2016-11-10T10:59:58-06:00 2015-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2015-01-01 590855412 Trustees of Mease Hospital Inc % JOHN GANTNER TRUS 7274627697 601 Main Street Dunedin FL 34698 CARL TREMONTI CFO 2016-11-03 true Melanie A McPeak P01346034 8132254800 2015 2017-02-10 21:41:12Z glenn waters 601 Main Street Dunedin FL 34698 436731734 false X www.mpmhealth.com X 1938 FL Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 25 18 2733 912 31307 27176 31218990 1421243 390423237 427221794 45976 -2451 9282653 8075993 430970856 436716579 249000 142014 0 0 132469867 144279742 0 0 0 196511563 207714485 329230430 352136241 101740426 84580338 608583046 686933411 37945372 33134295 570637674 653799116 TRUSTEES OF MEASE HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 289733980 142014 430642174 TRUSTEES OF MEASE HOSPITAL, INC. (TOM) IS A FULL-SERVICE 431-BED COMMUNITY HOSPITAL. DURING 2015, TOM PROVIDED INPATIENT CARE TO 24,583 PATIENTS, TREATED 84,153 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 2,415 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITALS CHARITY CARE PROGRAM TOM SAW A NET COMMUNITY BENEFIT EXPENSE OF $29.8 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $2.1 MILLION. SOME OF THE PROGRAMS INCLUDED FAITH COMMUNITY NURSING, HEALTH FAIRS, AND SUPPORT GROUPS. REFER TO SCHEDULE H FOR ADDITONAL INFORMATION. 289733980 true true false true false false false false false false true false false true true false false true false false false 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 381 0 true 2733 true true true false false false false false false false false false X 25 18 true false false false true true true true true false false true true true true true true false true false X JOHN GANTNER 7278208005 2985 DREW STREET Clearwater FL 33759 X Mahesh Amin TRUSTEE 1.0 20.0 X 0 95996 0 Andy Burwell TRUSTEE 1.0 2.0 X 0 0 0 James Cantonis TRUSTEE/VICE CHAIRMAN 1.0 4.0 X X 0 0 0 Steven Cass TRUSTEE/FOUNDATION CHAIRMAN 1.0 2.0 X 0 0 0 Rick Chesler TRUSTEE 1.0 2.0 X 0 0 0 Steve Doran TRUSTEE 1.0 2.0 X 0 0 0 Kurt Erickson TRUSTEE 1.0 20.0 X 0 89192 0 V Raymond Ferrera TRUSTEE/CHAIRMAN 1.0 2.0 X X 0 0 0 Dilip Ghanekar TRUSTEE 1.0 10.0 X 0 30502 0 Isay Gulley TRUSTEE 1.0 2.0 X 0 0 0 Jim Huguet TRUSTEE 1.0 2.0 X 0 0 0 Lonnie Klein TRUSTEE 1.0 2.0 X 0 0 0 George Korones TRUSTEE 1.0 10.0 X 0 27083 0 Gay Lancaster TRUSTEE/SECRETARY 1.0 3.0 X X 0 0 0 Kevin Mason TRUSTEE 1.0 2.0 X 0 0 0 Stephen Mason TRUSTEE/PRES/CEO BAYCARE 1.0 50.0 X 0 3185745 39267 Dewey Mitchell TRUSTEE 1.0 3.0 X 0 0 0 Thomas Nash TRUSTEE 1.0 2.0 X 0 0 0 Vakesh Rajani TRUSTEE 1.0 2.0 X 0 0 0 Nancy Ridenour TRUSTEE 1.0 2.0 X 0 0 0 David Stone TRUSTEE 1.0 2.0 X 0 0 0 Stephanie Vanzandt TRUSTEE 1.0 2.0 X 0 0 0 Thomas Whiddon TRUSTEE/TREASURER 1.0 3.0 X X 0 0 0 Debbie White TRUSTEE 1.0 2.0 X 0 0 0 Glenn Waters TRUSTEE/PRES/EVP BAYCARE HOSP 1.0 59.0 X X 0 1189584 112420 Carl Tremonti CFO BAYCARE HOSP DIV 1.0 57.0 X 0 577588 25119 Robin Lapham DIRECTOR PATIENT SVCS MEASE 45.0 0.0 X 184806 0 26078 Gerald Massey DIRECTOR OPERATIONS MEASE 45.0 0.0 X 181901 0 14913 Louis Galdieri PRES MEASE HOSP 1.0 45.0 X 0 497483 33908 Mohsen Habib MANAGER PHARMACY 45.0 0.0 X 175489 0 31655 Nicole Hanna CLINICAL PHARMACIST 45.0 0.0 X 151001 0 14174 Maikel Bolos CLINICAL PHARMACIST 45.0 0.0 X 205291 0 15950 Kelly Cullen DIRECTOR PATIENT SVCS 45.0 0.0 X 186456 0 23436 Rodney Cavalier CLINICAL PHARMACIST 45.0 0.0 X 179157 0 22751 1264101 5693173 359671 70 false true false Siemens Medical Solutions USA PO Box 120001 DALLAS TX 75312 software maintenance 2390062 Bay Linen Inc 11525 47th Street N CLEARWATER FL 33762 Laundry services 2042956 OB Hospitalist Group LLC 10 Centimeters Dr MAULDIN SC 29662 Medical services 1450001 Terbo Group Inc 1410 Santa Anna Dr DUNEDIN FL 34698 construction 1394338 Getwell Network inc 7920 Norfolk Ave BETHESDA MD 20814 professional svcs 1181996 44 0 1418893 2350 0 1421243 Hospital Patient Care 621999 252597430 252597430 0 0 MEDICARE/MEDICAID PAYMENTS 621999 174161071 174161071 0 0 RENTAL INCOME FROM AFFILIATES 532000 463293 463293 0 0 427221794 8844 8844 0 0 2543879 2543879 0 2543879 2543879 3860 15155 -11295 -11295 -11295 0 0 0 EMR INCENTIVE REVENUE 900099 2822695 2822695 0 0 CAFETERIA 722514 2080427 0 0 2080427 MISCELLANEOUS REVENUE 900099 628992 597685 31307 0 5532114 436716579 430642174 31307 4621855 142014 142014 0 0 0 0 0 0 407697 210883 196814 0 0 0 0 0 121400541 121361282 39259 0 4079330 4078011 1319 0 9723155 9720011 3144 0 8669019 8656354 12665 0 0 0 0 0 15298 0 15298 0 150 0 150 0 1709 1709 0 0 0 0 0 0 0 0 11917193 10189289 1727904 12103 0 12103 0 6041592 3578953 2462639 0 718450 424389 294061 0 0 0 0 0 6743281 6717504 25777 0 260408 173561 86847 0 0 0 0 0 0 0 0 0 5291804 5291804 0 0 0 0 0 0 16631916 16539338 92578 0 6963756 5650502 1313254 0 MEDICAL SUPPLIES 58747380 58747034 346 0 MANAGEMENT FEES 55093067 0 55093067 0 BAD DEBT EXPENSE 27136266 27136266 0 0 ASSESSMENTS 4460862 4460862 0 0 7679250 6654214 1025036 352136241 289733980 62402261 0 0 113131 108854 0 0 0 0 46605739 46374362 0 0 0 0 905487 306385 5643420 6464779 1202721 1630055 409035909 231059479 179458368 177976430 0 0 0 0 441307 498866 4583501 3850141 369629372 449723539 608583046 686933411 16811558 18229664 208192 0 0 0 0 0 0 0 0 0 3912264 3507690 0 0 17013358 11396941 37945372 33134295 X 570637674 653799116 0 0 0 0 570637674 653799116 608583046 686933411 X 84580338 0 0 0 0 -1418896 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1709 1709 false SUPPLEMENTAL INFORMATION Schedule C Part II-B, Line 1I Dues were paid to the American Health Information Management Association and the Florida Hospital Association. These associations use a portion of their dues to conduct lobbying activities. 11886639 11886639 248124619 111646799 136477820 328874 128715 200159 142749744 119099219 23650525 5946033 184746 5761287 177976430 PPD PHYSICIAN RECRUITMENT LT 239625 DUE FROM AFFILIATES 449483914 449723539 0 DEPOSITS 5244 ASSET RETIREMENT OBLIGATION ST 45300 ASSET RETIREMENT OBLIGATION LT 110774 EST THIRD PARTY SETTLEMENTS 11235623 11396941 434832041 434832041 1884538 1884538 436716579 351670598 351670598 465643 465643 352136241 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B CHANGE IN NET ASSETS OF FOUNDATION $1,418,893 REVENUES NETTED WITH EXPENSES $465,643 ROUNDING $2 TOTAL $1,884,538 SCHEDULE D, PART XII, LINE 4B REVENUE NETTED WITH EXPENSES $465,643 true true X true X 250. false true true false true true 1 11382 10549132 358760 10190372 0.03150 1 22596 39515865 19969934 19545931 0.06040 1 54 102478 15613 86865 0.00030 3 34032 50167475 20344307 29823168 0.09220 5033 520990 520990 0.00160 72 1212820 1212820 0.00370 114189 114189 0.00040 82434 82434 0.00030 8 176152 176152 0.00050 5113 2106585 2106585 0.00650 3 39145 52274060 20344307 31929753 0.09870 58 1845 0 1845 0.00010 3182 0 3182 0.00010 58 5027 0 5027 0.00020 true 27136266 17918111 87883999 91749732 -3865733 X true true 1 1 Trustees of Mease Hospital Inc 3231 McMullen Booth Rd Clearwater FL 33761 www.baycare.org 4378 X X X A Trustees of Mease Hospital Inc 1 false false true X X X X X X X X 13 true true false true X See Part V Section C true 13 true See Part V Section C false false true X 250. 0. X X X X X true true X 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 true X false X X X X X true X false false PART V ALL ANSWERS PROVIDED IN PART V, SECTION B & 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 & MEASE DUNEDIN HOSPITAL OPERATE UNDER THE SAME STATE LICENSE NUMBER (#4378) AS TRUSTEES OF MEASE HOSPITAL, INC. PART V SECTION B LINE 5 QUALITATIVE DATA WAS GATHERED DURING INDIVIDUAL INTERVIEWS WITH A TOTAL OF 17 STAKEHOLDERS, SEVERAL OF THESE STAKEHOLDERS REPRESENTED THEIR COMMUNITIES FOR BOTH MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITAL SERVICE AREAS. THESE STAKEHOLDERS WERE IDENTIFIED BY A CHNA OVERSIGHT COMMITTEE INCLUDING HOSPITAL LEADERSHIP AND COLLABORATING AREAS OF OTHER HOSPITAL FACILITIES IN BAYCARE HEALTH SYSTEM. EACH STAKEHOLDER WAS INTERVIEWED BY TRIPP UMBACH, A CONSULTING FIRM REPRESENTING THE HOSPITALS, AND LASTED APPROXIMATELY 60 MINUTES. ALL RESPONDENTS WERE ASKED THE SAME SET OF QUESTIONS (QUESTIONS AND RESPONSES CAN BE FOUND IN THE CHNA REPORT STARTING ON PAGE 46 FOR MEASE COUNTRYSIDE HOSPITAL AND PAGE 51 FOR MEASE DUNEDIN HOSPITAL) PREVIOUSLY DEVELOPED BY TRIPP UMBACH AND REVIEWED BY THE INDIVIDUAL HOSPITALS FACILITY LEADERSHIP. 1. PRESIDENT/CEO OF SUNCOAST HOSPICE 2. COO OF SUNSTAR PARAMEDICS 3. VOLUNTEER FOR THE MORTON PLANT MEASE FOUNDATION 4. EXECUTIVE DIRECTOR OF THE NORTH PINELLAS BRANCH - YMCA OF THE SUNCOAST 5. LEADER OF HOSPITALIST GROUP 6. MAYOR OF SAFETY HARBOR, FL 7. BOARD OF COUNTY COMMISSIONERS 8. DIRECTOR, PINELLAS COUNTY HEALTH DEPARTMENT 9. PROJECT MANAGER OF THE ONE BAY HEALTHY COMMUNITIES 10. CITY MANAGER OF THE CITY OF DUNEDIN 11. FORMER BOARD CHAIR FOR MORTON PLANT HOSPITAL 12. PRESIDENT OF THE DUNEDIN CHAMBER OF COMMERCE 13. FORMER MAYOR AND FORMER CHAIR OF THE FLORIDA COMMITTEE ON AGING 14. MANAGER OF MPM FAITH COMMUNITY NURSING 15. MAYOR OF THE CITY OF DUNEDIN 16. CONCURRENT REVIEW NURSE FOR UNIVERSAL MEDICARE/MEDICAID 17. DIRECTOR OF BUSINESS DEVELOPMENT FOR THE COMMUNITY HEALTH CENTERS OF PINELLAS COUNTY IN ADDITION TO THE SPECIFIC STAKEHOLDERS IDENTIFIED, MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS GATHERED QUALITATIVE DATA FROM RESIDENTS OF THEIR INDIVIDUAL COMMUNITIES BY CONDUCTING FACILITATED FOCUS GROUPS. THE PARTICIPANTS WERE ABLE TO PROVIDE DIRECT INPUT RELATED TO TOP COMMUNITY NEEDS OF THEMSELVES, THEIR FAMILIES, AND COMMUNITIES. THE GOAL OF THE FOCUS GROUP PROCESS IS THAT EACH PARTICIPANT FEELS COMFORTABLE AND SPEAKS OPENLY SO THAT THEY CONTRIBUTE TO THE DISCUSSION. IT WAS EXPLAINED TO PARTICIPANTS THAT THERE ARE NO WRONG ANSWERS, JUST DIFFERENT EXPERIENCES AND POINTS OF VIEW. THIS PROCESS ENSURES THAT EACH PARTICIPANT SHARES THEIR EXPERIENCES FROM THEIR POINT OF VIEW, EVEN IF IT IS DIFFERENT FROM WHAT OTHERS HAVE SAID. SPECIFICALLY, FOCUS GROUP PARTICIPANTS WERE ASKED TO IDENTIFY AND DISCUSS WHAT THEY PERCEIVED TO BE THE TOP HEALTH ISSUES AND/OR CONCERNS IN THEIR COMMUNITIES. FOCUS GROUP INPUT IS SUBJECT TO THE LIMITATIONS OF THE IDENTIFIED TARGET POPULATIONS (I.E., VOCABULARY, PERSPECTIVE, KNOWLEDGE, ETC.), AND THEREFORE, IS NOT FACTUAL AND INHERENTLY SUBJECTIVE IN NATURE. FOCUS GROUP AUDIENCES OF MEASE COUNTRYSIDE HOSPITAL: RESIDENTS EARNING A LOW INCOME THAT ARE MEDICAID-INELIGIBLE RESIDENTS FOR WHOM ENGLISH IS A SECOND LANGUAGE OBSTETRIC PROFESSIONALS SERVING FAMILIES THAT ARE AT RISK OF POOR BIRTH OUTCOMES SCHOOL NURSES SERVING CHILDREN AND FAMILIES IN SCHOOL SETTINGS FOCUS GROUP AUDIENCES OF MEASE DUNEDIN HOSPITAL: RESIDENTS EARNING A LOW INCOME THAT ARE MEDICAID-INELIGIBLE RESIDENTS FOR WHOM ENGLISH IS A SECOND LANGUAGE PRIVATE BEHAVIORAL HEALTH PRACTITIONERS SERVING RESIDENTS WITH BEHAVIORAL HEALTH NEEDS NURSING HOME ADMINISTRATORS SERVING SENIOR RESIDENTS. PART V SECTION B LINE 6A CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: 1. ST. ANTHONY'S HOSPITAL 2. MORTON PLANT HOSPITAL 3. MORTON PLANT NORTH BAY HOSPITAL 4. MORTON PLANT NORTH BAY RECOVERY CENTER 5. SOUTH FLORIDA BAPTIST HOSPITAL 6. ST. JOSEPH'S HOSPITAL - MAIN (INCLUDING WOMEN'S & CHILDREN'S) 7. ST. JOSEPH'S HOSPITAL - NORTH 8. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER 9. BAYCARE ALLIANT 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 10A 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 Based on its most recent community health needs assessment (CHNA), Trustees of Mease Hospital, Inc. (TOM) is committed to addressing the following significant community needs: 1) Improving access to affordable health care 2) Decreasing the prevalence of clinical health issues 3) Improving healthy behavior and environments Progress was made to address each of the key health needs as prioritized within the 2013 Community Health Needs Assessment. Efforts were specifically dedicated to the following action step categories during 2015 with highlighted activities as noted below: Improve access to and coordination of mental health services o BayCare has added and is actively recruiting psychiatrists in an effort to expand access and service in Pinellas County. o Mental health services are now co-located with primary care in Pinellas County. o Through support from the Morton Plant Mease Foundation, The Patient Navigator and Behavioral Health Voucher Program launched in Pinellas County at the Homeless Empowerment Project (HEP), a Pinellas County-based homeless shelter. This program provides homeless adults who present with acute mental illness or substance abuse impairment or with a co-occurring mental illness and substance abuse issue increased access to early evaluation, triage, stabilization, and community-based follow up services. Outcomes from this program have included increased access to mental health and substance abuse care, reduction of admissions to emergency departments, inpatient psychiatric units and hospitals and longer periods of housing stability for HEP residents. o Funding for a pilot project to bring mobile behavioral health services to Pinellas County homeless shelters has been approved. This program was scheduled to launch in May 2016. o The Pathways program was created to provide provides education and navigation services during crisis. This program was made possible via the Morton Plant Mease Foundation. Continue advocacy outreach efforts to expand access o Navigators are in place across BayCare to facilitate enrollment in marketplace plans. Outreach activities continue (by navigators) to encourage enrollment in health insurance plans across various community locations. Team members are also available to interview uninsured patients in the hospitals and assist insured patients needing assistance for copays/deductibles (by phone or by appointment). The number of people served continues to increase. o Morton Plant Mease (MPM) partnered with the Pinellas County government and other organizations to support the establishment of clinics for the under-served. A partnership has been established with Community Health Centers of Pinellas (CHCP), a federally qualified health center (FQHC) and a CHCP has become operational in Dunedin. Continue to implement the Medical Home Model through BayCare Medical Group (BMG) and the hospital division o Implementation of the Medical Home Model through BayCare Medical Group (BMG) continues in an effort to enhance access to care and overall care coordination. Enhance cancer prevention and treatment initiatives o Community outreach efforts continue across the health system to encourage the community to understand risk factors and to promote early detection of various types of cancer. o BayCare sites have signed the "80% by 2018" pledge with the American Cancer Society to promote appropriate colorectal cancer screening in 80% of age-appropriate community members by 2018. o The Mease Countryside Hospital campus remains tobacco-free (and maintains the incentives offered to team members for not smoking). Various smoking cessation programs are offered throughout BayCare. o TOM is represented on the HPV vaccination stakeholder task force addressing the low HVP vaccination rates in Pinellas County; the goal of this task force is to reduce HPV associated cancers. o Collaborative efforts continue across BayCare to provide mammography services to the under-served. Improve care coordination and outcomes for heart failure (CHF) patients o Efforts to provide consistent care to treat heart failure across BayCare are ongoing. o Efforts are underway to provide consistent patient education materials as well as to develop clinical scorecards and evidence-based measure order sets across locations. o Various initiatives are underway to decrease readmissions across BayCare including daily inpatient rounds; post-discharge phone calls; utilization of faith community nurse 5 Mease Countryside Surgery Center 1880 Mease Dr Safety Harbor FL 34695 Day Surgery Center Mease Outpatient Imaging 1840 Mease Dr Ste 103 Safety Harbor FL 34695 Outpatient Imaging Center MPM Outpatient Rehabilitation Services 32672 US Highway 19 North Palm Harbor FL 34684 Rehabilitation services Mease Sports Medicine Center 3251 McMullen Booth Rd Ste 200 Safety Harbor FL 34695 Outpatient Clinic Mease Hand Clinic 1840 Mease Dr Ste 409 Safety Harbor FL 34695 Outpatient Clinic 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. 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 $27,136,266 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, & 4 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. 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) ($3,865,733) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES: ($12,364,705) TOTAL SURPLUS OR (SHORTFALL): ($16,230,438) 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. PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. PART VI LINE 4 - COMMUNITY INFORMATION 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 10.8% 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 11 hospitals with 5 being Not-For-Profit. There is 1 federally designated medically underserved area and 4 federally designated medically underserved populations in Mease Hospitals service area. With the over 65 population expected to grow 14.9% 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 4.3% in the next 5 years. This expected growth is similar to the expected growth rate for the United States which is 3.7%. However, the population Age 55+ is expected to grow 11.9% in the next 5 years. Based on Florida inpatient discharge data for the period of 01/01/2015-12/31/2015, the payer mix for the geographic area consists of 56.0% Medicare/Medicare HMO, 14.3% Medicaid/Medicaid HMO, 20.2% Commercial Insurance, 6.6% Self-pay/Non-payment, and 3.0% Other. PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH 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 75 years of meeting the needs of the community it serves. The hospital specializes in bariatric and orthopedic surgery as well as behavioral health care. Recent designations include the EPAs ENERGY STAR award for superior energy efficiency and The Joint Commissions Gold Seal of Approval for Spine Care and Primary Stroke Center. 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. In 2015, Mease Countryside Hospital celebrated 30 years of service to the community. 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. The Truven Health 100 Top Hospitals study evaluates performance in 10 areas mortality, medical complications, patient safety, average patient stay, expenses, profitability, patient satisfaction, adherence to clinical standards of care, core measures score, and post-discharge mortality and readmission rates for acute myocardial infarction (heart attack), heart failure, and pneumonia. Both hospitals are part of the Morton Plant Mease system which provides services through more than 6,333 Morton Plant Mease employees and more than 1,319 board-certified physicians. Community Benefit Community members who are uninsured or under-insured often rely on free clinics to meet their health care needs. These clinics survive on generous donations, both financial and in-kind, to provide valuable services to the community. Morton Plant Mease donated $483,693 in 2015 for support of ongoing services. Morton Plant Mease physicians and nurses also donated 1,500 hours of their time to provide care at area clinics: 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 problem-oriented 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. La Clinica Guadalupana: La Clinica Guadalupana is a free clinic that provides health care to Pinellas County's rapidly growing Hispanic community. Morton Plant Mease provides $50,000 annually to support ongoing operations which include services such as primary, gynecological and pediatric care; free health screenings; and immunizations. Willa Carson Health and Wellness Center: The Willa Carson Health and Wellness Center in Clearwater provides preventative health care, wellness and education services to uninsured and low-income community members at no charge. Morton Plant Mease provides $50,000 annually to support ongoing operations. Services provided include blood pressure tests, diabetes screenings, lead screenings, physicals and tuberculosis (TB) testing. 2015 Overview Mease Dunedin Hospital ER and Cafeteria Renovations In 2015, Mease Dunedin began a renovation project to improve the Emergency Room and Cafeteria/Dining/Kitchen area. The four-phase ER project will update finishes and create private patient rooms for better work flow and space and a main nurses station to create separation between work areas, new flooring and renovated patient/visitor waiting area. A complete interior renovation of the existing Dietary/Cafeteria/Dining and Kitchen is underway and includes an updated kitchen with new equipment, new dining area, patients on the medical floors will be able to order meals in a hotel-like room service concept and the menu will feature healthier food choices. Bariatric Program Receives National Accreditation In 2015, Mease Dunedin Hospitals Bariatric Program was 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. Behavioral Health Center To provide additional access to mental health services in Pinellas County, BayCare and Mease Dunedin Hospital has 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. Nursing Excellence Mease Dunedin Hospital is designated by the American Nurses Credentialing Center (ANCC) as Pathway to Excellence facility. 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. For an organization to earn the Pathway to Excellence distinction, it must successfully undergo a thorough review process that documents foundational quality initiatives in creating a positive work environment - as defined by nurses and supported by research. These initiatives must be present in the facility's practices, policies and culture. 2015 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 is now in the process of planning a major expansion to the hospital campus. The central utilities plant contains the hospital's new emergency power generators, climate control, a state of the art control room and other important equipment. Nursing Excellence In 2015, Mease Countryside Hospital was designated by the American Nurses Credentialing Center (ANCC) as Pathway to Excellence facility. The Pathway to Excellence designation identifies the elements of work environments where nurses can flourish and substantiates the professional satisfaction of nurses at MeaseCountryside For an organization to earn the Pathway to Excellence distinction, it must successfully undergo a thorough review process that documents foundational quality initiatives in creating a positive work environment, as defined by nurses and supported by research. These initiatives must be present in the facilitys practices, policies and culture. Women's & 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 adv PART VI LINE 6 - AFFILIATED HEALTH CARE SYSTEM Trustees of Mease Hospital, Inc. is part of BayCare Health System, Inc. (BayCare), a leading, not-for-profit health care system that connects individuals and families to a wide range of clinical services at 14 hospitals and hundreds of other convenient locations throughout the Tampa Bay region and west central Florida. BayCares services include acute care, primary care, imaging, laboratory, behavioral health, home care and wellness. BayCares Mission is to improve the health of all we serve through community-owned, health care services that set the standard for high-quality, compassionate care. On the web: http://www.baycare.org BayCares network includes 3,491 licensed beds, an expanding physician network, a comprehensive home health agency, three wellness centers, four ambulatory surgery centers, 10 urgent care centers, 13 outpatient imaging facilities, outreach laboratories, retail pharmacies, and two stand-alone, behavioral health inpatient centers. In 2015, BayCare hospitals provided 158,909 discharges and 592,487 emergency room visits. 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 continued to expand its footprint to serve the communitys growing need for physician services. BayCare Medical Group has 178 office sites and 406 employed physicians (256 primary care and 150 specialists) and more than 1.2 million visits. BayCare also continued to mature its clinically integrated network BayCare Physician Partners, with more than 167,000 lives under management and over 1,400 physicians who are members of the network. BayCare was founded when several of the areas not-for-profit hospitals came together, united by the common Mission to improve the health of all they served. As an integrated health system, BayCares hospitals believed they could reduce costs by consolidating administrative functions and services, and better serve the community by sharing best practices with each other and working together to improve the overall quality of care. Today, BayCare is a $3.3 billion integrated health delivery system and one of the largest employers in the region with 25,600 employees. BayCare also is one of the few health systems in the nation with an Aa2 credit rating. BayCare provides the organizational commitment and corporate infrastructure to help its hospitals be among the highest quality organizations in the country, with a culture centered on continuous improvement and serving the needs of patients, regardless of their ability to pay. BayCares financial stability and centralization of shared services in Finance, Business Office, Information Technology, Human Resources, Performance Improvement, Clinical Outcomes, Materials Management, and Marketing/Communications strengthen its hospitals abilities to serve the needs of its local communities and continue providing charity care, Medicaid and other means-tested programs, as well as unbilled community services to the uninsured and under-insured. In 2015, BayCare provided $266.8 million in community benefit, which includes $96.9 million in traditional charity care, $154.0 million in Medicaid and other means-tested programs, and $15.8 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 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. true SUNCOAST COMMUNITY HEALTH CENTERS Inc 13110 Elk Mountain Dr Riverview FL 33579 591741303 501(c)(3) 142014 Welfare donation 1 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 TRUSTEYS 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. false true false false false false false false false Stephen Mason TRUSTEE/PRES/CEO BAYCARE 0 1277613 0 564504 0 1343628 0 15286 0 23981 0 3225012 0 0 Glenn Waters TRUSTEE/PRES/EVP BAYCARE HOSP 0 792346 0 273455 0 123783 0 77804 0 34616 0 1302004 0 0 Carl Tremonti CFO BAYCARE HOSP DIV 0 369443 0 106095 0 102050 0 13250 0 11869 0 602707 0 6595 Robin Lapham DIRECTOR PATIENT SVCS MEASE 164179 0 19701 0 926 0 8948 0 17130 0 210884 0 0 0 Gerald Massey DIRECTOR OPERATIONS MEASE 162944 0 18132 0 825 0 8597 0 6316 0 196814 0 0 0 Louis Galdieri PRES MEASE HOSP 0 323966 0 92034 0 81483 0 12336 0 21572 0 531391 0 4725 Mohsen Habib MANAGER PHARMACY 152651 0 11085 0 11753 0 8603 0 23052 0 207144 0 0 0 Nicole Hanna CLINICAL PHARMACIST 149403 0 1339 0 259 0 7600 0 6574 0 165175 0 0 0 Maikel Bolos CLINICAL PHARMACIST 148478 0 50579 0 6234 0 8655 0 7295 0 221241 0 0 0 Kelly Cullen DIRECTOR PATIENT SVCS 166380 0 19566 0 510 0 8942 0 14494 0 209892 0 0 0 Rodney Cavalier CLINICAL PHARMACIST 126872 0 51159 0 1126 0 7724 0 15027 0 201908 0 0 0 Supplemental Compensation Information 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 Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $1,299,280 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $545,048 in 2015. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $104,562 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other Compensation. He had $65,804 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $43,864 in 2015. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $77,340 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $32,444 in 2015. Louis Galdieri - Participated in a supplemental nonqualified deferred compensation plan. He had $71,990 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $30,200 in 2015. part vi Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters, Carl Tremonti and Stephen Mason are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights 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. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights 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. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 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. 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. part vi, lines 15a &15b - Process used for Compensation Review and Approval 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 & 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. Part VI, Line 19 - how and if the governing documents, conflict of interest policy and financial statements are made available to the public Trustees of Mease Hospital, inc. publishes its financial statements with the agency for health administration. Governing documents are available via Sunbiz.org. part XI, line 9 - Other changes in net assets CHANGE IN NET ASSETS OF FOUNDATION ($1,418,893) ROUNDING ($3) Total ($1,418,896) BayCare Health System Inc 2985 Drew St Clearwater FL 33759 592796965 Support srvcs FL 501(C)(3) 11b na false Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 health srvcs FL 501(C)(3) 3 MPMHC true Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 health srvcs FL 501(C)(3) 9 MPMHC true Morton Plant Mease Health Care Found 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(C)(3) 11a MPHATOM true Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(C)(3) 11b na false Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL MPHV C corp 0 0 0.00000 true MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 COLLECTIONS SVCS FL MPHV C corp 0 0 0.00000 true Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL MPMHC C corp 0 0 0.00000 true true false true true false false false false true true true false true false true false false true true Morton Plant Mease Health Services Inc a(iv) 15365 FMV Morton Plant Mease Health Care Foundation c 1418893 fmv Morton Plant Mease Health Services Inc k 92662 FMV Morton Plant Hospital Association Inc o 1204738 FMV Morton Plant Mease Health Services Inc r 169891 FMV Morton Plant Hospital Association Inc s 2579099 FMV