2019-11-13T19:22:16-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2018-01-01 590724462 WINTER HAVEN HOSPITAL INC WINT 8632931121 200 AVENUE F NE WINTER HAVEN FL 33881 RONALD BEAMON CFO 8632931121 2019-11-12 1 MELANIE MCPEAK P01346034 8132254800 73.184.197.104 2019-11-13 08:17:13 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484 2018 2020-03-31 21:24:44Z GLENN WATERS 2985 DREW STREET WINTER HAVEN FL 33759 400524507 0 X SEE SCHEDULE O X 1926 FL TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 14 12 2535 132 331568 0 2607004 2752900 348792395 368188373 4722885 3306407 5318978 5061187 361441262 379308867 29546 5000 0 0 135906489 140102186 0 0 0 190285877 202765781 326221912 342872967 35219350 36435900 323788215 344138861 136970526 137062206 186817689 207076655 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 294756968 5000 370752525 WINTER 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. 294756968 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 X 0 0 2535 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 12 1 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 CINDY ALEXANDER TRUSTEE 1.00 0.00 X 0 0 0 MARK BOSTICK TRUSTEE 1.00 0.00 X 0 0 0 ROBERT CARTER TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 AL CASSIDY TRUSTEE 1.00 0.00 X 0 0 0 TODD DANTZLER TRUSTEE 1.00 0.00 X 0 0 0 ANGELA FALCONETTI TRUSTEE 1.00 0.00 X 0 0 0 ALAN GUSTAFSON TRUSTEE 1.00 0.00 X 0 0 0 CINDY HENRY TRUSTEE 1.00 0.00 X 0 0 0 DON INGRAM TRUSTEE/CHAIR 1.00 1.00 X X 0 0 0 MICHELE MCCLENDON TRUSTEE TILL SEPTEMBER 1.00 0.00 X 0 0 0 CHARLES MCPHERSON TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 JUAN RIVERA TRUSTEE EFF OCTOBER 1.00 0.00 X 11000 0 0 RICHARD STRAUGHN TRUSTEE/PAST CHAIR 1.00 0.00 X 0 0 0 CHIP TUCKER TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 EDGAR WILLARD TRUSTEE 1.00 0.00 X 6688 0 0 CARL TREMONTI VPCFO BAYCARE HOSP DIV/BC MED GR/AMB 1.00 63.00 X 0 698208 26327 RONALD BEAMON VP, CFO BAYCARE HOSP DIV EFF MAY 1.00 58.00 X 0 310364 21585 GLENN WATERS EVP, COO BAYCARE 1.00 60.00 X 0 1549036 59994 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.00 1.00 X 563446 0 62899 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO POLK 45.00 0.00 X 331465 0 79348 JENNIFER BLANK DIR, EMERGENCY SVCS/NURSE STAFFING WHH 45.00 0.00 X 169768 0 24068 TINA SOLOMON DIRECTOR, FINANCE POLK 45.00 0.00 X 174850 0 22663 DEBRA WOLF PRACTICE EXCELLENCE ADV CARE PRACTITIONER 45.00 0.00 X 182104 0 18941 KHURRAM KAMRAN VP/CMO WINTER HAVEN HOSP 45.00 0.00 X 676525 0 15539 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 45.00 1.00 X 210342 0 31425 GLENN WYSOCK MANAGER, PHARMACY 45.00 0.00 X 203262 0 26176 WALTER LUPKE DIR, CLIN DECISION SUPP WINTER HAVEN HOSP 45.00 0.00 X 177736 0 23909 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN 1.00 45.00 X 0 166490 21388 2707186 2724098 434262 83 1 1 0 DOSTER CONSTRUCTION CO INC 2100 INTERN-L PARK DR BIRMINGHAM AL 35243 CONSTRUCTION SERVICES 9529411 HOSPITAL MEDICINE ASSOCIATES PO BOX 634850 CINCINNATI OH 45260 MEDICAL SERVICES 2111737 HARVARD JOLLY INC 2714 DR MLK JR ST N ST PETERSBURG FL 33704 ARCHITECTURAL SERVICES 1890064 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 LAUNDRY SERVICES 1673743 OB HOSPITALIST GROUP LLC 777 LOWNDES HILL RD GREENVILLE SC 29607 MEDICAL SERVICES 1579227 77 2723693 29207 2752900 MEDICARE/MEDICAID PMNT 621990 192534694 192534694 HOSPITAL PATIENT CARE 621990 175110159 174812133 298026 RENTAL INCOME FROM AFF 621990 470574 470574 PREMIER PURCHASING PAR 621990 72946 68380 4566 368188373 2172844 28976 2143868 987958 0 987958 987958 987958 22327459 21744 21215640 0 1111819 21744 1133563 1133563 CAFETERIA 722514 1509077 1509077 MISCELLANEOUS REV 621990 1210189 1210189 BLOOD 561000 1152747 1152747 201216 201216 4073229 379308867 370449933 331568 5774466 5000 5000 1480378 193836 1286542 115627108 114461621 1165487 3935026 3895362 39664 10853912 10744508 109404 8205762 8099655 106107 19007 19007 2537 2537 1845 1845 229131 229131 16988567 16083116 905451 365361 365111 250 5177541 4766611 410930 1306946 798954 507992 5773190 5195582 577608 688500 652174 36326 2810770 2810770 15344579 15125488 219091 7488270 7488270 UBI TAXES 6500 6500 0 MEDICAL SUPPLIES 61692501 61689264 3237 MANAGEMENT FEES 36301997 36301997 BAD DEBT EXPENSE 27101852 27101852 21466687 15042318 6424369 342872967 294756968 48115999 0 9318 8596 32019850 34967377 2729785 4679266 8442575 9157438 1806809 1976930 263109342 88544566 163213159 174564776 86845296 91536745 16328541 15576990 7439000 7439000 4953882 4231743 323788215 344138861 19935974 19662260 43276 76578 206562 0 116784714 117323368 136970526 137062206 X 179964228 200040918 5887062 6069338 966399 966399 186817689 207076655 323788215 344138861 X 36435900 -4792701 -11384233 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 8500 0 1 1845 10345 0 SCHEDULE C PART II - B, LINES 1B,1G, AND 1I, SUPPLEMENTAL INFORMATION LINES 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. 14280000 14280000 154529134 34430731 120098403 78240233 54113835 24126398 16059975 16059975 174564776 DUE TO AFFILIATES 100142954 TENANT DEPOSITS 82500 ASSET RETIREMENT OBLIGATION 896723 ABANDONED PROPERTY 3395 DEFERRED COMPENSATION PLAN 3805812 NONCURRENT PENSION OBLIGATION 12391984 117323368 X 348878264 2882287 2882287 345995977 229131 33083759 33312890 379308867 315447293 0 315447293 250875 27174799 27425674 342872967 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. CENTRAL AMERICA/CARIBBEAN INVESTMENTS 8416000 EAST ASIA AND THE PACIFIC INVESTMENTS 1077000 EUROPE INVESTMENTS 2668000 EUROPE INVESTMENTS 14000 MIDDLE EAST AND NORTH AFRICA INVESTMENTS 81000 NORTH AMERICA INVESTMENTS 516000 SOUTH AMERICA INVESTMENTS 266000 SUB-SAHARAN AFRICA INVESTMENTS 48000 RUSSIA AND NEIGHBORING STATES INVESTMENTS 8000 0 0 0 0 0 0 13086000 8000 13094000 0 0 0 0 0 0 SCHEDULE F, PART 1, QUESTION 3 THE 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. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 13145342 0 13145342 0.04160 50888400 23456324 27432076 0.08690 3486586 1372505 2114081 0.00670 67520328 24828829 42691499 0.13520 3063948 0 3063948 0.00970 1530934 0 1530934 0.00490 41979 0 41979 0.00010 2181 0 2181 0.00000 4639042 4639042 0.01470 72159370 24828829 47330541 0.14990 62646 0 62646 0.00020 62646 62646 0.00020 1 27101852 23835994 72905391 81732077 -8826686 X 1 1 1 1 WINTER HAVEN HOSPITAL INC 200 AVENUE F NE WINTER HAVEN FL 33881 WWW.BAYCARE.ORG/WHH 3974 X X X WINTER HAVEN HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, PAGE 8 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 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 7A HTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V, SECTION B, LINE 7B HTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-WOMENS-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS 1 1 - CENTER FOR BEHAVORIAL HEALTH -POLK CO 1201 FIRST STREET SOUTH WINTER HAVEN FL 33880 OUTPATIENT BEH HEALTH 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. 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 7 WINTER 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. X 1 1 1 1 0 0 0 0 0 0 0 CARL TREMONTI VPCFO BAYCARE HOSP DIV/BC MED GR/AMB 0 404412 0 128903 0 164893 0 13750 0 12577 0 724535 0 49498 RONALD BEAMON VP, CFO BAYCARE HOSP DIV EFF MAY 0 220342 0 54022 0 36000 0 7903 0 13682 0 331949 0 0 GLENN WATERS EVP, COO BAYCARE 0 922335 0 352137 0 274564 0 18822 0 41172 0 1609030 0 14747 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 343802 0 103148 0 116496 0 34210 0 28689 0 626345 0 14581 0 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO POLK 239501 0 77827 0 14137 0 57628 0 21720 0 410813 0 0 0 JENNIFER BLANK DIR, EMERGENCY SVCS/NURSE STAFFING W 144918 0 15808 0 9042 0 7979 0 16089 0 193836 0 0 0 TINA SOLOMON DIRECTOR, FINANCE POLK 148953 0 17615 0 8282 0 9397 0 13266 0 197513 0 0 0 DEBRA WOLF PRACTICE EXCELLENCE ADV CARE PRACTIT 154883 0 18538 0 8683 0 8403 0 10538 0 201045 0 0 0 KHURRAM KAMRAN VP/CMO WINTER HAVEN HOSP 95261 0 107209 0 474055 0 6194 0 9344 0 692063 0 24728 0 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 180548 0 21153 0 8641 0 9969 0 21455 0 241766 0 0 0 GLENN WYSOCK MANAGER, PHARMACY 180158 0 13278 0 9826 0 9810 0 16366 0 229438 0 0 0 WALTER LUPKE DIR, CLIN DECISION SUPP WINTER HAVEN 148587 0 18810 0 10339 0 8203 0 15705 0 201644 0 0 0 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FND 0 157791 0 0 0 8699 0 8272 0 13116 0 187878 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, LINES 4A-B KHURRAM 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. BOND CLINIC PA SEE PART V 352129 PROFESSIONAL SERVICES 0 SCHEDULE L, PART IV MICHELE MCCLENDON AND JUAN RIVERA ARE DIRECTORS OF THE FILING ORGANIZATION AS WELL AS SHAREHOLDERS OF BOND CLINIC, P.A. 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 2 AL 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 6 THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A VOTING 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 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: (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 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 WINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF 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 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 19 WINTER 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 J HTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-HOSPITAL/PATIENTS-AND-VISITOR S HTTPS://BAYCARE.ORG/HOSPITALS/WINTER-HAVEN-WOMENS-HOSPITAL/PATIENTS-VISI TORS BAYCARE HEALTH SYSTEM 2985 DREW ST CLEARWATER FL 33759 592796965 HEALTH SRVCS FL 501(C)(3) 12A N/A 0 BAYCARE BEHAVIORAL HEALTH INC 7809 MASSACHUSETTS AVE NEW PORT RICHEY FL 34653 591371752 HEALTH SRVCS FL 501(C)(3) 7 BCHS 1 BC EMERGENCY ASSISTANCE PROGRAM INC 2985 DREW ST CLEARWATER FL 33759 592697770 EMERG ASSIST FL 501(C)(3) 10 BAYCARE 1 BAYCARE HOME CARE INC 8452 118TH AVE NORTH LARGO FL 33773 593582520 HOME HLTH SRV FL 501(C)(3) 10 BAYCARE 1 BEHAVIORAL HEALTH MANAGEMENT SRVCS INC 900 CARILLON PKWY SUITE 406 ST PETERSBURG FL 33716 593279573 HEALTH SRVCS FL 501(C)(3) 10 BCHS 1 WINTER HAVEN HOSPITAL AUXILIARY INC 200 AVE F NORTHEAST WINTER HAVEN FL 33881 237190109 VOLUNTEER SRV FL 501(C)(3) 12A N/A 0 WINTER HAVEN HOSPITAL FOUNDATION INC 200 AVE F NORTHEAST WINTER HAVEN FL 33881 030406130 FUNDRAISING FL PF 12A N/A 0 BAYCARE MEDICAL GROUP INC 300 S PARK PLACE BLVD CLEARWATER FL 33759 593140335 PHYSICIANS FL 501(C)(3) 10 BCHS 1 BARTOW REGIONAL MEDICAL CENTER INC 2200 OSPREY BLVD BARTOW FL 33830 475387418 HOSPITAL FL 501(C)(3) 3 BCHS 1 BAYCARE SELECT HEALTH PLANS INC 2985 DREW STREET CLEARWATER FL 33759 810795815 MCR ADVANTAGE FL 501(C)(4) N/A BCHS 1 BAYCARE PASCO INC 2985 DREW ST CLEARWATER FL 33759 832099849 POTENTIAL HOSPITAL FL BCHS 1 BC PURCHASING PARTNERS LLC 8731 FL MINING TAMPA FL 33634 640950837 GROUP PURCHING FL N/A RELATED 783238 476875 0 28976 0 0.08650 BC SURGERY CTR LLC 8452 118TH A N LARGO FL 33774 460591430 SURGERY CENTE FL BAYCARE N/A 0 0 BCHS INSURANCE INC 720 W BAY RD BUCKNG SQR GRAND CAYMAN CA KY1-1102 CAPTIVE INSURANCE FL BAYCARE C 1 MEDSPECIALISTS INC 2985 DREW ST CLEARWATER FL 33759 680587533 PAYROLL SRVCS FL BAYCARE C 1 0 1 0 1 0 0 0 0 0 1 1 0 1 0 1 0 0 1 1 BAYCARE MEDICAL GROUP INC B 8801862 FMV BEHAVIORAL HEALTH MANAGEMENT SERVICES INC B 899197 FMV BARTOW REGIONAL MEDICAL CENTER INC O 993595 FMV BEHAVIORAL HEALTH MANAGEMENT SERVICES INC R 94579 FMV BAYCARE MEDICAL GROUP INC R 3827462 FMV BAYCARE HOME CARE INC O 596791 FMV