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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY RIDENOUR</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SMITH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID STONE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS WHIDDON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBBIE WHITE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GLENN WATERS</PersonNm>
        <TitleTxt>TRUSTEE/EVP, COO BAYCARE HLTH</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARL TREMONTI</PersonNm>
        <TitleTxt>VP, CFO BAYCARE HOSP DIV</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN LAPHAM</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE BURDI</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS GALDIERI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MOHSEN HABIB</PersonNm>
        <TitleTxt>MANAGER PHARMACY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAIKEL BOLOS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY CULLEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY CAVALIER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID RABIH</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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            <CityNm>CLEARWATER</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Terbo Group Inc</PersonNm>
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          <USAddress>
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            <CityNm>DUNEDIN</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Siemens Medical Solutions USA</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO Box 120001 DEPT 0733</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME FROM AFFILIATES</Desc>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>2148070</ExclusionAmt>
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        <ProgramServicesAmt>4228</ProgramServicesAmt>
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        <ProgramServicesAmt>86416</ProgramServicesAmt>
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        <ProgramServicesAmt>3729908</ProgramServicesAmt>
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        <ProgramServicesAmt>6052623</ProgramServicesAmt>
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        <ProgramServicesAmt>232046</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>5841342</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>56029508</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>27057279</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>ASSESSMENTS</Desc>
        <TotalAmt>5006263</TotalAmt>
        <ProgramServicesAmt>5006263</ProgramServicesAmt>
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        <TotalAmt>10440484</TotalAmt>
        <ProgramServicesAmt>9339574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1100910</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>374813350</TotalAmt>
        <ProgramServicesAmt>312303257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62510093</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>108854</BOYAmt>
        <EOYAmt>164508</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>46374362</BOYAmt>
        <EOYAmt>45178965</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>306385</BOYAmt>
        <EOYAmt>40569</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>6464779</BOYAmt>
        <EOYAmt>6576169</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1630055</BOYAmt>
        <EOYAmt>1679591</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>413998555</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>242222046</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>177976430</BOYAmt>
        <EOYAmt>171776509</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>498866</BOYAmt>
        <EOYAmt>396399</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>3850141</BOYAmt>
        <EOYAmt>3116780</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>449723539</BOYAmt>
        <EOYAmt>531298157</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>686933411</BOYAmt>
        <EOYAmt>760227647</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>18229664</BOYAmt>
        <EOYAmt>17277101</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3507690</BOYAmt>
        <EOYAmt>3066344</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11396941</BOYAmt>
        <EOYAmt>11955944</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>33134295</BOYAmt>
        <EOYAmt>32299389</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>653799116</BOYAmt>
        <EOYAmt>727928258</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>653799116</BOYAmt>
        <EOYAmt>727928258</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>686933411</BOYAmt>
        <EOYAmt>760227647</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>75003927</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-874785</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>4228</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>4228</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C Part II - B, Line 1i, Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule C Part II-B, Line 1I Dues were paid to the American Health Information Management Association, American Society of Health-System Pharmacists, Florida Society of Health-System Pharmacists, and the Association of PeriOperative Registered Nurses. These associations use a portion of their dues to conduct lobbying activities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11886639</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11886639</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>250378277</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>117345366</DepreciationAmt>
        <BookValueAmt>133032911</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>419766</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>169948</DepreciationAmt>
        <BookValueAmt>249818</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>148101258</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>124706732</DepreciationAmt>
        <BookValueAmt>23394526</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3212615</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3212615</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>171776509</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>PPD PHYSICIAN RECRUITMENT LT</Desc>
        <BookValueAmt>97625</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>531200532</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>531298157</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEPOSITS</Desc>
        <Amt>6269</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION ST</Desc>
        <Amt>15000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION LT</Desc>
        <Amt>80568</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EST THIRD PARTY SETTLEMENTS</Desc>
        <Amt>11854107</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11955944</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>421193746</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>421193746</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>28623531</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>28623531</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>449817277</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>347064605</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>347064605</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>27748745</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>27748745</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>374813350</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUES NETTED WITH EXPENSES $27,748,744 CHANGE IN NET ASSETS OF FOUNDATION $ 874,788 ROUNDING ($ 1) TOTAL $28,623,531</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUES NETTED WITH EXPENSES $27,748,744 ROUNDING $ 1 TOTAL $27,748,745</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>250.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>11899</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>11130823</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>247095</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10883728</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03140</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>21747</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>39915020</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18157924</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21757095</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06280</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>996</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>97879</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>26789</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>71090</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>3</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>34642</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>51143722</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18431808</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.09440</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <PersonsServedCnt>20496</PersonsServedCnt>
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        <NetCommunityBenefitExpnsAmt>510579</NetCommunityBenefitExpnsAmt>
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      <HealthProfessionsEducationGrp>
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        <NetCommunityBenefitExpnsAmt>1946461</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00560</TotalExpensePct>
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        <PersonsServedCnt>62</PersonsServedCnt>
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        <NetCommunityBenefitExpnsAmt>145538</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
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        <PersonsServedCnt>21609</PersonsServedCnt>
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        <NetCommunityBenefitExpnsAmt>2602578</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00750</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <NetCommunityBenefitExpnsAmt>35314491</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10190</TotalExpensePct>
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      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>750</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>750</NetCommunityBenefitExpnsAmt>
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      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>750</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>750</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      <ReimbursedByMedicareAmt>90637910</ReimbursedByMedicareAmt>
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      <MedicareSurplusOrShortfallAmt>-14223766</MedicareSurplusOrShortfallAmt>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Trustees of Mease Hospital Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3231 McMullen Booth Rd</AddressLine1Txt>
          <CityNm>Clearwater</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33761</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.baycare.org</WebsiteAddressTxt>
        <StateLicenseNum>4378</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Trustees of Mease Hospital Inc</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V Section C</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V Section C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V Section C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V Section C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ANSWERS PROVIDED IN PART V, SECTION B &amp; C PERTAIN TO THE HOSPITAL FACILITY TRUSTEES OF MEASE HOSPITAL, INC., WHICH INCLUDES THE MEASE COUNTRYSIDE HOSPITAL AND MEASE DUNEDIN HOSPITAL LOCATIONS. MEASE COUNTRYSIDE HOSPITAL &amp; MEASE DUNEDIN HOSPITAL OPERATE UNDER THE SAME STATE LICENSE NUMBER (#4378) AS TRUSTEES OF MEASE HOSPITAL, INC. PART V SECTION B LINE 5 To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by Trustees of Mease Hospital; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 66 community stakeholders in the Trustees of Mease Service Area took part in the Online Key Informant Survey, as outlined on page 8 of the CHNA. Several of the participants responding to the survey represent organizations which work with low-income, minority or other medically underserved populations. PART V SECTION B LINE 6A CHNA was conducted with the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL 2. MORTON PLANT HOSPITAL ASSOCIATION 3. TRUSTEES OF MEASE 4. ST. JOSEPH'S HOSPITAL 5. SOUTH FLORIDA BAPTIST HOSPITAL PART V SECTION B LINE 7A MEASE COUNTRYSIDE HOSPITAL: HTTPS://BAYCARE.ORG/MCH/ABOUT-US/COMMUNITY-HEALTH-NEEDS MEASE DUNEDIN HOSPITAL: HTTPS://BAYCARE.ORG/MDH/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 11 While 14 areas of opportunity were identified within the Mease Countryside Hospital and Mease Dunedin Hospital service areas, concentrated efforts will be dedicated during the 2017-2019 time period to addressing the following significant health needs of our community as identified in the most recent CHNA: - Access to HealthCare Services - Diabetes - Heart Disease &amp; Stroke - Infant Health - Mental Health - Substance Abuse - Nutrition, Physical Activity &amp; Weight Please see the attached implementation plan for specific activities that are underway to address these significant health needs during the 2017-2019 time period. Based on the scope/scale of the issue; Mease Countryside and Mease Dunedin Hospitals leadership teams perceived ability to impact the issue; the availability of existing community resources already in place to address the issue and considering community stakeholder feedback, the significant health needs identified during the 2016 assessment that are not directly referenced in the 2017-2019 CHNA implementation strategy are listed below: Cancer Mease Countryside and Mease Dunedin Hospitals remain committed to supporting those affected by cancer. Mease Countryside and Mease Dunedin Hospitals leadership believes that existing hospital initiatives and new efforts outlined herein to improve access to health services will have a positive impact on aiding those affected by cancer and that a separate set of initiatives was not necessary at this time. Dementia (including Alzheimers Disease) Mease Countryside Hospital and Mease Dunedin Hospital have limited resources, services and expertise available to address Dementia (including Alzheimers Disease). While this is an important issue, other community organizations have infrastructure and programs in place to better meet this need. Limited resources and lower priority excluded this as an area chosen for action. HIV/AIDS Mease Countryside and Mease Dunedin Hospitals have limited resources, services and expertise available to address HIV/AIDS. Other community organizations (including resources within the BayCare health system) have infrastructure in place to better meet this need. Limited resources excluded this as an area chosen for action. Injury &amp; Violence Mease Countryside and Mease Dunedin Hospitals leadership believes that this priority area falls more within the purview of other community organizations. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action. Oral Health Mease Countryside and Mease Dunedin Hospitals have limited resources, services and expertise available to address oral health. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources and lower priority excluded this as an area chosen for action. Potentially Disabling Conditions Mease Countryside and Mease Dunedin Hospitals leadership believes that efforts outlined herein to improve access to health services will have a positive impact on aiding those with potentially disabling conditions and that a separate set of initiatives was not necessary at this time. Sexually Transmitted Diseases Mease Countryside and Mease Dunedin Hospitals leadership believes that this priority area falls more within the purview of the county health department and other community organizations. Limited resources and lower priority excluded this as an area chosen for action. PART V SECTION B LINE 13B PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME. PART V SECTION B LINE 16 LINE 16A HTTPS://BAYCARE.ORG/ABOUT-US/FINANCIAL-ASSISTANCE LINE 16B HTTPS://BAYCARE.ORG/ABOUT-US/FINANCIAL-ASSISTANCE LINE 16C HTTPS://BAYCARE.ORG/ABOUT-US/FINANCIAL-ASSISTANCE PART V SECTION B LINE 18E LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE.</ExplanationTxt>
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      <FacilityNum>10</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mease Countryside Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1880 Mease Dr</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Day Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mease Outpatient Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Mease Dr Ste 103</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Imaging Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MPM Outpatient Rehabilitation Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32672 US Highway 19 North</AddressLine1Txt>
            <CityNm>Palm Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mease Sports Medicine Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3251 McMullen Booth Rd Ste 200</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mease Hand Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Mease Dr Ste 409</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MCH Cardiac &amp; Pulmonary Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Mease Drive Suite 105</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MCH Susan Cheek Needler Breast Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Mease Drive Suite 103</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging center</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mease Countryside Sleep Disorders Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Mease Drive Suite 102</AddressLine1Txt>
            <CityNm>Safety Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BayCare Wound Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3890 Tampa Road</AddressLine1Txt>
            <CityNm>Palm Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BayCare OP Sleep Disorders Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12780 Race Track Rd Suite 115</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient clinic</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>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. TRUSTEES OF MEASE 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. PART I LINE 6A THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC. (EIN 59-2796965), 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 LINE 7 COLUMN F BAD DEBT EXPENSE OF $27,057,279 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II MEASE DUNEDIN AND MEASE COUNTRYSIDE HOSPITALS SUPPORT THE HEALTH OF ITS COMMUNITY BY PROVIDING COMMUNITY SUPPORT, HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT THROUGH COLLABORATION WITH SEVERAL COMMUNITY BASED CHARITABLE ORGANIZATIONS: - KIWANIS CLUB OF DUNEDIN, FL WHICH SUPPORTS THE CHILDREN OF THE COMMUNITY THROUGH THE FLORIDA SHERIFFS YOUTH RANCH "EVERY CHILD A SWIMMER" PROGRAM, AND PROVIDING BABY FOOD -THE MORTON PLANT MEASE FOUNDATION THROUGH ITS "CAMP NURSE JR." PROGRAM WHICH TEACHES 7 AND 8TH GRADE STUDENTS ABOUT STRESS MANAGEMENT, HOW TO PERFORM CPR, AND HEALTHY EATING HABITS. IN ADDITION TO SUPPORTING THESE CHARITABLE ORGANIZATIONS THE PASTORAL CARE DEPARTMENTS OF THE RESPECTIVE FACILITIES WORK IN THE LOCAL COMMUNITIES TO PRESENT INFORMATION AND ADVOCATE FOR HEALTH IMPROVEMENT INITIATIVES. PART III LINES 2, 3 BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS 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 4 THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 10 AND 11 OF THE MORTON PLANT MEASE HEALTH CARE, 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 70% 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) ($14,223,766) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES: ($10,221,394) - TOTAL SURPLUS OR (SHORTFALL): ($24,445,160) 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), PATIENTS' ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENTS. PART VI - LINE 2 NEEDS ASSESSMENT TRUSTEES OF MEASE HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS IN THE COMMUNITIES IT SERVES. TRUSTEES OF MEASE HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. IN ADDITION, TRUSTEES OF MEASE HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST TRUSTEES OF MEASE HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC. FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE TRUSTEES OF MEASE 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, TRUSTEES OF MEASE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>Mease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas Counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 11.9% of the population. 13.3% of households have annual household income below $15,000 per year. Mease Hospitals are part of BayCare Health System that serves West Central Florida. The area served by Mease Hospitals has 15 hospitals with 7 being Not-for-Profit. There is 1 federally designated medically underserved area and 5 federally designated medically underserved populations in Mease Hospitals service area. With the over 65 population expected to grow 15.9% in the next five years, the health care needs of our service area are expanding and changing. The population served by Mease Hospitals is expected to grow 5.0% in the next 5 years. This expected growth is higher than the expected growth rate for the United States which is 3.8%. However, the population Age 55+ is expected to grow 12.2% in the next 5 years. Based on Florida inpatient discharge data for the period of 10/01/2015-09/30/2016, the payer mix for the geographic area consists of 55.4% Medicare/Medicare HMO, 14.3% Medicaid/Medicaid HMO, 19.7% Commercial Insurance, 7.1% Self pay/Non-pay, and 3.5% Other.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>Mease Countryside and Mease Dunedin Hospitals Residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help in 1937. Today Mease Dunedin is a 120-bed hospital committed to continuing more than 80 years of meeting the needs of the community it serves. The hospital specializes in bariatric and orthopedic surgery as well as behavioral health care. Mease Countryside Hospital originally began as a satellite clinic to Mease Dunedin Hospital. The needs of the community grew along with a housing boom and in 1985, Mease Countryside Hospital opened. Mease Countryside Hospital has been serving its fast-growing community for more than 30 years. Today, Mease Countryside Hospital is a 311-bed facility. Mease Countryside Hospital has been nationally recognized by Truven nine times in a study identifying the 100 top U.S. hospitals based on their overall organizational performance. Both hospitals are part of the Morton Plant Mease system which provides services through more than 6,600 Morton Plant Mease employees and more than 2,100 board-certified physicians. Community Benefit Community Clinic Support Clearwater Free Clinic: Morton Plant Mease is a community partner with the Clearwater Free Clinic, which provides health services to low-income citizens. Since 1977, the Clearwater Free Clinic has provided health care to low-income uninsured residents of upper Pinellas County by means of office visits, medications, lab work, X-rays, and specialty referrals. The Clinic, a volunteer-driven non-profit, non-government medical facility, provides primary health care at no cost to those who do not qualify for government assistance and who cannot afford private medical care. When services are beyond the clinic's capability, patients are referred to our hospitals. Enrollment Assistance Financial Assistance team members are available in all BayCare hospitals to assist un-insured and under-insured patients that are unable to pay for services due to financial hardship and that may also be in need of ongoing medical care. This hospital-based eligibility program is patient-focused, taking a social work approach to coordinate enrollment for patients through a network of local, state and federal health care assistance programs. Financial Assistance team members screen un-insured and under-insured ER patients and inpatients at the bedside for multiple Medicaid programs and county health care plans. Applications for assistance programs are completed for patients by Financial Assistance team members and patients are provided education and continuous support throughout the application process. The community benefit of this program is $114,212. 2016 Overview Mease Dunedin &amp; Mease Countryside Hospitals Florida Hospital Associations Best Hospital Workplace Mease Countryside Hospital and Mease Dunedin Hospital were named the 2016 Best Hospital Workplaces at the Florida Hospital Associations Celebration of Achievement in Quality and Service Awards. In recognizing the hospitals, the Florida Hospital Association noted the hospitals numerous programs to support team members including team incentives, tuition and scholarship programs, clinical and career development, internships and annual team member excellence awards. Nursing Excellence Mease Countryside and Mease Dunedin hospitals are both designated by the American Nurses Credentialing Center (ANCC) as Pathway to Excellence facilities. The Pathway to Excellence designation identifies the elements of work environments where nurses can flourish and substantiates the professional satisfaction of nurses at Mease Dunedin and Mease Countryside For an organization to earn the Pathway to Excellence distinction, it must successfully create a positive work environment as defined by nurses and supported by research. These initiatives must be present in the facilitys practices, policies and culture. In addition, Mease Dunedin Hospital ranked in the top five of all Florida hospitals in the HCAPHS scores category of nursing communication with a score of 84 percent. The figures are from CMS' Hospital Compare website and represent HCAHPS scores collected from January 2015 through December 2015. Mease Dunedin Hospital Emergency Room and Cafeteria Renovations In 2016, Mease Dunedin completed a renovation project to improve the Emergency Room and Cafeteria/Dining/Kitchen area. The four-phase ER project updated finishes and created private patient rooms for better work flow and space and a main nurses station for separation between work areas, new flooring and renovated patient/visitor waiting area. A complete interior renovation of the existing Dietary/Cafeteria/Dining and Kitchen includes an updated kitchen with new equipment, new dining area. Patients on the medical floors are able to order meals from a menu similar to hotel room service which features more healthy food choices. Behavioral Health Center To provide additional access to mental health services in Pinellas County, BayCare Health System and Mease Dunedin Hospital have a 32-bed specialized inpatient Behavioral Health Center. The unit gives the community additional access to convenient acute inpatient care that is part of a comprehensive treatment continuum. The Behavioral Health Center features three separate units one for adults with 12 beds, one for children and adolescents with 10 beds and one for geriatric patients with 10 beds. Mease Dunedins third floor was rebuilt into a separate space with units for each patient group separated into individual wings. Nationally Accredited Bariatric Program Mease Dunedin Hospitals Bariatric Program is accredited as a Comprehensive Center by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), in recognition of the programs commitment to providing and supporting quality improvement and patient safety efforts for metabolic and bariatric surgery patients. To receive the accreditation, Mease Dunedins bariatric surgical center underwent a rigorous review process during which it proved that it can maintain certain physical resources, human resources, and standards of practice. Mease Dunedin Hospital is the center for the Surgical Bariatric Program within Morton Plant Mease. 2016 Overview Mease Countryside Hospital Master Facility Plan Having completed the first phase of its proposed master facility plan with the construction of its new central utilities plant, Mease Countryside Hospital completed the process of planning a major expansion to the hospital campus. Women's &amp; Children's Care Serving North Pinellas and Pasco counties, the Women and Children's Center at Mease Countryside Hospital seeks to combine modern technology with personalized, family-centered care. For infants needing specialized care, the Level III neonatal intensive care unit is available. Birthing, childcare and breastfeeding classes are offered to expectant parents. In 2014, an additional eight-bed mother-baby unit opened to accommodate future growth. Mease Countryside has been recognized for its support of breastfeeding mothers. The hospital received the Care Award from the International Board of Lactation Consultant Examiners (IBLCE) and the International Lactation Consultant Association (ILCA). Mease Countryside also was designated Baby Friendly for demonstrating its ability to offer breastfeeding mothers the information, skills and support needed to successfully initiate and continue breastfeeding their babies. Pre-Natal Care for Drug Treatment Patients Babies born to mothers addicted to drugs are a problem in the state of Florida and across the country. Mease Countryside offers expectant moms addicted to drugs a program that crosses the continuum of care from prenatal through hospital stay. The hospital also provides an occupational therapist, specializing in neonates, who works one-on-one with the parents to enhance bonding and teach parenting skills such as soothing techniques for babies suffering the effects of drug withdrawal. St. Josephs Childrens at Morton Plant Mease Mease Countryside Hospital continued its commitment to strengthen and advance children's care in north Pinellas and south Pasco counties through its partnership with St. Joseph's Children's Hospital. Called St. Joseph's Children's at Morton Plant Mease, the goal of the partnership is to offer the community more access to innovative and high-tech care in a family-centered setting. Through the partnership, Mease Countryside offers pediatric emergency services, neonatal intensive care units, and an enhanced 15-bed, private inpatient children's unit. A child life specialist works with children and their parents to bring a sense of normalcy to the experience of hospitalization. Through Children's Advocacy, Mease Countryside Hospital provides leadership, experience and expertise as a community and state resource to advocate for the health and well-being of children and their families. Educational classes and community</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>Trustees of Mease 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. BayCares annual report to the community can be viewed at https://baycare.org/annual-report. *BayCares hospitals are Bartow Regional Medical Center, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthonys, South Florida Baptist, St. Josephs, St. Josephs Womens, St. Josephs Childrens, St. Josephs Hospital-North, St. Josephs Hospital-South, Winter Haven Hospital and Winter Haven Womens. BayCare was founded in 1997 when several of the areas not-for-profit hospitals came together, united by the common mission to improve the health of all they served. BayCare is now a $3.97 billion, integrated health delivery system and one of the largest employers in the Tampa Bay area with 26,900 employees. BayCare also plays an important role as an economic engine, generating a $6.6 billion impact on the region and the state. In 2016, BayCare used almost half of its total revenue to pay for the salary and benefits of its employees and spent $589 million for large projects to serve future community health care needs, technology, and new programs and facilities. BayCares centralization of administrative functions in several 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. BayCares 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 health care that sets the standard for high-quality, compassionate care, regardless of ability to pay. In 2016, BayCare provided $346 million in total community benefit, which includes $110 million in traditional charity care for underinsured and uninsured patients, $217 million in Medicaid and other income-based programs, and $19 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 7 - STATE FILING</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hillsborough Community College Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>39 Columbia Dr</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33606</ZIPCd>
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        <RecipientEIN>591810717</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>13636</CashGrantAmt>
        <PurposeOfGrantTxt>Educational program</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE I, PART I, LINE 2 TRUSTEES OF MEASE HOSPITAL, INC. IS COMMITTED TO ASSISTING NON-PROFIT ORGANIZATIONS WHOSE FOCUS IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EACH CASH DONATION REQUEST IS REVIEWED BY TRUSTEES OF MEASE HOSPITAL, INC.'S SENIOR MANAGEMENT TEAM TO DETERMINE WHETHER THE ORGANIZATION IS ONE WE WANT TO DONATE TO, BASED ON THE ORGANIZATION'S MISSION, NON-PROFIT STATUS, AND USAGE OF FUNDS. ONCE APPROVED, WE REQUIRE PROPER DOCUMENTATION FROM THE ORGANIZATION OF ITS NON-PROFIT STATUS, AND AS NEEDED, FOLLOW-UP WITH THE ORGANIZATION TO ENSURE THE ACTIVITY OCCURRED.</ExplanationTxt>
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        <PersonNm>GLENN WATERS</PersonNm>
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        <PersonNm>CARL TREMONTI</PersonNm>
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        <PersonNm>ROBIN LAPHAM</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
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        <PersonNm>RENEE BURDI</PersonNm>
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        <PersonNm>LOUIS GALDIERI</PersonNm>
        <TitleTxt>PRES MEASE HOSP</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>572904</TotalCompensationRltdOrgsAmt>
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        <PersonNm>MOHSEN HABIB</PersonNm>
        <TitleTxt>MANAGER PHARMACY</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAIKEL BOLOS</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY CULLEN</PersonNm>
        <TitleTxt>DIRECTOR, OPERATIONS MEASE</TitleTxt>
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        <PersonNm>RODNEY CAVALIER</PersonNm>
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        <PersonNm>DAVID RABIH</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Compensation Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $142,556 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other Compensation. He had $40,877 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $59,802 in 2016. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $97,566 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $40,928 in 2016. Louis Galdieri - Participated in a supplemental nonqualified deferred compensation plan. He had $89,739 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $37,646 in 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Glenn Waters and Carl Tremonti are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. James Cantonis and David Stone are board members who have a business relationship unrelated to the filing organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the Member such that at all times the Board is comprised of all of the members of the Board of Directors of the Member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 was provided to the entire Board via a web portal.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Trustees of Mease 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. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. 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. c. 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 Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or 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 Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Lines 15a &amp; 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is 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 &amp; 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 2015 but the compensation committee regularly monitors compensation and all other procedures are followed annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Trustees of Mease Hospital, inc. publishes its financial statements with the agency for health administration. Governing documents are available via Sunbiz.org.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets CHANGE IN NET ASSETS OF FOUNDATION $(874,788) ROUNDING $ 3 TOTAL $(874,785)</ExplanationTxt>
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