STRATEGY STUDIO / PUBLIC DATA EXPLORER

WINTER HAVEN HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WINTER HAVEN HOSPITAL INC (EIN 59-0724462)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-07
IRS object ID
201843119349301439
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

FieldValueIRS element (for citing)
Return2018-11-07T08:28:33-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 NORTH FRANKLIN STREET SUITEAddressLine1Txt
Address Line22400AddressLine2Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590724462EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARL TREMONTIPersonNm
Person TitleCFOPersonTitleTxt
Phone8632931121PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELANIE MCPEAKPreparerPersonNm
PTINP01346034PTIN
Phone8132254800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.52.13.129IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm08:11:11IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN WATERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 DREW STREETAddressLine1Txt
CityWINTER HAVENCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$388,412,174GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAYCARE.ORG/WINTER-HAVEN-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSEE 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2621TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$430,880TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$629NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,571,526PYContributionsGrantsAmt
CY Contributions Grants$2,607,004CYContributionsGrantsAmt
PY Program Service Revenue$316,057,641PYProgramServiceRevenueAmt
CY Program Service Revenue$348,792,395CYProgramServiceRevenueAmt
PY Investment Income$1,800,464PYInvestmentIncomeAmt
CY Investment Income$4,722,885CYInvestmentIncomeAmt
PY Other Revenue$6,062,675PYOtherRevenueAmt
CY Other Revenue$5,318,978CYOtherRevenueAmt
PY Total Revenue$326,492,306PYTotalRevenueAmt
CY Total Revenue$361,441,262CYTotalRevenueAmt
PY Grants And Similar Paid$18,068PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$29,546CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$133,816,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,906,489CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$167,139,996PYOtherExpensesAmt
CY Other Expenses$190,285,877CYOtherExpensesAmt
PY Total Expenses$300,975,012PYTotalExpensesAmt
CY Total Expenses$326,221,912CYTotalExpensesAmt
PY Revenues Less Expenses$25,517,294PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,219,350CYRevenuesLessExpensesAmt
Total Assets BOY$285,033,900TotalAssetsBOYAmt
Total Assets EOY$323,788,215TotalAssetsEOYAmt
Total Liabilities BOY$132,221,499TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,970,526TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$152,812,401NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$186,817,689NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$276,494,155ExpenseAmt
Grant$29,546GrantAmt
Revenue$352,705,839RevenueAmt
DescWINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 519 BED COMMUNITY HOSPITAL. DURING 2017, WHH PROVIDED INPATIENT CARE TO 19,521 PATIENTS, TREATED 66,575 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,625 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $31.2 MILLION.Desc
Total Program Service Expenses$276,494,155TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document261IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2621EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK BOSTIK
TRUSTEE/PAST CHAIR1.000.00Yes (X)$0$0$0
ROBERT CARTER
TRUSTEE1.000.00Yes (X)$0$0$0
AL CASSIDY
TRUSTEE1.000.00Yes (X)$0$0$0
TODD DANTZLER
TRUSTEE1.000.00Yes (X)$0$0$0
ANGELA FALCONETTI
TRUSTEE1.000.00Yes (X)$0$0$0
ALAN GUSTAFSON
TRUSTEE1.000.00Yes (X)$0$0$0
EILEEN HOLDEN
TRUSTEE/SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
DON INGRAM
TRUSTEE/VICE CHAIR1.001.00Yes (X)$0$0$0Yes (X)
MICHELE MCCLENDON
TRUSTEE1.000.00Yes (X)$0$0$0
CHARLES MCPHERSON
TRUSTEE/TREASURER1.000.00Yes (X)$0$0$0Yes (X)
WILLIAM MURRELL
TRUSTEE1.000.00Yes (X)$0$0$0
TOMMY OAKLEY
TRUSTEE/ASSISTANT SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
CINDY PRICE
TRUSTEE1.000.00Yes (X)$0$0$0
ASHISH SHAH
TRUSTEE1.000.00Yes (X)$0$0$0
RICHARD STRAUGHN
TRUSTEE/CHAIR1.000.00Yes (X)$0$0$0Yes (X)
CHIP TUCKER
TRUSTEE1.000.00Yes (X)$0$0$0
EDGAR WILLARD
TRUSTEE1.000.00Yes (X)$0$0$0
CARL TREMONTI
VP, CFO, BAYCARE HOSP DIV1.0045.00$0$680,038$32,073Yes (X)
GLENN WATERS
EVP, COO BAYCARE1.0045.00$0$1,581,392$76,036Yes (X)
STEPHEN NIERMAN
PRES WINTER HAVEN HOSP45.001.00$525,170$0$58,091Yes (X)
CAROL KOEPPEL-OLSEN
VP, PATIENT SVCS/CNO - POLK45.000.00$314,177$0$80,009Yes (X)
DEBRA WOLF
DIRECTOR, PATIENT SVCS - WHH45.000.00$170,062$0$15,732Yes (X)
TINA SOLOMON
DIRECTOR, FINANCE POLK45.000.00$159,794$0$18,380Yes (X)
IMELDA AZURIN
CLINICAL NURSE III-POLK45.000.00$172,151$0$32,124Yes (X)
KHURRAM KAMRAN
VP/CHIEF MEDICAL OFFICER - WHH45.000.00$428,560$0$72,409Yes (X)
JACQUES VASCONCELLOS
DIRECTOR, OPERATIONS - WHH45.001.00$203,103$0$27,063Yes (X)
GLENN WYSOCK
MANAGER PHARMACY45.000.00$196,081$0$21,938Yes (X)
KELLY RYAN
MEDICAL PHYSICIST - POLK45.000.00$190,349$0$10,846Yes (X)
JOEL THOMAS
FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN1.0045.00$0$165,351$24,272Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,359,447TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,426,781TotReportableCompRltdOrgAmt
Total Other Compensation$468,973TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K82IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DOSTER CONSTRUCTION CO INC
2100 INTERNATIONAL PARK DRBIRMINGHAMAL35243CONSTRUCTION SERVICES$16,990,413
OB HOSPITALIST GROUP LLC
PO BOX 16329GREENVILLESC29606MEDICAL SERVICES$1,817,403
HENKELMAN CONSTRUCTION INC
1830 N CRYSTAL LAKE DRLAKELANDFL33801CONSTRUCTION SERVICES$1,503,810
BAY LINEN INC
11525 47TH ST NCLEARWATERFL33762LAUNDRY SERVICES$1,395,046
COMPREHENSIVE CARE SERVICES
31330 SCHOOLCRAFTLIVONIAMI48150MEDICAL SERVICES$1,043,010
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Government Grants$1,454,473GovernmentGrantsAmt
All Other Contributions$1,152,531AllOtherContributionsAmt
Total Contributions$2,607,004TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PMNT621990$188,238,744$188,238,744
HOSPITAL PATIENT CARE621990$160,483,682$160,085,654$398,028
PREMIER PURCHASING PAR900099$69,969$65,372$4,597
FieldValueIRS element (for citing)
Total Program Service Revenue$348,792,395TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,751,020TotalRevenueColumnAmt
Unrelated Business Revenue$28,255UnrelatedBusinessRevenueAmt
Exclusion$1,722,765ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,405,534RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,405,534RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,405,534TotalRevenueColumnAmt
Exclusion$1,405,534ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$29,932,569SecuritiesAmt
Other$10,208OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$26,964,677SecuritiesAmt
Other$6,235OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,967,892SecuritiesAmt
Other$3,973OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,971,865TotalRevenueColumnAmt
Exclusion$2,971,865ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE621990$3,845,850$3,845,850
EMR INCENTIVE621990$67,594$67,594
FieldValueIRS element (for citing)
Other Revenue Total$3,913,444OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$361,441,262TotalRevenueColumnAmt
Related Or Exempt Func Income$352,303,214RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$430,880UnrelatedBusinessRevenueAmt
Exclusion$6,100,164ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,546TotalAmt
Program Services$29,546ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,384,277TotalAmt
Management And General$1,384,277ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$111,879,716TotalAmt
Program Services$111,187,782ProgramServicesAmt
Management And General$691,934ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,960,984TotalAmt
Program Services$4,930,302ProgramServicesAmt
Management And General$30,682ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,614,051TotalAmt
Program Services$9,554,592ProgramServicesAmt
Management And General$59,459ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,067,461TotalAmt
Program Services$7,982,487ProgramServicesAmt
Management And General$84,974ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$51,185TotalAmt
Management And General$51,185ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$838TotalAmt
Management And General$838ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$994TotalAmt
Program Services$994ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$197,683TotalAmt
Program Services$197,683ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,578,412TotalAmt
Program Services$13,356,638ProgramServicesAmt
Management And General$1,221,774ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$300,818TotalAmt
Program Services$295,395ProgramServicesAmt
Management And General$5,423ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,804,368TotalAmt
Program Services$4,577,492ProgramServicesAmt
Management And General$226,876ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,375,910TotalAmt
Program Services$977,712ProgramServicesAmt
Management And General$398,198ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,847,000TotalAmt
Program Services$5,318,315ProgramServicesAmt
Management And General$528,685ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$619,021TotalAmt
Program Services$577,162ProgramServicesAmt
Management And General$41,859ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,300,498TotalAmt
Program Services$2,300,498ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,714,798TotalAmt
Program Services$14,567,814ProgramServicesAmt
Management And General$146,984ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,083,892TotalAmt
Program Services$805,864ProgramServicesAmt
Management And General$7,278,028ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$58,533,407$58,279,602$253,805
MANAGEMENT FEES$32,633,531$32,633,531
BAD DEBT EXPENSE$24,975,276$24,975,276
ALL OTHER EXPENSES$17,229,514$12,540,269$4,689,245

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,038,732TotalAmt
Program Services$4,038,732ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$326,221,912TotalAmt
Program Services$276,494,155ProgramServicesAmt
Management And General$49,727,757ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$148,822BOYAmt
EOY$9,318EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,463,641BOYAmt
EOY$32,019,850EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,912,116BOYAmt
EOY$2,729,785EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,951,134BOYAmt
EOY$8,442,575EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,500,412BOYAmt
EOY$1,806,809EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$237,301,489LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$74,088,330LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$147,077,307BOYAmt
EOY$163,213,159EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$64,721,934BOYAmt
EOY$86,845,296EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$14,685,133BOYAmt
EOY$16,328,541EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,134,401BOYAmt
EOY$4,953,882EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$285,033,900BOYAmt
EOY$323,788,215EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,592,515BOYAmt
EOY$19,935,974EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,824BOYAmt
EOY$43,276EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,056,250BOYAmt
EOY$206,562EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$113,534,910BOYAmt
EOY$116,784,714EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$132,221,499BOYAmt
EOY$136,970,526EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$146,269,072BOYAmt
EOY$179,964,228EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,576,930BOYAmt
EOY$5,887,062EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$152,812,401BOYAmt
EOY$186,817,689EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,033,900BOYAmt
EOY$323,788,215EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,219,350ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,749,029NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,963,091OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$8,400DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$994OtherActivitiesAmt
Total Lobbying Expenditures$9,394TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$145,979,107OtherCostOrOtherBasisAmt
Depreciation$26,642,599DepreciationAmt
Book Value$119,336,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,027,067OtherCostOrOtherBasisAmt
Depreciation$47,445,731DepreciationAmt
Book Value$24,581,336BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,015,315OtherCostOrOtherBasisAmt
Book Value$5,015,315BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,213,159TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN BPP$331,077F
INVESTMENT PREMIER$185,619C
INT IN FNDT NET ASSETS$15,753,277C
PREMIER CLASS B CONVERSION$58,568F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$16,328,541TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO AFFILIATES$98,239,431
TENANT DEPOSITS$82,500
ASSET RETIREMENT OBLIGATION$887,279
ABANDONED PROPERTY$14,934
DEFERRED COMPENSATION PLAN$4,342,386
NONCURRENT PENSION OBLIGATION$11,340,466
EST. THIRD PARTY SETTLEMENTS$1,877,718
FieldValueIRS element (for citing)
Total Liability$116,784,714TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$341,673,617TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,748,637NetUnrealizedGainsInvstAmt
Other Revenue$2,213,772OtherRevenueAmt
Revenue Not Reported$5,962,409RevenueNotReportedAmt
Revenue Subtotal$335,711,208RevenueSubtotalAmt
Investment Expenses Not Incld$197,683InvestmentExpensesNotIncldAmt
Other Revenues Not Included$25,532,371OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$25,730,054RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$361,441,262TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$300,491,857TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$300,491,857ExpensesSubtotalAmt
Investment Expenses Not Incld2$197,683InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$25,532,372OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$25,730,055ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$326,221,912TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FOUNDATION EARNINGS 1,213,380. UNREALIZED GAIN ON SWAPS 1,000,392.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PREMIER INCENTIVES 69,969. BAD DEBT 24,975,276. INTERCOMPANY RENT 487,126.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 24,975,276. RENTAL 487,127. PREMIER INCENTIVES 69,969.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEANINVESTMENTS$8,348,000
EAST ASIA AND THE PACIFICINVESTMENTS$1,205,000
EUROPEINVESTMENTS$2,891,000
EUROPEINVESTMENTS$13,000
MIDDLE EAST AND NORTH AFRICAINVESTMENTS$79,000
NORTH AMERICAINVESTMENTS$399,000
SOUTH AMERICAINVESTMENTS$226,000
SUB-SAHARAN AFRICAINVESTMENTS$9,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$13,170,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$13,170,000TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE F, PART I, QUESTION 3THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES, AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. THE FIRST LISTED AMOUNT UNDER EUROPE ($2,891,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($13,000) REPRESENTS INVESTMENT RELATED EXPENSES PAID. THE MAJORITY OF INVESTMENTS REPORTED ARE PART OF POOLED INVESTMENTS HELD BY BAYCARE HEALTH SYSTEM, INC.
SCHEDULE F, PART IV, LINE 4 AND 5ALL RELATED FILINGS FOR THE POOLED INVESTMENTS ARE SUBMITTED BY BAYCARE HEALTH SYSTEM, INC.

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served10966PersonsServedCnt
Total Community Benefit Expns$11,655,416TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,655,416NetCommunityBenefitExpnsAmt
Total Expense0.03870TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served30989PersonsServedCnt
Total Community Benefit Expns$39,966,238TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,230,384DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,735,854NetCommunityBenefitExpnsAmt
Total Expense0.05560TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served987PersonsServedCnt
Total Community Benefit Expns$2,330,051TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,004,386DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,325,665NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served42942PersonsServedCnt
Total Community Benefit Expns$53,951,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,234,770DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,716,935NetCommunityBenefitExpnsAmt
Total Expense0.09870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served717PersonsServedCnt
Total Community Benefit Expns$403,218TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$403,218NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served996PersonsServedCnt
Total Community Benefit Expns$980,075TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$980,075NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$21,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,950NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served1713PersonsServedCnt
Total Community Benefit Expns$1,405,243TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,405,243NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served44655PersonsServedCnt
Total Community Benefit Expns$55,356,948TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,234,770DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,122,178NetCommunityBenefitExpnsAmt
Total Expense0.10340TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$28,847TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,847NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$28,847TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,847NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$24,975,276BadDebtExpenseAmt
Bad Debt Expense Attributable$17,035,986BadDebtExpenseAttributableAmt
Reimbursed By Medicare$76,100,241ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,984,868CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,884,627MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WINTER HAVEN HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://BAYCARE.ORG/WHH/ABOUT-US/COMMUNITY-HEALTH-NEEDSOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 5: WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL TOOK INTO ACCOUNT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS IN THE REGION DURING THE CHNA PROCESS. INTERVIEWS WERE CONDUCTED WITH TEN COMMUNITY LEADERS WHO ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING 1)PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS. THE INTERVIEWS OFFERED COMMUNITY ORGANIZATIONS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SECONDARY DATA RESOURCES, AND OTHER INFORMATION RELEVANT TO THE STUDY. EACH INTERVIEW WAS CONDUCTED BY TRIPP UMBACH, A CONSULTING FIRM REPRESENTING THE HOSPITALS, AND LASTED APPROXIMATELY 60 MINUTES. ALL RESPONDENTS WERE ASKED THE SAME SET OF QUESTIONS DEVELOPED BY TRIPP UMBACH AND PREVIOUSLY REVIEWED BY A WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL CHNA OVERSIGHT COMMITTEE. THE PURPOSE OF THESE INTERVIEWS WAS FOR STAKEHOLDERS TO IDENTIFY HEALTH ISSUES AND CONCERNS AFFECTING RESIDENTS IN THE COMMUNITIES SERVED BY WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL, AS WELL AS WAYS TO ADDRESS THOSE CONCERNS.THERE WAS A DIVERSE REPRESENTATION OF COMMUNITY-BASED ORGANIZATIONS AND AGENCIES AMONG THE 10 STAKEHOLDERS INTERVIEWED. THOSE ORGANIZATIONS REPRESENTED INCLUDED:-ANGEL CARE CENTER ELOUISE-PEACE RIVER CENTER-POLK COUNTY HEALTH DEPARTMENT-POLK HEALTH CARE PLAN-WINTER HAVEN HOSPITAL EMERGENCY DEPARTMENT PHYSICIANS GROUP-CENTRAL FLORIDA HEALTH CARE INC.-HALEY CENTER-TRI-COUNTY HUMAN SERVICES-POLK STATE COLLEGE-NEIGHBORHOOD SERVICES CENTERIN ADDITION TO THE COMMUNITY -BASED ORGANIZATION INTERVIEWS, WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL GATHERED ADDITIONAL INFORMATION BY SURVEYING VULNERABLE POPULATIONS.TRIPP UMBACH WORKED CLOSELY WITH THE CHNA OVERSIGHT COMMITTEE TO ENSURE THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS, WERE INCLUDED IN THE NEEDS ASSESSMENT THROUGH A SURVEY PROCESS. A TOTAL OF 216 SURVEYS WERE COLLECTED IN THE WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL SERVICE AREA WHICH PROVIDES A +/- 6.66 CONFIDENCE.
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 11: WINTER HAVEN HOSPITAL IS CONCENTRATING EFFORTS DURING THE 2016-2018 TIME PERIOD TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA:- ACCESS TO HEALTH SERVICES- NEED TO DECREASE CLINICAL HEALTH ISSUES- NEED TO IMPROVE THE USE OF HEALTHY OPTIONS- BEHAVIORAL HEALTH AND SUBSTANCE ABUSEPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2017-2019 TIME PERIOD.WHILE WINTER HAVEN HOSPITAL IS DEDICATED TO IMPROVING THE USE OF HEALTHY OPTIONS, THE HOSPITAL HAS LIMITED RESOURCES AND SERVICES SPECIFICALLY DEDICATED TO THIS AREA OF FOCUS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO COMPLEMENT WINTER HAVEN HOSPITAL'S EFFORTS TO BETTER MEET THIS NEED. WINTER HAVEN HOSPITAL'S LEADERSHIP BELIEVES THAT EFFORTS OUTLINED WITHIN THE IMPLEMENTATION PLAN SPECIFICALLY TO IMPROVE ACCESS TO HEALTH SERVICES AND TO DECREASE CLINICAL HEALTH ISSUES WILL ALSO HAVE A POSITIVE IMPACT ON IMPROVING THE USE OF HEALTHY OPTIONS IN WINTER HAVEN HOSPITAL'S SERVICE AREA; THEREFORE, ADDITIONAL ACTIVITIES BEYOND THOSE LISTED IN THE IMPLEMENTATION PLAN WERE NOT CONSIDERED TO BE NECESSARY AT THIS TIME.
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME.
WINTER HAVEN HOSPITAL, INC.PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BLOOD BANKS OF MID-FLORIDA MEDICAL SVC
460 FIRST STREET NORTHWINTER HAVENFL33881BLOOD BANK
2 - FAMILY HEALTH CENTER- AUBURNDALE
2028 HIGHWAY 92 WESTAUBURNDALEFL33823OUTPATIENT PHYSICIAN CLINIC
3 - FAMILY HEALTH CENTER- BARTOW
1625 NORTH CARPENTER AVEBARTOWFL33830OUTPATIENT PHYSICIAN CLINIC
4 - FAMILY HEALTH CENTER-DUNDEE
5999 DUNDEE ROAD SUITE 750DUNDEEFL33884OUTPATIENT PHYSICIAN CLINIC
5 - FAMILY HEALTH CENTER-HAINES CITY
36245 HIGHWAY 27HAINES CITYFL33844OUTPATIENT PHYSICIAN CLINIC
6 - FAMILY HEALTH CENTER- LAKE WALES
201 SR 60 WESTLAKE WALESFL33853OUTPATIENT PHYSICIAN CLINIC
7 - FAMILY HEALTH CENTER- WINTER HAVEN
100 AVENUE I NEWINTER HAVENFL33881OUTPATIENT PHYSICIAN CLINIC
8 - FAMILY HEALTH CENTER- SE WINTER HAVEN
6035 CYPRESS GARDENS BLVDWINTER HAVENFL33884OUTPATIENT PHYSICIAN CLINIC
9 - CENTER FOR BEHAVORIAL HEALTH -POLK CO
1201 FIRST STREET SOUTHWINTER HAVENFL33880OUTPATIENT BEH HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. WINTER HAVEN HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE WINTER HAVEN HOSPITAL CRITERIA FOR FINANCIAL ASSISTANCE (250%)
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION.
PART I, LINE 7:FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS.
PART I, LN 7 COL(F):BAD DEBT EXPENSE OF $24,975,276 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:WINTER HAVEN HOSPITAL PROVIDES COMMUNITY SUPPORT AND COALITION BUILDING IN COORDINATION WITH A NUMBER OF EXTERNAL ORGANIZATIONS INCLUDING: -CENTRAL FLORIDA DEVELOPMENT COUNCIL WHO IS RESPONSIBLE FOR RECRUITING NEW BUSINESS TO POLK COUNTY AND HELPING EXISTING BUSINESSES EXPAND. -WINTER HAVEN ECONOMIC DEVELOPMENT COUNCIL WHOSE MISSION IS TO FOSTER EXPANSION OF EXISTING BUSINESSES AND INDUSTRY, ATTRACT NEW HIGH-SKILL, HIGH WAGE BUSINESS AND INDUSTRY, EXPAND ECONOMIC AND JOB OPPORTUNITIES FOR WINTER HAVEN RESIDENTS, BROADEN THE LOCAL TAX BASE AND ENHANCE RELATIONSHIPS WITH LOCAL, REGIONAL, STATE, NATIONAL, AND INTERNATIONAL ECONOMIC DEVELOPMENT ORGANIZATIONS AND INDUSTRIES. -HAINES CITY, WINTER HAVEN, AND LAKE ALFRED CHAMBERS OF COMMERCE WHO PROVIDE SUPPORT FOR MEMBERS TO ENHANCE COMMUNITY SUPPORT AND ECONOMIC PROSPERITY. -MAIN STREET WINTER HAVEN WHOSE MISSION IS TO DEVELOP AND PRESERVE THE ECONOMIC, CULTURAL AND HISTORIC QUALITIES THAT MAKE DOWNTOWN THE HEART OF OUR COMMUNITY.
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) ($9,884,627) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($9,001,898) - TOTAL SURPLUS OR (SHORTFALL) ($18,886,525)
PART III, LINE 9B:PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE, ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), THE PATIENT'S ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT.
PART VI, LINE 2:THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY PARTICIPATING IN SEVERAL COMMUNITY ORGANIZATIONS THAT DEVELOP COMMUNITY STRATEGIC PLANS SUCH AS WINTER HAVEN'S "OUR FUTURE BY DESIGN". THE HOSPITAL ALSO WORKS WITH THE POLK COUNTY HEALTH DEPARTMENT IN ORDER TO CONDUCT STUDIES AND HELP SET PRIORITIES. ADDITIONALLY, THE HOSPITAL WORKS WITH AND UTILIZES SEVERAL COMMUNITY HEALTH SURVEYS CONDUCTED BY POLK HEALTHCARE ALLIANCE.
PART VI, LINE 3:WINTER HAVEN HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE WINTER HAVEN HOSPITAL, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS.IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, WINTER HAVEN HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4:WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL ARE ACUTE CARE FACILITIES SERVING PARTS OF POLK AND HIGHLANDS COUNTIES. THE AVERAGE HOUSEHOLD INCOME FALLS LESS THAN FLORIDA'S AVERAGE AND LESS THAN THE NATIONAL AVERAGE INCOME; 15.1% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND WITH 81% HAVING HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 21.8% OF THE POPULATION AND 15.3% ARE AFRICAN AMERICAN. THE SERVICE AREA SERVED BY WINTER HAVEN HOSPITALS IS EXPECTED TO GROW 5.9% IN POPULATION OVER THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.8% FOR THE UNITED STATES. THE OVER 65 POPULATION EXPECTED TO GROW 13.6% IN THE NEXT FIVE YEARS.WINTER HAVEN HOSPITAL IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY WINTER HAVEN HOSPITALS HAS 6 ACUTE CARE HOSPITALS INCLUDING WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S. THERE ARE 4 HOSPITALS WHICH ARE NOT-FOR-PROFIT AND 2 ARE FOR-PROFIT. THE ENTIRE SERVICE AREA FOR WINTER HAVEN AND WINTER HAVEN WOMEN'S HOSPITAL LIES WITHIN 3 FEDERALLY DESIGNATED UNDERSERVED AREAS.BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/16-9/30/17, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 52.2% MEDICARE/MEDICARE HMO, 18.6% MEDICAID/MEDICAID HMO, 17.6% COMMERCIAL INSURANCE, 7.4% SELF PAY/NON-PAY, AND 4.3% OTHER.
PART VI, LINE 5:WINTER HAVEN HOSPITAL, INC., LOCATED IN WINTER HAVEN, FLORIDA, AND PART OF THE BAYCARE HEALTH SYSTEM, INCLUDES A 468-BED ACUTE CARE HOSPITAL AND A 61-BED OBSTETRIC/GYNECOLOGICAL SPECIALTY HOSPITAL, RESPECTIVELY REFERRED TO AS WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL. WINTER HAVEN HOSPITAL (WHH) WAS ESTABLISHED IN 1926, AND TODAY CONCENTRATES IN THE TREATMENT OF HEART DISEASE, BEHAVIORAL HEALTH, CANCER, STROKE, AND ORTHOPEDIC CONDITIONS. THE HOSPITAL ALSO PROVIDES EMERGENCY CARE, OUTPATIENT DIABETES EDUCATION; ENDOSCOPY AND SURGICAL SERVICES; CARDIAC, NEUROLOGICAL, ORTHOPEDIC, AND PULMONARY REHABILITATION; AND IMAGING SERVICES. THE WINTER HAVEN WOMEN'S HOSPITAL, BUILT IN 1987 AND LOCATED APPROXIMATELY 1.5 MILES SOUTH OF WHH, INCLUDES A LEVEL II NEONATAL INTENSIVE CARE UNIT AND AN OUTPATIENT BREAST AND IMAGING CENTER. SERVICES INCLUDE ON-SITE CONTINUOUS OBSTETRIC COVERAGE AND LACTATION CONSULTATIONS. IN 2017, MANY NEW ACCREDITATIONS WERE RECEIVED. THE WHH ECHOCARDIOGRAPHY DEPARTMENT EARNED INTERNATIONAL ACCREDITATION IN ADULT SERVICES FOR CLINICAL ACCURACY AND QUALITY. IMAGING SERVICES AT WHH ALSO RECEIVED SEVERAL ACCREDITATIONS IN 2017. THE AMERICAN COLLEGE OF RADIOLOGY GAVE ACCREDITATION FOR ULTRASOUND, MRI, MAMMOGRAPHY, AND STEREOTACTIC SERVICES. WINTER HAVEN HOSPITAL OPENED ITS NEW 45,000 SQUARE FEET EMERGENCY ROOM IN THE SUMMER OF 2017. THE NEW ER IS TWICE THE SIZE OF THE OLD SPACE AND PROVIDES NEARLY DOUBLE THE NUMBER OF PATIENT ROOMS PLUS SPACE FOR DEDICATED MEDICAL IMAGING AND OTHER SUPPORT SERVICES. THE NEW ER INCREASED CAPACITY, AND IMPROVED BOTH EFFICIENCY AND THE PATIENT EXPERIENCE. RIGHT BEFORE THE GRAND OPENING, WHH HELD AN OPEN HOUSE TO GIVE TOURS AND ANSWER QUESTIONS; MORE THAN 400 MEMBERS OF THE COMMUNITY ATTENDED THE EVENT. THE OLD SPACE WILL BE RENOVATED TO PROVIDE ADDITIONAL ER SERVICES; COMPLETION IS EXPECTED IN 2018.IN JUNE 2017, WINTER HAVEN HOSPITAL BEGAN OFFERING COMPLEMENTARY VALET SERVICES FOR PATIENTS AND VISITORS. THIS SERVICE WAS INTENDED TO PROVIDE AN IMPROVED EXPERIENCE FOR PATIENTS AND VISITORS TO BE ABLE TO HAVE FRONT CURB DROP OFF AND PICK UP. IN DECEMBER 2017, WINTER HAVEN HOSPITAL LAUNCHED A DISCHARGE HOSPITALITY CENTER. THIS CENTER IS DESIGNED TO CREATE A COMFORTABLE PLACE FOR PATIENTS TO WAIT AFTER DISCHARGE FOR THEIR TRANSPORTATION TO A SUBACUTE FACILITY OR TO THEIR HOME. PATIENTS RECEIVE CONCIERGE-TYPE SERVICES IN THE CENTER, ALLOWING FOR QUICK RESPONSE TO QUESTIONS AND NEEDS ON A ONE-TO-ONE COMMUNICATION LEVEL WITH A REGISTERED NURSE. WINTER HAVEN HOSPITAL WAS A PROUD RECIPIENT IN NOVEMBER 2017 FOR AN APPRECIATION AWARD FROM THE FLORIDA DIVISION OF BLIND SERVICES. THE AWARD RECOGNIZES WHH FOR SUPPORTING A BARRIER-FREE WORKPLACE FOR INDIVIDUALS WHO ARE BLIND OR VISUALLY IMPAIRED. ALSO IN 2017, WINTER HAVEN HOSPITAL FORMALLY CONTRACTED WITH FLORIDA STATE UNIVERSITY TO BEGIN OFFERING GRADUATE MEDICAL EDUCATION FOR FAMILY HEALTH PHYSICIANS. THE PROGRAM WILL PROVIDE ADDITIONAL HEALTH ACCESS IN OUR COMMUNITY AND HELP RECRUIT FAMILY HEALTH PHYSICIANS TO PRACTICE IN THE AREA. WHH AND FSU WILL BEGIN BUILDING THE PROGRAM OVER THE NEXT TWO YEARS, INCLUDING CONSTRUCTION OF A TRAINING FACILITY, DEVELOPMENT OF A CURRICULUM AND APPLICATION FOR ACGME ACCREDITATION. RESIDENTS ARE EXPECTED TO BEGIN TRAINING IN JULY OF 2020. COMMUNITY OUTREACH AND PARTNERSHIPSCOMMUNITY OUTREACH AND PARTNERSHIPS ARE AN ESSENTIAL EXPRESSION OF WINTER HAVEN HOSPITAL'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 WINTER HAVEN AND SURROUNDING COMMUNITIES. RESOURCES & SERVICESTHROUGH BAYCARE'S PARTNERSHIP WITH FAMILY HEALTHCARE FOUNDATION, WINTER HAVEN HOSPITAL HOSTS A HEALTH CARE NAVIGATOR TO HELP ANYONE NAVIGATE OR ENROLL IN THE HEALTH INSURANCE MARKETPLACE UNDER THE AFFORDABLE CARE ACT, OR OTHER TYPES OF COVERAGE SUCH AS MEDICAID AND MEDICARE DISABILITY. THE NAVIGATOR TEAM HELD ENROLLMENT EVENTS AT WHH, AND TOOK APPOINTMENTS OR WALK-INS TO OFFER FREE, ONE-ON-ONE ASSISTANCE IN UNDERSTANDING INSURANCE OPTIONS AND ENROLLMENT. IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY, WINTER HAVEN HOSPITAL HOSTS A CANCER RESOURCE ROOM. THIS ROOM, STAFFED BY VOLUNTEERS FROM BOTH ORGANIZATIONS, OFFERS SUPPORT TO NAVIGATE CANCER DIAGNOSIS AND TREATMENT AS WELL AS NEEDS ASSOCIATED WITH LIFE AFTER REMISSION SUCH AS SPIRITUAL, EMOTIONAL, HEALTHY EATING AND FOLLOW-UP GUIDELINES. INFORMATION IN THE FORM OF PAMPHLETS AND HANDOUTS PLUS WIGS, SCARVES, CAPS, BRAS AND MORE ARE OFFERED FREE OF CHARGE. AS AN INTRINSIC OFFERING, OUR 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, WINTER HAVEN HOSPITAL PROVIDED MORE THAN $280,000 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, WINTER HAVEN HOSPITAL 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. EIGHTY-NINE (89) COMMUNITY RESIDENTS PARTICIPATED IN THE 2017 EVENTS.SUPPORT AND EDUCATION IS ALSO PROVIDED IN THE FORM OF SUPPORT GROUPS, CLASSES, AND COMMUNITY LECTURES. IN 2017, WINTER HAVEN HOSPITAL FACILITATED OR PROVIDED FREE MEETING SPACE FOR THE FOLLOWING SUPPORT GROUPS: APHASIA, BRAIN INJURY, CAREGIVERS, CARDIAC EVENTS AND DISEASE, DIABETES, MEN'S CANCER, MENTAL HEALTH PEER RECOVERY, NARCOTICS ANONYMOUS, OSTOMY, WOMEN'S CANCER AND STROKE. NEW IN 2017, WHH STARTED OFFERING PERINATAL BEREAVEMENT SUPPORT CLASSES.A VARIETY OF CLASSES ARE HELD MONTHLY FOR HEALTH IMPROVEMENT AND EDUCATION PURPOSES. CLASSES INCLUDE: JOINT REPLACEMENT PREPARATIONS, PREPARED CHILDBIRTH, BREASTFEEDING, INFANT/CHILD CPR, SIBLING PREPARATIONS, GRANDPARENTING FOR TODAY'S NEWBORNS, NEWBORN CARE, AND BABYSITTING BASICS. IN MAY OF 2017, THE FAITH COMMUNITY NURSING PROGRAM SPONSORED MENTAL HEALTH FIRST AID TRAINING CLASSES FOR COMMUNITY LEADERS TO RECOGNIZE AND RESPOND TO SIGNS OF MENTAL HEALTH DISTRESS AND SUBSTANCE ABUSE DISORDERS. THE FREE COURSE WAS TAUGHT BY LICENSED MENTAL HEALTH COUNSELORS AND HAD TWO TRACKS: AN ADULT FOCUSED COURSE OR A YOUTH FOCUSED COURSE. TWENTY-FOUR (24) COMMUNITY LEADERS PARTICIPATED IN THE ADULT TRAINING, AND 19 IN THE YOUTH TRAINING. IN PARTNERSHIP WITH TOBACCO-FREE FLORIDA, WE PROVIDE SPACE FOR THEIR SMOKING CESSATION CLASSES. THEIR CLASSES OFFER PARTICIPANTS FREE NICOTINE-REPLACEMENT THERAPY AND SUPPORT TO QUIT IN A GROUP SETTING. IN 2017, EIGHT (8) CLASSES WERE HELD ASSISTING NEARLY 40 PEOPLE. WINTER HAVEN HOSPITAL ALSO HOSTED NINE (9) COMMUNITY LECTURES TO PROVIDE HEALTH EDUCATION. THE LECTURES INCLUDED A LADIES NIGHT OUT EVENT FOCUSED ON HEALTH OVER HOLIDAYS AND A PAINTING PARTY TO BRING AWARENESS TO BREAST CANCER. OTHER TOPICS COVERED DIABETES AWARENESS, SPINAL DISORDERS, AFIB, PROSTATE CANCER, ANTERIOR HIP REPLACEMENT, AND WOMEN'S PELVIC HEALTH. WINTER HAVEN HOSPITAL 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 WINTER HAVEN SENIOR ADULT CENTER HEALTH FAIR, WINTER HAVEN HOUSING AUTHORITY HEALTH FAIR, ALZHEIMER'S ASSOCIATION HEALTHY AGING AND WELLNESS FAIR, AND CITY OF WINTER HAVEN EMPLOYEE HEALTH FAIR. (CONT-D AFTER PART VI, LINE 7 NARRATIVE)
PART VI, LINE 6:WINTER HAVEN HOSPITAL, INC. IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY 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 7WINTER HAVEN HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT.
PART VI, LINE 5 (CONT-D)COMMUNITY CONNECTIONSWINTER HAVEN HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY MEMBERS WHO BELIEVE IN THE MISSION, VALUES, AND VISION OF WINTER HAVEN 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 DECISION AND ACTIONS CONFORM TO WINTER HAVEN HOSPITAL'S STRATEGIC PLANS AND BUDGETS AND PRODUCE INTENDED RESULTS.THROUGH A PARTNERSHIP WITH THE UNITED WAY OF CENTRAL FLORIDA, LOCAL CHURCHES AND GOVERNMENT AGENCIES, WINTER HAVEN HOSPITAL HELPS OPERATE A NEIGHBORHOOD SERVICES CENTER WITH THE EMPLOYMENT OF A FULL-TIME LEADER. THE CENTER OPENED IN 1970 TO SERVE AS A ONE-STOP, DIRECT SERVICES AGENCY FOR THE COMMUNITY OF FLORENCE VILLA. ITS PRIMARY SERVICE IS TO INCREASE THE COMMUNITY'S AWARENESS OF AVAILABLE HEALTH, WELFARE, REHABILITATIVE AND EDUCATIONAL SERVICES AND TO FACILITATE THE USE OF THOSE SERVICES. TODAY, IT FUNCTIONS AS A MULTI-PURPOSE SENIOR CENTER TO EMPOWER SENIOR RESIDENTS WITH DIGNITY AND INDEPENDENCE. IN 2017, WE PROVIDED APPROXIMATELY $50,000 DIRECTLY TO THE PARTNERSHIP WHICH THEN TRANSLATED INTO THE YEAR'S BUDGET OF MORE THAN $85,000 RAISED FROM OTHER PARTNERS, COMMUNITY DONATIONS AND CENTER FUNDRAISERS. THE 2017 FUNDS HELPED PROVIDE MORE THAN 1,000 HOT MEALS, 1,000 HEALTH AIDS, 500 TRANSPORTATION TRIPS, AND 3,000 AGENCY APPOINTMENTS. THE HOSPITAL HAS 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. IN 2017, PHYSICIANS OF THE FOLLOWING SPECIALTIES WERE SUCCESSFULLY RECRUITED TO SERVE THE WINTER HAVEN COMMUNITIES: FAMILY HEALTH, GENERAL SURGERY AND BREAST SURGERY.THROUGH A PARTNERSHIP WITH THE POLK COUNTY INDIGENT HEALTH CARE PROGRAM, WINTER HAVEN HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH CONTINUED A "SPECIALIZED COMMUNITY CARE TEAM." THE SCCT IS FOR ADULTS WITH MENTAL HEALTH DIFFICULTIES THAT AFFECT THEIR DAILY FUNCTIONING. SERVICES PROVIDE AT-HOME THERAPY, MEDICATION MANAGEMENT, AND RESOURCE REFERRALS TO HELP THE PATIENT ATTAIN WELLNESS, RESILIENCY AND SELF-SUFFICIENCY. THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY INCLUDING, THE UNITED WAY, GIRLS, INC., THE WOMEN'S RESOURCE CENTER, THE WINTER HAVEN ECONOMIC DEVELOPMENT COUNCIL, AND THE WINTER HAVEN CHAMBER OF COMMERCE. WHH ALSO CONTRIBUTES TO THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL, MAIN STREET WINTER HAVEN, THE LAKE ALFRED CHAMBER OF COMMERCE AND THE HAINES CITY CHAMBER OF COMMERCE. WINTER HAVEN HOSPITAL 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, WE DONATED MORE THAN $30,000 TO COMMUNITY ORGANIZATIONS INCLUDING AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, FLORENCE VILLA COMMUNITY DEVELOPMENT CORP., GREATER WINTER HAVEN CHAMBER OF COMMERCE, LEWIS FAMILY CANCER FUND, POLK STATE COLLEGE FOUNDATION, POLK COUNTY FIRE RESCUE, POLK ECUMENICAL ACTION COUNCIL FOR EMPOWERMENT, THE NEW CARDIOVASCULAR HORIZONS FOUNDATION, RIDGE ART ASSOCIATION, THE GIVEWELL COMMUNITY FOUNDATION, GRACE KIDS, AND CENTRAL FLORIDA HEALTH CARE.CHARITABLE CLINICAL CARE WINTER HAVEN HOSPITAL WAS INSTRUMENTAL IN THE DEVELOPMENT OF A FREE CLINIC IN WINTER HAVEN CALLED THE HALEY CENTER. THE FIRST BAPTIST CHURCH OF WINTER HAVEN ASKED FOR ASSISTANCE FROM THE COUNTY HEALTH DEPARTMENTS, WHH, THE COMMUNITY HEALTH AND SOCIAL SERVICES DEPARTMENT AND OTHERS TO ENSURE THE FREE CLINIC'S SUCCESS. IT HAS BEEN OPERATIONAL SINCE DECEMBER 2005 WITH THE HOSPITAL PROVIDING FREE LAB, X-RAY AND PULMONARY FUNCTION TESTING. BASED ON THE SUCCESS OF THE HALEY CENTER, PARKVIEW CHRISTIAN CHURCH IN HAINES CITY REQUESTED COUNSEL ON STARTING A SIMILAR CLINIC IN THEIR COMMUNITY. VOLUNTEERS FROM BOTH WHH AND THE HALEY CENTER SHARED THEIR EXPERTISE FOR THE OPENING OF THE PARKVIEW OUTREACH COMMUNITY CENTER. WINTER HAVEN HOSPITAL PARTICIPATES IN THE LOCAL CHURCH-BASED PROGRAM CALLED THE ANGELS CARE CENTER OF ELOISE. THIS CENTER OFFERS A FREE DIABETIC CLINIC THE SECOND WEDNESDAY OF EACH MONTH FOR PERSONS WHOSE INCOME DOES NOT EXCEED 200 PERCENT OF THE FEDERAL POVERTY LEVEL, WHO ARE NOT ELIGIBLE FOR MEDICAID OR MEDICARE AND WHO DO NOT HAVE PRIVATE MEDICAL INSURANCE.POLK HEALTHCARE PLAN IS A PUBLIC/PRIVATE PARTNERSHIP THAT ALLOWS FOR A COMPREHENSIVE MANAGED HEALTH CARE PROGRAM FOR ELIGIBLE POLK COUNTY RESIDENTS. WINTER HAVEN HOSPITAL PARTICIPATES IN AND ACCEPTS THE POLK HEALTHCARE PLAN TO HELP INCREASES 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 WINTER HAVEN HOSPITAL IS COMMITTED TO EDUCATING HEALTHCARE 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.NURSING STUDENTS FROM POLK STATE COLLEGE, SOUTHEASTERN UNIVERSITY, FLORIDA SOUTHERN COLLEGE, CONCORDE CAREER INSTITUTE, CONCORDE CAREER COLLEGE, SOUTHERN TECHNICAL COLLEGE, TRAVISS CAREER CENTER AND RIDGE TECHNICAL COLLEGE COMPLETED CLINICAL INTERNSHIPS AT WHH. IN TOTAL, $513,921 IN STAFF TIME WAS USED TO EDUCATE THESE FUTURE NURSES ABOUT MANY ASPECTS OF PATIENT CARE.STUDENTS PURSUING CAREERS IN OTHER HEALTH FIELDS, SUCH AS MEDICAL STUDENTS, PHYSICIAN ASSISTANTS, DIETITIANS, AND MENTAL HEALTH COUNSELORS ALSO COMPLETED INTERNSHIPS AND CLINICAL ROTATIONS AT WHH. OTHER STUDENTS OF A VARIETY OF TECHNICAL SPECIALTIES INCLUDING EKG, IMAGING AND NUCLEAR MEDICINE COMPLETED CLINICAL ROTATIONS TOO AT WHH. IN 2017, STUDENTS STUDIED AT OUR FACILITIES WITH TEAM MEMBERS DEVOTING MORE THAN $313,171 TOWARD THEIR TIME AND TRAINING.WINTER HAVEN HOSPITAL ALSO PROVIDES AN ASHP-ACCREDITED PHARMACY RESIDENCY PROGRAM THAT BUILDS ON THE DOCTOR OF PHARMACY (PHARMD) CURRICULUM TO CONTRIBUTE TO THE DEVELOPMENT OF CLINICAL PHARMACISTS RESPONSIBLE FOR PHARMACEUTICAL CARE OF PATIENTS WITH A WIDE RANGE OF CONDITIONS. THE 12-MONTH TRAINING ALLOWS RESIDENTS TO COLLABORATE WITH MEDICAL STAFF, WORK WITH PATIENTS AND PARTNER WITH NURSING. TWO RESIDENTS GRADUATED IN SUMMER OF 2017, AND THREE NEW RESIDENTS STARTED IN JULY 2017. WHH CLINICAL PHARMACISTS CONTRIBUTED $152,983 IN STAFF TIME TO HELP PREPARE GRADUATES FOR PRACTICE IN DIVERSE CLINICAL SETTINGS, BECOME BOARD-CERTIFIED, OR TO CONTINUE TRAINING IN A SECOND YEAR PROGRAM. VOLUNTEERISMSINCE 1938, THE WINTER HAVEN HOSPITAL VOLUNTEER AUXILIARY FOUND MANY WAYS TO CONTRIBUTE DIRECTLY TO THE WELFARE OF THE HOSPITAL, ITS PATIENTS AND THE COMMUNITY AT LARGE. STRIVING TO MAINTAIN THE HIGHEST STANDARDS OF CONDUCT, THE AUXILIARY AND VOLUNTEERS, PROVIDE A HEALTHFUL, SAFE, CARING ENVIRONMENT FOR STAFF VISITORS AND PATIENTS. VOLUNTEERS OFFER ASSISTANCE AT THE PATIENT INFORMATION DESKS, GIFT SHOPS, PATIENT REGISTRATION, ACTIVITIES CART AS WELL AS LIGHT CLERICAL SUPPORT. THE AUXILIARY SPONSORS BOOK FAIRS AND UNIFORM/SHOE SALES TO SUPPORT THE APPROVED HOSPITAL PROJECTS INCLUDING PROVIDING HOLIDAY GIFTS FOR 20 UNDERPRIVILEGED POLK COUNTY SCHOOL CHILDREN, OFFERING GRIEVING FAMILIES A BEREAVEMENT ANGEL AFTER THE DEATH OF A NEWBORN, PURCHASING MAMMOGRAPHY CAPES FOR THE BREAST IMAGING CENTER, SUPPLYING BREAST CANCER HANDBOOKS TO NEWLY DIAGNOSED CANCER PATIENTS, AND PROVIDING A VISIT AND GIFT FOR ALL PATIENTS HOSPITALIZED ON CHRISTMAS DAY. THE AUXILIARY ALSO PURCHASES EQUIPMENT FOR PATIENT SAFETY AND COMFORT AND DONATES TO THE HOSPITAL'S FOUNDATION TO HELP FINANCE HOSPITAL BUILDING PROJECTS, PURCHASE NEW EQUIPMENT AND SPONSOR HEALTHCARE-RELATED PROGRAMS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN HEART ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111207 BLUE HERON BLVD NAddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33716ZIPCd
FieldValueIRS element (for citing)
Recipient EIN135613797RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$17,500CashGrantAmt
Purpose Of GrantANNUAL HEART WALK AND HEART BALLPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART 1, LINE 2FormAndLineReferenceDesc
ExplanationWINTER HAVEN HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS WHICH WILL IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. MANAGEMENT REVIEWS FUNDING REQUESTS TO ENSURE THE ORGANIZATIONS ARE PROPERLY ALIGNED WITH OUR MISSION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARL TREMONTI
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
GLENN WATERS
EVP, COO BAYCARE$0$882,861$0$387,681$0$310,850$0$34,342$0$41,694$0$1,657,428$0$0
STEPHEN NIERMAN
PRES WINTER HAVEN HOSP$333,114$0$97,492$0$94,564$0$25,108$0$32,983$0$583,261$0$1,581$0
CAROL KOEPPEL-OLSEN
VP, PATIENT SVCS/CNO - POLK$231,030$0$64,596$0$18,551$0$54,323$0$25,686$0$394,186$0$0$0
DEBRA WOLF
DIRECTOR, PATIENT SVCS - WHH$146,908$0$14,045$0$9,109$0$7,902$0$7,830$0$185,794$0$0$0
TINA SOLOMON
DIRECTOR, FINANCE POLK$142,891$0$16,231$0$672$0$8,450$0$9,930$0$178,174$0$0$0
IMELDA AZURIN
CLINICAL NURSE III-POLK$152,141$0$15,608$0$4,402$0$8,872$0$23,252$0$204,275$0$0$0
KHURRAM KAMRAN
VP/CHIEF MEDICAL OFFICER - WHH$354,118$0$59,418$0$15,024$0$36,612$0$35,797$0$500,969$0$0$0
JACQUES VASCONCELLOS
DIRECTOR, OPERATIONS - WHH$175,752$0$19,410$0$7,941$0$9,084$0$17,979$0$230,166$0$0$0
GLENN WYSOCK
MANAGER PHARMACY$174,469$0$12,435$0$9,177$0$9,471$0$12,466$0$218,018$0$0$0
KELLY RYAN
MEDICAL PHYSICIST - POLK$189,057$0$580$0$712$0$9,489$0$1,357$0$201,195$0$0$0
JOEL THOMAS
FORMER VP COMMUNITY HEALTH/MRKTG/FND$0$156,652$0$0$0$8,699$0$8,272$0$16,000$0$189,623$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AKHURRAM KAMRAN RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $2,000 DURING 2017 WHICH WAS INCLUDED IN HIS TAXABLE WAGES.
PART I, LINE 3THE FILING ORGANIZATION DOES NOT USE ANY OF THE OPTIONS LISTED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. HOWEVER, THE RELATED ORGANIZATION, BAYCARE HEALTH SYSTEM INC, USES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS A MEANS TO ESTABLISH THE CEO'S COMPENSATION OF THE FILING ORGANIZATION.
PART I, LINE 4BCARL 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. 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. STEPHEN NIERMAN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $74,467 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $31,239 IN 2017. CAROL KOEPPEL-OLSEN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $41,704 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2AL CASSIDY AND RICHARD STRAUGHN ARE BOARD MEMBERS OF THE ORGANIZATION WHO HAVE A BUSINESS RELATIONSHIP UNRELATED TO THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7AVOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN MEMBER, UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CAPACITY OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FORM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THESE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL A THE ORGANIZATION'S PAID PREPARER. PRIOR TO FILING WITH THE IRS, A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD VIA WEB PORTAL.
FORM 990, PART VI, SECTION B, LINE 12CWINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR WITH THE LAST REVIEW OCCURRING IN 2017 BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19WINTER HAVEN HOSPITAL'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG.
FORM 990, PART XI, LINE 9:CHANGE IN NET ASSETS OF FOUNDATION 3,394,036. TRANSFER TO BMG -9,357,127.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BAYCARE HEALTH SYSTEM
2985 DREW STCLEARWATERFL33759592796965HEALTH SRVCSFL501(C)(3)12AN/A0
BAYCARE BEHAVIORAL HEALTH INC
7809 MASSACHUSETTS AVENEW PORT RICHEYFL34653591371752HEALTH SRVCSFL501(C)(3)7Yes (1)BCHS
BC EMERGENCY ASSISTANCE PROGRAM INC
2985 DREW STCLEARWATERFL33759592697770EMERG ASSISTFL501(C)(3)10Yes (1)BAYCARE
BAYCARE HOME CARE INC
8452 118TH AVE NORTHLARGOFL33773593582520HOME HLTH SRVFL501(C)(3)10Yes (1)BAYCARE
BEHAVIORAL HEALTH MANAGEMENT SRVCS INC
900 CARILLON PKWY SUITE 406ST PETERSBURGFL33716593279573HEALTH SRVCSFL501(C)(3)10Yes (1)BCHS
WINTER HAVEN HOSPITAL AUXILIARY INC
200 AVE F NORTHEASTWINTER HAVENFL33881237190109VOLUNTEER SRVFL501(C)(3)12AN/A0
WINTER HAVEN HOSPITAL FOUNDATION INC
200 AVE F NORTHEASTWINTER HAVENFL33881030406130FUNDRAISINGFLPF12AN/A0
BAYCARE MEDICAL GROUP INC
300 S PARK PLACE BLVDCLEARWATERFL33759593140335PHYSICIANSFL501(C)(3)10Yes (1)BCHS
BARTOW REGIONAL MEDICAL CENTER INC
2200 OSPREY BLVDBARTOWFL33830475387418HOSPITALFL501(C)(3)3Yes (1)BCHS
BAYCARE CHOICE HEALTH PLANS INC
2985 DREW STREETCLEARWATERFL33759810785902INSURANCEFL501(C)(4)N/AYes (1)BCHS
BAYCARE SELECT HEALTH PLANS INC
2985 DREW STREETCLEARWATERFL33759810795815MCR ADVANTAGEFL501(C)(4)N/AYes (1)BCHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BC PURCHASING PARTNERS LLC
8731 FL MININGTAMPAFL33634640950837GROUP PURCHINGFLN/ARELATED$641,500$331,3440$28,25500.08660
BC EMPLOY HEALTH CL
8452 118TH AVELARGOFL33773461533183HEALTH SERVICFLN/A00BAYCARE
BC SURGERY CTR LLC
8452 118TH A NLARGOFL33774460591430SURGERY CENTEFLN/A00BAYCARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BAYCARE MEDICAL GROUP INC
A$364,588FMV
BAYCARE MEDICAL GROUP INC
B$7,873,718FMV
BEHAVIORAL HEALTH MANAGEMENT SERVICES INC
B$1,357,532FMV
BARTOW REGIONAL MEDICAL CENTER INC
O$1,000,087FMV
BEHAVIORAL HEALTH MANAGEMENT SERVICES INC
S$98,738FMV
BAYCARE MEDICAL GROUP INC
S$4,336,752FMV