2018-11-07T08:10:47-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2017-01-01 475387418 BARTOW REGIONAL MEDICAL CENTER INC BART 8635338111 2200 OSPREY BLVD BARTOW FL 33830 CARL TREMONTI CFO 8635338111 2018-11-06 1 MELANIE MCPEAK P01346034 8132254800 71.56.5.91 2018-11-06 18:33:52 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C5FAC41545E6A6A7C15CEB4BA4B9A32FE404225B 2017 2018-06-14 16:35:46Z GLENN WATERS 2200 OSPREY BLVD BARTOW FL 33759 65579685 0 X HTTPS://BAYCARE.ORG/BRMC X 2015 FL 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. 17 15 479 40 4194 3194 0 2099 55502648 65146080 -5500 2080 275134 429426 55772282 65579685 16818 200 0 0 22353735 22797327 0 0 0 34256363 41306327 56626916 64103854 -854634 1475831 74713414 72933540 11917978 8662272 62795436 64271268 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 55887419 200 65147253 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. 55887419 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 119 0 1 479 1 1 1 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JANICE POLO EVP & CFO 7278208021 2985 DREW STREET CLEARWATER FL 33759 MELONY BELL TRUSTEE 1.00 0.00 X 0 0 0 ROBERT CLANCEY TRUSTEE 1.00 0.00 X 0 0 0 KENNETH COMPTON TRUSTEE 1.00 0.00 X 0 0 0 BRIAN HINTON TRUSTEE/CHAIR 1.00 0.00 X X 0 0 0 DON INGRAM TRUSTEE 1.00 1.00 X 0 0 0 MICHAEL MICALLEF TRUSTEE 1.00 0.00 X 0 0 0 FREDERICK JOHN MURPHY TRUSTEE 1.00 0.00 X 0 0 0 RALPH NOBO CHIEF OF STAFF 1.00 0.00 X 0 0 0 LEA ANN THOMAS TRUSTEE 1.00 0.00 X 0 0 0 JEREMY KATZMANN CHAIR OF CREDENTIALS 1.00 0.00 X 0 0 0 DAVID VARGAS TRUSTEE (UNTIL APRIL 2017) 1.00 0.00 X 0 0 0 STUART PATTERSON TRUSTEE 1.00 0.00 X 0 0 0 WAYNE PEACE TRUSTEE 1.00 0.00 X 0 0 0 BENJAMIN BENNY ROBLES TRUSTEE 1.00 0.00 X 0 0 0 DAVID SORG TRUSTEE 1.00 0.00 X 0 0 0 PHILIP MINDEN TRUSTEE/SECR/TREAS/PRESIDENT BARTOW 45.00 0.00 X X 293466 0 49168 KAREN TEIGE TRUSTEE 1.00 0.00 X 0 0 0 GLENN WATERS TRUSTEE/PRES/EVP, COO BAYCARE 1.00 45.00 X X 0 1581392 76036 CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 1.00 45.00 X 0 680038 32073 CARMEN TRINDADE MANAGER PHARMACY 45.00 0.00 X 149072 0 9042 KEVIN GUFFEY CLINICAL PHARMACIST 45.00 0.00 X 122368 0 14703 JEREMY HARMON DIR, OPER - BRMC (UNTIL JULY 2017) 45.00 0.00 X 147396 0 27233 ROBERT MILLER DIR, OPER - BRMC 45.00 0.00 X 162559 0 6700 AMY POEGEL CLINICAL PHARMACIST 45.00 0.00 X 123741 0 10215 998602 2261430 225170 11 0 1 0 MORRISON HEALTHCARE 2400 YORKMONT RD CHARLOTE NC 28217 CATERING SERVICES 970900 HOSPITAL HOUSEKEEPING SYSTEMS 216 E 4TH ST AUSTIN TX 78701 ENVIROMENTAL SERVICES 803918 WATSON CLINIC LLP 1430 LAKELAND HILLS BLVD LAKELAND FL 33805 PHYSICIAN SERVICES 634733 DOSTER CONSTRUCTION CO INC 2100 INTERNATIONAL PARK DR BIRMINGHAM AL 35243 CONSTRUCTION SERVICES 528175 COMMUNITY HEALTH SYSTEMS INC 4000 MERIDIAN BLVD FRANKLIN TN 37067 CONSULTING 368227 21 2099 2099 HOSPITAL PATIENT CARE 621999 40215040 40215040 MEDICARE/MEDCAID PMNT 621999 24931040 24931040 65146080 424059 0 424059 424059 424059 2080 0 2080 2080 2080 MISCELANEOUS REVENUE 900099 5367 1173 4194 5367 65579685 65147253 4194 426139 200 200 381190 381190 18672379 18434234 238145 567107 559874 7233 1829380 1806048 23332 1347271 1347271 58447 58447 55 55 5707627 5193203 514424 994695 957124 37571 217180 92083 125097 1398249 1199049 199200 72453 62953 9500 82064 82064 4855844 4855844 576917 576917 UBI TAXES 1200 1200 MEDICAL SUPPLIES 9075870 9075870 BAD DEBT EXPENSE 8859048 8859048 MANAGEMENT FEES 5418138 5418138 3988540 2784382 1204158 64103854 55887419 8216435 0 136516 197107 6747691 6741967 27198 1808195 1660931 195802 230853 52840477 8168776 46308607 44671701 16746 46322 19470829 19382829 1830 1830 74713414 72933540 3669474 3453530 1586439 1378971 6662065 3829771 11917978 8662272 X 62795436 64271268 62795436 64271268 74713414 72933540 X 1475831 1 X 0 1 X 1 1 1 X 0 1 0 0 0 0 1 2800 0 1 55 2855 0 SCHEDULE C PART II - B, LINE 1B, 1G AND LINE 1I, SUPPLEMENTAL INFORMATION LINE 1B & 1G LOBBYING ACTIVITIES PERFORMED BY EMPLOYEES CONCERNING HEALTH ISSUES. LINE 1I DUES WERE PAID TO THE FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS. THIS ORGANIZATION USES A PORTION OF ITS RESPECTIVE DUES FOR LOBBYING ACTIVITIES. 9117488 9117488 31192562 4021874 27170688 166000 33200 132800 11866511 4113702 7752809 497916 497916 44671701 DUE TO AFFILIATES 3238983 EST. THIRD PARTY SETTLEMENTS 525854 ABANDONED PROPERTY 63934 DEPOSITS 1000 3829771 X 56615047 0 56615047 8964638 8964638 65579685 55139215 0 55139215 8964639 8964639 64103854 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. 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 1 5032 2587586 0 2587586 0.04680 1 13528 9890397 4790886 5099511 0.09230 1 512 1009680 344648 665032 0.01200 3 19072 13487663 5135534 8352129 0.15110 11 459 111584 0 111584 0.00200 3 220 429352 0 429352 0.00780 3 0 66892 0 66892 0.00120 17 679 607828 607828 0.01100 20 19751 14095491 5135534 8959957 0.16210 1 8859048 5558150 8016901 12812760 -4795859 X 1 1 1 1 BARTOW REGIONAL MEDICAL CENTER 2200 OSPREY BLVD BARTOW FL 33830 WWW.BAYCARE.ORG/BRMC 4428 X X X BARTOW REGIONAL MEDICAL CENTER 1 0 1 0 0 1 X 250.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 BARTOW REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 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. 3 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 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. X 1 1 0 1 0 0 0 0 0 0 0 PHILIP MINDEN TRUSTEE/SECR/TREAS/PRESIDENT BARTOW 223999 0 63499 0 5968 0 40006 0 9162 0 342634 0 0 0 GLENN WATERS TRUSTEE/PRES/EVP, COO BAYCARE 0 882861 0 387681 0 310850 0 34342 0 41694 0 1657428 0 0 CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 0 391450 0 122076 0 166512 0 13500 0 18573 0 712111 0 33098 CARMEN TRINDADE MANAGER PHARMACY 138408 0 10231 0 433 0 7186 0 1856 0 158114 0 0 0 KEVIN GUFFEY CLINICAL PHARMACIST 105649 0 8864 0 7855 0 3296 0 11407 0 137071 0 0 0 JEREMY HARMON DIR, OPER - BRMC (UNTIL JULY 2017) 131885 0 10000 0 5511 0 4121 0 23111 0 174628 0 0 0 ROBERT MILLER DIR, OPER - BRMC 159384 0 50 0 3125 0 0 0 6700 0 169259 0 0 0 AMY POEGEL CLINICAL PHARMACIST 102941 0 20249 0 551 0 4433 0 5783 0 133957 0 0 0 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. 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. 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