services 5622532 ANESTHESIA ASSOCIATES PA 567 AVE K SE WINTER HAVEN FL 338804215 physician services 2143070 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 laundry services 1583162 VIRTUAL NEUROLOGY LLC 9110 COLLEGE POINTE CT FORT MYERS FL 33919 medical services 1488331 77 2803924 1651927 4455851 MEDICARE / MEDICAID PAYMENT 622110 229177771 229177771 HOSPITAL PATIENT CARE 622110 203824140 203427538 396602 RENTAL INCOME FROM AFFILIATES 531190 520267 520267 0 0 0 0 433522178 3227392 3227392 1196683 0 1196683 0 1196683 1196683 19360228 551449 15316943 10064 4043285 541385 4584670 4584670 MISCELLANEOUS 621990 4440564 4440564 CAFETERIA 722514 966026 966026 BAYCARE PURCHASING PARTNERS 525990 121272 88113 33159 0 0 0 0 5527862 452514636 437654253 429761 9974771 X 97123 97123 1570824 321381 1249443 82964 82964 174712583 174047247 665336 4614498 4596937 17561 10978424 10936616 41808 9516532 9411765 104767 334999 334999 200 200 246479 246479 84633683 34644677 49989006 0 332881 286981 45900 6055650 3279709 2775941 1199537 763734 435803 6886373 6048159 838214 705297 500763 204534 2555373 2555373 20271098 20061225 209873 10765494 10765494 MEDICAL SUPPLIES 85178410 85175835 2575 Physician Fees 5546002 5546002 BAD DEBT EXPENSE 141481 141481 10406926 10187723 219203 0 436832831 379451189 57381642 0 6402 8781 38785968 43649962 0 0 0 0 5851864 4941560 9939676 10800913 2397991 1984820 336790329 139039182 207524971 197751147 113232308 142914605 0 18590358 20357748 6920000 6920000 5452483 5434894 408702021 434764430 34518695 52179984 148356 356831 0 0 0 131477653 126871589 166144704 179408404 X 234272195 246542617 8285122 8813409 242557317 255356026 408702021 434764430 X 15681805 1620859 -4503955 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 8300 false true 16832 25132 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lines 1b & 1g. Lobbying activities performed by an employee concerning healthcare issues. 1i. Dues were paid to: - American Hospital Association - Florida Hospital Association - College of Health Care Information Management Executives - American Association of Blood Banks - Florida Society of Health System Pharmacists - 340B Health - American Society of Health System Pharmacists These associations use a portion of their respective dues to conduct lobbying activities. 14280000 14280000 214823549 65930366 148893183 103570907 73094081 30476826 4115873 14735 4101138 197751147 ASSET RETIREMENT OBLIGATION 556714 DEFERRED COMPENSATION PLAN 5235509 PENSION OBLIGATION 6590348 Due To Affiliates 110769358 TENANT DEPOSITS 82503 Due to Affiliates Advanced Medicare Payments Noncurrent Pension Obligation Deferred Compensation Plan Estimated Third Party Settlements Asset Retirement Obligation Tenant Deposit Liability THIRD PARTY SETTLEMENTS 3637157 126871589 X 451962545 1620859 897525 2518384 449444161 246479 2823996 3070475 452514636 435379242 0 0 435379242 246479 1207110 1453589 436832831 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The majority of the affiliates within the Organization are not-for-profit organizations described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code, and are also exempt from state income taxes. The Organization 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 or 2020. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CHANGE IN FOUNDATION EARNINGS - 897525 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GRANTS - 544453 PREMIER INCENTIVES - 121272 G/L ON SALE OF ASSETS - 541385 Loss on Pension Obligation - 1616886 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements GRANTS - 544453 PREMIER INCENTIVES - 121272 G/L ON SALE OF ASSETS - 541385 Central America and the Caribbean 0 0 Investments 17672000 East Asia and the Pacific 0 0 Investments 1920000 Europe (Including Iceland and Greenland) 0 0 Investments 8417000 Europe (Including Iceland and Greenland) 0 0 Investments 21000 Middle East and North Africa 0 0 Investments 104000 North America (Canada & Mexico only) 0 0 Investments 1257000 South America 0 0 Investments 427000 Sub-Saharan Africa 0 0 Investments 63000 0 0 0 0 0 0 29881000 0 29881000 false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual, Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SUB-SAHARAN AFRICA-Accrual true true X true X 250 false true true false true true 14734258 4866859 9867399 0.0226 69706809 27631919 42074890 0.0963 3445286 1136514 2308772 0.0053 0 0 87886353 33635292 54251061 0.1242 1756025 1756025 0.0040 1701546 1701546 0.0039 1420210 1420210 0.0033 60883 60883 0.0001 140428 140428 0.0003 0 0 5079092 0 5079092 0.0116 0 0 92965445 33635292 59330153 0.1359 0 0.0 0 0.0 10423 10423 0.0000 37869 37869 0.0001 0 0.0 0 0.0 0 0.0 273 273 0.0000 0 0.0 0 0 48565 0 48565 0.0001 true 141481 0 72235403 82098813 -9863410 X true true 1 1 WINTER HAVEN HOSPITAL INC 200 AVENUE F NE WINTER HAVEN FL 33881 WWW.BAYCARE.ORG/WHH 3974 X X X WINTER HAVEN 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/winter-haven-hospital/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/winter-haven-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 - WINTER HAVEN 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 WINTER HAVEN 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, 82 COMMUNITY STAKEHOLDERS IN THE WINTER HAVEN HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 10 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 - WINTER HAVEN 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 4. Tampa General Hospital 5. Bartow Regional Medical Center Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL, INC.. CHNA was conducted with the following non-hospital facility: Florida Department of Health in Polk County Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL, INC.. Winter Haven 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 WINTER HAVEN 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, Winter Haven 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 Winter Haven 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 - WINTER HAVEN HOSPITAL. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. 4 WHH INFUSION CENTER 200 AVE F NE WINTER HAVEN FL 33881 INFUSION CENTER CENTER FOR BEHAVORIAL HEALTH - POLK COUNTY 1201 FIRST STREET SOUTH WINTER HAVEN FL 33880 OUTPATIENT BEHAVIORAL HEALTH CENTER WHH WOUND CARE 200 Ave F NE WINTER HAVEN FL 33881 URGENT CARE WHH OUTPATIENT REHAB 200 AVE F NE WINTER HAVEN FL 33881 OUTPATIENT REHABILITATION SERVICES Schedule H, Part VI, Line 7 State filing of community benefit report WINTER HAVEN HOSPITAL OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. Schedule H, Part VI, Line 5 Promotion of Community Health (continued) BayCare and the Winter Haven Police Department joined forces for a single year dedication of $35,000. This money created a real-time wellness application offering services focused on mental, physical, and relational wellness. This application offered access to police officers, firefighters, and other staff through the City of Winter Haven. In return our Employee Assistance Program department managed the directory of eligible providers. As of December 2021, the application had a total of 147 downloads with the most accessed information being Officer Wellness Tool Kit, Therapist Finder, Peer Support, Fitness, Nutrition & Injury Prevention, and the Employee Assistance Program. The Mission of Winter Haven is a community-based organization focused on providing essential food, support and resources to residents of Polk County that are in need of intervention. The center has a large homeless initiative focusing on food insecurity. BayCare partnered with the center in 2021 to provide $15,000 to expand their food pantry to the community. January through December of 2021, The Mission of Winter Haven served 64,994 meals to the community. "The funds received by BayCare were extremely beneficial in helping us to meet the basic needs of individuals and families in our community." David Berry, Program Director In 2021 across BayCare, our Financial Assistance team members worked hard to overcome the challenges the COVID pandemic presented. The team screened approximately 58,000 patients, completing approximately 23,000 applications for reimbursable programs like Medicaid and another 38,000 charity related applications, providing support in overcoming barriers to accessing health care. Through BayCare's partnership with Uber Technologies, a non-emergency transportation solution is provided for low-income patients across BayCare's four-county service area. In 2021, the program provided 16,288 rides to patients. In 2021, the Winter Haven Hospital's Care Coordination Team provided approximately $1.7 million in services and team member time. This program includes pharmacy, transportation, skilled nursing facilities, assisted living facilities and other discharge needs for patients. Many patients are either uninsured, unable to appropriately care for themselves or do not have a caregiver. Winter Haven Hospital hosts a Cancer Resource Room, which offers support to navigate cancer diagnosis and treatment as well as needs associated with life after remission such as spiritual, emotional, healthy eating and follow-up guidelines. In addition, WHH provided cancer support groups throughout 2021. Winter Haven Hospital supports the Haley Center. The mission of the Haley Center is to provide healthcare to any person or family who reside in Polk County whose income is at or below 200% of the Federal Poverty Guidelines and are not otherwise insured by the government or a private health insurance. The center then seeks to provide a complete medical home to all who meet this requirement. Winter Haven Hospital provides the space for the Haley Center to operate as well as free labs and x-rays. The Center for Behavioral Health (CBH) of Winter Haven Hospital provides professional outpatient behavioral health services to people of all ages. Staff of highly credentialed licensed counselors and psychiatrists and certified mental health professionals provide counseling and treatment services that may include psychiatric diagnosis and evaluation, psychotropic medication management, individual, group and family therapy as well as case management, crisis support and peer support services. The Center for Psychiatry (CFP) of the Winter Haven Hospital provides inpatient psychiatric hospitalization and treatment. Board certified Psychiatrists lead an interdisciplinary treatment team in the provision of comprehensive care. Treatment is recovery focused to engage the person to achieve treatment goals and improve functioning at home and in the community upon discharge. The treatment team addresses psychiatric as well as co-occurring medical and substance use issues that may be affecting the person and ensures that follow up care is arranged prior to discharge. BayCare's Community Health team develops community partnerships with area agencies, providing wellness education and disease prevention screenings directly into area neighborhoods. The COVID pandemic prevented the team from being onsite with many partners; however, Community Health was able to participate in 113 events and programs in 2021 and was able to promote better health to more than 1,800 people. For more than 20 years, BayCare's Children's Wellness and Safety Center has been committed to keeping kids and families healthy, safe, and informed through a multifaceted outreach approach focusing on community education, unintentional injury prevention, children's health and wellness, and legislative advocacy. In 2021, the BayCare's Wellness and Safety Center educated more than 47,173 children and their families through community programs and events across BayCare's footprint. In 2018, BayCare launched the Healthy Living Coach program with 6 free clinics/federally qualified health centers located in high-risk neighborhoods within the region. Through the program, BayCare continues to provide funding support for 4 trained Healthy Living Coaches that are responsible for providing in-person, telehealth, and telephonic coaching for those living with diabetes or pre-diabetes. Coaches provide support in decision making, motivation, and resource navigation in managing their diagnosis. Faith Community Nursing offers a unique partnership between BayCare hospitals and the faith communities Pinellas and Pasco counties. Our Faith Community Nurses and Health Ministers work to improve the health of their faith community by encouraging preventive care and referring members to the appropriate health resources. In 2021 across BayCare, our Faith Community Nursing team of 310 nurses and 64 community health promoters had direct contact with 67,216 faith community members, provided 2,861 referrals and volunteered more than 37,000 hours. In 2019, BayCare conducted a comprehensive Community Health Needs Assessment (CHNA). The results of this assessment were used to guide the development of a 3-year Strategic Plan for each of our 15 hospitals. One of the most compelling data points to arise from the community survey component of the CHNA was that of the nearly 20,000 respondents who answered questions related to food insecurity 30% indicated that in the past year they had been food insecure. In response to these findings, BayCare launched the following initiatives: * BayCare, as a regional anchor institution was positioned and committed to developing innovative strategies to address food insecurity. Partnering with Feeding Tampa Bay, BayCare worked to engage high risk patients who were also food insecure and connect them with a Healing Bag of 2-3 days of non-perishable food upon discharge. The Healing Bags also contained simple to read resources to assist patients in finding help within their community. In 2021, the project provided 2,654 Healing Bags to patients screened as food insecure. This successful project is the first of its kind regionally and will be expanded in 2022. * BayCare also began the process of developing a medically-tailored meal (MTM) program. As a member of the first cohort of agencies to participate in the Feeding America Food is Medicine Accelerator program, BayCare along with Feeding Tampa Bay received guidance and technical assistance from the Accelerator with the intent to pilot a MTM project in late 2021. * In collaboration with Feeding Tampa Bay, BayCare partnered with 18 schools in Hillsborough, Pinellas, Pasco and Polk Counties to provide students and their families food through the Feeding Minds School Pantry program. BayCare's Clinical Research Operations Teams provide specialized staffing support to Principal Investigators across BayCare Health System in the conduct of clinical research involving human subjects. The primary purpose is to increase access opportunities for participation in clinical research by both clinicians and patients in an effort to provide potentially life-changing care for patients today and to advance the science of medicine for future generations. Cutting-edge inpatient and outpatient studies focus on pharmaceutical and device trials, infectious diseases including COVID-19, and pediatric and adult trials including investigational research in hematology, oncology, cardiology, and tissue banking studies. (Continued) Schedule H, Part VI, Line 5 Promotion of Community Health (continued) In 2021, BayCare worked alongside other local not-for-profit hospitals and county departments of health as the All4HealthFL Collaborative. The purpose of the All4HealthFL Collaborative is to improve health by leading regional, outcome-driven health initiatives that have been prioritized through community health assessments. Members of the Collaborative aligned efforts to provide Mental Health First Aid Training to organizations in Hillsborough, Pasco, Pinellas, and Polk Counties. Additionally, in 2021, the Collaborative began preparations to collectively conduct the 2022 Community Health Needs Assessment including development of a community survey and completion of 26 focus groups. Volunteer Activities In 2021, Winter Haven Hospital's 92 volunteers contributed 13,500 hours of volunteer service. Beginning in 1938, the Winter Haven Hospital Auxiliary has found many ways to contribute directly to the welfare of the hospital, its patients, and the community at large. Striving to maintain the highest standards of conduct, the Auxiliary, and volunteers, provide a healthful, safe, caring environment for staff visitors and patients. Our volunteers offer assistance as lobby ambassadors, gift shop clerks, and pianists, as well as some providing light clerical support. Team members contributed to the health of the community by: * Participating in a virtual food drive to raise funds for Feeding Tampa Bay. Overall, 486 donors contributed $20,387 in funds providing food to those in need across the region. * Holding the annual Team Member Giving Campaign. Across the system, team members donated $811,326 to BayCare hospital foundations, the emergency team member fund, and the United Way. 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. WINTER HAVEN 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. Presumptive financial assistance decisions for uninsured ER patients may be determined based on third party analytics, using a credit inquiry process, under the following circumstances: * Uninsured accounts of patients not seen by the Financial Assistance team or without a current financial assistance application on file * The reported federal poverty level (FPL) of the patient meets the criteria for financial assistance (250%) Schedule H, Part I, Line 6a Community benefit report prepared by related organization BayCare Health System, Inc. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 141481 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 WINTER HAVEN HOSPITAL SUPPORTS ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. THIS INCLUDES: - FUNDING SUPPORT FOR ORGANIZATIONS THAT ADDRESS THE ROOT CAUSES OF HEALTH AND SAFETY ISSUES AND PRoMOTE ECONOMIC STABILITY. - RECYCLING COSTS FOR DISPOSABLE ITEMS - TEAM MEMBER TIME DEDICATED TO COMMUNITY DISASTER PREPAREDNESS - PARTICIPATION IN THE GREAT AMERICAN TEACH-IN Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBTS reported in Part III 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 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED 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 HEALTH SYSTEM 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 - WINTER HAVEN HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - WINTER HAVEN 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 - WINTER HAVEN HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment WINTER HAVEN 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. WINTER HAVEN 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. WINTER HAVEN HOSPITAL, INC. recognizes the importance of hearing from those they serve. Along with collecting generally available data, WINTER HAVEN 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, WINTER HAVEN 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 WINTER HAVEN 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 WINTER HAVEN 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, WINTER HAVEN 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 Winter Haven Hospital and Winter Haven Women's Hospital are acute care facilities serving parts of Polk, Hardee and Highlands counties. The average household income of $74,589 in this area is $19,362 less than the state average household income ($93,951) and $29,037 less than the national average household income ($103,626). 10.2% of households have annual household income below $15,000 per year. The population served is primarily Caucasian Non-Hispanic (53.5%); Hispanics are the second largest ethnic group representing 28.0% of the population and 14.5% are African American. 85.5% of the population are high school graduates or higher educated. Winter Haven Hospitals are part of BayCare Health System that serves west central Florida. The area served by Winter Haven Hospitals has 6 acute care hospitals, one is for-profit and 5 are not-for-profit. There are 2 federally designated medically underserved areas/populations in the Winter Haven Hospitals service area. The service area served by Winter Haven Hospitals is expected to grow 5.6% in population over the next 5 years. This is higher than the expected growth rate of 4.6% for Florida and 3.2% for the United States. The over 65 population is expected to grow 13.9% 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 geographic area consists of 48.2% Medicare/Medicare HMO, 18.2% Medicaid/Medicaid HMO, 21.8% Commercial Insurance, 6.5% Self pay/Non-Pay, and 5.3% Other. Schedule H, Part VI, Line 5 Promotion of community health Our mission at Winter Haven Hospital as part of BayCare Health System is to improve the health of all we serve through community-owned services that set the standard for high-quality compassionate care. By focusing on education and prevention, we strive to create a healthier community and lower health care expenditures. Winter Haven Hospital, Inc., located in Winter Haven, Florida, includes a 447-bed acute care hospital and a 61-bed obstetric/gynecological specialty hospital, respectively referred to as Winter Haven Hospital and Winter Haven Women's Hospital. Winter Haven Hospital (WHH) was established in 1926, and today concentrates in the treatment of heart disease, behavioral health, cancer, stroke, and orthopedic conditions. The hospital also provides emergency care; outpatient diabetes education; endoscopy and surgical services; cardiac, neurological, orthopedic, and pulmonary rehabilitation; and imaging services. Winter Haven Women's Hospital (WHWH), built in 1987 and located approximately 1.5 miles south of WHH, includes a level II neonatal intensive care unit and an outpatient breast and imaging center. Services include on-site continuous obstetric coverage, maternal fetal medicine appointments and lactation consultations. Community Involvement WHH involves community members as an essential component of its Board of Trustees, the majority of which are independent. The trustees donate their time, talents and support, and they assist with policy formulation, decision making and oversight. The organization extends medical staff privileges to qualified physicians in the community. WHH is a member of the Central Florida Economic Development Council, Main Street Winter Haven, the Winter Haven Chamber of Commerce and the Northeast Polk Chamber of Commerce. Conduit for Using Donated Funds BayCare has received funding from Allegany Franciscan Ministries to provide capacity and support to our Faith Community Nursing program to reduce unnecessary hospital utilization and improve health outcomes for participants. Funding of $90,000 awarded in 2021 supports this work across BayCare Health System. BayCare has also received funding from Allegany Franciscan Ministries to provide assistance to those who face financial barriers in getting their needed prescription medications. Medication assistance coordinators work with patients to determine if there are vouchers available or work with the patient's doctor to see if a more cost effective, alternative medication is available. Annual funding of $50,000 provides support for this program across BayCare Health System. The Florida Department of Health provides funding support for the Gettin' REAL program that employs a comprehensive, collaborative community-based approach to address disparities in the health outcomes of minority populations related to diabetes and cardiovascular disease across Pinellas, Hillsborough, Pasco, and Polk Counties. In 2021, through funding support, BayCare provided screenings to 1,708 individuals, referred 1,402 individuals to lifestyle-change programs (Get into Fitness Today, National Diabetes Prevention Program, or Diabetes Education Empowerment Program) and instructor-led physical activity to achieve the best possible results for the most vulnerable. Special services for adults and their families throughout Polk, Highlands and Hardee counties are provided through contracts with the state of Florida's Department of Children and Families and the Polk County Indigent HealthCare Division. These services are designed to provide assistance and stability to families. These special programs include Helping Families Succeed (HFS) and Specialized Community Care Team (SCCT). The SCCT is for adults with mental health difficulties that affect their daily functioning. Services provide at-home therapy, medication management, and resource referrals to help the patient attain wellness, resiliency and self-sufficiency. Children with emotional issues in Polk County public schools have access to on site mental health consultation and counseling services from our professional staff. These services are made available through a contract with the Polk County School Board. Included are children from pre-school age through high school. Additionally, through specialty contracts our trained pre-school specialists provide on-site counseling and consultation to assist in the developmental and emotional needs for young children in pre-school head start centers and migrant head start centers. Economic Impact: There are 1,946 extraordinary WHH team members and 529 physicians, who together bring the WHH mission to life. By inviting the next generation of health care workers to learn from the skill and expertise of our current team members, WHH provides valuable benefit to the community. In 2021, 962 students from Polk State College, Southeastern University, Florida Southern College, University of South Florida, Keiser University and others received education, guidance and encouragement from clinical rotations, mentorships, and practicums at WHH. In 2021, over $1.7 million in resources provided education to students as well as stipends. In addition, WHH provides an ASHP-accredited pharmacy residency program. The 12-month training allows four residents per year to collaborate with medical staff, work with patients and partner with nursing. WHH clinical pharmacists have helped prepare graduates for practice in diverse clinical settings, become board-certified, and continue training in a second-year program. Winter Haven Hospital formally contracted with Florida State University in 2017 to begin offering Graduate Medical Education for family health physicians. The program provides additional health access in our community and helps recruit family health physicians to practice in the area. This was in direct response to health disparities in the WHH service area. Recognition * WHH's Center for Wound Care and Hyperbaric Medicine received Center of Distinction award from Healogics, which provides advanced wound care. * Winter Haven Hospital also attained DNV PSCC Plus stroke certification through 2023. The certification is for organizations who meet the requirements of a primary stroke program and are fully capable of handling thrombectomies. * Our Bostick Heart Center has consistently earned a "3-star" designation - the highest possible rating - from the Society of Thoracic Surgeons (STS). * Winter Haven Women's Hospital holds the coveted Baby-Friendly designation from the World Health Organization and UNICEF. Responding to Needs The second year of the coronavirus pandemic proved once again the mettle of BayCare team members and physicians-almost 28,000 strong. 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. (Continued) 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. true Winter Haven Hospital Foundation 200 Ave F NE Winter Haven FL 33881 030406130 501(c)(3) 10000 Winter Haven Hospital Foundation Gala The Mission of Winter Haven 180 E Central Ave Winter Haven FL 33880 591719255 501(c)(3) 15000 Expanding Food Pantry Central Florida Healthcare Inc 47th 5th ST N Winter Haven FL 33881 591404594 501(c)(3) 24347 Living Coach City Of Winter Haven 125 N Lake Silvr Dr NW Winter Haven FL 33881 592066440 501(c)(3) 35000 City of Winter Haven Police Department Public Safety Wellness App 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. WINTER HAVEN HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS. true true false false false false false false false CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0 416332 0 137358 0 128282 0 43806 0 20152 0 745931 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 0 385204 0 114184 0 10087 0 76108 0 37025 0 622607 0 0 GLENN WATERS EVP, COO BAYCARE 0 980116 0 494363 0 939507 0 24659 0 43526 0 2482170 0 590778 JENNIFER BLANK Former DIR, EMERGENCY SVCS/NURSE STAFFING WHH 0 0 0 0 132451 0 0 0 0 0 132451 0 0 0 KERRI GAMBREL DIRECTOR PATIENT SVCS - WHH 104417 0 15488 0 38386 0 0 0 4973 0 163263 0 0 0 DIANE GIBBS DIRECTOR OPERATIONS - WHH 143886 0 11309 0 7372 0 7941 0 29259 0 199766 0 0 0 JENNIFER NEFF DIRECTOR PATIENT SVCS - WHH 166503 0 18850 0 8985 0 9210 0 25226 0 228774 0 0 0 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 223623 0 105400 0 217123 0 46750 0 24341 0 617237 0 60299 0 LAURIE SHANK DIRECTOR SURGICAL SERVICES WHH 150196 0 18520 0 4889 0 8212 0 21849 0 203666 0 0 0 GLENN WYSOCK MANAGER, PHARMACY 117215 3612 13429 741 7930 39305 8683 0 10859 0 158116 43657 0 0 IMELDA AZURIN CLINICAL NURSE III 169127 0 20389 0 5169 0 9963 0 26452 0 231100 0 0 0 JOHN DAVIDYOCK VP/CHIEF MEDICAL OFFICER - WHH 207004 0 25000 0 15250 0 6707 0 28139 0 282100 0 0 0 DOUGLAS GROCHOLSKE CLINICAL NURSE III 181218 0 27769 0 3576 0 10704 0 21752 0 245019 0 0 0 MISTY HOLLAND VP PATIENT SVCS/CNO - POLK 125017 0 33277 0 256823 0 202 0 16516 0 431835 0 0 0 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 3110 0 0 0 199322 0 0 0 0 0 202433 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, the related organization, 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 (or COO) of the filing organization. Schedule J, Part I, Line 4a Severance or change-of-control payment Misty Holland received a severance payment in the amount of $193,710 during 2021. Kerri Gambrel received a severance payment in the amount of $35,275 during 2021. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan BayCare Health System provides two nonqualified deferred compensation plans to executive level employees: Executive Nonqualified Defined Contribution Plan The plan provides for annual credits of a specified percentage of an eligible participant's eligible compensation paid in a plan year and interest credits. Plan participants vest in increasing percentages based on years of service. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Payments made during employment are made for required tax withholding and reduce the participant's account balance. Distribution of the vested account balance occurs upon termination of employment. The plan is frozen for the participants hired after 1.1.2018. Supplemental Executive Retirement Plan The plan provides for annual credits to the participant's company contribution account of a specified percentage of an eligible participant's eligible compensation paid in a plan year and investment income credits. Plan participants vest on January 1 of the fifth Plan Year following the Plan Year for which the contribution was made. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Distribution of the vested amounts shall be made no later than the earlier of 90 days following the date the amounts become vested or the March 15th following the Plan Year in which the participant became vested. Amounts accrued, vested and distributed for plan participants are provided below. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $866,844 in benefits vest in 2021. This amount is included in Part II (B)(iii) Other Compensation. He became 100% vested in 2021. The plan made cash distribution of $341,103 in 2021. Ronald Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $61,608 of nonvested benefits accrue during 2021. This amount is included in Part II (C) Retirement and other deferred compensation. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $153,050 in benefits vest in 2021. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $60,225 in 2021. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $78,695 in benefits vest in 2021. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $30,967 in 2021. Misty Holland - Participated in a supplemental nonqualified deferred compensation plan. She had $10,106 in benefits vest in 2021. This amount is included in Part II (B)(iii) Other compensation. She became 100% vested in 2021. EMILY TUCKER FAMILY MEMBER OF CHIP TUCKER 82964 EMILY TUCKER IS A FAMILY MEMBER OF CHIP TUCKER, A DIRECTOR OF THE FILING ORGANIZATION. EMILY TUCKER WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION. false 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, A RELATED ORGANIZATION 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 15a Process for determining compensation THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT FOLLOWS THE COMPENSATION POLICY OF THE 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 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A 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 2 Family/business relationships amongst interested persons Mark Bostick, Richard Straughn, Don Ingram - Business relationship, Charles McPherson, Chip Tucker, Richard Straughn, Todd Dantzler - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body VOTING TRUSTEES of the board are appointed as follows: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE MEMBER (BayCare Health System) UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CAPACITY OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY 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 CFO 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 WINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTEREST. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE member SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATE, BAYCARE HEALTH SYSTEM, INC. THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. ARE AVAILABLE THROUGH EMMA FOR BOND INVESTORS. 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 AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part IX, Line 11g Other Fees Management Fee Allocation - Total Expense: 48748750, Program Service Expense: , Management and General Expenses: 48748750, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 18091250, Program Service Expense: 18091250, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE SERVICES - Total Expense: 7562531, Program Service Expense: 7562531, Management and General Expenses: , Fundraising Expenses: ; MEDICAL RECORDS CODING - Total Expense: 1611763, Program Service Expense: 1611763, Management and General Expenses: , Fundraising Expenses: ; Purchased Services - Total Expense: 7066177, Program Service Expense: 6514873, Management and General Expenses: 551304, Fundraising Expenses: ; OTHER - Total Expense: 1553212, Program Service Expense: 864260, Management and General Expenses: 688952, 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: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS OF FOUNDATION - 1425812; Affiliate Transfers - -8894526; CHANGE IN MINIMUM PENSION OBLIGATION - 4657779; BOND INTEREST ALLOCATION - -76134; Loss on Pension Obligation - -1616886; Schedule F, Part I, Line 3 Investment in Europe THE FIRST LISTED AMOUNT UNDER EUROPE ($8,417,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($21,000) REPRESENTS INVESTMENT RELATED EXPENSE PAID. THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. BAYCARE HEALTH SYSTEM 2985 DREW ST CLEARWATER FL 337593012 592796965 HEALTH SRVCS FL 501(c)(3) Type I NA false BAYCARE BEHAVIORAL HEALTH INC 7809 MASSACHUSETTS AVE NEW PORT RICHEY FL 346533028 591371752 HEALTH SRVCS FL 501(c)(3) 7 BCHS false BC EMERGENCY ASSISTANCE PROGRAM INC 2985 DREW ST CLEARWATER FL 337593012 592697770 EMERG ASSIST FL 501(c)(3) 10 BCHS false BAYCARE HOME CARE INC 8452 118TH AVE NORTH LARGO FL 337735007 593582520 HOME HLTH SRV FL 501(c)(3) 10 BCHS false BEHAVIORAL HEALTH MANAGEMENT SRVCS INC 900 CARILLON PKWY SUITE 406 ST PETERSBURG FL 337161121 593279573 HEALTH SRVCS FL 501(c)(3) 10 BC BEH HEALTH false WINTER HAVEN HOSPITAL FOUNDATION INC 200 AVE F NORTHEAST WINTER HAVEN FL 338814131 030406130 FUNDRAISING FL 501(c)(3) 7 Mid-Florida Medical Services Inc false BAYCARE MEDICAL GROUP INC 300 S PARK PLACE BLVD CLEARWATER FL 337594931 593140335 PHYSICIANS FL 501(c)(3) 10 BCHS false BARTOW REGIONAL MEDICAL CENTER INC 2200 OSPREY BLVD BARTOW FL 338303308 475387418 HOSPITAL FL 501(c)(3) 3 BCHS false BAYCARE SELECT HEALTH PLANS INC 2985 DREW STREET CLEARWATER FL 337593012 810795815 MCR ADVANTAGE FL 501(c)(4) BCHS false BAYCARE PASCO INC 2985 DREW ST CLEARWATER FL 337593012 832099849 POTENTIAL HOSPITAL FL 501(c)(3) 3 BCHS false Mid-Florida Medical Services Inc 200 Avenue F NE Winter Haven FL 33881 592486580 Support Organization FL 501(c)(3) Type III-FI NA false BAYCARE MANATEE INC 2985 DREW STREET CLEARWATER FL 33759 863276411 POTENTIAL HOSPITAL FL 501(c)(3) 3 BCHS false BC PURCHASING PARTNERS LLC 2985 Drew Street Clearwater FL 33759 640950837 GROUP PURCHASING FL BCHS Related 1848148 1438059 false 33159 false 0.1238 BC SURGERY CENTER LLC 8452 118TH A N LARGO FL 337745007 460591430 SURGERY CENTER FL NA N/A false false BCHS INSURANCE LTD 720 W BAY RD BUCKINGHAM SQR GRAND CAYMAN CJ KY11102 CAPTIVE INSURANCE FL NA C Corporation false MEDSPECIALISTS INC PO BOX 210 CLEARWATER FL 33757 680587533 PAYROLL SRVCS FL NA C Corporation false false true false true false false false false false false true false true false true false false true true