2017-11-10T15:06:01-06:00 2016-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2016-01-01 590724462 Winter Haven Hospital Inc % JANICE POLO EVP & CFO WINT 8632931121 200 Avenue F NE Winter Haven FL 33881 CARL TREMONTI CFO 8138704025 2017-11-09 true Melanie A McPeak P01346034 8132254800 164.57.159.254 65095320173145000015 2017-11-10 P 090DF3880695D33BA5F0896781DD7F1FFA4BF94E 090DF3880695D33BA5F0896781DD7F1FFA4BF94E 2016 2021-01-29 14:40:06Z GLENN WATERS 2985 Drew Street Clearwater FL 33759 340465343 false X www.baycare.org/winter-haven-hospital X 1926 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 14 14 2667 125 487979 -445483 2902560 2571526 286583065 316057641 2423608 1800464 6747065 6062675 298656298 326492306 8149 18068 0 0 137824149 133816948 0 0 0 153671023 167139996 291503321 300975012 7152977 25517294 277307720 285033900 143364035 132221499 133943685 152812401 TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 268386219 18068 316057641 Winter Haven Hospital, Inc. (WHH) is a full-service 529 bed community hospital. During 2016, WHH provided Inpatient Care to 18,657 patients, treated 60,833 patients in the Emergency Department, and delivered 1,561 babies. Through efforts of the medical assistance program and the hospital's charity care program, WHH saw a net community benefit expense totaling approximately $28.3 million. 268386219 true true false true false false false false false false true false true false true false false true false false true false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 248 0 true 2667 true true true false false false false false false false false false X 14 14 true false true false true true true true true false false true true true true true true true true false X JANICE POLO EVP CFO 7278208021 2985 DREW STREET Clearwater FL 33759 X MARK BOSTIK TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM BURNS TRUSTEE/TREASURER 1.0 0.0 X X 0 0 0 ROBERT CARTER TRUSTEE 1.0 0.0 X 0 0 0 AL CASSIDY TRUSTEE 1.0 0.0 X 0 0 0 TODD DANTZLER TRUSTEE 1.0 0.0 X 0 0 0 EILEEN HOLDEN TRUSTEE/SECRETARY 1.0 0.0 X X 0 0 0 DON INGRAM TRUSTEE/VICE CHAIR 1.0 1.0 X X 0 0 0 CHARLES MCPHERSON TRUSTEE/TREASURER 1.0 0.0 X X 0 0 0 WILLIAM MURRELL TRUSTEE 1.0 0.0 X 0 0 0 TOMMY OAKLEY TRUSTEE/ASSISTANT SECRETARY 1.0 0.0 X X 0 0 0 CINDY PRICE TRUSTEE 1.0 0.0 X 0 0 0 ASHISH SHAH TRUSTEE 1.0 0.0 X 8000 0 0 RICHARD STRAUGHN TRUSTEE/CHAIRMAN 1.0 0.0 X X 0 0 0 CHIP TUCKER TRUSTEE 1.0 0.0 X 0 0 0 EDWARD LUBIN TRUSTEE 1.0 0.0 X 0 0 0 EDGAR WILLARD TRUSTEE 1.0 0.0 X 0 0 0 CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 1.0 45.0 X 0 619350 24420 GLENN WATERS EVP, COO BAYCARE HEALTH SYSTEM 1.0 45.0 X 0 1341759 88360 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.0 1.0 X 507540 0 56749 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO - POLK 45.0 0.0 X 297545 0 67209 DEBRA WOLF DIRECTOR, PATIENT SVCS - WHH 45.0 0.0 X 164201 0 14808 TINA SOLOMON DIRECTOR, FINANCE - WHH 45.0 0.0 X 152586 0 17250 DONALD GALE VP PHYSICIAN SERVICES-WHH 45.0 0.0 X 334723 0 0 KHURRAM KAMRAN VP PHYSICIAN SERVICES - WHH 45.0 0.0 X 219664 0 25710 JACQUES VASCONCELLOS DIRECTOR, OPERATIONS - WHH 45.0 1.0 X 198885 0 24330 GLENN WYSOCK MANAGER PHARMACY 45.0 0.0 X 191963 0 20066 KELLY RYAN MEDICAL PHYSICIST - POLK 45.0 0.0 X 184741 0 10641 JOEL THOMAS FRMR VP COMMUNITY HLTH/MRK/FDN 0.0 45.0 X 0 164159 23679 CELESTINO VEGA FRMR VP/MD WINTER HAVEN HOSP 0.0 45.0 X 0 198993 18645 2259848 2324261 391867 71 true true false Doster Construction Co Inc 2100 International Park Dr BIRMINGHAM AL 35243 Construction svcs 8273374 Henkelman Construction Inc 1830 N CRYSTAL LAKE DR LAKELAND FL 33801 Construction svcs 1663178 OB Hospitalist Group LLC PO BOX 16329 GREENVILLE SC 29606 Medical svcs 1521127 Bay Linen Inc 11525 47TH ST NORTH CLEARWATER FL 33762 Laundry svcs 1443344 Comprehensive Care Services 31330 Schoolcraft Road LIVONIA MI 48150 Medical svcs 1084810 50 2536235 35291 2571526 HOSPITAL PATIENT CARE 621990 150435027 149974873 460154 MEDICARE/MEDICAID PAYMENT 621990 165013264 165013264 PREMIER PURCHASING PTRS 900099 609350 606641 2709 316057641 1283883 25116 1258767 0 0 1191343 1191343 0 1191343 1191343 14308593 181025 13958959 14078 349634 166947 516581 516581 0 0 0 0 0 0 0 0 0 CIN REVENUE 900099 4021748 4021748 MISCELLANEOUS REVENUE 900099 849584 849584 4871332 326492306 320466110 487979 2966691 18068 18068 0 0 0 1277888 298232 979656 0 111128473 110412764 715709 4320471 4306581 13890 9088680 9059461 29219 8001436 7907256 94180 0 16522 16522 4450 4450 13697 13697 0 154226 154226 9826718 9540267 286451 622112 619111 3001 4636128 4454217 181911 1836149 1551537 284612 0 5322818 4753127 569691 492624 467300 25324 0 0 2524361 2524361 0 15335368 15263805 71563 935240 805864 129376 MEDICAL SUPPLIES 58904559 58886476 18083 BAD DEBT EXPENSE 25222273 25222273 MANAGEMENT FEES 28808317 28808317 ASSESSMENTS 3129292 3129292 9355142 8998304 356838 300975012 268386219 32588793 0 561312 148822 0 0 0 0 33581304 34463641 0 0 0 0 2780883 2912116 8482847 7951134 1777793 1500412 207370720 60293413 138771100 147077307 65438181 64721934 0 0 14490060 14685133 7439000 7439000 3985240 4134401 277307720 285033900 17963751 17592515 0 0 52436 37824 0 0 0 0 0 0 2045257 1056250 0 0 123302591 113534910 143364035 132221499 X 127870954 146269072 5106332 5576930 966399 966399 133943685 152812401 277307720 285033900 X 25517294 4547940 -11196518 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 6700 false true 6997 13697 false Schedule C Part II - B, Lines 1b,1g, and 1i, Supplemental Information Lines 1b & 1g Baycare employees were compensated for lobbying activities. Line 1i Dues were paid to the Florida Society of Health-System Pharmacists, American Society of Health-System Pharmacists, American Health Information Management Association, Florida Medical Association, and the American Organization of Nurse Executives. These associations use a portion of their respective dues for lobbying activities. 14280000 14280000 109759015 19881691 89877324 65867672 40411722 25455950 17464033 17464033 147077307 INVESTMENT IN BPP 124362 F INVESTMENT PREMIER 247494 C INT IN FNDT NET ASSETS 14228069 C PREMIER CLASS B CONVERSION 85208 F 14685133 0 DEPOSITS 82500 ABANDONED PROPERTY 58565 DEFERRED COMPENSATION PLAN 4131570 NONCURRENT PENSION OBLIGATION 13199226 ASSET RETIREMENT OBLIGATION LT 822398 EST THIRD PARTY SETTLEMENTS 6590928 DUE TO AFFILIATES 88609666 ASSET RETIREMENT OBLIGATION ST 40057 113534910 304819430 4547940 4547940 300271490 154226 26066590 26220816 326492306 274592820 274592820 154226 26227966 26382192 300975012 SCHEDULE D, PART XI, LINE 4B CHANGE IN NET ASSETS OF FOUNDATION ($161,374) REVENUES NETTED WITH EXPENSES $1,005,692 BAD DEBT $25,222,273 ROUNDING ($1) TOTAL $26,066,590 SCHEDULE D, PART XII, LINE 4B REVENUES NETTED WITH EXPENSES $396,342 PREMIER INCENTIVES $609,350 BAD DEBT $25,222,273 ROUNDING $1 TOTAL $26,227,966 Central America and the Caribbean Investments 6323000 East Asia and the Pacific Investments 844000 Europe (Including Iceland and Greenland) Investments 2853000 Europe (Including Iceland and Greenland) Investments 9000 Middle East and North Africa Investments 35000 North America Investments 271000 South America Investments 167000 South Asia Investments 26000 10528000 10528000 false false false false false false SCHEDULE F, PART I, QUESTION 3 THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES, AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. THE FIRST LISTED AMOUNT UNDER EUROPE ($2,734,000) 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 5 ALL RELATED FILINGS FOR THE POOLED INVESTMENTS ARE SUBMITTED BY BAYCARE HEALTH SYSTEM, INC. true true X true X 250. false true true false false 1 8495 9963773 9963773 0.03630 1 23024 39736346 24212300 15524046 0.05650 1 830 1816102 766344 1049757 0.00380 3 32349 51516221 24978644 26537576 0.09660 5 132 245566 245566 0.00090 3 807 1179268 1179268 0.00430 1 277528 277528 0.00100 1 211 211 1 33150 33150 0.00010 11 939 1735723 1735723 0.00630 14 33288 53251944 24978644 28273299 0.10290 true 25222273 18077290 71492464 84347198 -12854734 X true true 1 1 Winter Haven Hospital Inc 200 Avenue F NE Winter Haven FL 33881 www.baycare.org/whh 3974 X X A Winter Haven Hospital Inc 1 false false true X X X X X X X X X 15 true false false true X SEE PART V SECTION C true 15 false true false true X 250. 0. X X X X X X true true X X X true X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B & SECTION C ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO WINTER HAVEN HOSPITAL, INC., WHICH INCLUDES REGENCY CENTER FOR WOMEN & INFANTS. REGENCY CENTER FOR WOMEN & INFANTS OPERATES UNDER THE SAME STATE LICENSE NUMBER (#3974) AS 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 CENTER IN 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 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 abuse Please 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 Hospitals efforts to better meet this need. Winter Haven Hospitals 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 Hospitals service area therefore, additional activities beyond those listed in the implementation plan were not considered to be necessary at this time. 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. 9 Blood Banks of Mid-Florida Medical Svc 460 First Street North Winter Haven FL 33881 Blood Bank Family Health Center - Auburndale 2028 Highway 92 West Auburndale FL 33823 Outpatient Physician Clinic Family Health Center - Bartow 1625 North Carpenter Ave Bartow FL 33830 Outpatient Physician Clinic Family Health Center - Dundee 5999 Dundee Road Suite 750 Dundee FL 33884 Outpatient Physician Clinic Family Health Center - Haines City 36245 Highway 27 Haines City FL 33844 Outpatient Physician Clinic Family Health Center - Lake Wales 201 SR 60 West Lake Wales FL 33853 Outpatient Physician Clinic Family Health Center - Winter Haven 100 Avenue I NE Winter Haven FL 33881 Outpatient Physician Clinic Family Health Center - SE Winter Haven 6035 Cypress Gardens Blvd Winter Haven FL 33884 Outpatient Physician Clinic Center for Behavoiral Health - Polk Co 1201 First Street South Winter Haven FL 33880 Outpatient Beh Health Center part vi - 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 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 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 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 Col (f) There is $25,222,273 (accrual basis) of bad debt expense which is included in Form 990, Part IX, Line 25. This amount was removed in the calculation of the Percent of Total Expense on Schedule H, Part I, Column 7f. part vi - part ii The Hospital helps build the community in two major ways. First, if the hospital finds that that there is a shortage in a certain health care specialty, it works to recruit those types of physicians to the area. In the past, the hospital has commissioned a manpower study to determine what the community's needs are. The second major way the hospital helps the community is through subsidizing the cost of anesthesia for women giving birth at the Regency Center for Women and Infants. This benefits the community by allowing those who are less fortunate to have access to anesthesia services. part vi - 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 12 of the BayCare Health System, Inc. and Affiliates Notes to Consolidated Financial Statements. part vi - 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) ($12,854,734) - Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($6,859,576) - Total Surplus or (Shortfall) ($19,714,310) part vi - 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 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 - patient education of eligibility for assistance 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 - community information Winter Haven Hospital and Winter Haven Womens Hospital serve part of Polk and Highlands Counties. The average income falls below both the state average and the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 19.7% of the population and 16.3% are African American. 14.3% of households have annual household income below $15,000 per year. Winter Haven Hospital is part of BayCare Health System that serves west central Florida. The area served by Winter Haven Hospitals has 6 hospitals including Winter Haven Hospital and Winter Haven Womens. The 3 BayCare Hospitals (Winter Haven, Winter Haven Womens, and Bartow Regional) are Not-for-Profit; the other 3 are For Profit. There are two federally designated medically underserved areas in Winter Haven Hospitals service area. With the over 65 population expected to grow 14.4% in the next five years, the health care needs of our service area are expanding and changing. The population served by Winter Haven Hospitals is expected to grow 6.1% in the next 5 years. This is higher than the expected growth rate of 3.8% for the United States. Based on Florida inpatient discharge data for the period of 10/01/15-9/30/16, the payer mix for the geographic area consists of 52.2% Medicare/Medicare HMO, 18.6% Medicaid/Medicaid HMO, 18.7% Commercial Insurance, 6.7% Self pay/Non-Pay, and 3.8% Other. part vi, line 5 - promotion of community health 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 Womens 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; neurological, orthopedic, pulmonary and in-patient rehabilitation; and imaging services. The Winter Haven Womens Hospital, built in 1987 and located approximately 1.5 miles south of WHH, includes a level II neonatal intensive care unit, a day surgery unit, and an outpatient breast and imaging center. Services include on-site continuous obstetric coverage and lactation consultations. Community Outreach & Partnerships Community outreach and partnerships are an essential expression of Winter Haven Hospitals commitment to improving the health of communities we serve. Through 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. 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. Forty-two community residents participated in the 2016 events. Through BayCares 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. In 2016, the Hospitals transportation voucher program distributed more than $100,000 worth of services to patients being discharged from the hospitals. The vouchers were used to transport patients to their homes. Bus and cab vouchers were given to patients unable to afford public transportation. Vouchers assisted with existing patients and new patients returning during an emergency. At WHH, 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. Support and education is also provided in the form of support groups. In 2016, Winter Haven Hospital facilitated or provided free meeting space for the following support groups: aphasia, better breathers, brain injury, breast cancer, caregivers, cardiac events and disease, memory disorder caregiver, mens cancer, mental health peer recovery, narcotics anonymous, ostomy, and stroke. 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 2016 includes the Polk State College Student & Faculty Health Fair, Winter Haven Senior Adult Center Health Fair, Polk County School Board Employee Health Fair, and Floridas Natural Growers Employee Health Fair. Community Connections Winter 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 communitys 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 2016, we provided approximately $50,000 directly to the partnership which then translated into the years budget of more than $90,000 raised from other partners, community donations and center fundraisers. The 2016 funds helped provide more than 1,500 hot meals, 1,500 health aids, 500 transportation trips, and 3,500 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 2016, physicians of the following specialties were successfully recruited to serve the Winter Haven communities: oncology, family health, general surgery and gastroenterology. Part of the evaluation and response action for the community health needs includes service additions and expansions at the hospitals. In 2016, the Winter Haven Womens Hospital transitioned a few patient rooms to specialize in pediatric acute care. This transition included additional training for dedicated patient care specialists and contractual services with pediatricians. Also in 2016, Winter Haven Hospital initiated construction of a new, larger emergency room to increase patient capacity from 33 rooms to 62 rooms. In addition, WHH integrated remote, continuous monitoring, called eCare, for the hospitals most critical patients in the medical and surgical intensive care units (ICUs). eCare connects a specially trained team of critical care physicians and nurses to the ICU bedside team to improve patient care by reducing length of stay and lowering frequency of complications. Through a partnership with the Polk County Indigent Health Care Program, Winter Haven Hospitals Center for Behavioral Health initiated 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 Womens Resource Center, Economic Development Council, and 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 2016, we donated $31,150 to community organizations including American Heart Association, Citizens CPR, Florence Villa Community Development Corp., Greater Winter Haven Chamber of Commerce, Main Street Winter Haven, Lewis Family Cancer Fund, Polk Senior Games, Polk State College Foundation, Polk County Fire Rescue, Polk Ecumenical Action Council for Empowerment, and the New Cardiovascular Horizons Foundation. 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, part vi line 6 - affiliated health care system Winter Haven Hospital 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. PART VI LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT Winter Haven Hospital, Inc. operates in the State of Florida, which does not require a Community Benefit Report to be filed with the State Government. true American Heart Association 11207 Blue Heron Blvd N St Petersburg FL 33716 135613797 501(c)(3) 15000 Annual Heart Walk 1 0 Schedule I, Part 1, Line 2 Winter 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. X true true true true false false false false false false false CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 0 380105 0 115677 0 123568 0 13250 0 11170 0 643770 0 18141 GLENN WATERS EVP, COO BAYCARE HEALTH SYSTEM 0 855648 0 324235 0 161876 0 57114 0 31246 0 1430119 0 0 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 323448 0 94322 0 89770 0 29390 0 27359 0 564289 0 0 0 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO - POLK 224303 0 64879 0 8363 0 42462 0 24747 0 364754 0 0 0 DEBRA WOLF DIRECTOR, PATIENT SVCS - WHH 142830 0 13951 0 7420 0 7655 0 7153 0 179009 0 0 0 TINA SOLOMON DIRECTOR, FINANCE - WHH 135887 0 16049 0 650 0 7778 0 9472 0 169836 0 0 0 DONALD GALE VP PHYSICIAN SERVICES-WHH 0 0 0 0 334723 0 0 0 0 0 334723 0 0 0 KHURRAM KAMRAN VP PHYSICIAN SERVICES - WHH 180729 0 20000 0 18935 0 2077 0 23633 0 245374 0 0 0 JACQUES VASCONCELLOS DIRECTOR, OPERATIONS - WHH 171557 0 20590 0 6738 0 7041 0 17289 0 223215 0 0 0 GLENN WYSOCK MANAGER PHARMACY 170603 0 12461 0 8899 0 9203 0 10863 0 212029 0 0 0 KELLY RYAN MEDICAL PHYSICIST - POLK 183460 0 681 0 600 0 9214 0 1427 0 195382 0 0 0 JOEL THOMAS FRMR VP COMMUNITY HLTH/MRK/FDN 0 156373 0 0 0 7786 0 8242 0 15437 0 187838 0 0 CELESTINO VEGA FRMR VP/MD WINTER HAVEN HOSP 0 189504 0 0 0 9489 0 1723 0 16922 0 217638 0 0 Supplemental Compensation Information Part I, Line 1a Khurram Kamran received a housing allowance as part of taxable compensation in the amount of $14,000 during 2016. 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 4a Donald Gale received a severance payment in the amount of $290,534 during 2016. Part I, Line 4b 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. 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. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $58,525 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. He had $9,809 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 $24,551 in 2016. Carol Koeppel-Olsen Participated in a supplemental nonqualified deferred compensation plan. She had $30,689 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. Form 990, Part VI, Line 2 William Murrell and Mark Bostick have a family relationship. Carl Tremonti and Glenn Waters are officers of the filing organization, as well as board members of a taxable entity affiliated with the filing organization. Form 990, Part VI, Line 4 Winter Haven Hospital, Inc. amended and restated its bylaws so that the Trustees and the officers of the Corporation serve terms that coincide with the calendar year. Form 990, Part VI, Line 6 THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN VOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE 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, Line 7b THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (E)THE EXECUTION OF MANAGED CARE CONTRACTS 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 Corporations 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, Line 11b THE 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, Line 12c Winter Haven Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. 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 addressing the conflict of interest situation. If an actual conflict exists and any action required to address the conflict of interest situation. Form 990, Part VI, Lines 15a & 15b The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & Chief Financial Officer, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in November 2015 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, Line 19 Winter Haven Hospital's governing documents are available to the public via Sunbiz.org. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS Change in Net Assets of Foundation ($3,994,459) Transfer to BMG ($7,202,058) Total ($11,196,517) BayCare Health System 2985 Drew St Clearwater FL 33759 592796965 health srvcs FL 501(C)(3) 12a na false BayCare Behavioral Health Inc 7809 Massachusetts Ave New Port Richey FL 34653 591371752 health srvcs FL 501(C)(3) 7 BCHS true BC Emergency Assistance Program Inc 2985 Drew St Clearwater FL 33759 592697770 Emerg Assist FL 501(C)(3) 10 Baycare true BayCare Home Care Inc 8452 118th Ave North Largo FL 33773 593582520 home hlth srv FL 501(C)(3) 10 Baycare true Behavioral Health Management Srvcs Inc 900 Carillon Pkwy Suite 406 St Petersburg FL 33716 593279573 health srvcs FL 501(C)(3) 10 BCHS true Winter Haven Hospital Auxiliary Inc 200 Ave F Northeast Winter Haven FL 33881 237190109 Volunteer Srv FL 501(C)(3) 12a na false Winter Haven Hospital Foundation Inc 200 Ave F Northeast Winter Haven FL 33881 030406130 Fundraising FL PF 12a na false BayCare Medical Group Inc 300 S Park Place Blvd Clearwater FL 33759 593140335 Physicians FL 501(c)(3) 10 BCHS true Bartow Regional Medical Center Inc 2200 Osprey Blvd Bartow FL 33830 475387418 Hospital FL 501(c)(3) 3 BCHS true BayCare Choice Health Plans Inc 2985 Drew Street Clearwater FL 33759 810785902 Insurance FL 501(c)(4) n/a BCHS true BayCare Select Health Plans Inc 2985 Drew Street Clearwater FL 33759 810795815 MCR Advantage FL 501(c)(4) n/a BCHS true BC Purchas PT LLC 8731 Fl Mining Tampa FL 33634 640950837 Group purching FL NA related 646989 124361 false 0 false BC Employ Health CL 8452 118th Ave Largo FL 33773 461533183 Health Servic FL BayCare N/A 0 0 false 0 false BC Surgery Ctr LLC 8452 118th A N Largo FL 33774 460591430 Surgery Cente FL BayCare N/A 0 0 false 0 false Bay Vista Claims Service Inc 2985 Drew St Clearwater FL 33759 743168200 claims admin FL BayCare C Corp 0 0 0.00000 true BCHS Insurance Inc 720 W Bay Rd Buckng Sqr Grand Cayman CA KY1-1102 000000000 Captive Insurance FL BayCare C Corp 0 0 0.00000 true Medspecialists Inc 2985 Drew St Clearwater FL 33759 680587533 Payroll Srvcs FL BayCare C Corp 0 0 0.00000 true true false false true false false false false true true false false true false true true false true true BayCare Medical Group Inc a(iv) 47764 FMV Bartow Regional Medical Center Inc o 582508 FMV BayCare Medical Group Inc p 2304093 FMV Behavioral Health Management Services Inc r 254420 FMV BayCare Medical Group Inc s 3894743 FMV