BARTOW REGIONAL MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BARTOW REGIONAL MEDICAL CENTER INC (EIN 47-5387418)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-07
- IRS object ID
- 201823119349300212
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-07T08:10:47-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 NORTH FRANKLIN STREET SUITE | AddressLine1Txt |
| Address Line2 | 2400 | AddressLine2Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475387418 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARTOW REGIONAL MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BART | BusinessNameControlTxt |
| Phone | 8635338111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 OSPREY BLVD | AddressLine1Txt |
| City | BARTOW | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33830 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARL TREMONTI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8635338111 | PhoneNum |
| Signature | 2018-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 8132254800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.56.5.91 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-06 | IPDt |
| IP Tm | 18:33:52 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C5FAC41545E6A6A7C15CEB4BA4B9A32FE404225B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GLENN WATERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 OSPREY BLVD | AddressLine1Txt |
| City | BARTOW | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $65,579,685 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://BAYCARE.ORG/BRMC | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OTO 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 Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 479 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $4,194 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,194 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,099 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $55,502,648 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,146,080 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$5,500 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,080 | CYInvestmentIncomeAmt |
| PY Other Revenue | $275,134 | PYOtherRevenueAmt |
| CY Other Revenue | $429,426 | CYOtherRevenueAmt |
| PY Total Revenue | $55,772,282 | PYTotalRevenueAmt |
| CY Total Revenue | $65,579,685 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,818 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,353,735 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,797,327 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,256,363 | PYOtherExpensesAmt |
| CY Other Expenses | $41,306,327 | CYOtherExpensesAmt |
| PY Total Expenses | $56,626,916 | PYTotalExpensesAmt |
| CY Total Expenses | $64,103,854 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$854,634 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,475,831 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,713,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,933,540 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,917,978 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,662,272 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,795,436 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,271,268 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $55,887,419 | ExpenseAmt |
| Grant | $200 | GrantAmt |
| Revenue | $65,147,253 | RevenueAmt |
| Desc | BARTOW REGIONAL MEDICAL CENTER, INC. (BRMC) IS A FULL-SERVICE 72-BED COMMUNITY HOSPITAL WHICH BEGAN OPERATIONS IN 2016. BRMC PROVIDED INPATIENT CARE TO 3,111 PATIENTS AND TREATED 33,779 PATIENTS IN THE EMERGENCY DEPARTMENT DURING THE YEAR. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, BRMC SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $9.0 MILLION. | Desc |
| Total Program Service Expenses | $55,887,419 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 119 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 479 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANICE POLO EVP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7278208021 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2985 DREW STREET | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33759 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MELONY BELL | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT CLANCEY | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KENNETH COMPTON | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN HINTON | ||||||||
| TRUSTEE/CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DON INGRAM | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MICALLEF | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FREDERICK JOHN MURPHY | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RALPH NOBO | ||||||||
| CHIEF OF STAFF | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LEA ANN THOMAS | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEREMY KATZMANN | ||||||||
| CHAIR OF CREDENTIALS | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID VARGAS | ||||||||
| TRUSTEE (UNTIL APRIL 2017) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STUART PATTERSON | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE PEACE | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN BENNY ROBLES | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID SORG | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILIP MINDEN | ||||||||
| TRUSTEE/SECR/TREAS/PRESIDENT BARTOW | 45.00 | 0.00 | Yes (X) | $293,466 | $0 | $49,168 | Yes (X) | |
| KAREN TEIGE | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GLENN WATERS | ||||||||
| TRUSTEE/PRES/EVP, COO BAYCARE | 1.00 | 45.00 | Yes (X) | $0 | $1,581,392 | $76,036 | Yes (X) | |
| CARL TREMONTI | ||||||||
| VP, CFO, BAYCARE HOSP DIV | 1.00 | 45.00 | $0 | $680,038 | $32,073 | Yes (X) | ||
| CARMEN TRINDADE | ||||||||
| MANAGER PHARMACY | 45.00 | 0.00 | $149,072 | $0 | $9,042 | Yes (X) | ||
| KEVIN GUFFEY | ||||||||
| CLINICAL PHARMACIST | 45.00 | 0.00 | $122,368 | $0 | $14,703 | Yes (X) | ||
| JEREMY HARMON | ||||||||
| DIR, OPER - BRMC (UNTIL JULY 2017) | 45.00 | 0.00 | $147,396 | $0 | $27,233 | Yes (X) | ||
| ROBERT MILLER | ||||||||
| DIR, OPER - BRMC | 45.00 | 0.00 | $162,559 | $0 | $6,700 | Yes (X) | ||
| AMY POEGEL | ||||||||
| CLINICAL PHARMACIST | 45.00 | 0.00 | $123,741 | $0 | $10,215 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $998,602 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,261,430 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $225,170 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON HEALTHCARE | |||||
| 2400 YORKMONT RD | CHARLOTE | NC | 28217 | CATERING SERVICES | $970,900 |
| HOSPITAL HOUSEKEEPING SYSTEMS | |||||
| 216 E 4TH ST | AUSTIN | TX | 78701 | ENVIROMENTAL SERVICES | $803,918 |
| WATSON CLINIC LLP | |||||
| 1430 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | PHYSICIAN SERVICES | $634,733 |
| DOSTER CONSTRUCTION CO INC | |||||
| 2100 INTERNATIONAL PARK DR | BIRMINGHAM | AL | 35243 | CONSTRUCTION SERVICES | $528,175 |
| COMMUNITY HEALTH SYSTEMS INC | |||||
| 4000 MERIDIAN BLVD | FRANKLIN | TN | 37067 | CONSULTING | $368,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,099 | AllOtherContributionsAmt |
| Total Contributions | $2,099 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL PATIENT CARE | 621999 | $40,215,040 | $40,215,040 |
| MEDICARE/MEDCAID PMNT | 621999 | $24,931,040 | $24,931,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,146,080 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $424,059 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $424,059 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $424,059 | TotalRevenueColumnAmt |
| Exclusion | $424,059 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,080 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,080 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,080 | TotalRevenueColumnAmt |
| Exclusion | $2,080 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,173 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,194 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,367 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,579,685 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,147,253 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,194 | UnrelatedBusinessRevenueAmt |
| Exclusion | $426,139 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200 | TotalAmt |
| Program Services | $200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,190 | TotalAmt |
| Management And General | $381,190 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,672,379 | TotalAmt |
| Program Services | $18,434,234 | ProgramServicesAmt |
| Management And General | $238,145 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,107 | TotalAmt |
| Program Services | $559,874 | ProgramServicesAmt |
| Management And General | $7,233 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,829,380 | TotalAmt |
| Program Services | $1,806,048 | ProgramServicesAmt |
| Management And General | $23,332 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,347,271 | TotalAmt |
| Program Services | $1,347,271 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,447 | TotalAmt |
| Management And General | $58,447 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55 | TotalAmt |
| Program Services | $55 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,707,627 | TotalAmt |
| Program Services | $5,193,203 | ProgramServicesAmt |
| Management And General | $514,424 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,695 | TotalAmt |
| Program Services | $957,124 | ProgramServicesAmt |
| Management And General | $37,571 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,180 | TotalAmt |
| Program Services | $92,083 | ProgramServicesAmt |
| Management And General | $125,097 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,398,249 | TotalAmt |
| Program Services | $1,199,049 | ProgramServicesAmt |
| Management And General | $199,200 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,453 | TotalAmt |
| Program Services | $62,953 | ProgramServicesAmt |
| Management And General | $9,500 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,064 | TotalAmt |
| Program Services | $82,064 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,855,844 | TotalAmt |
| Program Services | $4,855,844 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,917 | TotalAmt |
| Program Services | $576,917 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UBI TAXES | $1,200 | $1,200 | |
| MEDICAL SUPPLIES | $9,075,870 | $9,075,870 | |
| BAD DEBT EXPENSE | $8,859,048 | $8,859,048 | |
| MANAGEMENT FEES | $5,418,138 | $5,418,138 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,988,540 | TotalAmt |
| Program Services | $2,784,382 | ProgramServicesAmt |
| Management And General | $1,204,158 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,103,854 | TotalAmt |
| Program Services | $55,887,419 | ProgramServicesAmt |
| Management And General | $8,216,435 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,516 | BOYAmt |
| EOY | $197,107 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,747,691 | BOYAmt |
| EOY | $6,741,967 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,198 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,808,195 | BOYAmt |
| EOY | $1,660,931 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,802 | BOYAmt |
| EOY | $230,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,840,477 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,168,776 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,308,607 | BOYAmt |
| EOY | $44,671,701 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,746 | BOYAmt |
| EOY | $46,322 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,470,829 | BOYAmt |
| EOY | $19,382,829 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,830 | BOYAmt |
| EOY | $1,830 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,713,414 | BOYAmt |
| EOY | $72,933,540 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,669,474 | BOYAmt |
| EOY | $3,453,530 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,586,439 | BOYAmt |
| EOY | $1,378,971 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,662,065 | BOYAmt |
| EOY | $3,829,771 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,917,978 | BOYAmt |
| EOY | $8,662,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,795,436 | BOYAmt |
| EOY | $64,271,268 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,795,436 | BOYAmt |
| EOY | $64,271,268 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,713,414 | BOYAmt |
| EOY | $72,933,540 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,475,831 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $2,800 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $55 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,855 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C PART II - B, LINE 1B, 1G AND LINE 1I, SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | LINE 1B & 1G LOBBYING ACTIVITIES PERFORMED BY EMPLOYEES CONCERNING HEALTH ISSUES. LINE 1I DUES WERE PAID TO THE FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS. THIS ORGANIZATION USES A PORTION OF ITS RESPECTIVE DUES FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,117,488 | OtherCostOrOtherBasisAmt |
| Book Value | $9,117,488 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,192,562 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,021,874 | DepreciationAmt |
| Book Value | $27,170,688 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $166,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,200 | DepreciationAmt |
| Book Value | $132,800 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,866,511 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,113,702 | DepreciationAmt |
| Book Value | $7,752,809 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $497,916 | OtherCostOrOtherBasisAmt |
| Book Value | $497,916 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,671,701 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $3,238,983 |
| EST. THIRD PARTY SETTLEMENTS | $525,854 |
| ABANDONED PROPERTY | $63,934 |
| DEPOSITS | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,829,771 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $56,615,047 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $56,615,047 | RevenueSubtotalAmt |
| Other Revenues Not Included | $8,964,638 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,964,638 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $65,579,685 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $55,139,215 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $55,139,215 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,964,639 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,964,639 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $64,103,854 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | GRANTS 2,098. INTERCOMPANY RENT 103,492. BAD DEBT EXPENSE 8,859,048. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 8,859,048. INTERCOMPANY RENT 103,493. GRANTS 2,098. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5032 | PersonsServedCnt |
| Total Community Benefit Expns | $2,587,586 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,587,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 13528 | PersonsServedCnt |
| Total Community Benefit Expns | $9,890,397 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,790,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,099,511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09230 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 512 | PersonsServedCnt |
| Total Community Benefit Expns | $1,009,680 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $344,648 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $665,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 19072 | PersonsServedCnt |
| Total Community Benefit Expns | $13,487,663 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,135,534 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,352,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 459 | PersonsServedCnt |
| Total Community Benefit Expns | $111,584 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $111,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 220 | PersonsServedCnt |
| Total Community Benefit Expns | $429,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $429,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $66,892 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 679 | PersonsServedCnt |
| Total Community Benefit Expns | $607,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $607,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 19751 | PersonsServedCnt |
| Total Community Benefit Expns | $14,095,491 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,135,534 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,959,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,859,048 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,558,150 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,016,901 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,812,760 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,795,859 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARTOW REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 OSPREY BLVD | AddressLine1Txt |
| City | BARTOW | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33830 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BAYCARE.ORG/BRMC | WebsiteAddressTxt |
| State License | 4428 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARTOW REGIONAL MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BARTOW REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 2: EFFECTIVE 1/1/2016, BRMC BEGAN OPERATING A GENERAL ACUTE CARE HOSPITAL LOCATED IN BARTOW, FLORIDA. THE HOSPITAL FACILITY WAS ACQUIRED VIA AN ASSET PURCHASE AGREEMENT FROM BARTOW HMA, LLC AND CHS/COMMUNITY HEALTH SYSTEMS, INC. |
| BARTOW REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME. |
| BARTOW REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CENTER FOR WOUND CARE AND HYPERBARICS | ||||
| 2000 OSPREY BLVD SUITE 103 | BARTOW | FL | 33830 | WOUND CARE CLINIC |
| 2 - CENTER FOR THERAPY AND WELLNESS | ||||
| 400 AVENUE K SE | WINTER HAVEN | FL | 33880 | OUTPATIENT THERAPY SERVICES |
| 3 - CENTER FOR SLEEP MEDICINE AT BARTOW | ||||
| 2250 OSPREY BLVD SUITE 105 | BARTOW | FL | 33830 | SLEEP CENTER |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 3C: | PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. BARTOW REGIONAL MEDICAL CENTER, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE BARTOW REGIONAL MEDICAL CENTER CRITERIA FOR FINANCIAL ASSISTANCE (250%) |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION. |
| PART I, LINE 7: | FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $8,859,048 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| 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 FINANCE 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 11 AND 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO CONSOLIDATED 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) ($4,795,859) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($1,458,227) - TOTAL SURPLUS OR (SHORTFALL) ($6,254,086) |
| PART III, LINE 9B: | PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE, ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), THE PATIENT'S ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. |
| PART VI, LINE 2: | THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY PARTICIPATING IN SEVERAL COMMUNITY ORGANIZATIONS THAT DEVELOP COMMUNITY STRATEGIC PLANS. THE HOSPITAL ALSO WORKS WITH THE POLK COUNTY HEALTH DEPARTMENT IN ORDER TO CONDUCT STUDIES AND HELP SET PRIORITIES.ADDITIONALLY, THE HOSPITAL WORKS WITH AND UTILIZES SEVERAL COMMUNITY HEALTH SURVEYS CONDUCTED BY POLK HEALTHCARE ALLIANCE. |
| PART VI, LINE 3: | BARTOW REGIONAL MEDICAL CENTER'S FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BARTOW REGIONAL MEDICAL CENTER, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS.IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, BARTOW REGIONAL MEDICAL CENTER, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. |
| PART VI, LINE 4: | BARTOW REGIONAL MEDICAL CENTER IS AN ACUTE CARE FACILITY SERVING PARTS OF POLK AND HARDEE COUNTIES. THE AVERAGE HOUSEHOLD INCOME FALLS $11,000 BELOW THE STATE AVERAGE AND $21,000 THE NATIONAL AVERAGE; 13.8% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 18.4% OF THE POPULATION. THE POPULATION SERVED BY BARTOW REGIONAL MEDICAL CENTER IS EXPECTED TO GROW 5.9% IN THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.8% FOR THE UNITED STATES. THE FASTEST GROWING POPULATION SEGMENT IS AGE 65+, EXPECTED TO GROW 15.2% IN THE NEXT 5 YEARS.BARTOW REGIONAL MEDICAL CENTER IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY BARTOW REGIONAL HAS 5 ACUTE CARE HOSPITALS, 1 FOR-PROFIT AND 4 NOT-FOR-PROFIT. THE ENTIRE SERVICE AREA FOR BARTOW REGIONAL LIES WITHIN 2 FEDERALLY DESIGNATED UNDERSERVED AREAS.BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/2016-9/30/2017, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 50.5% MEDICARE/MEDICARE HMO, 18.3% MEDICAID/MEDICAID HMO, 19.1% COMMERCIAL INSURANCE, 7.5% SELF PAY/NON-PAY, AND 4.6% OTHER. |
| PART VI, LINE 5: | BARTOW REGIONAL MEDICAL CENTER (BRMC), LOCATED IN BARTOW, FLORIDA AND PART OF THE BAYCARE HEALTH SYSTEM, IS A 72-BED ACUTE CARE HOSPITAL SERVING SOUTH LAKELAND, BARTOW, FT. MEADE, MULBERRY, RURAL SOUTH POLK COUNTY AND NORTHERN HARDEE COUNTY. APPROXIMATELY 150 PHYSICIANS AND 400 HEALTHCARE PROFESSIONALS AT BARTOW REGIONAL MEDICAL CENTER PROVIDE A VARIETY OF SERVICES INCLUDING, INPATIENT AND OUTPATIENT SURGERY, IMAGING, EMERGENCY MEDICINE, CARDIAC CARE, WOUND CARE, SLEEP STUDIES AND A WEIGHT MANAGEMENT PROGRAM. THE HOSPITAL IS EQUIPPED WITH FOUR SURGERY SUITES, TWO GASTROENTEROLOGY SUITES, AND ONE CATH LAB SUITE. 2017 OVERVIEWIN FEBRUARY 2017, BAYCARE OPENED OUTPATIENT LAB SERVICES AT BARTOW REGIONAL'S MEDICAL OFFICE BUILDINGS. THE LAB ACCEPTS APPOINTMENTS OR WALK-INS FOR BLOOD WORK, PEDIATRIC AND ADULTS TESTING, AND GLUCOSE TOLERANCE TESTING. THE LOCATION ALSO OFFERS SATURDAY HOURS IN ADDITION TO MONDAY THROUGH FRIDAY BUSINESS HOURS. ALSO IN FEBRUARY, BARTOW REGIONAL BEGAN IMPLEMENTING ECARE FOR INTENSIVE CARE UNIT PATIENTS. ECARE USES REMOTE MONITORING TECHNOLOGY TO CONNECT BEDSIDE STAFF WITH ECARE STAFF AT A CENTRALIZED COMMUNICATIONS CENTER. THE TECHNOLOGY INCLUDES TWO-WAY AUDIO AND VISUAL EQUIPMENT AND HIGH-DEFINITION CAMERAS. THE ECARE STAFF CONSISTS OF CRITICAL CARE NURSES THAT CAN 'CAMERA-IN' TO THE ICU ROOM TO CONDUCT PATIENT ASSESSMENTS AND DISCUSS CARE WITH BESIDE STAFF AND THE PATIENT. THE STAFF ALSO MONITOR PATIENT VITAL SIGNS, LAB RESULTS AND CARE PLANS, AND ASSIST THE BEDSIDE TEAM WITH ORDERS AND DATA ANALYSIS. WORKING TOGETHER, THE ECARE TEAM AND THE BEDSIDE TEAM CONTINUALLY MONITOR CRITICALLY ILL PATIENTS TO IDENTIFY SUBTLE CHANGES IN PATIENT CONDITIONS. IN THE SPRING OF 2017, BARTOW REGIONAL'S CENTER FOR SLEEP MEDICINE WAS RENOVATED AND UPGRADED WITH NEW SOFTWARE TO HELP PATIENTS WITH SUSPECTED SLEEP APNEA OR OTHER SLEEP DISORDERS. MANAGEMENT OF THE CENTER WAS ALSO CHANGED FROM A VENDOR TO IN-HOUSE STAFF. THE CENTER HAS TWO BEDS DESIGNED TO CONDUCT POLYSOMNOGRAPHY STUDIES USING CONSTANT MONITORING AND A CONTINUOUS POSITIVE AIRWAY PRESSURE MACHINE TO DIAGNOSE ISSUES. TO ADVANCE CARDIAC CARE, BARTOW REGIONAL UPGRADED THE CATH LAB IN SUMMER 2017. THE UPGRADES INCLUDED NEW EQUIPMENT THAT REDUCE X-RAY DOSAGE TO PATIENTS AND ADD CAPABILITIES TO PROVIDE PERCUTANEOUS CORONARY INTERVENTIONS (PCI). BRMC IS NOW A STATE ACCREDITED LEVEL 1 ADULT CARDIAC CATH LAB. FOR THE SECOND YEAR IN A ROW, BRMC'S WOUND CARE CENTER RECEIVED A CENTER OF DISTINCTION AWARD. THIS AWARD RECOGNIZES THE CENTER'S EFFORTS TO MEET OR EXCEED GOALS IN PATIENT SATISFACTION AND PATIENT HEALING RATES. BECAUSE THE AWARD IS ACHIEVED FOR AT LEAST TWO CONSECUTIVE YEARS, THE CENTER ALSO EARNED A CENTER OF EXCELLENCE AWARD. THE STANDARDS RECOGNIZED INCLUDE ACHIEVING PATIENT SATISFACTION RATES HIGHER THAN 92 PERCENT AND A HEALING RATE OF AT LEAST 91 PERCENT IN LESS THAN 30 MEDIAN DAYS. KEISER UNIVERSITY RECOGNIZED BARTOW REGIONAL IN 2017 WITH AN EMPLOYER CHOICE AWARD. THE UNIVERSITY HAS AN EDUCATIONAL AFFILIATION WITH BRMC TO PROVIDE TRAINING FOR DIETETICS AND NUTRITION STUDENTS IN THE HOSPITAL SETTING. FOR THE FIRST TIME AT BARTOW REGIONAL, THE VOLUNTEER PROGRAM WAS OPENED TO TEEN APPLICANTS OVER THE SUMMER. FOR THE INAUGURAL PROGRAM, TEENS HAD TO BE REFERRED TO THE PROGRAM BY A BRMC TEAM MEMBER OR AFFILIATED PHYSICIAN AND HAVE A 2.5 OR BETTER GRADE POINT AVERAGE. IN 2017, 18 TEENS VOLUNTEERED PROVIDING CONCIERGE SERVICE TO OUTPATIENT REHAB THERAPY PATIENTS, ASSISTANCE WITH MATERIALS MANAGEMENT INVENTORY, AND ASSISTANCE WITH PATIENT ROOM TURNOVERS, AMONG OTHER TASKS THAT INTERACTED WITH PATIENTS AND CLINICAL TEAM MEMBERS. COMMUNITY OUTREACH AND PARTNERSHIPSCOMMUNITY OUTREACH AND PARTNERSHIPS ARE AN ESSENTIAL EXPRESSION OF BARTOW REGIONAL'S COMMITMENT TO IMPROVING THE HEALTH OF COMMUNITIES WE SERVE. THROUGH ADDED RESOURCES, EDUCATION AND SCREENINGS, COMMUNITY CONNECTIONS, AND FREE OR REDUCED-COST CLINICAL CARE TO THE UNINSURED OR UNDERINSURED, WE CONTINUE TO CONTRIBUTE TO THE WELLBEING OF BARTOW AND SURROUNDING COMMUNITIES. RESOURCES & SERVICESTHROUGH BAYCARE'S PARTNERSHIP WITH FAMILY HEALTHCARE FOUNDATION, BARTOW REGIONAL HOSTS A HEALTH CARE NAVIGATOR TO HELP ANYONE NAVIGATE OR ENROLL IN THE HEALTH INSURANCE MARKETPLACE UNDER THE AFFORDABLE CARE ACT. NAVIGATORS ARE AVAILABLE TO PATIENTS, FAMILY MEMBERS, TEAM MEMBERS AND FAMILIES AND OTHERS IN THE COMMUNITY NEEDING ASSISTANCE WITH APPLYING, DETERMINING ELIGIBILITY FOR COVERAGE AND FOR EXEMPTIONS, FILING AN APPEAL OR TO SIMPLY LEARN MORE. ONE-ON-ONE GUIDANCE IS AVAILABLE BY APPOINTMENT AND THROUGHOUT THE YEAR AT ENROLLMENT EVENTS AND OTHER COMMUNITY ACTIVITIES. AFTER OPEN ENROLLMENT, NAVIGATORS REACH OUT TO COMMUNITY BUSINESSES, CIVIC ORGANIZATIONS, INDEPENDENT SCHOOLS AND CHURCHES IN AN EFFORT TO EDUCATE AND ENROLL MORE CONSUMERS THAT MIGHT BE ELIGIBLE FOR AFFORDABLE HEALTH CARE. FINANCIAL ASSISTANCE TEAM MEMBERS ARE AVAILABLE IN ALL BAYCARE HOSPITALS TO ASSIST UNINSURED AND UNDER-INSURED ER PATIENTS AND INPATIENTS AT THE BEDSIDE THAT ARE UNABLE TO PAY FOR SERVICES DUE TO FINANCIAL HARDSHIP AND THAT MAY ALSO BE IN NEED OF ONGOING MEDICAL CARE. THIS HOSPITAL BASED ELIGIBILITY PROGRAM IS PATIENT-FOCUSED, TAKING A SOCIAL WORK APPROACH TO COORDINATE ENROLLMENT FOR PATIENTS THROUGH A NETWORK OF LOCAL, STATE AND FEDERAL HEALTH CARE ASSISTANCE PROGRAMS. APPLICATIONS ARE COMPLETED FOR PATIENTS BY FINANCIAL ASSISTANCE TEAM MEMBERS AND PATIENTS ARE PROVIDED EDUCATION AND CONTINUOUS SUPPORT THROUGHOUT THE APPLICATION PROCESS. AT BRMC, THIS ASSISTANCE WAS PROVIDED BY TWO ER SPECIALISTS, ONE CASE MANAGER, AND ONE SUPERVISOR DURING 2017.AS AN INTRINSIC OFFERING, BARTOW REGIONAL'S CHAPLAINCY SERVICES PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS AND THEIR FAMILIES OF ALL RELIGIOUS TRADITIONS AND FAITH COMMUNITIES AS WELL AS THOSE WITH NO FAITH BACKGROUND. IN ADDITION TO PROVIDING A CHAPEL FOR PRAYER AND QUIET REFLECTION, STAFF CHAPLAINS PARTICIPATE IN FAMILY CONFERENCES REGARDING PATIENT CARE; OFFER ETHICS CONSULTATION SERVICES; ASSIST WITH THE EXPLANATION AND DISTRIBUTION OF ADVANCE DIRECTIVES; PROVIDE NEW PATIENT INTRODUCTIONS TO THEIR SERVICES; AND WELCOME AND ASSIST LOCAL CLERGY AS THEY VISIT THEIR MEMBERS. CHAPLAINCY SERVICES ALSO COORDINATES A FAITH COMMUNITY NURSING PROGRAM TO ASSIST LOCAL CONGREGATIONS WITH PROMOTING GOOD HEALTH HABITS TO ALL THEIR MEMBERS. IN 2017, BARTOW REGIONAL PROVIDED MORE THAN $27,000 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 PATIENTS WHO DID NOT HAVE ANOTHER MEANS OF TRANSPORTATION AND WERE UNABLE TO AFFORD THE TRANSPORTATION COST.SCREENINGS, SUPPORT AND EDUCATION DURING HEART DISEASE AWARENESS MONTH, BARTOW REGIONAL HOSTS FREE SCREENINGS FOR PARTICIPANTS TO LEARN MORE ABOUT THEIR HEART HEALTH. THE SCREENINGS INCLUDE BLOOD PRESSURE, BODY MASS INDEX AND TOTAL CHOLESTEROL READINGS TO PROVIDE A SNAPSHOT OF OVERALL HEALTH AND RECOMMENDATIONS FOR THE NEXT STEP TOWARD LIVING A HEALTHIER LIFE. ALSO PROVIDED WERE PRESCREENING FOR DIABETES AND BLOOD GLUCOSE, WHICH IF RISK WAS DETECTED, THEN AN AIC WAS OFFERED. FORTY-ONE COMMUNITY RESIDENTS PARTICIPATED IN THE 2017 EVENT AT BRMC.SUPPORT AND EDUCATION IS ALSO PROVIDED IN THE FORM OF SUPPORT GROUPS, CLASSES, AND COMMUNITY LECTURES. IN 2017, BARTOW REGIONAL FACILITATED SUPPORT GROUPS FOR DIABETES MANAGEMENT, POST-BARIATRIC SURGERY AND CARDIAC HEALTH. CLASSES HELD MONTHLY TO PROMOTE HEALTH IMPROVEMENT AND EDUCATION INCLUDED WEIGHT MANAGEMENT AND TOTAL REPLACEMENT PREPARATION CLASSES. BARTOW REGIONAL ALSO HOSTED THREE (3) COMMUNITY LECTURES TO PROVIDE HEALTH EDUCATION. THE LECTURE TOPICS WERE GETTING FIT AT ANY AGE, KNOW YOUR MEDICATIONS, AND COLORECTAL CANCER. BARTOW REGIONAL ALSO PROVIDES EDUCATORS AND PROVIDERS, UPON INVITATION, TO COMMUNITY AND BUSINESS EVENTS TO ANSWER QUESTIONS ABOUT HEALTH CARE SERVICES AND PROVIDE SCREENINGS. A SAMPLE OF THE EVENTS ATTENDED IN 2017 INCLUDES THE ALZHEIMER'S ASSOCIATION HEALTHY AGING AND WELLNESS FAIR AND BARTOW UNITY DAY. (CONT-D AFTER PART VI, LINE 7 NARRATIVE) |
| PART VI, LINE 6: | BARTOW REGIONAL MEDICAL CENTER IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY REGION AND WEST CENTRAL FLORIDA. 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.BAYCARE'S HOSPITALS ARE BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, SOUTH FLORIDA BAPTIST, ST. JOSEPH'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S HOSPITAL-NORTH, ST. JOSEPH'S HOSPITAL-SOUTH, WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S.*BAYCARE WAS FOUNDED IN 1997 WHEN SEVERAL OF THE AREA'S NOT-FOR-PROFIT HOSPITALS CAME TOGETHER, UNITED BY THE COMMON MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVED. BAYCARE IS NOW A $4.39 BILLION, INTEGRATED HEALTH DELIVERY SYSTEM WITH 27,600 EMPLOYEES. IT PLAYS AN IMPORTANT ROLE AS AN ECONOMIC ENGINE, ANNUALLY GENERATING A $6.62 BILLION IMPACT ON THE REGION AND THE STATE. IN 2017, BAYCARE SPENT $1.97 BILLION TO PAY FOR THE SALARY AND BENEFITS OF ITS EMPLOYEES AND $696 MILLION TO PROVIDE FUNDING FOR FUTURE COMMUNITY HEALTH CARE NEEDS, TECHNOLOGY, AND NEW PROGRAMS AND FACILITIES.BAYCARE'S CENTRALIZATION OF ADMINISTRATIVE FUNCTIONS IN A NUMBER OF AREAS, INCLUDING FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, PERFORMANCE IMPROVEMENT, CLINICAL OUTCOMES, PLANNING, MATERIALS MANAGEMENT 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 2017, BAYCARE PROVIDED $391 MILLION IN TOTAL COMMUNITY BENEFIT, WHICH INCLUDES $121 MILLION IN TRADITIONAL CHARITY CARE FOR UNDERINSURED AND UNINSURED PATIENTS, $246 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, AND $24 MILLION IN UNBILLED COMMUNITY SERVICES. ALL OF THESE ARE MEASURED IN UNREIMBURSED COST.*IN CERTAIN CASES, HOSPITAL LOCATIONS WITH THE SAME TAX IDENTIFICATION AND STATE LICENSE NUMBER ARE LISTED AS ONE FACILITY ON FORM 990, SCHEDULE H, CONSISTENT WITH IRS REPORTING GUIDELINES. |
| PART VI, LINE 7 | BARTOW REGIONAL MEDICAL CENTER, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. |
| PART VI, LINE 5 (CONT-D) | COMMUNITY CONNECTIONSFOR TWO YEARS NOW, AS PART OF BARTOW REGIONAL MEDICAL CENTER'S TRANSITION TO A COMMUNITY HOSPITAL MANAGED BY BAYCARE, A BOARD OF TRUSTEES HAS BEEN ESTABLISHED COMPRISING OF A DIVERSE SET OF COMMUNITY MEMBERS WHO BELIEVE IN THE MISSION, VALUES, AND VISION OF THE HOSPITAL AND WHO DONATE THEIR TIME, TALENTS AND SUPPORT. THE PRIMARY RESPONSIBILITY OF THE BOARD IS TO ASSIST WITH POLICY FORMULATION, DECISION MAKING AND OVERSIGHT BY ENSURING DECISIONS AND ACTIONS CONFORM TO BARTOW REGIONAL'S STRATEGIC PLANS AND BUDGETS AND PRODUCE INTENDED RESULTS. LEADERS FROM VARIOUS INDUSTRY BACKGROUNDS AND EDUCATION REPRESENT THE BRMC BOARD OF TRUSTEES, INCLUDING COUNTY GOVERNMENT, HEALTH CARE FOUNDATION, LEGAL, FINANCE, AND BANKING.THE HOSPITAL SUPPORTS A FULL-TIME PHYSICIAN RECRUITER AND ACTIVELY RECRUITS PHYSICIANS IN PRIMARY CARE AND SPECIALTY CARE AREAS WHERE IT HAS IDENTIFIED A COMMUNITY NEED. THE HOSPITAL ALSO WORKS CLOSELY WITH PHYSICIAN GROUPS TO ASSIST THEM IN RECRUITING NEW PHYSICIANS TO OUR AREA.THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY, INCLUDING POLK VISION, BARTOW ECONOMIC DEVELOPMENT COUNCIL, BARTOW CHAMBER OF COMMERCE, POLK STATE COLLEGE FOUNDATION, AND CITIZEN CPR. BRMC ALSO CONTRIBUTES TO THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL AND THE LAKELAND ECONOMIC DEVELOPMENT COUNCIL. BARTOW REGIONAL AND ITS EMPLOYEES PROVIDED FINANCIAL SUPPORT, IN THE FORM OF SPONSORSHIPS AND FUND RAISING, FOR NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. IN 2017, BRMC DONATED MORE THAN $77,000 TO COMMUNITY ORGANIZATIONS INCLUDING AMERICAN HEART ASSOCIATION, BARTOW CHAMBER OF COMMERCE, BARTOW ROTARY CLUB, BARTOW HIGH SCHOOL BOOSTERS CLUB, POLK ECUMENICAL ACTION COUNCIL FOR EMPOWERMENT, VOLUNTEERS IN SERVICE TO THE ELDERLY, POLK COUNTY BOARD OF COMMISSIONERS AND POLK COUNTY FIRE RESCUE. CHARITABLE CLINICAL CARE POLK HEALTHCARE PLAN IS A PUBLIC/PRIVATE PARTNERSHIP THAT ALLOWS FOR A COMPREHENSIVE MANAGED HEALTH CARE PROGRAM FOR ELIGIBLE POLK COUNTY RESIDENTS. BARTOW REGIONAL PARTICIPATES IN AND ACCEPTS THE POLK HEALTHCARE PLAN TO HELP INCREASE HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF POLK COUNTY. THE PLAN PROVIDES AN INTEGRATED SYSTEM OF HEALTH CARE AND SOCIAL SERVICES THROUGH A WIDE RANGE OF PRIMARY AND PREVENTIVE MEDICAL CARE, SPECIALTY MEDICAL CARE, HOSPITALIZATION, DIAGNOSTIC TESTING, ANCILLARY SERVICES AND PHARMACEUTICALS. IN ESSENCE, THE PLAN FUNCTIONS AS A COUNTY-OPERATED HMO FOR QUALIFIED POLK COUNTY RESIDENTS. HEALTH PROFESSIONALS EDUCATION BARTOW REGIONAL MEDICAL CENTER IS COMMITTED TO EDUCATING HEALTH CARE PROVIDERS IN THE LOCAL AREA. STUDENT CLINICAL EXPERIENCES PROVIDE AN OPPORTUNITY TO LEARN SKILLS NECESSARY TO FUNCTION IN AN ACUTE CARE FACILITY. STUDENTS ARE PROVIDED WITH DIVERSE EXPERIENCES IN MULTIPLE PATIENT SETTINGS BASED ON THE LEVEL OF EDUCATION THEY HAVE RECEIVED. CLINICAL EXPERIENCES ALLOW STUDENTS TO RECEIVE THE GUIDANCE, SUPERVISION AND ENCOURAGEMENT NECESSARY TO GAIN COMPETENCE IN CLINICAL TECHNIQUES. TOWARDS THE END OF A STUDENT'S FORMAL EDUCATION, HE OR SHE WILL BE PROVIDED WITH OPPORTUNITY TO DEVELOP LEADERSHIP AND MANAGEMENT SKILLS WHILE WORKING WITH A PRECEPTOR. EVALUATION AND FEEDBACK BY THE EXPERIENCED PRECEPTOR ARE ESSENTIAL COMPONENTS IN ASSISTING THE STUDENT TO IDENTIFY ADDITIONAL LEARNING NEEDS PRIOR TO APPLYING FOR EMPLOYMENT IN THE HEALTH CARE ARENA.BRMC PARTNERED WITH UNIVERSITY OF SOUTH FLORIDA, UNIVERSITY OF FLORIDA, POLK STATE COLLEGE, KEISER UNIVERSITY AND GALEN UNIVERSITY TO ASSIST STUDENTS IN HEALTH-RELATED FIELDS TO FULFILL STUDENTS' ACADEMIC GOALS AND REQUIREMENTS THROUGH INTERNSHIPS WITH THE HOSPITAL DEPARTMENTS. FOR THE NURSING AND RADIOLOGY HEALTH FIELDS, $235,909 IN STAFF TIME WAS USED TO EDUCATE STUDENTS ABOUT MANY ASPECTS OF PATIENT CARE. FOR OTHER FIELDS, INCLUDING DIETARY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY, SONOGRAPHY AND SURGICAL TECHNOLOGY, $150,246 IN STAFF TIME WAS DEDICATED. FOR PHYSICIANS AND MEDICAL STUDENTS, $43,197 IN STAFF TIME WAS PROVIDED FOR EDUCATION. VOLUNTEERISMAN ADDITIONAL COMMUNITY CONNECTION THAT BARTOW REGIONAL PROVIDES IS THE OPPORTUNITY FOR COMMUNITY MEMBERS, FROM TEENS TO SENIORS, TO VOLUNTEER ON THE CAMPUS. VOLUNTEERS ARE ABLE TO UTILIZE THEIR TALENTS IN A VARIETY OF WAYS THAT PROVIDE SUPPORT TO THE HOSPITAL, PATIENTS, AND VISITORS. SOME OF THE SERVICES PROVIDED INCLUDE ASSISTANCE AT THE INFORMATION DESK AND IN THE GIFT SHOP, DRIVING A SHUTTLE SERVICE BETWEEN THE FRONT ENTRANCE AND THE PARKING LOTS, AND TRANSPORTING PATIENTS BY WHEELCHAIR. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP MINDEN | ||||||||||||||
| TRUSTEE/SECR/TREAS/PRESIDENT BARTOW | $223,999 | $0 | $63,499 | $0 | $5,968 | $0 | $40,006 | $0 | $9,162 | $0 | $342,634 | $0 | $0 | $0 |
| GLENN WATERS | ||||||||||||||
| TRUSTEE/PRES/EVP, COO BAYCARE | $0 | $882,861 | $0 | $387,681 | $0 | $310,850 | $0 | $34,342 | $0 | $41,694 | $0 | $1,657,428 | $0 | $0 |
| CARL TREMONTI | ||||||||||||||
| VP, CFO, BAYCARE HOSP DIV | $0 | $391,450 | $0 | $122,076 | $0 | $166,512 | $0 | $13,500 | $0 | $18,573 | $0 | $712,111 | $0 | $33,098 |
| CARMEN TRINDADE | ||||||||||||||
| MANAGER PHARMACY | $138,408 | $0 | $10,231 | $0 | $433 | $0 | $7,186 | $0 | $1,856 | $0 | $158,114 | $0 | $0 | $0 |
| KEVIN GUFFEY | ||||||||||||||
| CLINICAL PHARMACIST | $105,649 | $0 | $8,864 | $0 | $7,855 | $0 | $3,296 | $0 | $11,407 | $0 | $137,071 | $0 | $0 | $0 |
| JEREMY HARMON | ||||||||||||||
| DIR, OPER - BRMC (UNTIL JULY 2017) | $131,885 | $0 | $10,000 | $0 | $5,511 | $0 | $4,121 | $0 | $23,111 | $0 | $174,628 | $0 | $0 | $0 |
| ROBERT MILLER | ||||||||||||||
| DIR, OPER - BRMC | $159,384 | $0 | $50 | $0 | $3,125 | $0 | $0 | $0 | $6,700 | $0 | $169,259 | $0 | $0 | $0 |
| AMY POEGEL | ||||||||||||||
| CLINICAL PHARMACIST | $102,941 | $0 | $20,249 | $0 | $551 | $0 | $4,433 | $0 | $5,783 | $0 | $133,957 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ROBERT MILLER RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $3,000 DURING 2017 WHICH WAS INCLUDED IN HIS TAXABLE COMPENSATION. JEREMY HARMON RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $4,500 DURING 2017 WHICH WAS INCLUDED IN HIS TAXABLE COMPENSATION. |
| PART I, LINE 3 | THE FILING ORGANIZATION DOES NOT USE ANY OF THE OPTIONS LISTED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. HOWEVER, THE RELATED ORGANIZATION, BAYCARE HEALTH SYSTEM INC, USES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS A MEANS TO ESTABLISH THE CEO'S COMPENSATION OF THE FILING ORGANIZATION. |
| PART I, LINE 4B | GLENN WATERS - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $187,776 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. HE HAD $16,993 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $78,772 IN 2017. PHILIP MINDEN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $27,832 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. CARL TREMONTI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $117,157 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $49,147 IN 2017. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS BAYCARE HEALTH SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD SHALL CONSIST OF A MINIMUM OF TWELVE (12) AND A MAXIMUM OF SIXTEEN (16) DIRECTORS, AS DETERMINED BY THE SOLE MEMBER FROM TIME TO TIME. SUCH DIRECTORS SHALL BE APPOINTED AS FOLLOWS: (I) FOUR DIRECTORS SHALL BE APPOINTED BY THE MEDICAL STAFF; AND (II) THE REMAINING DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER, A MAJORITY OF WHICH SHALL BE INDEPENDENT, COMMUNITY MEMBERS. SUBJECT TO ARTICLE III OF THE BYLAWS, THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS IN A MANNER CONSISTENT WITH THE BYLAWS AND OTHER APPLICABLE LAW. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES, AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (1) THE APPROVAL THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS, AND CAPITAL BUDGETS; (2) THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT, AND PURPOSES; (3) THE ADDITION, DELETION, OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (4) THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (5) THE EXECUTION OF MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION; (6) THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER FROM TIME TO TIME; (7) THE HIRING, FIRING, DISCIPLINE, AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (8) THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER FROM TIME TO TIME; (9) AMENDMENT OF THE ARTICLES OF INCORPORATION AND THE BYLAWS; (10) THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (11) THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL AS THE ORGANIZATION'S PAID PREPARER. PRIOR TO FILING WITH THE IRS, A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD VIA WEB PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BARTOW REGIONAL MEDICAL CENTER, INC. HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2017, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | BARTOW REGIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG. |
| FORM 990, PART XI, LINE 9: | ROUNDING 1. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BAYCARE HEALTH SYSTEM INC | |||||||||||
| 2985 DREW STREET | CLEARWATER | FL | 33759 | 592796965 | HEALTH SVCS | FL | 501(C)(3) | 12A | N/A | 0 | |
| BAYCARE BEHAVIORAL HEALTH INC | |||||||||||
| 7809 MASSACHUSETTS AVE | NEW PORT RICHEY | FL | 34653 | 591371752 | HEALTH SVCS | FL | 501(C)(3) | 7 | Yes (1) | BAYCARE | |
| BEHAVIORAL HEALTH MGMT SERVICES INC | |||||||||||
| 900 CARILLON PKWY STE 406 | ST PETERSBURG | FL | 33716 | 593279573 | HEALTH SVCS | FL | 501(C)(3) | 10 | Yes (1) | BC BEH HEALT | |
| BAYCARE EMERG ASSISTANCE PROGRAM | |||||||||||
| 2985 DREW STREET | CLEARWATER | FL | 33759 | 592697770 | EMERG ASST | FL | 501(C)(3) | 10 | Yes (1) | BAYCARE | |
| BAYCARE HOME CARE INC | |||||||||||
| 8452 118TH AVE N | LARGO | FL | 33773 | 593582520 | HOME HEALTH | FL | 501(C)(3) | 10 | Yes (1) | BAYCARE | |
| BAYCARE MEDICAL GROUP INC | |||||||||||
| 300 S PARK PLACE BLVD | CLEARWATER | FL | 33759 | 593140035 | PHYSICIANS | FL | 501(C)(3) | 10 | Yes (1) | BAYCARE | |
| WINTER HAVEN HOSPITAL INC | |||||||||||
| 200 AVENUE F NE | WINTER HAVEN | FL | 33881 | 590724462 | HOSPITAL | FL | 501(C)(3) | 3 | Yes (1) | BAYCARE | |
| BAYCARE CHOICE HEALTH PLANS INC | |||||||||||
| 2985 DREW STREET | CLEARWATER | FL | 33759 | 810785902 | INSURANCE | FL | 501(C)(4) | N/A | Yes (1) | BAYCARE | |
| BAYCARE SELECT HEALTH PLANS INC | |||||||||||
| 2985 DREW STREET | CLEARWATER | FL | 33759 | 810795815 | MCR ADVANTAGE | FL | 501(C)(4) | N/A | Yes (1) | BAYCARE | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BC PURCHASING PARTNERS LLC | |||||||||||
| 7802 TELECOM PKWY | TEMPLE TERRACE | FL | 33637 | 640950837 | GROUP PURCHASING | FL | N/A | N/A | 0 | 0 | |
| BC EMPLOYEE HEALTH CLINICS LLC | |||||||||||
| 8452 118TH AVE N | LARGO | FL | 33773 | 461533183 | HEALTH SERVICES | FL | N/A | 0 | 0 | BAYCARE | |
| BC SURGERY CENTERS LLC | |||||||||||
| 8452 118TH AVE N | LARGO | FL | 33773 | 460591430 | SURGERY CENTER | FL | N/A | 0 | 0 | BAYCARE | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|
| BCHS INSURANCE INC | ||||||||||
| 720 W BAY RD BUCKINGHAM SQ | GRAND CAYMAN | FL | 33759 | CAPTIVE INSURANCE | CJ | BAYCARE | C | Yes (1) | ||
| MEDSPECIALISTS INC | ||||||||||
| 2985 DREW STREET | CLEARWATER | FL | 33759 | PAYROLL SERVICES | BAYCARE | C | Yes (1) | 680587533 | FL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BAYCARE MEDICAL GROUP INC | ||
| A | $74,584 | FMV |
| WINTER HAVEN HOSPITAL INC | ||
| O | $1,000,087 | FMV |
| BAYCARE MEDICAL GROUP INC | ||
| S | $1,112,628 | FMV |