2019-11-13T19:22:59-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2018-01-01 475387418 BARTOW REGIONAL MEDICAL CENTER INC BART 8635338111 2200 OSPREY BLVD BARTOW FL 33830 RONALD BEAMON CFO 8635338111 2019-11-12 1 MELANIE MCPEAK P01346034 8132254800 71.56.5.91 2019-11-12 19:27:20 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A4E0D4473D2186B2B9BED42AB860F7B9BF22E5E0 2018 2020-03-31 21:24:44Z GLENN WATERS 2200 OSPREY BLVD BARTOW FL 33759 78006110 0 X SEE SCHEDULE O 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. 17 15 504 72 3998 21073 2099 0 65146080 77589594 2080 1335 429426 415181 65579685 78006110 200 3365 0 0 22797327 25213622 0 0 0 41306327 44227739 64103854 69444726 1475831 8561384 72933540 78036844 8662272 5204187 64271268 72832657 TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 0 0 60039042 3365 77653202 BARTOW REGIONAL MEDICAL CENTER, INC. (BRMC) IS A FULL-SERVICE 72-BED COMMUNITY HOSPITAL WHICH BEGAN OPERATIONS IN 2016. BRMC PROVIDED INPATIENT CARE TO 2,980 PATIENTS AND TREATED 35,172 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 $8.9 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING NEARLY $546 THOUSAND. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 60039042 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 504 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JANICE POLO EVP & CFO 7278208021 2985 DREW STREET CLEARWATER FL 33759 MELONY BELL TRUSTEE 1.00 0.00 X 0 0 0 ROBERT CLANCEY TRUSTEE 1.00 0.00 X 0 0 0 KENNETH COMPTON TRUSTEE 1.00 0.00 X 0 0 0 ALLEN FISHER TRUSTEE 1.00 0.00 X 0 0 0 BRIAN HINTON TRUSTEE/CHAIR 1.00 0.00 X X 0 0 0 DON INGRAM TRUSTEE 1.00 1.00 X 0 0 0 CRAIG LARISCY TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL MICALLEF TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK JOHN MURPHY TRUSTEE 1.00 0.00 X 0 0 0 LEA ANN THOMAS TRUSTEE 1.00 0.00 X 0 0 0 JEREMY KATZMANN TRUSTEE 1.00 0.00 X 0 0 0 WAYNE PEACE TRUSTEE 1.00 0.00 X 0 0 0 BENJAMIN PHEN TRUSTEE 1.00 0.00 X 0 0 0 BENJAMIN BENNY ROBLES TRUSTEE 1.00 0.00 X 0 0 0 DAVID SORG TRUSTEE 1.00 0.00 X 0 0 0 PHILIP MINDEN TRUSTEE/SECR/TREAS/PRES BARTOW 45.00 0.00 X X 309399 0 63419 KAREN TEIGE TRUSTEE TILL JUNE 1.00 0.00 X 0 0 0 GLENN WATERS TRUSTEE/EVP, COO BAYCARE 1.00 60.00 X X 0 1549036 59994 CARL TREMONTI VP, CFO BAYCARE HOSP DIV TILL 5.7.18 1.00 63.00 X 0 698208 26327 RONALD BEAMON VP, CFO BAYCARE HOSP DIV EFF 5.7.18 1.00 58.00 X 0 310364 21585 CARMEN TRINDADE MANAGER PHARMACY 45.00 0.00 X 153280 0 11648 KEVIN GUFFEY CLINICAL PHARMACIST 45.00 0.00 X 130895 0 19202 CLINTON SHOUPPE DIR, OPERATIONS BARTOW REG MED CNTR 45.00 0.00 X 127441 0 33364 KIMBERLY STEPHENS CLINICAL PHARMACIST 45.00 0.00 X 122052 0 9462 JAMES BARBARICS CLINICAL PHARMACIST 45.00 0.00 X 118387 0 15516 961454 2557608 260517 10 0 1 0 MORRISON HEALTHCARE 2400 YORKMONT RD CHARLOTE NC 28217 CATERING SERVICES 1204480 WATSON CLINIC LLP 1430 LAKELAND HILLS BLVD LAKELAND FL 33805 PHYSICIAN SERVICES 960846 HARPER LIMBACH LLC 5102 W LAUREL ST TAMPA FL 33607 MOTOR BLOWER MAINTENANCE 734358 HOSPITAL HOUSEKEEPING SYSTEMS 216 E 4TH ST AUSTIN TX 78701 ENVIROMENTAL SERVICES 694866 TUDI MECHANICAL SYSTEMS 5615 E ADAMO DR TAMPA FL 33619 A/C REPAIR SERVICES 426020 20 HOSPITAL PATIENT CARE 621990 50142211 50142211 MEDICARE/MEDCAID PMNT 621990 27279945 27279945 RENTAL INCOME FROM AFF 621990 167438 167438 77589594 347219 0 347219 347219 347219 1335 0 1335 1335 1335 MISCELANEOUS REVENUE 900099 67606 63608 3998 CAFETERIA 900099 356 356 67962 78006110 77653202 3998 348910 3365 3365 413526 413526 20892908 20651253 241655 669160 661419 7741 1742707 1722547 20160 1495321 1495321 18304 18304 1450 1450 15 15 5705362 5389621 315741 42579 37979 4600 985613 925595 60018 216319 102897 113422 1149992 980628 169364 97262 92503 4759 71053 71053 4848925 4848925 922508 922508 UBI TAXES 1050 1050 BAD DEBT EXPENSE 10037328 10037328 MEDICAL SUPPLIES 9157659 9153542 4117 MANAGEMENT FEES 6756458 6756458 4215862 2942543 1273319 69444726 60039042 9405684 0 197107 416995 6741967 5940114 112706 1660931 1907645 230853 252679 56330503 12929701 44671701 43400802 46322 52668 19382829 19294829 1830 6658406 72933540 78036844 3453530 3966758 1378971 1177949 3829771 59480 8662272 5204187 X 64271268 72832657 64271268 72832657 72933540 78036844 X 8561384 5 X 0 1 X 1 1 1 X 0 1 0 0 0 0 1 3800 0 1 15 3815 0 SCHEDULE C PART II - B, LINE 1B, 1G AND LINE 1I, SUPPLEMENTAL INFORMATION LINE 1B & 1G LOBBYING ACTIVITIES PERFORMED BY EMPLOYEES CONCERNING HEALTH ISSUES. LINE 1I DUES WERE PAID TO THE FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS. THIS ORGANIZATION USES A PORTION OF ITS RESPECTIVE DUES FOR LOBBYING ACTIVITIES. 9117488 9117488 32402401 6246793 26155608 166000 49800 116200 13182396 6633108 6549288 1462218 1462218 43400802 DEPOSITS 1680 EST THIRD PARTY SETTLEMENTS 68722 DUE FROM AFFILIATES 6588004 6658406 ABANDONED PROPERTY 52708 DEPOSITS 6772 59480 X 67967449 0 67967449 1335 10037326 10038661 78006110 59406059 0 59406059 1335 10037332 10038667 69444726 PART X, LINE 2: MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 10037328. ROUNDING -2. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 10037328. ROUNDING 4. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 2840320 0 2840320 0.04780 9176363 3917862 5258501 0.08860 1124694 275685 849009 0.01430 13141377 4193547 8947830 0.15070 261814 0 261814 0.00440 235163 0 235163 0.00400 48618 0 48618 0.00080 545595 545595 0.00920 13686972 4193547 9493425 0.15990 2365 0 2365 0.00000 2365 2365 0.00000 1 10037328 6173858 8607110 11164773 -2557663 X 1 1 1 1 BARTOW REGIONAL MEDICAL CENTER 2200 OSPREY BLVD BARTOW FL 33830 WWW.BAYCARE.ORG/BRMC 4428 X X X BARTOW REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 1 18 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 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 1 X 0 X X X X 1 X 0 0 BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: 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, 38 OF THE 75 COMMUNITY STAKEHOLDERS INVITED TO TAKE THE SURVEY, COMPLETED IT. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: CHNA WAS CONDUCTED WITH WINTER HAVEN HOSPITAL. BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: BARTOW REGIONAL MEDICAL CENTER IS CONCENTRATING EFFORTS DURING THE 2019-2021 TIME PERIOD TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA: - ACCESS TO HEALTH SERVICES - MENTAL HEALTH AND SUBSTANCE USE - PHYSICAL ACTIVITY NUTRITION AND WEIGHTPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2019-2021 TIME PERIOD.WHILE BARTOW REGIONAL MEDICAL CENTER IS DEDICATED TO IMPROVING THE USE OF HEALTHY OPTIONS, THE HOSPITAL HAS LIMITED RESOURCES AND SERVICES SPECIFICALLY DEDICATED TO THIS AREA OF FOCUS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO COMPLEMENT BARTOW REGIONAL MEDICAL CENTER'S EFFORTS TO BETTER MEET THIS NEED. BARTOW REGIONAL MEDICAL CENTER LEADERSHIP BELIEVES THAT EFFORTS OUTLINED WITHIN THE IMPLEMENTATION PLAN WILL ALSO HAVE A POSITIVE IMPACT ON IMPROVING THE USE OF HEALTHY OPTIONS IN BARTOW REGIONAL MEDICAL CENTER'S SERVICE AREA; THEREFORE, ADDITIONAL ACTIVITIES BEYOND THOSE LISTED IN THE IMPLEMENTATION PLAN WERE NOT CONSIDERED TO BE NECESSARY AT THIS TIME. BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. PART V, SECTION B, LINE 7A HTTPS://BAYCARE.ORG/HOSPITALS/BARTOW-REGIONAL-MEDICAL-CENTER/ABOUT-US/COMMUNITY-HEALTH-NEEDS 2 1 - CENTER FOR WOUND CARE AND HYPERBARICS 2000 OSPREY BLVD SUITE 103 BARTOW FL 33830 WOUND CARE CLINIC 2 - CENTER FOR SLEEP MEDICINE AT BARTOW 2250 OSPREY BLVD SUITE 105 BARTOW FL 33830 SLEEP CENTER PART I, LINE 3C: 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 BARTOW REGIONAL MEDICAL CENTER CRITERIA FOR FINANCIAL ASSISTANCE (250%) PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION. PART I, LINE 7: 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. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $10,037,328 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: BARTOW REGIONAL MEDICAL CENTER PROVIDES COMMUNITY SUPPORT THROUGH FUNDING POLK STATE COLLEGE FOUNDATION THAT PROVIDES SCHOLARSHIPS TO THOSE WHO NEED FINANCIAL SUPPORT TO PURSUE A COLLEGE DEGREE. PART III, LINE 2: 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. PART III, LINE 3: SEE PART III, LINE 2 PART III, LINE 4: 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. PART III, LINE 8: 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) ($2,557,663) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($1,178,418) - TOTAL SURPLUS OR (SHORTFALL) ($3,736,081) PART III, LINE 9B: 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. PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY PARTICIPATING IN SEVERAL COMMUNITY ORGANIZATIONS THAT DEVELOP COMMUNITY STRATEGIC PLANS. THE HOSPITAL ALSO WORKS WITH THE POLK COUNTY HEALTH DEPARTMENT IN ORDER TO CONDUCT STUDIES AND HELP SET PRIORITIES.ADDITIONALLY, THE HOSPITAL WORKS WITH AND UTILIZES SEVERAL COMMUNITY HEALTH SURVEYS CONDUCTED BY POLK HEALTHCARE ALLIANCE. PART VI, LINE 3: BARTOW REGIONAL MEDICAL CENTER'S FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BARTOW REGIONAL MEDICAL CENTER, 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. PART VI, LINE 4: BARTOW REGIONAL MEDICAL CENTER IS AN ACUTE CARE FACILITY SERVING PARTS OF POLK AND HARDEE COUNTIES. THE AVERAGE HOUSEHOLD INCOME IN THIS AREA FALLS $12,340 BELOW THE STATE AVERAGE AND $22,084 THE NATIONAL AVERAGE; 10.9% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 18.3% 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 5 ACUTE CARE HOSPITALS, 1 FOR-PROFIT AND 4 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 6.5% IN THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.5% FOR THE UNITED STATES. THE FASTEST GROWING POPULATION SEGMENT IS AGE 65+, EXPECTED TO GROW 16.0% IN THE NEXT 5 YEARS.BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/2017-9/30/2018, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 51.3% MEDICARE/MEDICARE HMO, 18.2% MEDICAID/MEDICAID HMO, 18.2% COMMERCIAL INSURANCE, 7.6% SELF PAY/NON-PAY, AND 4.7% OTHER. PART VI, LINE 5: OUR MISSION AT BARTOW REGIONAL MEDICAL CENTER (BRMC) AS PART OF THE BAYCARE HEALTH SYSTEM IS TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE 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, 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, SLEEP STUDIES AND A WEIGHT MANAGEMENT PROGRAM. THE HOSPITAL IS EQUIPPED WITH FOUR SURGERY SUITES, TWO GASTROENTEROLOGY SUITES, AND ONE CATHETERIZATION LAB SUITE. COMMUNITY INVOLVEMENTBRMC INVOLVES COMMUNITY MEMBERS AS AN ESSENTIAL COMPONENT OF ITS BOARD OF TRUSTEES. THE TRUSTEES DONATE THEIR TIME, TALENTS AND SUPPORT, ASSIST WITH POLICY FORMULATION, DECISION MAKING AND OVERSIGHT, AND HAIL FROM A WIDE RANGE OF INDUSTRY INCLUDING COUNTY GOVERNMENT, HEALTH CARE FOUNDATION, LEGAL, FINANCE, AND BANKING. THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY INCLUDING POLK VISION, BARTOW ECONOMIC DEVELOPMENT COUNCIL, BARTOW CHAMBER OF COMMERCE, POLK STATE COLLEGE FOUNDATION, AND CITIZEN CPR.CONDUIT FOR USING DONATED FUNDSBAYCARE HAS RECEIVED FUNDING FROM FLORIDA BLUE TO PARTNER WITH UBER TO REDUCE TRANSPORTATION BARRIERS IN ACCESSING HEALTH CARE. THE APPROXIMATELY $120,000 IN GRANT SPENDING SUPPORTED 5,848 PEOPLE ACROSS BAYCARE HEALTH SYSTEM IN 2018. BAYCARE HAS 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.ECONOMIC IMPACTTHERE ARE 381 EXTRAORDINARY BRMC TEAM MEMBERS AND NEARLY 200 PHYSICIANS, WHO TOGETHER BRING THE BRMC MISSION TO LIFE. BRMC CONTRIBUTES WITH ANNUAL MEMBERSHIP FEES TO THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL, BARTOW CHAMBER OF COMMERCE, AND BARTOW ECONOMIC DEVELOPMENT COUNCIL. THE 2018 CONTRIBUTIONS TOTALED $3,763. RESPONDING TO NEEDSTHROUGH BAYCARE'S PARTNERSHIP WITH FAMILY HEALTHCARE FOUNDATION, BRMC HOSTS A HEALTH CARE NAVIGATOR TO HELP ANYONE NAVIGATE OR ENROLL IN THE HEALTH INSURANCE MARKETPLACE UNDER THE AFFORDABLE CARE ACT, OR OTHER TYPES OF COVERAGE SUCH AS MEDICAID AND MEDICARE DISABILITY. THE NAVIGATOR TOOK APPOINTMENTS TO OFFER FREE, ONE-ON-ONE ASSISTANCE IN UNDERSTANDING INSURANCE OPTIONS AND ENROLLMENT.BRMC'S FAITH COMMUNITY NURSING PROGRAM JOINS WITH LOCAL FAITH ORGANIZATIONS TO PROMOTE WHOLE-PERSON WELLNESS WITHIN THEIR CONGREGATIONS AND COMMUNITIES. THIS PASTORAL CARE DEPARTMENT PROGRAM, AND THE CHAPLAINS OF THE DEPARTMENT COLLABORATE TO PROVIDE ADVANCE DIRECTIVE DOCUMENTS AND EDUCATION WITHIN HOSPITAL AND COMMUNITY. IN MAY OF 2018, THE FAITH COMMUNITY NURSING PROGRAM SPONSORED MENTAL HEALTH FIRST AID TRAINING CLASSES IN BARTOW TO HELP COMMUNITY LEADERS AND OTHERS LEARN TO RECOGNIZE AND RESPOND TO SIGNS OF MENTAL HEALTH DISTRESS AND SUBSTANCE ABUSE DISORDERS. TWO FREE COURSES WERE TAUGHT CONCURRENTLY BY LICENSED MENTAL HEALTH COUNSELORS: AN ADULT FOCUSED COURSE AND A YOUTH FOCUSED COURSE. TWENTY-THREE (23) COMMUNITY LEADERS PARTICIPATED IN THE ADULT TRAINING, AND 11 IN THE YOUTH TRAINING. THE ANNUAL EVENT HAS WELCOMED PARTICIPANTS WITH DIVERSE BACKGROUNDS, INCLUDING CLERGY, HEALTHCARE WORKERS, PARTICIPANTS IN A HOMELESS SHELTER'S LIFE RENEWAL PROGRAM AND STAFF FROM A CRISIS PREGNANCY CENTER.IN 2018, BRMC PROVIDED MORE THAN $24,000 IN TRANSPORTATION SERVICES TO HELP PATIENTS ARRIVE HOME AFTER DISCHARGE OR TRANSFER TO A SUBACUTE CARE FACILITY. THE CONTRIBUTIONS SUPPORTED CAB FARE, BUS TICKETS AND NON-EMERGENCY AMBULANCE TRANSFERS FOR HOSPITAL AND BEHAVIORAL HEALTH CENTER PATIENTS WHO DID NOT HAVE ANOTHER MEANS OF TRANSPORTATION AND WERE UNABLE TO AFFORD THE TRANSPORTATION COST.IN PARTNERSHIP WITH TOBACCO-FREE FLORIDA, BRMC PROVIDES SPACE FOR THEIR SMOKING CESSATION CLASSES. AS ESTABLISHED BY THE AFFORDABLE CARE ACT OF 2010, BRMC IS REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THIS IS BRMC'S FIRST COMMUNITY ASSESSMENT AS A RESULT OF ITS ACQUISITION BY BAYCARE FROM THE FOR-PROFIT COMMUNITY HEALTH SYSTEMS, INC. IN 2016. THE ACA ONLY REQUIRES ASSESSMENTS AND IMPLEMENTATION PLANS FROM HOSPITALS THAT QUALIFY AS A CHARITABLE ORGANIZATION UNDER IRS REGULATIONS. DATA WAS COLLECTED IN THE FIRST HALF OF THE YEAR USING SCIENTIFIC, RANDOM-SAMPLE PHONE SURVEYS, CONVENIENCE SURVEYS ON-SITE AT LOCAL HEALTH CLINICS, TARGETED STAKEHOLDER SURVEYS FROM KEY INFORMANTS, AND COUNTY-LEVEL, SECONDARY DATA. IN AUGUST, BRMC HELD A PRIORITIZATION MEETING WITH COMMUNITY MEMBERS TO RANK THE NEEDS IDENTIFIED IN THE COLLECTED DATA. AN IMPLEMENTATION PLAN TO ADDRESS THE TOP THREE NEEDS WAS APPROVED BY THE BOARD OF TRUSTEES IN DECEMBER. VOLUNTEER ACTIVITIESBY 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 2018, APPROXIMATELY 190 STUDENTS FROM POLK STATE COLLEGE, UNIVERSITY OF SOUTH FLORIDA, UNIVERSITY OF FLORIDA, KEISER UNIVERSITY, AND GALAN COLLEGE OF NURSING RECEIVED EDUCATION, GUIDANCE AND ENCOURAGEMENT FROM CLINICAL ROTATIONS, MENTORSHIPS, AND PRACTICUMS AT BRMC. IN 2018, STAFF TIME EQUIVALENT TO $235,163 WAS USED TO EDUCATE STUDENTS. THROUGHOUT THE YEAR, BRMC AND ITS TEAM MEMBERS CONTRIBUTE TO THE HEALTH OF OUR COMMUNITY IN A VARIETY OF OTHER WAYS INCLUDING BLOOD DRIVES, BLANKETS COLLECTIONS, AND A CHRISTMAS GIFT PROGRAM TO ASSURE CHILDREN OF DISADVANTAGED FAMILIES ENJOY THE HOLIDAY. PART VI, LINE 6: BARTOW REGIONAL MEDICAL CENTER IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 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 ANNUAL "REPORT TO THE COMMUNITY" CAN BE VIEWED AT HTTPS://BAYCARE.ORG/ANNUAL-REPORT-2018.BAYCARE'S HOSPITALS ARE 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 HOSPITAL-NORTH, ST. JOSEPH'S HOSPITAL-SOUTH, SOUTH FLORIDA BAPTIST, WINTER HAVEN AND WINTER HAVEN WOMEN'S.*BAYCARE WAS FOUNDED IN 1997 WHEN SEVERAL OF THE AREA'S NOT-FOR-PROFIT HOSPITALS CAME TOGETHER TO CREATE A HEALTH SYSTEM THAT WOULD ENSURE HIGH-QUALITY HEALTH CARE FOR EVERYONE IN THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. TODAY, BAYCARE IS A $4.2 BILLION, INTEGRATED HEALTH DELIVERY SYSTEM WITH 28,400 EMPLOYEES. IT PLAYS AN IMPORTANT ROLE AS AN ECONOMIC ENGINE, ANNUALLY GENERATING A $6.62 BILLION IMPACT ON THE REGION AND THE STATE. IN 2018, BAYCARE SPENT $2.09 BILLION TO PAY FOR THE SALARY AND BENEFITS OF ITS EMPLOYEES AND INVESTED $309 MILLION IN CAPITAL RESOURCES.BAYCARE'S CENTRALIZATION OF ADMINISTRATIVE FUNCTIONS IN A NUMBER OF AREAS, INCLUDING FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, PERFORMANCE IMPROVEMENT, CLINICAL OUTCOMES, CARE MANAGEMENT, PLANNING, SUPPLY CHAIN AND MARKETING/COMMUNICATIONS, HAS PROVIDED A MANAGEMENT STRUCTURE THAT HELPS ITS HOSPITALS AND SERVICE LINES OPERATE MORE EFFICIENTLY AND CONTINUE STRIVING FOR CLINICAL EXCELLENCE. BAYCARE'S FINANCIAL STABILITY ALSO HELPS ENSURE THAT ITS HOSPITALS REMAIN FOCUSED ON THEIR SHARED MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE, REGARDLESS OF PATIENTS' ABILITY TO PAY.IN 2018, BAYCARE PROVIDED $462 MILLION IN TOTAL COMMUNITY BENEFIT, 11% OF BAYCARE'S REVENUES, WHICH INCLUDES $117 MILLION IN TRADITIONAL CHARITY CARE FOR UNINSURED PATIENTS, $311 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, AND $34 MILLION IN UNBILLED COMMUNITY SERVICES. ALL OF THESE ARE MEASURED IN UNREIMBURSED COST.*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. PART VI, LINE 7 BARTOW REGIONAL MEDICAL CENTER, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. X 1 1 0 1 0 0 0 0 0 0 0 PHILIP MINDEN TRUSTEE/SECR/TREAS/PRES BARTOW 230949 0 71899 0 6551 0 52479 0 10940 0 372818 0 0 0 GLENN WATERS TRUSTEE/EVP, COO BAYCARE 0 922335 0 352137 0 274564 0 18822 0 41172 0 1609030 0 14747 CARL TREMONTI VP, CFO BAYCARE HOSP DIV TILL 5.7.18 0 404412 0 128903 0 164893 0 13750 0 12577 0 724535 0 49498 RONALD BEAMON VP, CFO BAYCARE HOSP DIV EFF 5.7.18 0 220342 0 54022 0 36000 0 7903 0 13682 0 331949 0 0 CARMEN TRINDADE MANAGER PHARMACY 142365 0 10467 0 448 0 7400 0 4247 0 164927 0 0 0 KEVIN GUFFEY CLINICAL PHARMACIST 110309 0 12763 0 7823 0 4135 0 15066 0 150096 0 0 0 CLINTON SHOUPPE DIR, OPERATIONS BARTOW REG MED CNTR 117078 0 8275 0 2088 0 6440 0 26924 0 160805 0 0 0 PART I, LINE 1A RONALD BEAMON RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $12,000 DURING 2018 WHICH WAS INCLUDED IN HIS TAXABLE WAGES. PART I, LINE 3 THE FILING ORGANIZATION DOES NOT USE ANY OF THE OPTIONS LISTED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. HOWEVER, THE RELATED ORGANIZATION, BAYCARE HEALTH SYSTEM INC, USES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS A MEANS TO ESTABLISH THE CEO'S COMPENSATION OF THE FILING ORGANIZATION. PART I, LINE 4B PHILIP MINDEN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $39,949 OF NONVESTED BENEFITS ACCRUE DURING 2018. 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 $237,944 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $93,631 IN 2018. CARL TREMONTI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $137,675 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $54,175 IN 2018. FORM 990, PART V, LINE 1A EFFECTIVE 2018, 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. THIS IS A CHANGE FROM THE PRIOR YEAR REPORTING AS IT BETTER ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS BAYCARE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A 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, SECTION A, LINE 7B 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, SECTION B, LINE 11B 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 WAS PROVIDED TO THE ENTIRE BOARD VIA WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C 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. 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, SECTION B, LINE 15 THE ORGANIZATION USES AN 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 2017, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 BARTOW REGIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG. FORM 990, PART XI, LINE 9: ROUNDING 5. 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