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BAYCARE ALLIANT HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BAYCARE ALLIANT HOSPITAL INC (EIN 05-0615150)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-01
IRS object ID
201623069349301637
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-01T15:33:33-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 N FRANKLIN ST STE 2400AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050615150EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAYCARE ALLIANT HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JOHN PRONI FINANCE MGRInCareOfNm
Business Name ControlBAYCBusinessNameControlTxt
Phone7277346782PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN PRONIPersonNm
Person TitleFINANCE MGRPersonTitleTxt
Phone7277346782PhoneNum
Signature2016-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelanie A McPeakPreparerPersonNm
PTINP01346034PTIN
Phone8132254800PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN PRONIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,844,696GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.baycare.org/alliant-hospitalWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionALLIANT HOSPITAL WILL PROVIDE EXCELLENCE IN CARE FOR PATIENTS WITH PROLONGED ILLNESSES RECOGNIZING THAT OPTIMUM HEALING REQUIRES A TEAM APPROACH TO BOTH MEDICAL AND HUMAN VALUES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,083PYContributionsGrantsAmt
CY Contributions Grants$2,216CYContributionsGrantsAmt
PY Program Service Revenue$17,614,017PYProgramServiceRevenueAmt
CY Program Service Revenue$18,840,386CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$5,342PYOtherRevenueAmt
CY Other Revenue$2,094CYOtherRevenueAmt
PY Total Revenue$17,623,442PYTotalRevenueAmt
CY Total Revenue$18,844,696CYTotalRevenueAmt
PY Grants And Similar Paid$3,491PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,075,135PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,612,944CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,365,504PYOtherExpensesAmt
CY Other Expenses$9,970,420CYOtherExpensesAmt
PY Total Expenses$16,444,130PYTotalExpensesAmt
CY Total Expenses$17,583,364CYTotalExpensesAmt
PY Revenues Less Expenses$1,179,312PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,261,332CYRevenuesLessExpensesAmt
Total Assets BOY$6,589,808TotalAssetsBOYAmt
Total Assets EOY$7,931,958TotalAssetsEOYAmt
Total Liabilities BOY$8,286,402TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,367,220TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,696,594NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$435,262NetAssetsOrFundBalancesEOYAmt
MissionBAYCARE ALLIANT HOSPITAL, INC. WILL PROVIDE EXCELLENCE IN CARE FOR PATIENTS WITH PROLONGED ILLNESSES RECOGNIZING THAT OPTIMUM HEALING REQUIRES A TEAM APPROACH TO BOTH MEDICAL AND HUMAN VALUES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$15,198,651ExpenseAmt
Revenue$18,842,480RevenueAmt
DescBAYCARE ALLIANT HOSPITAL, INC. (BAH) IS A 48 BED, LONG-TERM ACUTE CARE HOSPITAL. DURING 2015, BAH PROVIDED INPATIENT CARE TO 363 PATIENTS AND THE AVERAGE LENGTH OF STAY WAS 27.2 DAYS. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM BAH SAW A NET COMMUNITY BENEFIT EXPENSE OF $768,000. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION.Desc
Total Program Service Expenses$15,198,651TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN PRONI FINANCE MGRPersonNm
Phone7277346782PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 MAIN STREETAddressLine1Txt
CityDUNEDINCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34695ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Bruce Bokor
TRUSTEE1.00.0Yes (X)$0$0$0
Robert Evans
TRUSTEE1.00.0Yes (X)$0$0$0
Ken Hamilton
TRUSTEE/CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
Alan Holderith
TRUSTEE/SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
Charles Robinson
TRUSTEE1.00.0Yes (X)$0$0$0
Patricia Sizemore
TRUSTEE/VP PATIENT CARE SVCS1.00.0Yes (X)$0$0$0
Glenn Waters
TRUSTEE/PRES/EVP BAYCARE HOSP1.00.0Yes (X)$0$0$0
Jacqueline Arocho
ADMINISTRATOR ALLIANT HOSP45.00.0$211,618$0$8,631Yes (X)
John Proni
FINANCE MANAGER1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$211,618TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,631TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Trustees of Mease Hospital Inc
601 Main StreetDUNEDINFL34698Management Fees$1,381,946
DVA Healthcare Renal Care Inc
PO Box 8500-1607PHILADELPHIAPA191781607Dialysis services$285,481
BayCare Home Care Inc
8452 118th Ave NLARGOFL33773Home Care services$315,480
Leonard J Dunn MD
3201 Leprechaun LanePALM HARBORFL34683Physician services$134,022
Emcare
7032 Collection Center DrCHICAGOIL60693Medical services$129,168
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
All Other Contributions$2,216AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$2,216TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOSPITAL PATIENT CARE621990$6,184,259$6,184,259$0$0
MEDICARE/MEDICAID PAYMENT621990$12,656,127$12,656,127$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$18,840,386TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business524298BusinessCd
Total Revenue Column$2,094TotalRevenueColumnAmt
Related Or Exempt Func Income$2,094RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,094OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,844,696TotalRevenueColumnAmt
Related Or Exempt Func Income$18,842,480RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$220,249TotalAmt
Program Services$0ProgramServicesAmt
Management And General$220,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,087,587TotalAmt
Program Services$5,555,480ProgramServicesAmt
Management And General$532,107ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$165,230TotalAmt
Program Services$150,787ProgramServicesAmt
Management And General$14,443ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$700,108TotalAmt
Program Services$638,913ProgramServicesAmt
Management And General$61,195ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$439,770TotalAmt
Program Services$389,701ProgramServicesAmt
Management And General$50,069ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$813,809TotalAmt
Management And General$813,809ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$73,023TotalAmt
Management And General$73,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,641TotalAmt
Management And General$8,641ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,002TotalAmt
Management And General$1,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$745,974TotalAmt
Program Services$725,309ProgramServicesAmt
Management And General$20,665ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,911TotalAmt
Program Services$0ProgramServicesAmt
Management And General$26,911ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$348,145TotalAmt
Program Services$300,815ProgramServicesAmt
Management And General$47,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,102TotalAmt
Program Services$3,170ProgramServicesAmt
Management And General$11,932ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,386,184TotalAmt
Program Services$1,317,057ProgramServicesAmt
Management And General$69,127ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,023TotalAmt
Program Services$23,812ProgramServicesAmt
Management And General$21,211ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$54,442TotalAmt
Program Services$54,442ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,025TotalAmt
Program Services$68,433ProgramServicesAmt
Management And General$4,592ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$157,257TotalAmt
Program Services$115,847ProgramServicesAmt
Management And General$41,410ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ANCILLARY SERVICES$3,013,468$3,013,468$0$0
MEDICAL SUPPLIES$2,227,502$2,227,178$324$0
ASSESSMENTS$265,919$265,919$0$0
BAD DEBT EXPENSE$332,427$332,427$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$382,566TotalAmt
Program Services$15,893ProgramServicesAmt
Management And General$366,673ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,583,364TotalAmt
Program Services$15,198,651ProgramServicesAmt
Management And General$2,384,713ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,280,904BOYAmt
EOY$4,369,985EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,826,165BOYAmt
EOY$2,555,677EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$98,929BOYAmt
EOY$92,613EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,010,996LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$220,870LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$273,701BOYAmt
EOY$790,126EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,954BOYAmt
EOY$12,960EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$42,551BOYAmt
EOY$39,278EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,604BOYAmt
EOY$71,319EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,589,808BOYAmt
EOY$7,931,958EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$585,425BOYAmt
EOY$746,794EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
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Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,612,057BOYAmt
EOY$2,130,416EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,286,402BOYAmt
EOY$8,367,220EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,696,594BOYAmt
EOY-$435,262EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
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EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,696,594BOYAmt
EOY-$435,262EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,589,808BOYAmt
EOY$7,931,958EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,261,332ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,002OtherActivitiesAmt
Total Lobbying Expenditures$1,002TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1iFormAndLineReferenceDesc
ExplanationDues were paid to the National Association of Long-Term Acute Care Hospitals. This association uses a portion of its dues to conduct lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$634,269OtherCostOrOtherBasisAmt
Depreciation$220,870DepreciationAmt
Book Value$413,399BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$376,727OtherCostOrOtherBasisAmt
Book Value$376,727BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$790,126TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED COMPENSATION PLAN$71,319
EST THIRD PARTY SETTLEMENTS$188,563
DUE TO AFFILIATES$1,870,534
FieldValueIRS element (for citing)
Total Liability$2,130,416TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$18,512,270TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$18,512,270RevenueSubtotalAmt
Other Revenues Not Included$332,426OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$332,426RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$18,844,696TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,250,938TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$17,250,938ExpensesSubtotalAmt
Other Expenses Not Included$332,426OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$332,426ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,583,364TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI LINE 4BBAD DEBT EXPENSE $332,426
PART XII LINE 4BBAD DEBT EXPENSE $332,426

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served21PersonsServedCnt
Total Community Benefit Expns$115,685TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$115,685NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served25PersonsServedCnt
Total Community Benefit Expns$1,658,736TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,076,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$582,151NetCommunityBenefitExpnsAmt
Total Expense0.03310TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served46PersonsServedCnt
Total Community Benefit Expns$1,774,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,076,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$697,836NetCommunityBenefitExpnsAmt
Total Expense0.03970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$36,943TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,943NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,436TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,436NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$29,175TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,175NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$70,554TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$70,554NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served46PersonsServedCnt
Total Community Benefit Expns$1,844,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,076,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$768,390NetCommunityBenefitExpnsAmt
Total Expense0.04380TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$332,427BadDebtExpenseAmt
Bad Debt Expense Attributable$70,510BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,895,363ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,906,201CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,838MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BayCare Alliant HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1Txt
CityDunedinCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34698ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.baycare.org/alliant-hospitalWebsiteAddressTxt
State License4492StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherAcute LTC HospitalOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Baycare Alliant Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SECTION COwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V SECTION B LINE 5QUALITATIVE DATA WAS GATHERED DURING INDIVIDUAL INTERVIEWS WITH A TOTAL OF 11 STAKEHOLDERS OF BAYCARE ALLIANT HOSPITAL SERVICE AREA. THESE STAKEHOLDERS WERE IDENTIFIED BY AN ADVISORY COMMITTEE OF EXECUTIVE LEADERSHIP. EACH STAKEHOLDER WAS INTERVIEWED BY TRIPP UMBACH, A CONSULTING FIRM REPRESENTING THE HOSPITAL, 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 26)PREVIOUSLY DEVELOPED BY TRIPP UMBACH AND REVIEWED BY THE HOSPITAL EXECUTIVE LEADERSHIP PROJECT TEAM. 1. THE PALM PAVILION INN 2. BAYCARE ALLIANT HOSPITAL 3. DAVITA INC. 4. PALM GARDEN OF LARGO 5. UNIVERSAL MEDICARE/MEDICAID 6. PINELLAS COUNTY HEALTH DEPARTMENT 7. PASCO COUNTY HEALTH DEPARTMENT 8. PASCO AGING NETWORK 9. BRIGHTON GARDENS - SUNRISE SENIOR LIVING 10. COMMITTEE ON AGING 11. SUNCOAST HOSPICE IN ADDITION TO THE SPECIFIC STAKEHOLDER'S IDENTIFIED, BAYCARE ALLIANT HOSPITAL GATHERED QUALITATIVE DATA FROM RESIDENTS OF THEIR COMMUNITY 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. THE FOCUS GROUP AUDIENCE PARTICIPANTS WERE NURSING HOME ADMINISTRATORS SERVING SENIOR RESIDENTS.
PART V SECTION B LINE 6ACHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: 1. MEASE COUNTRYSIDE HOSPITAL 2. MEASE DUNEDIN HOSPITAL 3. MORTON PLANT HOSPITAL 4. MORTON PLANT NORTH BAY HOSPITAL 5. MORTON PLANT NORTH BAY RECOVERY CENTER 6. SOUTH FLORIDA BAPTIST HOSPITAL 7. ST. JOSEPH'S HOSPITAL - MAIN (INCLUDING WOMEN'S & CHILDREN'S) 8. ST. JOSEPH'S HOSPITAL - NORTH 9. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER 10. ST. ANTHONY'S HOSPITAL PART V SECTION B LINE 7A HTTPS://WWW.BAYCARE.ORG/BAH/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 10A HTTPS://WWW.BAYCARE.ORG/BAH/ABOUT-US/COMMUNITY-HEALTH-NEEDS
PART V, SECTION B, LINE 11BayCare Alliant Hospital (BAH), a 48-bed long-term acute care hospital, accepts patients who are in need of treatment for diagnoses related to cardiac care, complex medical/multi-system failures, infectious disease issues, rehabilitation needs, respiratory care, ventilator weaning, and wound care. Based on its most recent community health needs assessment (CHNA), BayCare Alliant Hospital is committed to addressing the following significant community needs: 1) Improving access to necessary medical care 2) Communication and education 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 steps with highlighted activities as noted below: Increase and develop new services to improve access to necessary medical care - BAH invested in and constructed a 6-bed ICU in 2015 which began accepting patients in January 2016. The hospitals leadership recognized that there was a community need for increased access to high-quality care for chronically critically ill patients. The new ICU has enabled the hospital to increase access by admitting a new pool of patients in need of services provided by an ICU. In particular, the ICU has increased access for those residing in acute care hospital ICUs and for ventilator patients. - Through the support of BayCare Health System, BAH has additionally invested in capabilities which will allow it to launch unbilled e-ICU services in 2016. E-ICU services will further increase access by allowing the hospital to admit patients needing the highest levels of care and monitoring. The e-ICU will provide 24 hour monitoring, increased clinician response time, and numerous other health benefits. - The hospital developed the Healing Touch Program in 2015. This is an unbilled therapeutic service provided by certified clinicians that allows hospital patients to calm anxieties and increase relaxation levels. The program additionally assists with pain mitigation to supplement the effects of pharmaceuticals. - The Restorative Care Program was implemented in 2015. The Restorative Care Program is an unbilled service provided by Patient Care Technicians trained in basic physical, occupational, and speech therapy techniques. The program increases the one-on-one time patients receive from clinicians and improves the patient experience. Team Members functioning within the program are in addition to the hospitals nursing, physical, occupational, and speech therapists. - In 2015 the hospital began conducting weekly interdisciplinary physician rounds requiring attendance from the physician and interdisciplinary team at the same time and day each week. These rounds are in addition to the customary physician rounds and allow patients and families much more time to speak with the physician and entire disciplinary team (pharmacy, infection control, quality, dietician, case management, social services, and others). - A Skilled Nursing Facility (SNF) Collaborative was formed between the hospital and a group of high-quality SNFs. The collaborative established relationships with SNFs who agreed to provide the capabilities to accept patients of higher acuity versus what is customarily provided at SNFs. This has helped to increase access at both BAH (due to new discharge options available) and the group of SNFs. - Numerous capital investments have been made in addition to the 6-bed ICU with the goal of increasing access and care for certain patient populations. For example, funds have been expended for bariatric beds, bariatric chairs, and a vein illuminator to increase access and care for the bariatric population. Increase utilization of charitable funds to improve access to necessary medical care - Numerous BAH patients lack the coverage and funds to secure adequate dialysis services upon discharge from the facility. The hospital has endeavored to assist these patients to the extent possible by assisting with these costs. The hospital is expecting to increase its FY 2014-2016 charitable care costs for post-discharge dialysis services by 32% versus FY 2011-2013. This program has additionally increased access to and choice of nursing homes for these patients. - The hospital has increased the variety of uses of its charitable funds. For example, during FY 2014-2016 in order to facilitate a safe discharge the hospital devoted charitable funds to patient rent, utilities, transportation, pharmaceuticals, sponsorships, and other charitable causes. Develop a formal fundraising strategy - A formal fundraising policy and procedure was established which included: - A formal explanation of the fundraising strategy (post discharge treatment, nutritional support, durable equipment, outpatient services, transportation, pharmaceuticals, and other services). - Guidelines for utilization of funds (patient income, assets, and other determinants). - A formal application and the establishment of a review committee for disbursements. - A description of potential sources of donations and strategy for procurement. - The historical number of patients and resources committed by the by the Charity Fund were determined and reviewed. - An annual goal and three year fundraising goal was established. Annual fundraising goals were determined to be 10 percent of the beginning year balance. - New fundraising sources were established. The hospital was successful in obtaining funds from these sources which included physicians and vendors. - Fundraising tasks were assigned to various team members (Chairperson, Treasurer, Secretary, and others) and departments including admissions, marketing, human resources and social services. - Progress towards the annual goal and 3 year goal was examined on a quarterly basis. Increase awareness of the availability of the BAH Charity Fund - The community was made aware of the availability of the Charity Fund through various mechanisms including: - An annual giving campaign. - Communications to all physicians on staff, Board of Directors, vendors, health system team members, and numerous other parties. - Communication through participation in numerous community events and through various sponsorships. - Communication by the Admissions department and Social Services to potential candidates. - New materials, mailings, and opportunities for on-line giving. - Quarterly Shining Star receptions held at the hospital were success stories are invited to return to the facility celebrate their achievements. Develop outreach plan to increase communication and awareness - In 2014 the hospital formally defined what information it would like to communicate, the goals for outreach activities, and the amount of outreach and education provided annually (date, type of event, audience, estimated attendance, purpose and accomplishment). - The hospital embarked on an aggressive one year campaign at the beginning of 2015 to increase communication and awareness about the services provided at a long-term acute care hospital. In particular, the hospital created awareness about its enhanced ability to accept chronically critically ill patients upon completion of its new 6-bed ICU. During the campaign, hospital leadership and the marketing department traveled to the majority of Tampa Bay area hospitals and met with social service departments, case management departments, medical groups, and numerous other key areas. - New marketing materials were created related to chronically critically ill patients and the 6-bed ICU. These materials were made available to the health system and community through various mechanisms. - BAH increased its attendance at vendor fairs and community events such as the Workers Compensation Annual Conference and Chamber of Commerce awards ceremony where the hospital was voted the Citys Large Business of the Year. - The hospital provided seminars to explain the various services available at long-term acute care facilities. - BAH increased its participation on committees and in meetings of referring hospitals and the health system in order to educate those groups on what services are available at BAH. For example, BAH participated in the Post-acute Steering Committee of the Health System and in weekly 'length of stay' meetings at referring facilities. - Marketing efforts were made in communicating new unbilled services provided at BAH including the Healing Touch Program and Restorative Care Program. - Sponsorship levels were increased in FY 20142016 versus FY 2011-2013 to increase communication and awareness of the 6-bed ICU, new programs, and long-term acute care services. - BAH is participating as both a member and member of the Board of Directors of the National Long-Term Acute Care Hospital Association (NALTH) in order to gain insights on methods to increase awareness and communication. BayCare Alliant Hospital continues to drive and support activities to address the 2 key priority health needs of improved access an
PART V, SECTION B, LINE 13BAN 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 V, SECTION B, LINE 16Line 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 18DLIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE.
PART V, SECTION B, LINE 20EEVERY PATIENT BILL INCLUDES A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 22DPATIENTS 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. BAYCARE ALLIANT 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. ONCE A PATIENT IS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE HIS/HER ACCOUNT BALANCE IS WRITTEN OFF 100% TO CHARITY WRITE-OFFS AND ARE NO LONGER BILLED FOR SERVICES PROVIDED.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
part i line 3cPatients 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. BayCare Alliant 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 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 7Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients. 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 FBAD DEBT EXPENSE OF ($332,427) WAS EXCLUDED ON FORM 990, PART IX, LINE 25,COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
part iii line 2, 3 & 4Lines 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 6 of the Baycare Alliant Hospital, Inc. Notes to Consolidated Financial Statements.
part iii line 8Cost 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. Line 7 Surplus or (Shortfall)($10,838) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($139,385) Total Surplus or (Shortfall) ($150,223)
part iii line 9bPatients 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 iv line 2 - needs assessmentBayCare Alliant 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. BayCare Alliant 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 BayCare Alliant 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 BayCare Alliant 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 elegibility for assistanceBayCare Alliant Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the BayCare Alliant Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients 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 BayCare Alliant 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 mailers 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 informationBayCare Alliant Hospital is in a suburban setting serving parts of Pasco, Pinellas, and Hillsborough 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 9.9% of the population. 13.6% of households have annual household income below $15,000 per year. BayCare Alliant Hospital is a long-term acute care hospital connected with the BayCare Health System that serves west central Florida. The area served by BayCare Alliant Hospital has 16 hospitals with only the 4 BayCare Hospitals (BayCare Alliant, Mease Dunedin, Mease Countryside, & Morton Plant Hospitals) being Not-for Profit. There is 7 federally designated medically underserved area/populations in the BayCare Alliant Hospitals service area. With the service area expanding and the over 65 population expected to grow 13.5% in the next five years, the health care needs of our service area are expanding and changing. The population served by BayCare Alliant Hospital is expected to grow 4.0% in the next 5 years. This expected growth is slightly higher than the expected growth rate for the United States (3.7%). However, the population Age 65+ is expected to grow 14.8% in the next 5 years. Based on Florida inpatient discharge data for the period of 1/01/15-12/31/15, the payer mix for the geographic area consists of 53.7% Medicare/Medicare HMO, 16.4% Medicaid/Medicaid HMO, 20.7% Commercial Health & Liability Insurance, 6.2% Self-pay/No-Pay, and 2.9% Other.
part vi line 5 - promotion of community healthBAYCARE ALLIANT HOSPITAL, INC. IS A 48-BED, LONG-TERM ACUTE CARE HOSPITAL (LTCH) AFFILIATED WITH BAYCARE HEALTH SYSTEM. IT IS THE ONLY FACILITY OF ITS KIND LOCATED WITHIN A 20 MILE RADIUS OF DUNEDIN, FLORIDA. THE 27,253-SQUARE-FOOT FACILITY PROVIDES DIAGNOSTIC, MEDICAL TREATMENT AND REHABILITATION FOR PATIENTS EXPERIENCING COMPLEX MEDICAL CONDITIONS DUE TO CHRONIC DISEASE OR INJURIES. THE HOSPITAL TAKES A MULTI-DISCIPLINARY, FAMILY-CENTERED APPROACH WITH PHYSICIANS, NURSING AND OTHER HEALTH CARE SPECIALISTS WORKING TOGETHER TOWARD THE GOAL OF THE BEST POSSIBLE RECOVERY FOR PATIENTS. BAYCARE ALLIANT IS LOCATED INSIDE MEASE DUNEDIN HOSPITAL. THIS PROXIMITY ENABLES BAYCARE ALLIANT TO PROVIDE THE COMMUNITY WITH ACCESS TO HIGH QUALITY PATIENT CARE AND MINIMIZES PATIENT TRANSPORTATION. LONG-TERM HOSPITALS LOCATED WITHIN GENERAL ACUTE CARE HOSPITALS ARE OFTEN REFERRED TO AS "HOSPITALS WITHIN A HOSPITAL"HIH'S". A TYPICAL STAY AT A LONG-TERM ACUTE CARE HOSPITAL IS 25 DAYS or more. THE BOARD IS MADE UP OF COMMUNITY MEMBERS WHO WANT TO PROVIDE THE COMMUNITY WITH ACCESS TO COMPASSIONATE PATIENT CARE OF SUPERIOR QUALITY. THE HOSPITAL HAS PROVIDED EDUCATIONAL SESSIONS TO THE PHYSICIAN AND CLINICAL COMMUNITY, LECTURED TO LOCAL ORGANIZATIONS, AND SPONSORED CHARITABLE EVENTS. THE HOSPITAL RECENTLY FINALIZED CONSTRUCTION OF A NEW 6-BED ICU PROVIDING E-ICU SERVICES AT NO ADDITIONAL COST TO PATIENTS. THE E-ICU ALLOWS SPECIALY TRAINED CRITICAL NURSES AND PHYSICIANS TO MONITOR ICU PATIENTS FROM MILES AWAY AS AN ADDED LAYER OF CARE. THERE IS A CRITICAL NEED FOR THE HOSPITAL GIVEN THAT IT IS THE ONLY LTCH WITHIN THE VICINITY, AND GIVEN THAT IT SERVES THE MOST HIGHLY ACUTE AND CHRONICALLY ILL SEGMENT OF THE COMMUNITY.
part vi line 6 - affiliated health care systemBayCare Alliant 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, BayCare Alliant Hospital, 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 of filing of community benefit reportBAYCARE ALLIANT HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJacqueline ArochoPersonNm
TitleADMINISTRATOR ALLIANT HOSPTitleTxt
Base Compensation Filing Org$191,035BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$20,583BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$8,631DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$220,249TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL COMPENSATION INFORMATIONFormAndLineReferenceDesc
ExplanationPART 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, PART VI, Line 6Description of Classes of Members or Stockholders The sole member of BayCare Alliant Hospital, Inc. is BayCare Health System, Inc.
form 990, part VI, line 7a - Members of the board of directorsA. The Board of Directors shall be composed of seven (7) directors. The directors shall be designated as "Number 1", "Number 2", "Number 3", "Number 4", "Number 5", "Number 6"Number 7" respectively. B. Director Numbers 1,2,3,4 and 5 (collectively, the "Self-Perpetuating Directors" shall be initially appointed by BayCare. Thereafter, at the end of a term of office or to otherwise fill the vacancy of any Self-Perpetuating Director, all the then Self- Perpetuating Directors by majority vote shall appoint a successor Self-Perpetuating Director. No Self-Perpetuating Director may also serve as a director, officer or employee of BayCare or any other participants in the BayCare Joint Operating Agreement. Furthermore, no Self-Perpetuating Director may be a member of the medical staff of a hospital owned, leased, managed or other wise operated by BayCare. C. Director Numbers 6 and 7 (collectively, the "BayCare Appointees") shall be appointed by BayCare. At lease sixty (60) days before the expiration of the term of any BayCare Appointee, the Board of Directors shall notify BayCare of (i) its obligation to appoint a successor to such BayCare Appointee and (ii) the date upon which term of such BayCare appointee shall expire. D. Each Director shall serve for a term of three (3) years, except that in order to provide for staggered tenures of the initial Board of Directors, Director Numbers 1, 2, 5 and 6 shall serve an initial term of three (3) years, and Director Numbers 3,4, and 7 shall serve an initial term of two (2) years. Each director thereafter appointed to fill an expired term shall be appointed for and shall serve the full term of three (3) years. E. Each director shall serve until his or her successor is appointed as described in this Article.
form 990, part VI, line 7bDescr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The following actions of the Board are subject to the member BayCare Health System's approval: 1) Changing the name of the corporation. 2) Changes to Bylaws. 3) The sale or merger of the assets of the corporation.
form 990, part VI, line 11bDescribe 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. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 was provided to the entire Board.
form 990, part VI, line 12cDescription of Process to Monitor Transactions for Conflicts of Interest BayCare Alliant Hospital, Inc. has an affirmative policy which requires that all actual or apparent conflicts be disclosed promptly and fully to all necessary parties and which prohibits specified involvement in the affairs of the corporation by persons having such conflicts. The policy applies to all members of the Board of Directors and corporate officers, agents and employees of the Corporation, including independent contractor providers of services and materials. The Corporation's management has the affirmative obligation to publicize periodically this policy to all parties. All persons whom the policy applies must promptly disclose all real and apparent conflicts which they discover or have brought to their attention to the appropriate persons in the form of a written description of the facts comprising the real and apparent conflict. An annual disclosure statement must be circulated to all persons to whom this policy applies to assist them in considering such disclosures, but disclosure is appropriate whenever conflicts arise. The written disclosure notices of conflicts must be filed annually with the President of the Corporation or any other persons designated by her from time to time to receive such notifications. All disclosure notices received will be noted for record in the minutes of the meeting of the Board of Directors. When an individual Director, officer, agent or employee believes that he or a member of his immediate family might have or does have a real or apparent conflict, he should in addition to filing the disclosure notice, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of the Corporation where the conflict might pertain. When any person requests in writing, or upon its own initiative, the Board at any time may establish further guidelines consistent with the interests of the Corporation for the resolution of any real or apparent conflicts.
form 990, part VI, lines 15a & 15bOffices & Positions for Which Process was Used, & Year Process was Begun BayCare Alliant Hospital, Inc. uses nationally recognized compensation consultants every two years to assist in the review of compensation of employees in leadership positions. Compensation consultants provide a review of the leadership positions at Alliant Hospital to determine if compensation is reasonable when compared against market standards. The hospital utilizes a compensation committee to further examine the results provided by the compensation consultants. The review was completed in 2015. The hospital also utilizes an annual manager marker study and a semi-annual non-management market study to determine if all other positions are congruous with market standards. Form 990, Part VI, Line 19 - Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public BayCare Alliant Hospital, Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents are available via Sunbiz.org.