2021-11-05T18:08:33-05:00 2020-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2020-01-01 590855412 Trustees of Mease Hospital Inc TRUS 7274627697 601 Main Street Dunedin FL 34698 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 601 Main Street Dunedin FL 34698 481992309 false X See Schedule O X 1938 FL Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 20 17 3056 513 57430 49787 3002144 24700067 482952019 453642089 4975 13244 4183525 3635363 490142663 481990763 131312 757694 0 173172235 174919787 0 0 246954548 241926950 420258095 417604431 69884568 64386332 945482647 1053549414 26490087 72619544 918992560 980929870 Trustees of Mease Hospital, Inc. (TOM) will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 336640198 757694 454567683 Trustees of Mease Hospital, Inc. (TOM) is a full-service 431-bed community hospital. During 2020, TOM provided inpatient care to 20,578 patients, treated 69,627 patients in the emergency department, and delivered 1,937 babies. Through efforts of the medical assistance program and the hospital's charity care program TOM saw a net community benefit expense of $30 million. The hospital also provided other community services totaling more than $5 million. These include health screenings, educational programs, sponsorships and research. Refer to schedule H for additional information. 336640198 true true 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 true true false false true X 0 0 3056 true true true false false false false false false false false false false false X 20 17 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 ANDY BURWELL TRUSTEE/VICE CHAIR/TREASURER 1.0 2.0 X X 0 0 0 GLENN WATERS EX-OFFICIO TRUSTEE/EVP, COO BAYCARE 1.0 64.0 X X 0 1922051 65058 KURT ERICKSON TRUSTEE/CHAIRMAN 1.0 3.0 X X 0 0 0 SUSAN LATVALA TRUSTEE/SECRETARY 1.0 3.0 X X 0 0 0 BARRY KRAUS EX-OFFICIO TRUSTEE 1.0 2.0 X 0 0 0 BENJAMIN DAMSKER TRUSTEE 1.0 3.0 X 0 0 0 BRUCE LAUER TRUSTEE 1.0 2.0 X 0 0 0 CANDACE GLEWEN EX-OFFICIO TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 GAY LANCASTER TRUSTEE/IMM PAST CHAIR 1.0 3.0 X 0 0 0 ISAY GULLEY TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 JAMES CANTONIS TRUSTEE until Jan 2020 1.0 3.0 X 0 0 0 JASON WILSON EX-OFFICIO TRUSTEE/ PHYSICIAN 1.0 47.0 X 0 563690 60165 JENNIFER BUCK TRUSTEE 1.0 46.0 X 0 80284 15181 JOHN MASSON EX-OFFICIO TRUSTEE 1.0 2.0 X 0 0 0 JORGE NAVAS TRUSTEE 1.0 3.0 X 0 0 0 JORGE PSETAS EX-OFFICIO TRUSTEE 1.0 2.0 X 0 0 0 JUDY PARKER TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 KATIE COLE TRUSTEE 1.0 3.0 X 0 0 0 MARION RICH EX-OFFICIO TRUSTEE 1.0 2.0 X 0 0 0 MICHAEL SZOSTAK EX-OFFICIO TRUSTEE until Jan 2020 1.0 2.0 X 0 16375 0 RICHARD RODRIGUEZ EX-OFFICIO TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 RICK CHESLER TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 ROBERT ENTEL EX-OFFICIO TRUSTEE 1.0 2.0 X 0 0 0 ROBERT SHAW TRUSTEE 1.0 2.0 X 0 0 0 TINA TENRET TRUSTEE 1.0 2.0 X 0 0 0 TONJUA WILLIAMS TRUSTEE 1.0 2.0 X 0 0 0 V RAYMOND FERRARA TRUSTEE 1.0 3.0 X 0 0 0 VAKESH RAJANI TRUSTEE until Jan 2020 1.0 2.0 X 0 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 52.0 X 0 547066 100109 JOHN POLLARD DIR, SURGICAL SVCS TRUSTEES OF MEASE HOSP 45.0 0 X 222067 0 51782 LOUIS GALDIERI SVP, MARKET LEADER N PIN/W PSCO 1.0 45.0 X 0 815034 54451 MATTHEW NOVAK PRES TRUSTEES OF MEASE HOSP 15.0 35.0 X 0 432492 94796 REBECCA SCHULKOWSKI DIR, OPERATIONS MEASE 45.0 0 X 213713 0 40445 MAIKEL BOLOS CLINICAL PHARMACIST 45.0 0 X 189135 0 16862 MOHSEN HABIB MANAGER PHARMACY 45.0 0 X 214215 0 42857 PATRICIA CAVINESS CLINICAL PHARMACIST 45.0 0 X 245587 0 24365 RENEE SHOBY DIRECTOR PATIENT SERVICES - MCH 45.0 0 X 194836 0 19992 WILLIAM FACK CLINICAL PHARMACIST 45.0 0 X 209286 0 28306 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0.0 52.0 X 0 705965 53264 1488839 5082958 667633 132 true true false THE HASKELL COMPANY 111 RIVERSIDE AVE JACKSONVILLE FL 32202 construction services 23884636 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 laundry services 2014604 OB HOSPITALIST GROUP LLC 777 LOWNDES HILL RD BLDG 1 GREENVILLE SC 296072131 medical services 1387065 TERBO GROUP INC 1410 SANTA ANNA DR DUNEDIN FL 346984334 Construction Services 1148821 Universal Protection Services 17755 Gulf Blvd Redington Shores FL 33708 Security Services 830201 71 2449022 22181709 69336 24700067 HOSPITAL PATIENT CARE 622110 240236069 240236069 MEDICARE / MEDICAID PMNT 622110 211297262 211297262 RENTAL INC FROM AFFILIATES 532000 2108758 2108758 0 0 0 0 453642089 860373 860373 0 860373 860373 14790 1546 0 13244 13244 0 13244 0 0 12061 0 12061 12061 CAFETERIA 722514 1779905 1779905 CIN EMPLOYEE CLINIC FEE 900099 153603 153603 AUXILIARY REVENUE 900099 202735 202735 626686 569256 57430 0 2762929 481990763 454567683 57430 2665583 757694 757694 528007 528007 144004872 144004872 0 6172478 6172478 0 13963585 13963585 0 10250845 10230526 20319 294047 294047 84 84 3563 3563 16116588 16047047 69541 0 195121 194771 350 6127325 3651141 2476184 812761 457828 354933 9544025 8352188 1191837 424958 362064 62894 6281797 6281797 20620646 19697045 923601 4277594 4277594 BAD DEBT EXPENSE 426118 426118 MEDICAL SUPPLIES 84017358 84017358 MANAGEMENT FEES 62856873 62856873 ASSESSMENT 6243805 6243805 23684287 11498724 12185563 0 417604431 336640198 80964233 0 109538 131930 44220964 44652680 0 0 0 0 21589 35818 9820511 10381449 2017723 2176456 526348315 294833298 206520766 231515017 0 535174 626201 916700 183340 681319682 763846523 945482647 1053549414 19926077 38936919 136008 160934 0 0 2670191 1437106 3757811 32084585 26490087 72619544 X 918992560 980929870 918992560 980929870 945482647 1053549414 X 64386332 -2449022 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 400 false true 3563 3963 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 1b, 1g. Lobbying activities performed by employee concerning healthcare issues. 1i. Dues paid to Florida Society of Health System Pharmacists, American Physical Therapy Association, AACVPR, American Society for Healthcare Engineering, American Society of Health System Pharmacists, American Academy of Sleep Medicine, American Nurses Credentialing Center, and American College of Surgeons. These associations use a portion of their respective dues to conduct lobbying activities. 11886639 11886639 292903953 156686342 136217611 546969 418042 128927 163765180 137569204 26195976 57245574 159710 57085864 231515017 DUE FROM AFFILIATES INCOME TAX RECEIVABLE DUE FROM AFFILIATES 763819031 PREPAID TAXES 27492 763846523 8019 DEPOSITS ASSET RETIREMENT OBLIGATION ST EST THIRD PARTY SETTLEMENTS ASSET RETIREMENT OBLIGATION 80000 THIRD PARTY SETTLEMENTS 2387641 Medicare Advanced Payments 29608925 32084585 X 479345170 0 0 479345170 2645593 2645593 481990763 417407860 0 0 417407860 196571 196571 417604431 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 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. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements CONTRIBUTIONS IN NET ASSETS - 2449022 G/L ON SALE OF ASSETS - 13244 GRANTS - 183327 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements GRANTS - 183327 G/L ON SALE OF ASSETS - 13244 true true X true X 250 false true true true false true true 9305401 5276491 4028910 0.0097 42429256 16631170 25798086 0.0618 98278 31892 66386 0.0002 0 0 51832935 21939553 29893382 0.0717 1862351 1862351 0.0045 707970 707970 0.0017 2061249 2061249 0.0049 51870 51870 0.0001 695693 695693 0.0017 0 0 5379133 0 5379133 0.0129 0 0 57212068 21939553 35272515 0.0846 0 0.0 0 0.0 6125 6125 0.0000 35318 35318 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 41443 0 41443 0.0001 true 426118 405247 90048731 104503298 -14454567 X true true 1 1 TRUSTEES OF MEASE HOSPITAL INC 3231 MCMULLEN BOOTH RD CLEARWATER FL 33761 WWW.BAYCARE.ORG 4378 X X X TRUSTEES OF MEASE 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/mease-countryside-hospital/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/mease-countryside-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 5 Facility , 1 Facility , 1 - TRUSTEES OF MEASE 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 ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY TRUSTEES OF MEASE HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 55 COMMUNITY STAKEHOLDERS IN THE TRUSTEES OF MEASE HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 9 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 - TRUSTEES OF MEASE 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 Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - TRUSTEES OF MEASE HOSPITAL, INC.. CHNA was conducted with the following non-hospital facility: 1. Florida Department of Health in Pinellas County Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - TRUSTEES OF MEASE HOSPITAL, INC.. Mease Countryside Hospital and Mease Dunedin Hospital are 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 TRUSTEES OF MEASE HOSPITAL, INC.'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, Mease Countryside Hospital and Mease Dunedin Hospital remain 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 Mease Countryside Hospital and Mease Dunedin 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 - TRUSTEES OF MEASE HOSPITAL, INC.. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. 9 MEASE COUNTRYSIDE SURGERY CENTER 1880 MEASE DR SAFETY HARBOR FL 34695 DAY SURGERY CENTER MPM OUTPATIENT REHABIILATATION SERVICES 32672 US HIGHWAY 19 NORTH PALM HARBOR FL 34684 REHABILITATION SERVICES MEASE SPORTS MEDICINE CENTER 3251 MCMULLEN BOOTH RD STE 200 SAFETY HARBOR FL 34695 OUTPATIENT CLINIC MCH CARDIAC & PULMONARY REHABILITATION 1840 MEASE DR STE 105 SAFETY HARBOR FL 34695 REHABILITATION SERVICES MCH SUSAN CHEEK NEEDLER BREAST CENTER 1840 MEASE DR STE 103 SAFETY HARBOR FL 34695 IMAGING CENTER MEASE COUNTRYSIDE SLEEP DISORDERS CENTER 1840 MEASE DR STE 102 SAFETY HARBOR FL 34695 OUTPATIENT CLINIC BAYCARE WOUND CENTER 3890 TAMPA ROAD PALM HARBOR FL 34684 OUTPATIENT CLINIC BAYCARE OP SLEEP DISORDERS CENTER 12780 RACE TRACK RD SUITE 115 TAMPA FL 34684 OUTPATIENT CLINIC - CLOSED 11/2/2020 Mease Outpatient Imaging 1840 Mease Dr Ste 103 Safety Harbor FL 34695 Outpatient Imaging Center Schedule H, Part VI, Line 7 State filing of community benefit report TRUSTEES OF MEASE HOSPITAL, 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) Morton Plant Mease is committed to providing financial and other support to not-for-profit organizations whose missions are to improve the health and well-being of our community, in 2020 Morton Plant Mease provided funding to free clinics and community-based organizations including: * Clearwater Free Clinic- Morton Plant Mease awarded $375,000 to support ongoing operations to address the basic and complex needs of the uninsured families who present to the clinic for care by providing healthcare services, mental health diagnosing and counseling, substance abuse, and community wellness services. * Community Dental Clinic- Morton Plant Mease awarded $104,400 to provide access to dental care, eliminate pain and decay while promoting healthy, productive lifestyles to unemployed and/or uninsured residents of Pinellas County. * Healthy Start Coalition of Pinellas- Morton Plant Mease awarded the Healthy Start Coalition of Pinellas, Inc. $40,600 to provide the Beds 4 Babies program offering safe baby sleep kits and education on safe sleep as well as doula support services to ensure timely, affordable and appropriate healthcare services for all Pinellas County residents with a focus on those disproportionately impacted. * Homeless Empowerment Program- Morton Plant Mease awarded $217,108 to support the Homeless Empowerment Program's on-site wellness clinic offering chronic disease self-management program workshops, health and wellness navigator services to expedite access to primary care, diagnostic, and pharmaceutical services, as well as crisis intervention/stabilization services from the behavioral health navigator. * La Clinica Guadalupana- La Clinica Guadalupana is a free clinic that provides health care to Pinellas County's rapidly growing Hispanic community. Morton Plant Mease awarded $60,000 to support ongoing operations which include services such as primary, gynecological and pediatric care, free health screenings, and immunizations. * Ready for Life- Morton Plant Mease awarded Ready for Life, Inc. $25,600 to increase access to timely, affordable and appropriate healthcare to the young adults who have aged out of the foster care system and their children. Funding supports the connecting program participants to health resources, sustainable health care, health education and trauma-informed trainings for staff, volunteers and board members. In addition, $5,000 was provided for COVID relief support. * Salvation Army- Morton Plant Mease along with St. Anthony's Hospital awarded $164,250 to the Salvation Army to provide emergency shelter services including 3 meals a day for 30 nights to the homeless to ensure access to a safe, supportive environment for substance misuse patients. * Tampa Bay Thrives- In response to addressing mental health and substance use issues across the region, Mease Countryside and Mease Dunedin Hospitals provided approximately $393,000 to support the work of Tampa Bay Thrives. 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. Willa Carson Health and Wellness Center- The Willa Carson Health and Wellness Center in Clearwater provides preventive health care, wellness and education services to uninsured and low-income community members at no charge. Morton Plant Mease awarded $55,000 to support ongoing operations. 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 Morton Plant Mease Care Coordination Team provided approximately $1.2 million in services. This program includes pharmacy, home health/DME, 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. Serving north Pinellas and Pasco counties, the Women's & Children's Center at Mease Countryside Hospital seeks to combine modern technology with family-centered care. Birthing, childcare and breastfeeding classes are offered to expectant parents. An obstetrics navigator is available to connect expectant mothers with health insurance options, care, and/or resources in the community. As part of our BayCare Kids network, Mease Countryside has continued its commitment to strengthen and advance children's care in north Pinellas and south Pasco counties by providing more access in the local community to innovative and high-tech care in a family-centered setting. Mease Countryside offers: * Pediatric emergency services * Level III neonatal intensive care unit * Enhanced 10-bed private inpatient children's unit with a child life specialist who works with children and their parents to bring a sense of normalcy to the experience of hospitalization. * The BayCare Kids Specialty Center on the Mease Countryside campus provides the north Pinellas and south Pasco communities greater access to physical, occupational, and speech, therapy programs and pediatric physician specialty services. 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. To help meet Pinellas County's growing need for mental health services, BayCare Behavioral Health has established a specialized inpatient behavioral health center at Mease Dunedin Hospital. The new center features separate units for children and adolescents, ages 3-18, adults, and a progressive unit designed to help seniors with mental health issues associated with aging like dementia. 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. In 2020, Mease Countryside Hospital's liaison provided support to 916 patients. The liaison at Mease Dunedin Hospital was hired at the end of 2020. 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. 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. 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. (CONTINUED) Schedule H, Part VI, Line 5 Promotion of community health (continued) Faith Community Nursing offers a unique partnership between Morton Plant Mease 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 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. The Morton Plant Mease Diabetes Education Center provides free outpatient services to those diagnosed with diabetes, gestational diabetes or at risk of developing diabetes. Patients are referred to the center from various free clinics in Pinellas County. In addition, the center offers diabetes prevention and educational programs and support groups for community members. 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, Mease Countryside and Mease Dunedin Hospitals 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, 482 volunteers provided 33,267 hours for Mease Countryside and Mease Dunedin hospitals, providing service to meet our community needs that might otherwise go unmet. These services include patient welcome visits, surgery visitor assistance, tram/shuttle rides, discharge assists, volunteer chaplain visits and patient companion visits. Volunteers also provided 5,268 rides through CareLift, a free van transportation program for patients needing rides to and from the hospitals and outpatient services for appointments and treatments. 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. * Partnering with OneBlood and hosting team member blood drives at BayCare hospitals in Pasco, Pinellas and Hillsborough Counties. * Participating in a cereal drive, collecting and providing 1,200 boxes of cereal to Metropolitan Ministries in Pasco County. * Participating in a coat drive, collecting and donating 500 coats to provide to those in need at Pinellas Hope. * Holding the annual Team Member Giving Campaign. Across the system, team members donated $818,528 to BayCare hospital foundations and the United Way of the Suncoast. 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. TRUSTEES OF MEASE 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 7g Subsidized Health Services THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 426118 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 MEASE HOSPITALS SUPPORT ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT AND ENVIRONMENTAL IMPROVEMENTS. THIS INCLUDES: -FUNDING SUPPORT FOR COMMUNITY ORGANIZATIONS SUCH AS, THE CHI CHI RODRIGUEZ YOUTH FOUNDATION, THE YMCA OF THE SUNCOAST AND THE KIWANIS CLUB THAT ADDRESS THE ROOT CAUSES OF HEALTH AND SAFETY ISSUES AND PROMOTE ECONOMIC STABILITY. -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 NARRATIVE TO 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) ($14,454,567) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($13,244,791) TOTAL SURPLUS OR (SHORTFALL) ($27,699,358) 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 - TRUSTEES OF MEASE HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - TRUSTEES OF MEASE 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 - TRUSTEES OF MEASE HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment TRUSTEES OF MEASE 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. TRUSTEES OF MEASE 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. TOM recognizes the importance of hearing from those it serves. Along with collecting generally available data, TRUSTEES OF MEASE 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, TRUSTEES OF MEASE 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 TOM 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 TRUSTEES OF MEASE HOSPITAL, INC 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, TRUSTEES OF MEASE 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 Mease Hospitals are acute care facilities serving parts of Hillsborough, Pasco and Pinellas counties. The median household income of $62,131 in this area is $6,471 higher than the state median income and $6,572 below the national median income. 9.9% of households have annual household income below $15,000 per year. The population served is predominantly Caucasian and 91.2% are high-school graduates or higher educated. Hispanics are the second largest ethnic group representing 15.6% of the population. Mease Hospitals are part of BayCare Health System that serves West Central Florida. The area served by the Mease Hospitals has 12 acute care/behavioral health hospitals (5 Not-for-Profit), 1 Not-for-Profit long term acute care hospital and 1 For-Profit rehabilitation hospital. There are 10 federally designated medically underserved areas/medically underserved populations in Mease Hospitals' service area. With the over 65 population expected to grow 15.3% in the next five years, the health care needs of our service area are expanding and changing. The population served by Mease Hospitals is expected to grow 5.4% in the next 5 years. This expected growth is higher than the expected growth rate for the United States which is 2.9%. 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 54.1% Medicare/Medicare HMO, 13.7% Medicaid/Medicaid HMO, 19.3% Commercial Insurance, 7.4% Self pay/Non-pay, and 5.5% Other. Schedule H, Part VI, Line 5 Promotion of community health Trustees of Mease Hospital, Inc. consists of two hospitals: Mease Dunedin Hospital and Mease Countryside Hospital. In 1937, residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help. More than 80 years later, Mease Dunedin is a 120-bed hospital committed to meeting the needs of the community it serves. Mease Countryside Hospital originally began as a satellite clinic to Mease Dunedin Hospital. The needs of the community grew along with a housing boom and in 1985, Mease Countryside Hospital opened. Mease Countryside Hospital has been serving its fast-growing community for more than 30 years with the same commitment and is currently a 311-bed facility. In addition, Mease Countryside Hospital and Mease Dunedin Hospital are part of the BayCare Health System (BCHS) and work closely with Morton Plant Hospital and Morton Plant North Bay Hospital (other BCHS hospitals) in serving the North Pinellas and Pasco counties. This group of 4 hospitals is often referred to as Morton Plant Mease. Community Involvement: The majority of the Morton Plant Mease 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 organization extends medical staff privileges to all qualified physicians in its community. In addition, community members play a key role in Morton Plant Mease's Community Health Needs Committee. 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 7,000 Morton Plant Mease employees and nearly 1,200 physicians who have brought the hospitals' mission to life. By inviting the next generation of health care workers to learn from the skill and expertise of our current team members, Morton Plant Mease provides valuable benefit to the community. Student clinical experiences afford health care students opportunities to learn skills and knowledge necessary to function in acute care facilities and gain competence in clinical techniques. In total, nearly $700,000 in staff time for nurses, dietitians, lab technologists and other clinical providers was used to educate these future health care providers about many aspects of patient care, in addition to resident and intern stipends. Good Neighbors: In 2020, Morton Plant Mease hospitals provided nearly $17,000 in financial support to community not-for-profit organizations serving those disadvantaged across the community through sponsorship funds. Recognition: Mease Countryside Hospital and Mease Dunedin Hospital recognition includes: * All BayCare stroke centers became certified by DNV GL Healthcare, an international accrediting body that emphasizes clinical best practices along with a disciplined management system. Morton Plant Hospital earned the Comprehensive Stroke Center certification. Mease Countryside, Mease Dunedin and Morton Plant North Bay earned the Primary Stroke Center certification. Bardmoor Emergency Center earned Acute Stroke Ready certification. * Mease Countryside and Morton Plant were among six BayCare hospitals to earn the Mission: Lifeline STEMI Receiving Award for meeting and exceeding specific standards of performance for quick and appropriate treatment of patients suffering severe heart attacks. Mease Countryside won the Gold Award and Morton Plant the Bronze Plus. In addition, Mease Dunedin and Morton Plant received American Heart Association/American Stroke Association's Get with the Guidelines Stroke Awards. Both hospitals were recognized as Gold Plus with Honor Roll Elite and Target: Type 2 Diabetes Honor Roll. * Mease Dunedin Hospital was named a Finalist for the Top Performance Threshold QUEST Award for High Value Health Care from Premier Inc., a leading health care improvement company. * Mease Dunedin Hospital's Bariatric program became the first program in Florida and third in the nation to be designated as an Obesity Medicine Qualified program. In 2018, the program was re-accredited as a Comprehensive Center by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), in recognition of the program's commitment to providing and supporting quality improvement and patient safety efforts for metabolic and bariatric surgery patients. The accreditation is good for four years. * All four Morton Plant Mease hospitals -- Mease Countryside, Mease Dunedin, Morton Plant and Morton Plant North Bay - achieved Pathway designation from the American Nurses Credentialing Center (ANCC), which recognizes health care organizations for positive practice environments where nurses excel. They achieved the designation in 2018, and it is good for four years. BayCare Health Care recognition includes: * 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 recognized 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 web-based 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. (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 SALVATION ARMY 5631 Van Dyke Road Lutz FL 33558 580660607 501(c)(3) 26663 Access to Healthcare WEST CENTRAL FLORIDA MENTAL WELLNESS COALITION 1002B SChurch Ave PO Box 18051 Tampa FL 33679 843036723 501(c)(3) 392949 Access to Mental Health Services Community Dental Clinic Inc 1008 Woodlawn St Clearwater FL 33756 453340613 501(c)(3) 33981 Access to Healthcare LA Clinica Guadalupana Inc 1020 LAKEVIEW RD STE 4 Clearwater FL 33756 593348864 501(c)(3) 27458 Access to Healthcare Homeless Empowerment Program 1120 N Betty Ln Clearwater FL 33755 592729694 501(c)(3) 79543 Access to Healthcare Willa Carson Health and Wellness Center Inc 1108 N Martin Luther King Jr Ave Clearwater FL 33755 650743078 501(c)(3) 24671 Access to Healthcare Healthy Start Coalition of Pinellas Inc 4000 Gateway Centre Blvd Suite 200 Pinellas Park FL 33782 593109517 501(c)(3) 17295 Access to Healthcare CLEARWATER FREE CLINIC INC 1218 Court Street Clearwater FL 33756 591852871 501(c)(3) 97989 Access to Healthcare Ready for Life Inc 2300 Tall Pines Dr Suite 100 Largo FL 33771 264032979 501(c)(3) 14645 Access to Healthcare Feeding Tampa Bay 4702 Transport Drive Bldg 6 Tampa FL 33605 592116576 501(c)(3) 37500 Food Insecurity 10 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. TRUSTEES OF MEASE HOSPITAL, INC. IS COMMITTED TO ASSISTING NON-PROFIT ORGANIZATIONS WHOSE FOCUS IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EACH CASH DONATION REQUEST IS REVIEWED BY TRUSTEES OF MEASE HOSPITAL, INC.'S SENIOR MANAGEMENT TEAM TO DETERMINE WHETHER THE ORGANIZATION IS ONE WE WANT TO DONATE TO, BASED ON THE ORGANIZATION'S MISSION, NON-PROFIT STATUS, AND USAGE OF FUNDS. ONCE APPROVED, WE REQUIRE PROPER DOCUMENTATION FROM THE ORGANIZATION OF ITS NON-PROFIT STATUS, AND AS NEEDED, FOLLOW-UP WITH THE ORGANIZATION TO ENSURE THE ACTIVITY OCCURRED. false true false false false false false false false GLENN WATERS EX-OFFICIO TRUSTEE/EVP, COO BAYCARE 0 1007493 0 503000 0 411558 0 20889 0 44169 0 1987109 0 95961 JASON WILSON EX-OFFICIO TRUSTEE/ PHYSICIAN 0 514600 0 29100 0 19991 0 15673 0 44492 0 623855 0 0 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 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 LOUIS GALDIERI SVP, MARKET LEADER N PIN/W PSCO 0 457654 0 148048 0 209332 0 20265 0 34186 0 869485 0 77342 MATTHEW NOVAK PRES TRUSTEES OF MEASE HOSP 0 292785 0 107807 0 31901 0 68332 0 26464 0 527289 0 0 JOHN POLLARD DIR, SURGICAL SVCS TRUSTEES OF MEASE HOSP 186899 0 25704 0 9464 0 10855 0 40927 0 273849 0 0 0 REBECCA SCHULKOWSKI DIR, OPERATIONS MEASE 186290 0 27250 0 173 0 5981 0 34464 0 254157 0 0 0 MAIKEL BOLOS CLINICAL PHARMACIST 145487 0 10453 0 33196 0 0 0 16862 0 205997 0 0 0 PATRICIA CAVINESS CLINICAL PHARMACIST 114778 0 1464 0 129345 0 8134 0 16231 0 269952 0 0 0 WILLIAM FACK CLINICAL PHARMACIST 138713 0 902 0 69671 0 7602 0 20704 0 237592 0 0 0 MOHSEN HABIB MANAGER PHARMACY 186196 0 15643 0 12376 0 10423 0 32434 0 257072 0 0 0 RENEE SHOBY DIRECTOR PATIENT SERVICES - MCH 172113 0 20446 0 2277 0 7438 0 12554 0 214828 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 a 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 CEO'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. 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. LOUIS GALDIERI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $174,119 IN BENEFITS VEST IN 2020. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. HE BECAME 100% VESTED IN 2020. THE PLAN MADE CASH DISTRIBUTION OF $68,516 IN 2020 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. Ron 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. Matthew Novak - Participated in a supplemental nonqualified deferred compensation plan. He had $52,223 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. 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 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 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF TRUSTEES OF MEASE HOSPITAL, INC. IS MORTON PLANT MEASE HEALTH CARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD SHALL CONSIST OF NO MORE THAN TWENTY-SIX (26) MEMBERS (EACH, A "TRUSTEE"), ALL OF WHOM SHALL BE APPOINTED BY THE MEMBER SUCH THAT AT ALL TIMES THE BOARD IS COMPRISED OF ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. THE MEMBER RESERVES TO ITSELF THE FOLLOWING TWO CATEGORIES OF ACTIONS: CLASS I MEMBER RESERVED RIGHTS AND CLASS II MEMBER RESERVED RIGHTS. A. CLASS I MEMBER RESERVED RIGHTS 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION AND ITS SUBSIDIARIES AND AFFILIATES 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER) 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION 10. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER B. CLASS II MEMBER RESERVED RIGHTS 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION 2. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION 3. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES) 4. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION 5. CHANGE IN THE NAME OF A HOSPITAL FACILITY OF THE CORPORATION 6. APPROVAL OF SUBSTANTIVE CHANGES IN THE BYLAWS OF THE ARTICLES OF INCORPORATION OF THE CORPORATION Form 990, Part VI, Line 11b Review of form 990 by governing body The form 990 is prepared by the organization and reviewed by the 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 TRUSTEES OF MEASE 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 INTERESTS. 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 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 VIII, Line 11d Other Miscellaneous Revenue OTHER INCOME - Total Revenue: 626686, Related or Exempt Function Revenue: 569256, Unrelated Business Revenue: 57430, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CONTRIBUTIONS IN NET ASSETS - -2449022; Page 1- Item J Website HTTPS://BAYCARE.ORG/HOSPITALS/MEASE-COUNTRYSIDE-HOSPITAL/PATIENTS-AND-VISITORS HTTPS://BAYCARE.ORG/HOSPITALS/MEASE-DUNEDIN-HOSPITAL/PATIENTS-AND-VISITORS BAYCARE HEALTH SYSTEM INC 2985 DREW ST CLEARWATER FL 337593012 592796965 SUPPORT SRVCS FL 501(c)(3) Type II NA false MORTON PLANT HOSPITAL ASSOCIATION INC 300 PINELLAS STREET CLEARWATER FL 337563804 590624462 HEALTH SRVCS FL 501(c)(3) 3 MPMHC false MORTON PLANT MEASE HEALTH SERVICES INC 8452 118TH AVE N LARGO FL 337735007 592600684 HEALTH SRVCS FL 501(c)(3) 10 MPMHC false MORTON PLANT MEASE HEALTH CARE FOUND 1200 DRUID ROAD SOUTH CLEARWATER FL 337561995 591751535 FUNDRAISING FL 501(c)(3) Type I MPHATOM true MORTON PLANT MEASE HEALTH CARE INC 300 PINELLAS STREET CLEARWATER FL 337563804 592374556 SUPPORT SRVCS FL 501(c)(3) Type II NA false GLOBAL HEALTH CARE INC 8452 118TH AVENUE NORTH LARGO FL 337735007 591853449 HEALTH SRVCS FL NA C Corporation false MFP INC 628 BYPASS ROAD CLEARWATER FL 337645024 592374569 COLLECTIONS FL NA C Corporation false MORTON PLANT HEALTH VENTURES INC 8452 118TH AVENUE NORTH LARGO FL 337735007 592728600 HEALTH SRVCS FL NA C Corporation false false false true true false false false false false true true false true false true false false true true MORTON PLANT MEASE HEALTH CARE FOUNDATION C 2449022 FMV