STRATEGY STUDIO / PUBLIC DATA EXPLORER

WINTER HAVEN HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WINTER HAVEN HOSPITAL INC (EIN 59-0724462)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201943179349309244
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-13T19:22:16-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 NORTH FRANKLIN STREET SUITEAddressLine1Txt
Address Line22400AddressLine2Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590724462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINTER HAVEN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWINTBusinessNameControlTxt
Phone8632931121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 AVENUE F NEAddressLine1Txt
CityWINTER HAVENCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD BEAMONPersonNm
Person TitleCFOPersonTitleTxt
Phone8632931121PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE MCPEAKPreparerPersonNm
PTINP01346034PTIN
Phone8132254800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.184.197.104IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-13IPDt
IP Tm08:17:13IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN WATERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 DREW STREETAddressLine1Txt
CityWINTER HAVENCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$400,524,507GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSEE SCHEDULE OWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2535TotalEmployeeCnt
Total Volunteers132TotalVolunteersCnt
Total Gross UBI$331,568TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,607,004PYContributionsGrantsAmt
CY Contributions Grants$2,752,900CYContributionsGrantsAmt
PY Program Service Revenue$348,792,395PYProgramServiceRevenueAmt
CY Program Service Revenue$368,188,373CYProgramServiceRevenueAmt
PY Investment Income$4,722,885PYInvestmentIncomeAmt
CY Investment Income$3,306,407CYInvestmentIncomeAmt
PY Other Revenue$5,318,978PYOtherRevenueAmt
CY Other Revenue$5,061,187CYOtherRevenueAmt
PY Total Revenue$361,441,262PYTotalRevenueAmt
CY Total Revenue$379,308,867CYTotalRevenueAmt
PY Grants And Similar Paid$29,546PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$135,906,489PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$140,102,186CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$190,285,877PYOtherExpensesAmt
CY Other Expenses$202,765,781CYOtherExpensesAmt
PY Total Expenses$326,221,912PYTotalExpensesAmt
CY Total Expenses$342,872,967CYTotalExpensesAmt
PY Revenues Less Expenses$35,219,350PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$36,435,900CYRevenuesLessExpensesAmt
Total Assets BOY$323,788,215TotalAssetsBOYAmt
Total Assets EOY$344,138,861TotalAssetsEOYAmt
Total Liabilities BOY$136,970,526TotalLiabilitiesBOYAmt
Total Liabilities EOY$137,062,206TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$186,817,689NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$207,076,655NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$294,756,968ExpenseAmt
Grant$5,000GrantAmt
Revenue$370,752,525RevenueAmt
DescWINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 519 BED COMMUNITY HOSPITAL. DURING 2018, WHH PROVIDED INPATIENT CARE TO 20,529 PATIENTS, TREATED 76,078 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,727 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $42.6 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING OVER $4.6 MILLION. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION.Desc
Total Program Service Expenses$294,756,968TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2535EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANICE POLO EVP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7278208021PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 DREW STREETAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CINDY ALEXANDER
TRUSTEE1.000.00Yes (X)$0$0$0
MARK BOSTICK
TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT CARTER
TRUSTEE/TREASURER1.000.00Yes (X)$0$0$0Yes (X)
AL CASSIDY
TRUSTEE1.000.00Yes (X)$0$0$0
TODD DANTZLER
TRUSTEE1.000.00Yes (X)$0$0$0
ANGELA FALCONETTI
TRUSTEE1.000.00Yes (X)$0$0$0
ALAN GUSTAFSON
TRUSTEE1.000.00Yes (X)$0$0$0
CINDY HENRY
TRUSTEE1.000.00Yes (X)$0$0$0
DON INGRAM
TRUSTEE/CHAIR1.001.00Yes (X)$0$0$0Yes (X)
MICHELE MCCLENDON
TRUSTEE TILL SEPTEMBER1.000.00Yes (X)$0$0$0
CHARLES MCPHERSON
TRUSTEE/VICE CHAIR1.000.00Yes (X)$0$0$0Yes (X)
JUAN RIVERA
TRUSTEE EFF OCTOBER1.000.00Yes (X)$11,000$0$0
RICHARD STRAUGHN
TRUSTEE/PAST CHAIR1.000.00Yes (X)$0$0$0
CHIP TUCKER
TRUSTEE/SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
EDGAR WILLARD
TRUSTEE1.000.00Yes (X)$6,688$0$0
CARL TREMONTI VPCFO BAYCARE
HOSP DIV/BC MED GR/AMB1.0063.00$0$698,208$26,327Yes (X)
RONALD BEAMON
VP, CFO BAYCARE HOSP DIV EFF MAY1.0058.00$0$310,364$21,585Yes (X)
GLENN WATERS
EVP, COO BAYCARE1.0060.00$0$1,549,036$59,994Yes (X)
STEPHEN NIERMAN
PRES WINTER HAVEN HOSP45.001.00$563,446$0$62,899Yes (X)
CAROL KOEPPEL-OLSEN
VP, PATIENT SVCS/CNO POLK45.000.00$331,465$0$79,348Yes (X)
JENNIFER BLANK
DIR, EMERGENCY SVCS/NURSE STAFFING WHH45.000.00$169,768$0$24,068Yes (X)
TINA SOLOMON
DIRECTOR, FINANCE POLK45.000.00$174,850$0$22,663Yes (X)
DEBRA WOLF
PRACTICE EXCELLENCE ADV CARE PRACTITIONER45.000.00$182,104$0$18,941Yes (X)
KHURRAM KAMRAN
VP/CMO WINTER HAVEN HOSP45.000.00$676,525$0$15,539Yes (X)
JACQUES VASCONCELLOS
DIR, OPERATIONS WHH45.001.00$210,342$0$31,425Yes (X)
GLENN WYSOCK
MANAGER, PHARMACY45.000.00$203,262$0$26,176Yes (X)
WALTER LUPKE
DIR, CLIN DECISION SUPP WINTER HAVEN HOSP45.000.00$177,736$0$23,909Yes (X)
JOEL THOMAS
FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN1.0045.00$0$166,490$21,388Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,707,186TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,724,098TotReportableCompRltdOrgAmt
Total Other Compensation$434,262TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K83IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DOSTER CONSTRUCTION CO INC
2100 INTERN-L PARK DRBIRMINGHAMAL35243CONSTRUCTION SERVICES$9,529,411
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850CINCINNATIOH45260MEDICAL SERVICES$2,111,737
HARVARD JOLLY INC
2714 DR MLK JR ST NST PETERSBURGFL33704ARCHITECTURAL SERVICES$1,890,064
BAY LINEN INC
11525 47TH ST NCLEARWATERFL33762LAUNDRY SERVICES$1,673,743
OB HOSPITALIST GROUP LLC
777 LOWNDES HILL RDGREENVILLESC29607MEDICAL SERVICES$1,579,227
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K77CntrctRcvdGreaterThan100KCnt
Government Grants$2,723,693GovernmentGrantsAmt
All Other Contributions$29,207AllOtherContributionsAmt
Total Contributions$2,752,900TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PMNT621990$192,534,694$192,534,694
HOSPITAL PATIENT CARE621990$175,110,159$174,812,133$298,026
RENTAL INCOME FROM AFF621990$470,574$470,574
PREMIER PURCHASING PAR621990$72,946$68,380$4,566
FieldValueIRS element (for citing)
Total Program Service Revenue$368,188,373TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,172,844TotalRevenueColumnAmt
Unrelated Business Revenue$28,976UnrelatedBusinessRevenueAmt
Exclusion$2,143,868ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$987,958RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$987,958RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$987,958TotalRevenueColumnAmt
Exclusion$987,958ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,327,459SecuritiesAmt
Other$21,744OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$21,215,640SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,111,819SecuritiesAmt
Other$21,744OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,133,563TotalRevenueColumnAmt
Exclusion$1,133,563ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA722514$1,509,077$1,509,077
MISCELLANEOUS REV621990$1,210,189$1,210,189
BLOOD561000$1,152,747$1,152,747

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,216TotalRevenueColumnAmt
Related Or Exempt Func Income$201,216RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,073,229OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379,308,867TotalRevenueColumnAmt
Related Or Exempt Func Income$370,449,933RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$331,568UnrelatedBusinessRevenueAmt
Exclusion$5,774,466ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,480,378TotalAmt
Program Services$193,836ProgramServicesAmt
Management And General$1,286,542ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,627,108TotalAmt
Program Services$114,461,621ProgramServicesAmt
Management And General$1,165,487ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,935,026TotalAmt
Program Services$3,895,362ProgramServicesAmt
Management And General$39,664ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,853,912TotalAmt
Program Services$10,744,508ProgramServicesAmt
Management And General$109,404ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,205,762TotalAmt
Program Services$8,099,655ProgramServicesAmt
Management And General$106,107ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,007TotalAmt
Management And General$19,007ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,537TotalAmt
Management And General$2,537ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,845TotalAmt
Program Services$1,845ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$229,131TotalAmt
Program Services$229,131ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,988,567TotalAmt
Program Services$16,083,116ProgramServicesAmt
Management And General$905,451ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$365,361TotalAmt
Program Services$365,111ProgramServicesAmt
Management And General$250ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,177,541TotalAmt
Program Services$4,766,611ProgramServicesAmt
Management And General$410,930ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,306,946TotalAmt
Program Services$798,954ProgramServicesAmt
Management And General$507,992ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,773,190TotalAmt
Program Services$5,195,582ProgramServicesAmt
Management And General$577,608ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$688,500TotalAmt
Program Services$652,174ProgramServicesAmt
Management And General$36,326ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,810,770TotalAmt
Program Services$2,810,770ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,344,579TotalAmt
Program Services$15,125,488ProgramServicesAmt
Management And General$219,091ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,488,270TotalAmt
Program Services$7,488,270ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
UBI TAXES$6,500$6,500$0
MEDICAL SUPPLIES$61,692,501$61,689,264$3,237
MANAGEMENT FEES$36,301,997$36,301,997
BAD DEBT EXPENSE$27,101,852$27,101,852

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,466,687TotalAmt
Program Services$15,042,318ProgramServicesAmt
Management And General$6,424,369ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$342,872,967TotalAmt
Program Services$294,756,968ProgramServicesAmt
Management And General$48,115,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,318BOYAmt
EOY$8,596EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,019,850BOYAmt
EOY$34,967,377EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,729,785BOYAmt
EOY$4,679,266EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,442,575BOYAmt
EOY$9,157,438EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,806,809BOYAmt
EOY$1,976,930EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$263,109,342LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$88,544,566LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$163,213,159BOYAmt
EOY$174,564,776EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$86,845,296BOYAmt
EOY$91,536,745EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$16,328,541BOYAmt
EOY$15,576,990EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$7,439,000BOYAmt
EOY$7,439,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,953,882BOYAmt
EOY$4,231,743EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$323,788,215BOYAmt
EOY$344,138,861EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,935,974BOYAmt
EOY$19,662,260EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$43,276BOYAmt
EOY$76,578EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$206,562BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,784,714BOYAmt
EOY$117,323,368EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$136,970,526BOYAmt
EOY$137,062,206EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$179,964,228BOYAmt
EOY$200,040,918EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,887,062BOYAmt
EOY$6,069,338EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$966,399BOYAmt
EOY$966,399EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$186,817,689BOYAmt
EOY$207,076,655EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$323,788,215BOYAmt
EOY$344,138,861EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$36,435,900ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,792,701NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$11,384,233OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$8,500DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,845OtherActivitiesAmt
Total Lobbying Expenditures$10,345TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C PART II - B, LINES 1B,1G, AND 1I, SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationLINES 1B & 1G BAYCARE EMPLOYEES WERE COMPENSATED FOR LOBBYING ACTIVITIES. LINE 1I DUES WERE PAID TO THE 340B HEALTH, FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS, AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, PINELLAS COUNTY MEDICAL ASSOCIATION, APIC AND AACVPR. THESE ASSOCIATIONS USE A PORTION OF THEIR RESPECTIVE DUES FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,280,000OtherCostOrOtherBasisAmt
Book Value$14,280,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,529,134OtherCostOrOtherBasisAmt
Depreciation$34,430,731DepreciationAmt
Book Value$120,098,403BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,240,233OtherCostOrOtherBasisAmt
Depreciation$54,113,835DepreciationAmt
Book Value$24,126,398BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,059,975OtherCostOrOtherBasisAmt
Book Value$16,059,975BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$174,564,776TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO AFFILIATES$100,142,954
TENANT DEPOSITS$82,500
ASSET RETIREMENT OBLIGATION$896,723
ABANDONED PROPERTY$3,395
DEFERRED COMPENSATION PLAN$3,805,812
NONCURRENT PENSION OBLIGATION$12,391,984
FieldValueIRS element (for citing)
Total Liability$117,323,368TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$348,878,264TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,882,287NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,882,287RevenueNotReportedAmt
Revenue Subtotal$345,995,977RevenueSubtotalAmt
Investment Expenses Not Incld$229,131InvestmentExpensesNotIncldAmt
Other Revenues Not Included$33,083,759OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$33,312,890RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$379,308,867TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$315,447,293TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$315,447,293ExpensesSubtotalAmt
Investment Expenses Not Incld2$250,875InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$27,174,799OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$27,425,674ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$342,872,967TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 27,101,852. GRANTS 93,747. PREMIER INCENTIVES 72,946. CHANGE IN FOUNDATION EARNINGS 1,000,770. UNREALIZED GAIN/LOSS 4,814,445. ROUNDING -1.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 27,101,852. PREMIER INCENTIVES 72,946. ROUNDING 1.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEANINVESTMENTS$8,416,000
EAST ASIA AND THE PACIFICINVESTMENTS$1,077,000
EUROPEINVESTMENTS$2,668,000
EUROPEINVESTMENTS$14,000
MIDDLE EAST AND NORTH AFRICAINVESTMENTS$81,000
NORTH AMERICAINVESTMENTS$516,000
SOUTH AMERICAINVESTMENTS$266,000
SUB-SAHARAN AFRICAINVESTMENTS$48,000
RUSSIA AND NEIGHBORING STATESINVESTMENTS$8,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$13,086,000SubtotalSpentAmt
Continuation Spent$8,000ContinuationSpentAmt
Total Spent$13,094,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART 1, QUESTION 3FormAndLineReferenceDesc
ExplanationTHE FIRST LISTED AMOUNT UNDER EUROPE ($2,668,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($14,000) REPRESENTS INVESTMENT RELATED EXPENSE PAID. THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,145,342TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,145,342NetCommunityBenefitExpnsAmt
Total Expense0.04160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,888,400TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,456,324DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,432,076NetCommunityBenefitExpnsAmt
Total Expense0.08690TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,486,586TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,372,505DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,114,081NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,520,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,828,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,691,499NetCommunityBenefitExpnsAmt
Total Expense0.13520TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,063,948TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,063,948NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,530,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,530,934NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,979NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,181NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,639,042TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,639,042NetCommunityBenefitExpnsAmt
Total Expense0.01470TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,159,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,828,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,330,541NetCommunityBenefitExpnsAmt
Total Expense0.14990TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,646NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,646TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,646NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$27,101,852BadDebtExpenseAmt
Bad Debt Expense Attributable$23,835,994BadDebtExpenseAttributableAmt
Reimbursed By Medicare$72,905,391ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$81,732,077CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,826,686MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINTER HAVEN HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 AVENUE F NEAddressLine1Txt
CityWINTER HAVENCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33881ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BAYCARE.ORG/WHHWebsiteAddressTxt
State License3974StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WINTER HAVEN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, PAGE 8OtherWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WINTER HAVEN HOSPITAL, INC.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 WINTER HAVEN HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 38 OF THE 50 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.
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 11: WINTER HAVEN HOSPITAL 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 WINTER HAVEN HOSPITAL 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 WINTER HAVEN HOSPITAL'S EFFORTS TO BETTER MEET THIS NEED. WINTER HAVEN HOSPITAL'S LEADERSHIP BELIEVES THAT EFFORTS OUTLINED WITHIN THE IMPLEMENTATION PLAN WILL ALSO HAVE A POSITIVE IMPACT ON IMPROVING THE USE OF HEALTHY OPTIONS IN WINTER HAVEN HOSPITAL'S SERVICE AREA THEREFORE, ADDITIONAL ACTIVITIES BEYOND THOSE LISTED IN THE IMPLEMENTATION PLAN WERE NOT CONSIDERED TO BE NECESSARY AT THIS TIME.
WINTER HAVEN HOSPITAL, INC.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.
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE.
PART V, SECTION B, LINE 7AHTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS
PART V, SECTION B, LINE 7BHTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-WOMENS-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - CENTER FOR BEHAVORIAL HEALTH -POLK COBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 FIRST STREET SOUTHAddressLine1Txt
CityWINTER HAVENCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33880ZIPCd
FieldValueIRS element (for citing)
FacilityOUTPATIENT BEH HEALTH CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. WINTER HAVEN HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE WINTER HAVEN HOSPITAL 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 $27,101,852 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:WINTER HAVEN HOSPITAL PROVIDES COMMUNITY SUPPORT THROUGH ENVIRONMENTAL IMPROVEMENTS SUCH AS RECYCLING COSTS FOR DISPOSABLE ITEMS.
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) ($8,826,686) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($9,444,748) - TOTAL SURPLUS OR (SHORTFALL) ($18,271,434)
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 SUCH AS WINTER HAVEN'S "OUR FUTURE BY DESIGN". 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:WINTER HAVEN HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE WINTER HAVEN HOSPITAL, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS.IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, WINTER HAVEN HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4:WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL ARE ACUTE CARE FACILITIES SERVING PARTS OF POLK AND HIGHLANDS COUNTIES. THE AVERAGE HOUSEHOLD INCOME IN THIS AREA FALLS $20,896 BELOW THE STATE AVERAGE AND $30,639 BELOW THE NATIONAL AVERAGE; 13.5% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN WITH 80.9% BEING HIGH SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 27.5% OF THE POPULATION AND 17.1% ARE AFRICAN AMERICAN. WINTER HAVEN HOSPITAL IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY WINTER HAVEN HOSPITALS HAS 6 ACUTE CARE HOSPITALS INCLUDING WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S. THERE ARE 4 HOSPITALS WHICH ARE NOT-FOR-PROFIT AND 2 ARE FOR-PROFIT. THE ENTIRE SERVICE AREA FOR WINTER HAVEN AND WINTER HAVEN WOMEN'S HOSPITAL IS A FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS/POPULATIONS.THE SERVICE AREA SERVED BY WINTER HAVEN HOSPITALS IS EXPECTED TO GROW 7.1% IN POPULATION OVER THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.5% FOR THE UNITED STATES. THE OVER 65 POPULATION IS EXPECTED TO GROW 14.7% IN THE NEXT FIVE YEARS.BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/17-9/30/18, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 52.1% MEDICARE/MEDICARE HMO, 18.9% MEDICAID/MEDICAID HMO, 16.6% COMMERCIAL INSURANCE, 7.8% SELF PAY/NON-PAY, AND 4.3% OTHER.
PART VI, LINE 5:OUR MISSION AT WINTER HAVEN HOSPITAL 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. WINTER HAVEN HOSPITAL, INC., LOCATED IN WINTER HAVEN, FLORIDA, INCLUDES A 468-BED ACUTE CARE HOSPITAL AND A 61-BED OBSTETRIC/GYNECOLOGICAL SPECIALTY HOSPITAL, RESPECTIVELY REFERRED TO AS WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL. WINTER HAVEN HOSPITAL (WHH) WAS ESTABLISHED IN 1926, AND TODAY CONCENTRATES IN THE TREATMENT OF HEART DISEASE, BEHAVIORAL HEALTH, CANCER, STROKE, AND ORTHOPEDIC CONDITIONS. THE HOSPITAL ALSO PROVIDES EMERGENCY CARE, OUTPATIENT DIABETES EDUCATION, ENDOSCOPY AND SURGICAL SERVICES, CARDIAC, NEUROLOGICAL, ORTHOPEDIC, AND PULMONARY REHABILITATION, AND IMAGING SERVICES. THE WINTER HAVEN WOMEN'S HOSPITAL (WHWH), BUILT IN 1987 AND LOCATED APPROXIMATELY 1.5 MILES SOUTH OF WHH, INCLUDES A LEVEL II NEONATAL INTENSIVE CARE UNIT AND AN OUTPATIENT BREAST AND IMAGING CENTER. SERVICES INCLUDE ON-SITE CONTINUOUS OBSTETRIC COVERAGE, MATERNAL FETAL MEDICINE APPOINTMENTS AND LACTATION CONSULTATIONS. COMMUNITY INVOLVEMENTWHH 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 TRANSPORTATION, LAW, REAL ESTATE, CONSTRUCTION, COUNTY GOVERNMENT, FINANCE, AND TERTIARY EDUCATION. THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY INCLUDING THE UNITED WAY, GIRLS, INC., THE WOMEN'S RESOURCE CENTER, THE WINTER HAVEN ECONOMIC DEVELOPMENT COUNCIL, AND THE WINTER HAVEN CHAMBER OF COMMERCE. SINCE DECEMBER 2005, WHH HAS PROVIDED FREE LAB, X-RAY AND PULMONARY FUNCTION TESTING TO PATIENTS OF THE HALEY CENTER, A FREE CLINIC IN WINTER HAVEN.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 CAPACITY AND SUPPORT TO OUR FAITH COMMUNITY NURSING PROGRAM TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE HEALTH OUTCOMES FOR PARTICIPANTS. ANNUAL FUNDING OF $160,000 SUPPORTS THIS WORK ACROSS BAYCARE HEALTH SYSTEM. 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 2,100 EXTRAORDINARY WHH TEAM MEMBERS AND MORE THAN 300 PHYSICIANS, WHO TOGETHER BRING THE WHH MISSION TO LIFE. WHH CONTRIBUTES WITH ANNUAL MEMBERSHIP FEES TO THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL, MAIN STREET WINTER HAVEN, THE LAKE ALFRED CHAMBER OF COMMERCE AND THE HAINES CITY CHAMBER OF COMMERCE. THE 2018 CONTRIBUTIONS TOTALED $28,847. GOOD NEIGHBORSTHROUGH A PARTNERSHIP WITH THE UNITED WAY OF CENTRAL FLORIDA, LOCAL CHURCHES AND GOVERNMENT AGENCIES, WINTER HAVEN HOSPITAL HELPS OPERATE A NEIGHBORHOOD SERVICES CENTER. IN 2018, WHH PROVIDED MORE THAN $76,000 DIRECTLY TO THE PARTNERSHIP WHICH THEN TRANSLATED INTO THE YEAR'S BUDGET OF MORE THAN $124,000 RAISED FROM OTHER PARTNERS, COMMUNITY DONATIONS AND FUNDRAISERS. THE 2018 FUNDS HELPED PROVIDE MORE THAN 1,500 HOT MEALS, 675 TRANSPORTATION TRIPS, AND 3,500 AGENCY APPOINTMENTS.RECOGNITIONIN 2018, WHWH RECEIVED THE CARE AWARD FOR EXCELLENCE FROM THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS AND THE INTERNATIONAL LACTATION CONSULTANT ASSOCIATION. WHWH IS ONE OF ONLY SIX HOSPITALS IN FLORIDA TO ACHIEVE THIS AWARD. RESPONDING TO NEEDSWINTER HAVEN HOSPITAL FORMALLY CONTRACTED WITH FLORIDA STATE UNIVERSITY IN 2017 TO BEGIN OFFERING GRADUATE MEDICAL EDUCATION FOR FAMILY HEALTH PHYSICIANS. THE PROGRAM WILL PROVIDE ADDITIONAL HEALTH ACCESS IN OUR COMMUNITY AND HELP RECRUIT FAMILY HEALTH PHYSICIANS TO PRACTICE IN THE AREA. THIS WAS IN DIRECT RESPONSE TO HEALTH DISPARITIES IN THE WHH SERVICE AREA. IN 2018, WHH STARTED CONSTRUCTION OF THE TRAINING FACILITY, AND WORKED WITH FSU TO HIRE A PROGRAM DIRECTOR. WHH'S 2018 EXPENSES FOR THE PROGRAM WERE $110,844. THE COUNTY'S INDIGENT HEALTH CARE PROGRAM IS ALSO CONTRIBUTING FUNDS TO THE SERVICE. THROUGH BAYCARE'S PARTNERSHIP WITH FAMILY HEALTHCARE FOUNDATION, WINTER HAVEN HOSPITAL 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. IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY, WINTER HAVEN HOSPITAL HOSTS A CANCER RESOURCE ROOM. THIS ROOM, STAFFED BY VOLUNTEERS FROM BOTH ORGANIZATIONS, OFFERS SUPPORT TO NAVIGATE CANCER DIAGNOSIS AND TREATMENT AS WELL AS NEEDS ASSOCIATED WITH LIFE AFTER REMISSION SUCH AS SPIRITUAL, EMOTIONAL, HEALTHY EATING AND FOLLOW-UP GUIDELINES. WHH'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. IN 2018, WHH PROVIDED MORE THAN $290,000 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.WHWH PROVIDES INFANT/CHILD CAR-SEAT INSTRUCTION AND SAFETY CHECKS REGULARLY, AND HOSTED A MELANOMA MONDAY CANCER SCREENING EVENT IN AUGUST OF 2018; 45 PEOPLE ATTENDED THE CANCER SCREENING EVENT. ALSO IN 2018, WHH'S CENTER FOR DIABETES EDUCATION OFFERED THE CDC'S YEAR-LONG DIABETES PREVENTION PROGRAM AND THE CENTER FOR BEHAVIORAL HEALTH HOSTED A PARENTING PROGRAM ON BUILDING RESILIENT CHILDREN.SUPPORT AND EDUCATION ARE ALSO PROVIDED IN THE FORM OF SUPPORT GROUPS, CLASSES, AND COMMUNITY LECTURES. NEW IN 2018, WHH STARTED OFFERING GESTATIONAL DIABETES AND CHRONIC LUNG DISEASE SUPPORT GROUPS.IN PARTNERSHIP WITH TOBACCO-FREE FLORIDA, WHH PROVIDES SPACE FOR THEIR SMOKING CESSATION CLASSES. THROUGH A PARTNERSHIP WITH THE POLK COUNTY INDIGENT HEALTH CARE PROGRAM, WINTER HAVEN HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH CONTINUED A "SPECIALIZED COMMUNITY CARE TEAM." THE SCCT IS FOR ADULTS WITH MENTAL HEALTH DIFFICULTIES THAT AFFECT THEIR DAILY FUNCTIONING. SERVICES PROVIDE AT-HOME THERAPY, MEDICATION MANAGEMENT, AND RESOURCE REFERRALS TO HELP THE PATIENT ATTAIN WELLNESS, RESILIENCY AND SELF-SUFFICIENCY.WHH IS REQUIRED TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS AS ESTABLISHED BY THE AFFORDABLE CARE ACT OF 2010. THE HOSPITAL COMPLETED ITS THIRD ASSESSMENT (FIRST WAS IN 2013 AND SECOND WAS IN 2015). 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, WHH 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. (CONT-D AFTER PART VI, LINE 7 NARRATIVE)
PART VI, LINE 6:WINTER HAVEN HOSPITAL, INC. 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 7WINTER HAVEN HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT.
PART VI, LINE 5 (CONT-D)VOLUNTEER ACTIVITIES: BY INVITING THE NEXT GENERATION OF HEALTH CARE WORKERS TO LEARN FROM THE SKILL AND EXPERTISE OF OUR CURRENT TEAM MEMBERS, WHH PROVIDES VALUABLE BENEFIT TO THE COMMUNITY. IN 2018, 885 STUDENTS FROM POLK STATE COLLEGE, SOUTHEASTERN UNIVERSITY, FLORIDA SOUTHERN COLLEGE, UNIVERSITY OF SOUTH FLORIDA, CONCORDE CAREER COLLEGE, KEISER UNIVERSITY, GRAND CANYON UNIVERSITY AND GALAN COLLEGE OF NURSING RECEIVED EDUCATION, GUIDANCE AND ENCOURAGEMENT FROM CLINICAL ROTATIONS, MENTORSHIPS, AND PRACTICUMS AT WHH. IN 2018, STAFF TIME EQUIVALENT TO $917,540 WAS USED TO EDUCATE STUDENTS. IN ADDITION, WHH PROVIDES AN ASHP-ACCREDITED PHARMACY RESIDENCY PROGRAM. THE 12-MONTH TRAINING ALLOWS RESIDENTS TO COLLABORATE WITH MEDICAL STAFF, WORK WITH PATIENTS AND PARTNER WITH NURSING. THREE RESIDENTS GRADUATED IN SUMMER OF 2018, AND FOUR NEW RESIDENTS STARTED IN JUNE 2018. WHH CLINICAL PHARMACISTS CONTRIBUTED $42,701 IN STAFF TIME TO HELP PREPARE GRADUATES FOR PRACTICE IN DIVERSE CLINICAL SETTINGS, BECOME BOARD-CERTIFIED, OR TO CONTINUE TRAINING IN A SECOND YEAR PROGRAM.THROUGHOUT THE YEAR, WHH AND ITS TEAM MEMBERS CONTRIBUTE TO THE HEALTH OF OUR COMMUNITY IN A VARIETY OF OTHER WAYS INCLUDING BLOOD DRIVES, BLANKETS COLLECTIONS (814 FOR THOSE IN NEED), AND A CHRISTMAS GIFT PROGRAM TO ASSURE CHILDREN OF DISADVANTAGED FAMILIES ENJOY THE HOLIDAY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARL TREMONTI VPCFO BAYCARE
HOSP DIV/BC MED GR/AMB$0$404,412$0$128,903$0$164,893$0$13,750$0$12,577$0$724,535$0$49,498
RONALD BEAMON
VP, CFO BAYCARE HOSP DIV EFF MAY$0$220,342$0$54,022$0$36,000$0$7,903$0$13,682$0$331,949$0$0
GLENN WATERS
EVP, COO BAYCARE$0$922,335$0$352,137$0$274,564$0$18,822$0$41,172$0$1,609,030$0$14,747
STEPHEN NIERMAN
PRES WINTER HAVEN HOSP$343,802$0$103,148$0$116,496$0$34,210$0$28,689$0$626,345$0$14,581$0
CAROL KOEPPEL-OLSEN
VP, PATIENT SVCS/CNO POLK$239,501$0$77,827$0$14,137$0$57,628$0$21,720$0$410,813$0$0$0
JENNIFER BLANK
DIR, EMERGENCY SVCS/NURSE STAFFING W$144,918$0$15,808$0$9,042$0$7,979$0$16,089$0$193,836$0$0$0
TINA SOLOMON
DIRECTOR, FINANCE POLK$148,953$0$17,615$0$8,282$0$9,397$0$13,266$0$197,513$0$0$0
DEBRA WOLF
PRACTICE EXCELLENCE ADV CARE PRACTIT$154,883$0$18,538$0$8,683$0$8,403$0$10,538$0$201,045$0$0$0
KHURRAM KAMRAN
VP/CMO WINTER HAVEN HOSP$95,261$0$107,209$0$474,055$0$6,194$0$9,344$0$692,063$0$24,728$0
JACQUES VASCONCELLOS
DIR, OPERATIONS WHH$180,548$0$21,153$0$8,641$0$9,969$0$21,455$0$241,766$0$0$0
GLENN WYSOCK
MANAGER, PHARMACY$180,158$0$13,278$0$9,826$0$9,810$0$16,366$0$229,438$0$0$0
WALTER LUPKE
DIR, CLIN DECISION SUPP WINTER HAVEN$148,587$0$18,810$0$10,339$0$8,203$0$15,705$0$201,644$0$0$0
JOEL THOMAS
FORMER VP COMMUNITY HEALTH/MRKTG/FND$0$157,791$0$0$0$8,699$0$8,272$0$13,116$0$187,878$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ARONALD BEAMON RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $12,000 DURING 2018 WHICH WAS INCLUDED IN HIS TAXABLE WAGES.
PART I, LINE 3THE 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, LINES 4A-BKHURRAM KAMRAN RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $367,203 DURING 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. 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. STEPHEN NIERMAN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $91,412 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $35,971 IN 2018. CAROL KOEPPEL - OLSEN PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $44,693 OF NONVESTED BENEFITS ACCRUE DURING 2018. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. KHURRAM KAMRAN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $82,565 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. HE BECAME 100% VESTED IN 2018. THE PLAN MADE CASH DISTRIBUTION OF $32,489 IN 2018.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOND CLINIC PABusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$352,129TransactionAmt
TransactionPROFESSIONAL SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationMICHELE MCCLENDON AND JUAN RIVERA ARE DIRECTORS OF THE FILING ORGANIZATION AS WELL AS SHAREHOLDERS OF BOND CLINIC, P.A.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 1AEFFECTIVE 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 2AL CASSIDY AND RICHARD STRAUGHN ARE BOARD MEMBERS OF THE ORGANIZATION WHO HAVE A BUSINESS RELATIONSHIP UNRELATED TO THE FILING ORGANIZATION. CINDY HENRY AND CHARLES MCPHERSON ARE BOARD MEMBERS OF THE ORGANIZATION WHO HAVE A BUSINESS RELATIONSHIP UNRELATED TO THE FILING ORGANIZATION. RICHARD STRAUGHN, MARK BOSTICK, DON INGRAM, CHIP TUCKER, AL CASSIDY, TODD DANTZLER AND ALAN GUSTAFSON ARE BOARD MEMBERS OF THE ORGANIZATION WHO HAVE A BUSINESS RELATIONSHIP UNRELATED TO THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7AVOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN MEMBERS, UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CAPACITY OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THESE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CWINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF 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 15THE 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 WITH THE LAST REVIEW OCCURRING IN 2017 BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19WINTER HAVEN HOSPITAL'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG.
FORM 990, PART XI, LINE 9:CHANGE IN NET ASSETS OF FOUNDATION -3,116,984. UNREALIZED GAINS/(LOSSES) ON SWAPS 1,570,423. TRANSFER TO WH PHYSICIANS -9,837,672.
SECTION JHTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-HOSPITAL/PATIENTS-AND-VISITOR S HTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-WOMENS-HOSPITAL/PATIENTS-VISI TORS

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BAYCARE HEALTH SYSTEM
2985 DREW STCLEARWATERFL33759592796965HEALTH SRVCSFL501(C)(3)12AN/A0
BAYCARE BEHAVIORAL HEALTH INC
7809 MASSACHUSETTS AVENEW PORT RICHEYFL34653591371752HEALTH SRVCSFL501(C)(3)7Yes (1)BCHS
BC EMERGENCY ASSISTANCE PROGRAM INC
2985 DREW STCLEARWATERFL33759592697770EMERG ASSISTFL501(C)(3)10Yes (1)BAYCARE
BAYCARE HOME CARE INC
8452 118TH AVE NORTHLARGOFL33773593582520HOME HLTH SRVFL501(C)(3)10Yes (1)BAYCARE
BEHAVIORAL HEALTH MANAGEMENT SRVCS INC
900 CARILLON PKWY SUITE 406ST PETERSBURGFL33716593279573HEALTH SRVCSFL501(C)(3)10Yes (1)BCHS
WINTER HAVEN HOSPITAL AUXILIARY INC
200 AVE F NORTHEASTWINTER HAVENFL33881237190109VOLUNTEER SRVFL501(C)(3)12AN/A0
WINTER HAVEN HOSPITAL FOUNDATION INC
200 AVE F NORTHEASTWINTER HAVENFL33881030406130FUNDRAISINGFLPF12AN/A0
BAYCARE MEDICAL GROUP INC
300 S PARK PLACE BLVDCLEARWATERFL33759593140335PHYSICIANSFL501(C)(3)10Yes (1)BCHS
BARTOW REGIONAL MEDICAL CENTER INC
2200 OSPREY BLVDBARTOWFL33830475387418HOSPITALFL501(C)(3)3Yes (1)BCHS
BAYCARE SELECT HEALTH PLANS INC
2985 DREW STREETCLEARWATERFL33759810795815MCR ADVANTAGEFL501(C)(4)N/AYes (1)BCHS
BAYCARE PASCO INC
2985 DREW STCLEARWATERFL33759832099849POTENTIAL HOSPITALFLYes (1)BCHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BC PURCHASING PARTNERS LLC
8731 FL MININGTAMPAFL33634640950837GROUP PURCHINGFLN/ARELATED$783,238$476,8750$28,97600.08650
BC SURGERY CTR LLC
8452 118TH A NLARGOFL33774460591430SURGERY CENTEFLN/A00BAYCARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEIN
BCHS INSURANCE INC
720 W BAY RD BUCKNG SQRGRAND CAYMANCAKY1-1102CAPTIVE INSURANCEFLBAYCARECYes (1)
MEDSPECIALISTS INC
PAYROLL SRVCSFLBAYCARECYes (1)2985 DREW STCLEARWATERFL33759680587533
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BAYCARE MEDICAL GROUP INC
B$8,801,862FMV
BEHAVIORAL HEALTH MANAGEMENT SERVICES INC
B$899,197FMV
BARTOW REGIONAL MEDICAL CENTER INC
O$993,595FMV
BEHAVIORAL HEALTH MANAGEMENT SERVICES INC
R$94,579FMV
BAYCARE MEDICAL GROUP INC
R$3,827,462FMV
BAYCARE HOME CARE INC
O$596,791FMV