2021-11-05T12:01:05-05:00 2020-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2020-01-01 475387418 Bartow Regional Medical Center Inc BART 8635338111 2200 Osprey Blvd Bartow FL 33830 Ron Beamon VP, CFO - BayCare Hospital Div 2021-11-05 true Ron Beamon 999009999 Brittney Kocaj P01320603 9542028600 2020 2022-09-23 18:48:47Z Glenn Waters 2200 Osprey Blvd Bartow FL 33830 76627676 false X https://baycare.org/brmc X 2015 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 16 14 516 46 8713 5942 0 71488047 75273969 156 0 547033 1352372 72035236 76626341 105179 0 26704791 27775926 0 0 34640926 36901891 61345717 64782996 10689519 11843345 88057644 103270855 4535468 7905334 83522176 95365521 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 53763100 105179 76214594 Bartow Regional Medical Center, inc. (BRMC) is a full-service 72-bed community hospital which began Operations in 2016. BRMC provided inpatient care to 3,051 patients and treated 30,660 patients in the emergency department during the year. Through efforts of the medical assistance program and the hospital's charity care program, BRMC saw a net community benefit expense totaling approximately $8.8 million. The hospital also provided other community services totaling nearly $928 thousand. Refer to schedule H for additional information. 53763100 true false false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true X 0 0 516 true true true false false false false false false false false false false false X 16 14 false false false false true true true true true false false true true true true true true false false false X Janice Polo 7278208021 2985 Drew Street Clearwater FL 33759 BRIAN HINTON TRUSTEE/CHAIR 1.0 0 X X 0 0 0 GLENN WATERS TRUSTEE/EVP, COO BAYCARE 1.0 64.0 X X 0 1922051 65058 MICHAEL MICALLEF TRUSTEE/SECRETARY 1.0 0 X X 0 0 0 ALLEN FISHER TRUSTEE 1.0 0 X 0 0 0 BENJAMIN (BENNY) ROBLES TRUSTEE 1.0 0 X 0 0 0 CRAIG LARISCY TRUSTEE 1.0 0 X 0 0 0 DAVID SORG TRUSTEE 1.0 0 X 0 0 0 DON INGRAM TRUSTEE 1.0 1.0 X 0 0 0 FREDERICK (JOHN) MURPHY TRUSTEE 1.0 0 X 0 0 0 JEREMY KATZMANN TRUSTEE 1.0 0 X 0 0 0 KAREN KERR TRUSTEE/PRESIDENT SFBH & BRMC 1.0 47.0 X 0 478425 52605 KENNETH COMPTON TRUSTEE 1.0 0 X 0 0 0 LEA ANN THOMAS TRUSTEE 1.0 0 X 0 0 0 MELONY BELL TRUSTEE 1.0 0 X 0 0 0 ROBERT CLANCEY TRUSTEE 1.0 0 X 0 0 0 STANLEY SHROM TRUSTEE 1.0 0 X 0 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 52.0 X 0 547066 100109 CLINTON SHOUPPE DIR, OPERATIONS BARTOW REG MED CNTR 45.0 0 X 150487 0 48039 CARMEN TRINDADE MANAGER PHARMACY 45.0 0 X 170722 0 16237 JAMES BARBARICS CLINICAL PHARMACIST 45.0 0 X 133164 0 21032 KEVIN GUFFEY CLINICAL PHARMACIST 45.0 0 X 140742 0 27261 KIMBERLY STEPHENS CLINICAL PHARMACIST 45.0 0 X 127190 0 13062 PHILIP MINDEN PRESIDENT SJH SOUTH 45.0 1.0 X 400034 0 80942 CARL TREMONTI FORMER VP, CFO BMG, AMB 0.0 52.0 X 0 705965 53264 1122339 3653507 477609 22 true true false WATSON CLINIC LLP C/O ACCOUNTING DEPARTMENT 1430 LAKELAND HILLS BLVD LAKELAND FL 338053202 physician services 1315629 MORRISON HEALTHCARE 2400 YORKMONT RD CHARLOTTE NC 28217 Catering services 1238961 GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA WI 53188 Clinical Engineering Services 506442 ADVANCED CARE HOSPITALISTS PL PO BOX 4707 ATTN GULAB SHER PLANT CITY FL 335630030 physician services 485417 HEALOGICS INC DBA DIVERSIFIED CLINICAL SERVICES LLC JACKSONVILLE FL 32256 medical services 342684 15 0 HOSPITAL PATIENT CARE 622110 44098184 44098184 MEDICARE/ MEDICAID PAYMENT 622110 30908144 30908144 RENTAL INCOME FROM AFFILIATE 622110 267641 267641 0 0 0 0 75273969 403034 403034 0 403034 403034 1335 1335 0 0 MISCELLANEOUS REVENUE 900099 949338 940625 8713 0 0 0 0 949338 76626341 76214594 8713 403034 105179 105179 198526 198526 23045890 22967862 78028 828666 825860 2806 2072442 2065425 7017 1630402 1614563 15839 890 890 99 99 521 521 5921854 5730577 191277 0 27831 21681 6150 967571 477469 490102 165842 105106 60736 1275428 1073039 202389 188409 186723 1686 549164 549164 3777137 3640836 136301 501270 501270 MEDICAL SUPPLIES 10375018 10375018 Bad Debt Expense 49903 49903 MANAGEMENT FEES 8250071 8250071 PHYSICIAN FEES 1111607 1111607 3739276 3472904 266372 0 64782996 53763100 11019896 0 1543888 815919 6608800 7313862 0 0 0 0 86974 96172 1959234 2047677 428988 354388 61536005 19100379 43513057 42435626 0 31875 45686 18646829 18558829 15237999 31602696 88057644 103270855 3524503 4760264 1500 5250 0 0 954663 707358 54802 2432462 4535468 7905334 X 83522176 95365521 83522176 95365521 88057644 103270855 11843345 0 X false true X true true true X false true false false false false true 2400 false true 521 2921 false Schedule C, Part II-B, Line 1g Direct contact with legislators Lobbying activities performed by employees concerning health issues. Schedule C, Part II-B, Line 1i Other activities Dues were paid to Florida Society of Health System Pharmacists. This association uses a portion of their respective dues to conduct lobbying activities. Schedule C, Part II-B, Line 1b Paid staff or management LOBBYING ACTIVITIES PERFORMED BY EMPLOYEES CONCERNING HEALTH ISSUES. 9117488 9117488 35799517 9310950 26488567 166000 83000 83000 16222648 9706429 6516219 230352 0 230352 42435626 DEPOSITS 1680 DUE FROM AFFILIATES 31601016 31602696 TENANT DEPOSITS LIABILITY 6772 ABANDONED PROPERTY 7948 Third Party Settlements 68136 Medicare advance payments 2349606 2432462 X 75733131 0 0 75733131 893210 893210 76626341 63889786 0 0 63889786 893210 893210 64782996 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, 2020 or 2019. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GRANTS - 893210 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements GRANTS - 893210 true true X true X 250 false true true true false true true 3469204 812297 2656907 0.0410 9724071 4285637 5438434 0.0840 1015534 279035 736499 0.0114 0 0 14208809 5376969 8831840 0.1364 428996 0 428996 0.0066 67698 0 67698 0.0010 304616 0 304616 0.0047 0 0 0 0.0 126558 0 126558 0.0020 0 0 927868 0 927868 0.0143 0 0 15136677 5376969 9759708 0.1508 0 0.0 0 0.0 1530 1530 0.0000 957 957 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 2487 0 2487 0.0000 true 49903 25222 7982511 8887518 -905007 X true true 1 1 Bartow Regional Medical Center Inc 2200 Osprey Blvd Bartow FL 33830 www.baycare.org/brmc 4428 X X X Bartow Regional Medical Center Inc 1 false false true X X X X X X X X X 19 true true true true X https://baycare.org/hospitals/bartow-regional-medical-center/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/bartow-regional-medical-center/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 5 Facility , 1 Facility , 1 - BARTOW REGIONAL MEDICAL CENTER, 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 ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY BARTOW REGIONAL MEDICAL CENTER; 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 BARTOW REGIONAL MEDICAL CENTER 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 - BARTOW REGIONAL MEDICAL CENTER, 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. Winter Haven Hospital Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - BARTOW REGIONAL MEDICAL CENTER, 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 - BARTOW REGIONAL MEDICAL CENTER, INC.. Bartow Regional Medical Center 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 BARTOW REGIONAL MEDICAL CENTER'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, Bartow Regional Medical Center 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 Bartow Regional Medical Center 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 - BARTOW REGIONAL MEDICAL CENTER. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. 3 CENTER FOR WOUND CARE AND HYPERBARICS 2000 OSPREY BLVD SUITE 103 BARTOW FL 33830 WOUND CARE CLINIC CENTER FOR SLEEP MEDICINE AT BARTOW 2250 OSPREY BLVD SUITE 105 BARTOW FL 33830 SLEEP CENTER - CLOSED 11/1/2020 BARTOW REGIONAL MEDICAL CENTER OUTPATIENT REHAB 2000 OSPREY BLVD SUITE 102 BARTOW FL 33830 OUTPATIENT REHAB Schedule H, Part VI, Line 7 State filing of community benefit report BARTOW REGIONAL MEDICAL CENTER, INC. 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'S COMMUNITY HEALTH TEAM DEVELOPS COMMUNITY PARTNERSHIPS WITH AREA AGENCIES, CREATING COLLABORATIVE EFFORTS THAT BRING HEALTH SERVICES DIRECTLY INTO AREA NEIGHBORHOODS. AS A RESULT, COMMUNITY HEALTH PARTICIPATED IN 416 EVENTS AND PROGRAMS IN 2020 AND WAS ABLE TO PROMOTE BETTER HEALTH TO MORE THAN 2,600 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 2020, THE BAYCARE'S WELLNESS AND SAFETY CENTER EDUCATED MORE THAN 76,741 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 6 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 BARTOW REGIONAL MEDICAL CENTER AND THE FAITH COMMUNITIES IN POLK COUNTY. 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 2020 ACROSS BAYCARE, OUR FAITH COMMUNITY NURSING TEAM OF 320 NURSES AND 69 COMMUNITY HEALTH PROMOTERS HAD DIRECT CONTACT WITH 57,317 FAITH COMMUNITY MEMBERS, PROVIDED 2,564 REFERRALS AND VOLUNTEERED MORE THAN 48,000 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. THIS SUCCESSFUL PROJECT IS THE FIRST OF ITS KIND REGIONALLY AND WILL BE EXPANDED ON IN 2021. *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 16 SCHOOLS IN HILLSBOROUGH, PINELLAS, PASCO AND POLK COUNTIES TO PROVIDE STUDENTS AND THEIR FAMILIES FOOD THROUGH THE FEEDING MINDS SCHOOL PANTRY PROGRAM. IN 2020, BARTOW REGIONAL MEDICAL CENTER PROVIDED $37,500 TO LAUNCH THIS INITIATIVE IN LOCAL SCHOOLS. 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 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. IN 2020, BAYCARE WORKED ALONGSIDE OTHER LOCAL NOT-FOR-PROFIT HOSPITALS AND COUNTY DEPARTMENTS OF HEALTH TO DEVELOP 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, AS A RESPONSE TO THE COVID -19 PANDEMIC, THE COLLABORATIVE CONDUCTED A KEY INFORMANT SURVEY WITHIN COUNTIES SERVED TO GATHER FEEDBACK ON POTENTIAL CHANGES IN COMMUNITY HEALTH NEEDS. RESULTS OF THE SURVEY WERE USED TO UPDATE IMPLEMENTATION PLANS TO ACCOMMODATE NEWLY IDENTIFIED OR MORE ACUTE COMMUNITY NEED. VOLUNTEER ACTIVITIES IN 2020, HOSPITAL VOLUNTEERS PROVIDED ASSISTANCE TO PATIENTS AND VISITORS AT THE INFORMATION DESK AND IN THE GIFT SHOP, WHEELCHAIR ASSISTANCE AND SERVED AS PATIENT LIAISONS IN WAITING ROOMS. TEAM MEMBERS CONTRIBUTED TO THE HEALTH OF THE COMMUNITY BY: *PARTICIPATING IN A VIRTUAL FOOD DRIVE TO RAISE FUNDS FOR FEEDING TAMPA BAY. OVERALL, 658 DONORS CONTRIBUTED $30,416 IN FUNDS TO PROVIDE FOOD TO THOSE IN NEED ACROSS THE REGION. IN ADDITION, 22 DONORS SIGNED UP FOR MONTHLY RECURRING DONATIONS FOR ONGOING SUPPORT. *HOLDING THE ANNUAL TEAM MEMBER GIVING CAMPAIGN. ACROSS THE SYSTEM, TEAM MEMBERS DONATED $818,528 TO BAYCARE'S HOSPITAL FOUNDATIONS 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. BARTOW REGIONAL MEDICAL CENTER, 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 49903 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 BARTOW REGIONAL MEDICAL CENTER SUPPORTS ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH ENVIRONMENTAL IMPROVEMENTS AND COMMUNITY SUPPORT. THIS INCLUDES: - LEADERSHIP AND TEAM MEMBER TIME DEDICATED TO COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND COLLABORATIVES TO IMPROVE ECONOMIC STABILITY, PROSPERITY AND WELLBEING IN THE COMMUNITY. - RECYCLING COSTS FOR DISPOSABLE ITEMS Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE IS CALCULATED AS A CHARGE RATIO, DERIVED FROM DATA SAMPLING. THE RESULTING CHARGE RATIO IS THEN APPLIED TO TOTAL BAD DEBT ACCOUNTS OF THE ORGANIZATION, WHICH CALCULATES THE BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE. THE STATE OF FLORIDA REQUIRES THE PATIENT TO PROVIDE CERTAIN DOCUMENTATION IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE. IN CASES WHERE THE PATIENT HAS NOT RESPONDED TO HOSPITAL REQUESTS OR BILLING STATEMENT ALERTS, THOSE ACCOUNTS ARE PROCESSED AS BAD DEBT, IF UNPAID. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE PART III, LINE 2. 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. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. LINE 7 SURPLUS OR (SHORTFALL) ($905,007) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($1,191,894 ) TOTAL SURPLUS OR (SHORTFALL) ($2,096,901) 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 - Bartow Regional Medical Center, Inc.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Bartow Regional Medical Center, 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 - Bartow Regional Medical Center, Inc.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment BARTOW REGIONAL MEDICAL CENTER, 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. BARTOW REGIONAL MEDICAL CENTER, 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. BARTOW REGIONAL MEDICAL CENTER, INC. recognizes the importance of hearing from those they serve. Along with collecting generally available data, BARTOW REGIONAL MEDICAL CENTER, 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, BARTOW REGIONAL MEDICAL CENTER, 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 BARTOW REGIONAL MEDICAL CENTER, 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 BARTOW REGIONAL MEDICAL CENTER, 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, BARTOW REGIONAL MEDICAL CENTER, 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 Bartow Regional Medical Center is an acute care facility serving parts of Polk and Hardee counties. The median household income of $57,348 in this area is $1,688 higher than the state median income and $11,355 below the national median income. 10.4% of households have annual household income below $15,000 per year. The population served is predominantly Caucasian and 85.7% are high-school graduates or higher educated. Hispanics are the second largest ethnic group representing 22.0% of the population. Bartow Regional Medical Center is part of BayCare Health System that serves west central Florida. The area served by Bartow Regional has 4 acute care hospitals, all Not-for-Profit. The entire service area for Bartow Regional is a federally designated area labeled as medically underserved areas/populations. The population served by Bartow Regional Medical Center is expected to grow 6.8% in the next 5 years. This is higher than the expected growth rate of 2.9% for the United States. The fastest growing population segment is age 65+, expected to grow 16.1% in the next 5 years. Based on Florida inpatient discharge data for the period of 10/01/19 - 9/30/20, the payer mix for the geographic area consists of 48.6% Medicare/Medicare HMO, 18.0% Medicaid/Medicaid HMO, 19.5% Commercial Insurance, 7.9% Self pay/Non-pay, and 6.0% Other. Schedule H, Part VI, Line 5 Promotion of community health BARTOW REGIONAL MEDICAL CENTER OUR MISSION AT BARTOW REGIONAL MEDICAL CENTER 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. BARTOW REGIONAL MEDICAL CENTER (BRMC), LOCATED IN BARTOW, FLORIDA, IS A 72-BED ACUTE CARE HOSPITAL SERVING SOUTH LAKELAND, BARTOW, FT. MEADE, MULBERRY, RURAL SOUTH POLK COUNTY AND NORTHERN HARDEE COUNTY. THE HOSPITAL PROVIDES A VARIETY OF SERVICES INCLUDING INPATIENT AND OUTPATIENT SURGERY, IMAGING, EMERGENCY MEDICINE, CARDIAC CARE, WOUND CARE, AND SLEEP STUDIES. THE HOSPITAL IS EQUIPPED WITH FOUR SURGERY SUITES, TWO GASTROENTEROLOGY SUITES, AND ONE CATHETERIZATION LAB SUITE. COMMUNITY INVOLVEMENT The majority of the organization's Board of Trustees is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. THE TRUSTEES DONATE THEIR TIME, TALENTS AND SUPPORT; ASSIST WITH POLICY FORMULATION, DECISION MAKING AND OVERSIGHT; AND HAIL FROM A WIDE RANGE OF INDUSTRIES. The organization extends medical staff privileges to all qualified physicians in its community. THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY INCLUDING BARTOW CHAMBER OF COMMERCE, CITIZEN CPR AND THE TAMPA BAY HEALTHCARE COLLABORATIVE. 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 $110,000 AWARDED IN 2020 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 $65,000 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 AND HILLSBOROUGH COUNTIES. THROUGH FUNDING SUPPORT, BAYCARE PROVIDED SCREENINGS TO 911 INDIVIDUALS, LIFESTYLE-CHANGE PROGRAMMING FOR 128 ADULTS (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. ECONOMIC IMPACT THERE ARE 382 EXTRAORDINARY BRMC TEAM MEMBERS AND 302 PHYSICIANS, WHO TOGETHER BRING THE BRMC MISSION TO LIFE. BRMC IS A MEMBER OF THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL, BARTOW CHAMBER OF COMMERCE, AND BARTOW ECONOMIC DEVELOPMENT COUNCIL. BY INVITING THE NEXT GENERATION OF HEALTH CARE WORKERS TO LEARN FROM THE SKILL AND EXPERTISE OF OUR CURRENT TEAM MEMBERS, BRMC PROVIDES VALUABLE BENEFIT TO THE COMMUNITY. IN 2020, STAFF TIME EQUIVALENT TO OVER $67,000 WAS USED TO EDUCATE APPROXIMATELY 111 STUDENTS WHO RECEIVED EDUCATION, GUIDANCE AND ENCOURAGEMENT FROM CLINICAL ROTATIONS, MENTORSHIPS, AND PRACTICUMS AT BRMC. RECOGNITION BARTOW REGIONAL MEDICAL CENTER RECOGNITION: *BRMC'S CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE RECEIVED CENTER OF DISTINCTION AWARD FROM HEALOGICS, WHICH PROVIDES ADVANCED WOUND CARE. *THE HOSPITAL ALSO MADE THE LIST OF FORTUNE/IBM WATSON HEALTH 100 TOP HOSPITALS FOR THE FIRST TIME, IN THE SMALL COMMUNITY HOSPITAL CATEGORY. BAYCARE RECOGNITION: *BAYCARE WAS NAMED ONE OF THE BEST COMPANIES TO WORK FOR IN THE COUNTRY BY GREAT PLACE TO WORK AND FORTUNE FOR THE THIRD YEAR IN A ROW. IN 2020, WE RANKED 37 OUT OF 100 COMPANIES. BAYCARE WAS ALSO NAMED: *FORTUNE BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020 *FORTUNE BEST WORKPLACES FOR MILLENNIALS 2020 *FORTUNE BEST WORKPLACES FOR WOMEN 2020 *GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020 *BAYCARE WAS ALSO NAMED BY THE REGIONAL NEWSPAPER, TAMPA BAY TIMES, AS A TOP WORKPLACE. WE RANKED 17 OUT OF 25 LARGE COMPANIES, MAKING IT THE SIXTH YEAR IN A ROW ON THIS RESPECTED LOCAL LIST. *FOR THE SECOND YEAR IN A ROW, IBM WATSON HEALTH LISTED BAYCARE IN THE TOP 20% OF LARGE HEALTH SYSTEMS IN THE COUNTRY. *IN SEPTEMBER 2020, BAYCARE MADE THE PEOPLE 2020 COMPANIES THAT CARE LIST. THIS LIST RECOGNIZES COMPANIES THAT SUPPORTED TEAM MEMBERS AND THE COMMUNITY DURING THE COVID-19 PANDEMIC. *IN LATE 2020, BAYCARE WAS GRANTED INITIAL ACCREDITATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AS A SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION. RESPONDING TO NEEDS THE COVID-19 PANDEMIC HAS REAFFIRMED THE GREAT PRIVILEGE AND RESPONSIBILITY BAYCARE HAS AS WEST CENTRAL FLORIDA'S LARGEST COMMUNITY-OWNED, NOT-FOR-PROFIT HEALTH SYSTEM. THE DISRUPTIONS TO THE HEALTH CARE INDUSTRY WERE IMMEDIATE AND ACUTE. ONE OF THE MOST IMMEDIATE WAS THE COLLAPSE OF SUPPLY LINES FOR PERSONAL PROTECTIVE EQUIPMENT (PPE). WHILE U.S. HEALTH CARE SYSTEMS SCRAMBLED TO FIND NEW SUPPLIERS, BAYCARE TEAM MEMBERS VOLUNTEERED TO MAKE MASKS AND FACE SHIELDS BY HAND IN A LARGE SEWING ROOM SET UP AT SYSTEM HEADQUARTERS. THE PANDEMIC PUSHED HEALTH CARE SYSTEMS INTO AN ARENA PREVIOUSLY OCCUPIED PRIMARILY BY GOVERNMENT AND LOCAL HEALTH DEPARTMENTS: PUBLIC HEALTH. BAYCARE STOOD UP SOME OF THE FIRST DRIVE-THROUGH TESTING FACILITIES IN THE REGION, CREATED WEBBASED SYMPTOM CHECKERS AND CALL CENTERS SO PEOPLE COULD ASK QUESTIONS ABOUT THE VIRUS, LAUNCHED VACCINE CLINICS, AND ADVISED SCHOOLS AND BUSINESSES ABOUT HOW TO SAFELY REOPEN. IN 2020 ACROSS BAYCARE, OUR FINANCIAL ASSISTANCE TEAM MEMBERS WORKED HARD TO OVERCOME THE CHALLENGES THE COVID PANDEMIC PRESENTED. DESPITE LOWER VOLUMES IN ALL OF OUR FACILITIES, OUR TEAM COMPLETED APPROXIMATELY 35,000 APPLICATIONS FOR OUR UNINSURED PATIENTS AND ASSISTED APPROXIMATELY 56,000 INDIVIDUALS, 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 2020, THE PROGRAM PROVIDED 9,792 RIDES TO DISCHARGED PATIENTS. IN 2020, THE BARTOW REGIONAL MEDICAL CENTER'S CARE COORDINATION TEAM PROVIDED APPROXIMATELY $131,000 IN SERVICES. 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. IN RESPONSE TO ADDRESSING MENTAL HEALTH AND SUBSTANCE USE ISSUES ACROSS THE REGION, BARTOW REGIONAL MEDICAL CENTER PROVIDED APPROXIMATELY $62,000 TO SUPPORT THE WORK OF TAMPA BAY THRIVES IN 2020. THE AREAS OF FOCUS FOR TAMPA BAY THRIVES INCLUDE: *NAVIGATION: 24/7 PHONE ACCESS TO BEHAVIORAL HEALTH NAVIGATION STAFFED BY MENTAL HEALTH PROFESSIONALS WHO WILL ASSESS NEEDS AND DIRECT PEOPLE TO GET THE RIGHT HELP. *ACCESS: VIRTUAL SHORT-TERM COUNSELING WITH LICENSED MENTAL HEALTH PROFESSIONALS FOR THOSE WHO NEED IMMEDIATE ATTENTION AS THEY WAIT FOR FUTURE APPOINTMENTS WITH LOCAL PROVIDERS. *AWARENESS: REMOVING THE STIGMA OF SEEKING MENTAL HEALTH TREATMENT SO THOSE IN NEED FEEL AS COMFORTABLE SEEKING TREATMENT AS THEY WOULD FOR PHYSICAL HEALTH CONCERNS. IN 2020, BAYCARE LAUNCHED THE GUN SHOP PROJECT TO ADDRESS THE LOCAL SUICIDE CRISIS. RESEARCH WE PARTICIPATED IN FROM 2018 SHOWED THAT SUICIDE RATES WERE HIGHER THAN THE NATIONAL AVERAGE IN MUCH OF THE TAMPA BAY REGION AND THAT GUNS WERE USED IN ABOUT 50% OF THOSE SUICIDE DEATHS. THE GOAL OF THE PROGRAM IS TO WORK WITH LOCAL FIREARMS RETAILERS, RANGES AND OTHERS TO INCREASE COMMUNITY AWARENESS OF RISK FACTORS FOR SUICIDE AND HOW TO FIND HELP. RECOGNIZING THAT BEHAVIORAL HEALTH NEEDS AMONG HOSPITAL PATIENTS ARE VARIED AND THAT HOSPITALIZATION ITSELF IS STRESSFUL, BAYCARE HIRED BEHAVIORAL HEALTH LIAISONS IN MANY HOSPITALS ACROSS OUR SYSTEM. BEHAVIORAL HEALTH LIAISONS ARE TRAINED THERAPISTS WHO WORK WITH A WIDE VARIETY OF PATIENTS TO OFFER CARE AND CONNECT THEM TO RESOURCES BEYOND THEIR HOSPITAL STAY. OUR LIAISONS HELP PATIENTS WITH ISSUES FROM ANXIETY OVER A NEW DIAGNOSIS TO COMPLEX SUBSTANCE USE DISORDERS, OFTEN FACILITATING FOLLOW UP CARE WITH OUTPATIENT PROVIDERS. THE LIAISONS ALSO PROVIDE CARE FOR OUR TEAM MEMBERS, WHICH WAS A CRUCIAL SUPPORT DURING THE HIGH STRESS MONTHS OF COVID-19 PEAK VOLUMES. (Continued) Schedule H, Part VI, Line 6 Affiliated health care system BAYCARE HEALTH SYSTEM, HEADQUARTERED IN CLEARWATER, FLORIDA, IS A 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, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S 2020 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.) 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 $4.4 BILLION IN OPERATING REVENUE IN 2020, 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 3,805 HOSPITAL BEDS, 19 URGENT CARE CENTERS, 4 SURGERY CENTERS, 13 OUTPATIENT IMAGING FACILITIES, 162 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 28,357 TEAM MEMBERS. DURING 2020, BAYCARE PROVIDED $618.9 MILLION IN BENEFITS FOR ITS EMPLOYEES, INCLUDING MORE THAN $198.7 MILLION IN RETIREMENT, $165.6 MILLION IN HEALTH INSURANCE, $157.7 MILLION IN PAID TIME OFF AND $42.2 MILLION IN EDUCATION AND DEVELOPMENT. IN 2020, BAYCARE WAS NAMED AMONG PEOPLE COMPANIES THAT CARE BY GREAT PLACE TO WORK AND PEOPLE MAGAZINE FOR SUPPORTING TEAM MEMBERS AND THE COMMUNITY DURING THE PANDEMIC. BAYCARE ALSO RECEIVED THESE NATIONAL AND LOCAL WORKPLACE AWARDS: FORTUNE MAGAZINE'S 100 BEST COMPANIES TO WORK FOR 2020, BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020, BEST WORKPLACES FOR MILLENNIALS 2020, AND BEST WORKPLACES FOR WOMEN 2020; GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020; AND FOR THE SIXTH YEAR IN A ROW, BAYCARE MADE THE TOP WORKPLACES LIST OF THE TAMPA BAY TIMES NEWSPAPER. IN 2020, BAYCARE PROVIDED $445 MILLION IN TOTAL COMMUNITY BENEFIT, INCLUDING $306 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, $83 MILLION IN TRADITIONAL CHARITY CARE AND $56 MILLION IN UNBILLED COMMUNITY SERVICES, ALL MEASURED IN UNREIMBURSED COSTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2019 IDENTIFIED FOOD INSECURITY AS ONE OF THE TOP ISSUES FACED BY INDIVIDUALS AND FAMILIES ACROSS TAMPA BAY AND WEST CENTRAL FLORIDA. IN ADDRESSING THIS NEED, WHICH WAS EXACERBATED BY THE PANDEMIC, BAYCARE BEGAN A PARTNERSHIP WITH NOT-FOR-PROFIT FEEDING TAMPA BAY. IN 2020, BAYCARE COMMITTED $400,000 TO LOCATING FOOD PANTRIES IN 16 SCHOOLS WHERE HUNGER IS AN ISSUE. BAYCARE HOSPITAL CARE COORDINATORS ALSO BEGAN ASKING PATIENTS IF THEY WOULD HAVE ACCESS TO HEALTHY FOOD AFTER DISCHARGE. IF THEY SAY NO, BAYCARE PROVIDES A TWO- TO THREE-DAY SUPPLY OF NON-PERISHABLE FOOD ALONG WITH CONTACT INFORMATION FOR NEARBY FOOD PANTRIES. BAYCARE ALSO JOINED THE FOODRX PROGRAM OF FEEDING TAMPA BAY, WHICH GIVES FOOD-INSECURE PATIENTS WITH CERTAIN CHRONIC CONDITIONS THE OPPORTUNITY TO SHOP FOR HEALTHY FOODS IN A MOBILE GROCERY STORE. 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 2020 RETAIN ITS RANKING IN THE TOP 20% OF LARGE U.S. HEALTH SYSTEMS BY IBM WATSON HEALTH. TWENTY-FOUR 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 WEST CENTRAL FLORIDA MENTAL WELLNESS COALITION 1002B SChurch Ave PO Box 18051 Tampa FL 33679 843036723 501(c)(3) 62679 Access to Mental Health Services Feeding Tampa Bay 4702 Transport Drive Bldg 6 Tampa FL 33605 592116576 501(c)(3) 37500 Food Insecurity 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BARTOW REGIONAL MEDICAL CENTER, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS. false true false false false false false false false GLENN WATERS TRUSTEE/EVP, COO BAYCARE 0 1007493 0 503000 0 411558 0 20889 0 44169 0 1987109 0 95961 KAREN KERR TRUSTEE/PRESIDENT SFBH & BRMC 0 292120 0 110416 0 75888 0 21772 0 30833 0 531030 0 0 CARL TREMONTI FORMER VP, CFO BMG, AMB 0 428393 0 157910 0 119662 0 39343 0 13921 0 759229 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 0 394315 0 142745 0 10006 0 69342 0 30767 0 647175 0 0 CLINTON SHOUPPE DIR, OPERATIONS BARTOW REG MED CNTR 130172 0 19763 0 551 0 7650 0 40390 0 198526 0 0 0 JAMES BARBARICS CLINICAL PHARMACIST 125708 0 2122 0 5334 0 6582 0 14449 0 154196 0 0 0 KEVIN GUFFEY CLINICAL PHARMACIST 127972 0 3702 0 9069 0 7002 0 20259 0 168004 0 0 0 PHILIP MINDEN PRESIDENT SJH SOUTH 294943 0 90902 0 14189 0 66699 0 14243 0 480976 0 0 0 CARMEN TRINDADE MANAGER PHARMACY 157035 0 12951 0 736 0 8183 0 8054 0 186958 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 COO. 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 the COO's compensation of the filing organization. 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. Philip Minden - Participated in a supplemental nonqualified deferred compensation plan. He had $52,449 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $348,372 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $137,085 in 2020. Ronald Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $55,092 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $72,191 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $28,407 in 2020. Karen Kerr - Participated in a supplemental nonqualified deferred compensation plan. She had $48,940 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $19,258 in 2020. Form 990, Part V, Line 1a Number reported 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 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A 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 COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2019, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE CORPORATION IS BAYCARE HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD SHALL CONSIST OF A MINIMUM OF TWELVE (12) AND A MAXIMUM OF SIXTEEN (16) DIRECTORS, AS DETERMINED BY THE SOLE MEMBER FROM TIME TO TIME. SUCH DIRECTORS SHALL BE APPOINTED AS FOLLOWS: (I) FOUR DIRECTORS SHALL BE APPOINTED BY THE MEDICAL STAFF; AND (II) THE REMAINING DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER, A MAJORITY OF WHICH SHALL BE INDEPENDENT, COMMUNITY MEMBERS. SUBJECT TO ARTICLE III OF THE BYLAWS, THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS IN A MANNER CONSISTENT WITH THE BYLAWS AND OTHER APPLICABLE LAW. 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: (1) THE APPROVAL THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS, AND CAPITAL BUDGETS; (2) THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT, AND PURPOSES; (3) THE ADDITION, DELETION, OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (4) THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (5) THE EXECUTION OF MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION; (6) THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER FROM TIME TO TIME; (7) THE HIRING, FIRING, DISCIPLINE, AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (8) THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER FROM TIME TO TIME; (9) AMENDMENT OF THE ARTICLES OF INCORPORATION AND THE BYLAWS; (10) THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (11) 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 BARTOW REGIONAL MEDICAL CENTER, 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 INTERESTS. 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. 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