2015-11-09T21:04:41-06:00 2014-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2014-01-01 590724462 Winter Haven Hospital Inc % John Gantner WINT 8632931121 200 Avenue F NE Winter Haven FL 33881 CARL TREMONTI CFO 2015-11-06 KATHY PITTS P00292940 4048748300 2014 2016-02-25 16:41:14Z GLENN WATERS 200 AVENUE F NE WINTER HAVEN FL 33881 349420035 false X www.baycare.org/winter-haven-hospital 1926 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 14 14 3094 166 688837 -125545 1337642 3530156 73672110 290242965 7203611 3884807 1303555 8310856 83516918 305968784 3501 26700 0 0 36366066 142407720 0 0 0 42057326 156080836 78426893 298515256 5090025 7453528 282080649 272130597 146277004 139967457 135803645 132163140 To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 288273927 26700 297775832 WINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 529 BED COMMUNITY HOSPITAL. DURING 2014, WHH PROVIDED INPATIENT CARE TO 17,001 PATIENTS, TREATED 65,461 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,607 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY 30.8 MILLION. 288273927 true true false true false false false false false false true false true false true false false true false false true false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 283 0 true 3094 true true true false false false false false false false false false X 14 14 true false false false true true true true true false false true true true true true true true true false X John Gantner 7278208005 2985 Drew Street Clearwater FL 33759 ROBERT CARTER TRUSTEE 1.0 0.0 X 0 0 0 AL CASSIDY TRUSTEE 1.0 0.0 X 0 0 0 TODD DANTZLER TRUSTEE 1.0 0.0 X 0 0 0 MICHELE MCCLENDON TRUSTEE 1.0 0.0 X 0 0 0 CHARLES MCPHERSON TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM MURRELL TRUSTEE 1.0 0.0 X 0 0 0 TOMMY OAKLEY TRUSTEE 1.0 0.0 X 0 0 0 CINDY PRICE TRUSTEE 1.0 0.0 X 0 0 0 CHIP TUCKER TRUSTEE 1.0 0.0 X 0 0 0 EDWARD LUBIN TRUSTEE 1.0 0.0 X 0 0 0 MARK BOSTIK TRUSTEE/CHAIRMAN 1.0 0.0 X X 0 0 0 WILLIAM BURNS TRUSTEE/TREASURER 1.0 0.0 X X 0 0 0 EILEEN HOLDEN TRUSTEE/ASSISTANT SECRETARY 1.0 0.0 X X 0 0 0 DON INGRAM TRUSTEE/SECRETARY 1.0 0.0 X X 0 0 0 RICHARD STRAUGHN TRUSTEE/VICE CHAIR 1.0 0.0 X X 0 0 0 BRIAN SWAIN TRUSTEE/ASSISTANT TREASURER 1.0 0.0 X X 0 0 0 GLENN WATERS PRES/EVP BAYCARE HOSP DIV 1.0 59.0 X 0 1100633 152126 CARL TREMONTI CFO, BAYCARE HOSP DIV 1.0 57.0 X 0 504568 25717 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.0 0.0 X 446230 0 65035 DAVID LIBBY VP OPERATIONS WINTER HAVEN HOS 45.0 0.0 X 168594 0 75219 DAVID MACDOUGALL VP/CFO 45.0 0.0 X 553188 0 25245 JOSEPH LYNCH PHYSICIAN INTENSIVIST 45.0 0.0 X 340317 0 40029 MAJD ALSAMMAN MEDICAL DIRECTOR 45.0 0.0 X 336585 0 36385 JOHN PARMAN VP/CORPORATE ATTORNEY 45.0 0.0 X 329576 0 7677 DONALD GALE VP PHYSICIAN AFFAIRS 45.0 0.0 X 285248 0 19019 CELESTINO VEGA FORMER VP/MD WINTER HAVEN HOS 0.0 0.0 X 280540 0 36833 MARY JO SCHREIBER FORMER VP ICU & CARDIOLOGY 0.0 0.0 X 215402 0 304262 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRK 0.0 0.0 X 0 145713 25226 2955680 1750914 812773 69 true true false Sodexo Inc Affiliates PO Box 536922 ATLANTA GA 303536922 Management fees 3949028 McKesson Technologies Inc 5995 Windward Pkwy ALPHARETTA GA 30005 software maintenance 2479733 OB Hospitalist Group LLC 10 Centimeters Dr MAULDIN SC 29662 Medical services 1240000 Doster Construction Co Inc 2100 International Park Dr BIRMINGHAM AL 35243 construction svcs 1008595 Leidos Health Holdings Inc 705 East Main Street WESTFIELD IN 46074 IT consulting 762508 51 0 2892774 637382 0 3530156 Hospital patient care 621990 149749859 149067885 681974 0 MEDICARE / MEDICAID PAYMENTS 621990 140493106 140493106 0 0 290242965 1798474 15340 1783134 0 0 786466 786466 0 786466 786466 45537584 43424263 26988 2113321 -26988 2086333 2086333 0 0 0 EMR INCENTIVE REVENUE 900099 3246757 3246757 0 0 BLOOD SALES 900099 2003239 2003239 0 0 PREMIER PURCHASING PTRS 900099 650869 659346 -8477 0 1623525 1623525 0 7524390 305968784 297093858 688837 4655933 26700 26700 0 0 0 0 0 0 808101 0 808101 0 0 0 0 0 119927134 118983269 943865 0 3321922 3295777 26145 0 10533036 10450138 82898 0 7817527 7817527 0 0 0 0 0 0 258206 0 258206 0 13752 0 13752 0 16425 16425 0 0 0 182974 182974 0 0 11933109 11933109 867853 867853 0 0 6128304 6128304 0 0 5525740 5525740 0 0 0 0 0 0 5456301 5456301 0 0 518742 518742 0 0 0 0 0 0 0 0 0 0 2533928 2533928 0 0 0 0 0 0 21309216 21309216 0 0 2101827 1891267 210560 0 Medical Supplies 48241668 48241668 0 0 BAD DEBT EXPENSE 31432253 31432253 0 MANAGEMENT FEES 7897802 7897802 0 Assessments 2872519 2872519 0 0 8790217 8790217 298515256 288273927 10241329 0 0 3069826 2918899 0 0 0 0 36436898 38324010 0 0 0 0 0 790415 6444410 6195295 4457062 3257589 164486400 28423762 149230347 136062638 53800923 58294175 243387 0 14372254 14675229 7439000 7439000 6586542 4173347 282080649 272130597 25782903 19780735 0 0 157384 44328 0 0 0 0 0 0 4601065 3854834 1173299 0 114562353 116287560 146277004 139967457 X 133644442 129937809 1192804 1258932 966399 966399 135803645 132163140 282080649 272130597 X 7453528 -427990 -10666043 X false true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 true 6600 false 0 true 9825 16425 false SCHEDULE C PART II-B, LINES 1B,1G, AND 1I LINES IB & 1G Baycare employees conducting lobbying activities. LINE 1I Annual Dues were paid to the American Medical Association, Polk County Medical Association, and the Florida Medical Association. These associations use a portion of their respective annual dues for lobbying. 14280000 14280000 96239468 7768867 88470601 49230837 20654895 28575942 4736095 4736095 136062638 INVESTMENT IN BPP 154923 F INVESTMENT PREMIER 371242 C INT IN FNDT NET ASSETS 14054352 C PREMIER CLASS B CONVERSION 94712 F 14675229 0 Deposits 80000 ASSET RETIREMENT OBLIGATION ST 83963 ABANDONED PROPERTY 76374 DEFERRED COMPENSATION PLAN 4169354 NONCURRENT PENSION EXP 11292650 ASSET RETIREMENT OBLIGATION LT 910398 Est Third Party Settlement 11274721 Due to Affiliates 88400100 116287560 270311000 270311000 35657784 35657784 305968784 266379251 266379251 32136005 32136005 298515256 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $31,432,253 CHANGE IN NET ASSETS OF FOUNDATION $234,030 REVENUES NETTED WITH EXPENSES $3,991,501 TOTAL $35,657,784 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSES $31,432,253 REVENUES NETTED WITH EXPENSES $703,753 ROUNDING ($2) TOTAL $32,136,004 Central America and the Caribbean Investments 5878000 East Asia and the Pacific Investments 856000 Europe (Including Iceland and Greenland) Investments 1900000 Europe (Including Iceland and Greenland) Investments 12000 Middle East and North Africa Investments 5000 North America Investments 129000 Russia and the Newly Independent States Investments 28000 South America Investments 111000 South Asia Investments 30000 8949000 8949000 false false false true false false SCHEDULE F, PART I, QUESTION 3 THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES, AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. THE FIRST LISTED AMOUNT UNDER EUROPE ($1,900,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($12,000) REPRESENTS INVESTMENT RELATED EXPENSES PAID. THE MAJORITY OF INVESTMENTS REPORTED ARE PART OF POOLED INVESTMENTS HELD BY BAYCARE HEALTH SYSTEM, INC. SCHEDULE F, PART IV, LINE 4 AND 5 ALL RELATED FILINGS FOR THE POOLED INVESTMENTS ARE SUBMITTED BY BAYCARE HEALTH SYSTEM, INC. DURING THE TAX YEAR, WINTER HAVEN WAS A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY AND ALSO HAD AN OWNERSHIP INTEREST IN A FOREIGN PARTNERSHIP. PER THE INSTRUCTIONS FOR FORMS 8621 (LINE 4) AND 8865 (LINE 5), WINTER HAVEN DID NOT MEET THE FILING THRESHOLD RELATED TO EACH FORM. true true X true false true true false true true 1 10992 14773550 14773550 0.05530 1 23688 40370793 28110063 12260730 0.04590 1 928 3409296 3409296 0.01280 3 35608 58553639 28110063 30443576 0.11400 1 304568 304568 0.00110 1 16000 16000 0.00010 2 320568 320568 0.00120 5 35608 58874207 28110063 30764144 0.11520 69700 0 69700 0.00030 69700 0 69700 0.00030 true 31432253 0 72433280 87114304 -14681024 X true true 1 1 Winter Haven Hospital Inc 200 Ave F NE Winter Haven FL 33881 www.baycare.org/whh 3974 X X A Winter Haven Hospital Inc 1 false false true X X X X X X X X 12 true false 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 X X X X X X X X X true X false X X X X X true X false false PART V, SECTION B & SECTION C ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO WINTER HAVEN HOSPITAL, INC., WHICH INCLUDES REGENCY CENTER FOR WOMEN & INFANTS. REGENCY CENTER FOR WOMEN & INFANTS OPERATES UNDER THE SAME STATE LICENSE NUMBER (#3974) AS WINTER HAVEN HOSPITAL, INC. PART V SECTION B LINE 5 Qualitative data was gathered during individual interviews with key stakeholders of Winter Haven Hospital and Regency Center for Women and Infants 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 49) previously developed by Tripp Umbach and reviewed by the individual Hospitals facility leadership. Stakeholders included representation from the following Public Health and Community areas: 1. Polk County Public Health Department 2. Auburndale City 3. Florence Villa Community Development Corporation 4. Winter Haven Economic Development Council 5. Winter Haven City 6. Superintendent of Schools Polk County 7. Director, Polk Health Care Plan/ Indigent Health D.W 8. Central Florida Health Care, Inc. (CFHC) In addition to the Stakeholder, Winter Haven Hospital and Regency Center for Women and Infants 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 was residents earning a low-income that are Medicaid-ineligible. Part V Section B Line 7a http://baycare.org/whh/about-us/community-health-needs Part V Section B Line 10a http://baycare.org/whh/about-us/community-health-needs Part V Section B Line 11 Winter Haven Hospital's (WHH) significant goals for our CHNA are to improve access to health services, decrease prevalence of disease, and improve healthy behaviors. We have pursued the goal of improving access to health services through continuation of providing financial counselors assisting with insurance qualification (Medicaid, Polk Health Plan, etc.), providing navigators in the community assisting with enrollment in Health Insurance Marketplace plans, employing the Manager of the Winter Haven Neighborhood Service Center, and providing free and reduced cost services to Haley Center, We Care, and Angels Care Clinics. In addition we have sought new initiatives by securing a contract for full-time emergency orthopedic coverage, securing a contract for full-time emergency otolaryngology coverage, recruiting and employed the first full-time electrophysiologist in the area. Our efforts to improve access to health services have been through submitting a $1 million legislative request to locate new PCPs in rural, underserved areas (pending), initiated Polk Strategic Plan with a PCP expansion goal of 12 incremental physicians, currently developing the first Heart Function Clinic at WHH for patients with heart failure, and Implementing a process for WHH to secure PCP appointments for patients discharged with COPD, Heart Failure, and Pneumonia. In addition we are developing a plan to enhance our pediatric services, and we are leading an initiative to encourage Polk Health plan to cover cancer treatments and behavioral heal services. In our pursuit of decreasing the prevalence of disease we continue to offer free health education seminars and screening test and perform depression screening on all hospital patients. In addition we have added a policy to discourage early elective deliveries which has successfully reduced early elective deliveries. We continue to be a smoke free campus, provide various support groups, educational seminars, and health fairs, as well as sponsorships of AHA and ACS. We will be implementing an faith community nurse program and are in process of hiring the program coordinator and have active participation in the "Building a Healthier Polk" initiative to reduce obesity. PART V SECTION B LINE 13B Patients may be eligible for financial assistance on the portion of hospital bills exceeding 25% of annual income. PART V SECTION B LINE 16 Line 16a https://baycare.org/about-us/financial-assistance/financial-assistance-pol icy Line 16b https://baycare.org/about-us/financial-assistance Line 16c https://baycare.org/about-us/financial-assistance PART V SECTION B LINE 18d Lien action related to collections is limited to patients involving auto liability insurance. PART V SECTION B LINE 20E Every patient bill includes a plain language summary of the financial assistance policy. PART V SECTION B LINE 22D 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. 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. 9 Blood Banks of Mid-Florida Medical SVC 460 First Street North Winter Haven FL 33881 Blood Bank Family Health Center - Auburndale 2028 Highway 92 West Auburndale FL 33823 Outpatient Physician Clinic Family Health Center - Bartow 1625 North Carpenter Ave Bartow FL 33830 Outpatient Physician Clinic Family Health Center - Dundee 5999 Dundee Road Suite 750 Dundee FL 33884 Outpatient Physician Clinic Family Health Center - Haines City 36245 Highway 27 Haines City FL 33844 Outpatient Physician Clinic Family Health Center - Lake Wales 201 SR 60 West Lake Wales FL 33853 Outpatient Physician Clinic Family Health Center - Winter Haven 100 Avenue I NE Winter Haven FL 33881 Outpatient Physician Clinic Family Health Center - SE Winder Haven 6035 Cypress Gardens Blvd Winter Haven FL 33884 Outpatient Physician Clinic Center for Behavioral Health - Polk Co 1201 First Street South Winter Haven FL 33880 Outpatient Beh Hlth Center Part VI - Part I, Lines 3, 6 & 7 LINE 3 Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Winter Haven Hospital goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days. LINE 6 A-B The Community Benefit Report is available to the public and was prepared by BayCare Health System Inc., a related organization. Line 7 Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits Part I, Line 7 Col (f): There is $31,432,253 (accrual basis) of bad debt expense which is included in Form 990, Part IX, Line 25. This amount was removed in the calculation of the Percent of Total Expense on Schedule H, Part I, Column 7f. Part VI - Part II The Hospital helps build the community in two major ways. First, if the hospital finds that that there is a shortage in a certain health care specialty, it works to recruit those types of physicians to the area. In the past, the hospital has commissioned a manpower study to determine what the community's needs are. The second major way the hospital helps the community is through subsidizing the cost of anesthesia for women giving birth at the Regency Center for Women and Infants. This benefits the community by allowing those who are less fortunate to have access to anesthesia services. Part VI - Part III, Line 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 12 of the BayCare Health System, Inc. and Affiliates Notes to Consolidated Financial Statements. Part VI - Part III, Line 8 Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as community benefit. -Line 7 Surplus or (Shortfall) ($14,681,024) -Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($5,675,552) -Total Surplus or (Shortfall) ($20,356,576) Part VI - Part III, Line 9b Patients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, on patient billing statements, brochures or Customer Service phone calls, to submit financial information to the Financial Assistance Department to determine eligibility for programs, such as County, Medicaid, Disability, Victims of Crime, Charity, etc. For those patients who provide all the necessary documentation and qualify for charity according to the Financial Assistance policy, (defined in Part I, line 3c), patients' account balance would be written off completely to charity and not billed to the patients. Part VI, Line 2 - Needs Assessment The hospital assesses the health care needs of the community by participating in several community organizations that develop community strategic plans such as Winter Haven's "Our Future by Design". The Hospital also works with the Polk County Health Department in order to conduct studies and help set priorities. Additionally, the Hospital works with and utilizes several community health surveys conducted by Polk Healthcare Alliance. Part VI, Line 3 - Patient Education of Eligibility for Assistance Winter Haven Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the Winter Haven Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, Winter Haven Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing statements and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance. Part VI, Line 4 - Community Information Winter Haven Hospital and Winter Haven Regency Hospital serves part of Polk County. The average income falls below both the state average and the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 19.9% of the population. 17.5% of households have annual household income below $15,000 per year. Winter Heaven Hospital is part of BayCare Health System that serves west central Florida. The area served by Winter Heaven Hospital has 5 hospitals including Winter Haven Hospital & Regency. Winter Haven & Regency are not for profit, the other 3 are for profit. There is one federally designated medically underserved areas in Winter Heaven Hospital's service area. With the over 65 population expected to grow 11.5% in the next five years, the health care needs of our service area are expanding and changing. The population served by Winter Heaven Hospital is expected to grow 3.9% in the next 5 years. This is almost the same as the expected growth rate of 3.5% for the United States. Based on Florida inpatient discharge data for the period of 10/01/13-09/30/14, the payor mix for the geographic area consists of 54% Medicare/Medicare HMO, 19.8% Medicaid/Medicaid HMO, 17.3% Commercial Insurance, 5.4% Self-pay, and 3.5% Other. Part VI, Line 5 - Promotion of Community Health Winter Haven Hospital, Inc., located in Winter Haven, Florida, and part of the BayCare Health System, includes a 468-bed acute care hospital and a 61-bed obstetric/gynecological specialty hospital, respectively referred to as Winter Haven Hospital and Regency Center for Women and Infants. Winter Haven Hospital (WHH) was established in 1926, and today concentrates in the treatment of heart disease, behavioral health, cancer, stroke, and urological conditions. The hospital also provides emergency care, outpatient diabetes education; seven primary care providers; endoscopy and surgical services; neurological, orthopedic and in-patient rehabilitation; outpatient surgery; and imaging services. The Regency Center for Women and Infants, built in 1987 and located approximately 1.5 miles south of WHH, includes a level II neonatal intensive care unit and on-site obstetric services 24 hours a day, 7 days a week. In December of 2014, Winter Haven Hospital, Inc. filed to change the name of the Regency to Winter Haven Women's Hospital (WHWH). Community Outreach and Partnerships Community outreach and partnerships are an essential expression of Winter Haven Hospital's commitment to improving the health of communities we serve. Through education and screenings, community connections, and free or reduced-cost clinical care to the uninsured or underinsured, we continue to contribute to the wellbeing of Winter Haven and surrounding communities. Screenings, Support and Education During heart disease awareness month, Winter Haven Hospital hosts free screenings for participants to learn more about their heart health. The screenings include blood pressure, glucose, body mass index and total cholesterol readings to provide a snapshot of overall health and recommendations for the next step toward living a healthier life. Eighty-two community residents participated in the 2014 event. As part of the national breast cancer awareness movement, Winter Haven Hospital offers free clinical breast exams and reduced-cost mammograms in October to promote early detection and fewer deaths related to breast cancer. The exams are provided by a WHH oncologist for women of any age; mammograms are targeted to women ages 50 to 74. The reduced cost of the mammograms covers a negotiated physician reading cost; all labor and equipment charges are free to the participant. In 2014, 83 mammograms and 21 exams were provided. Though BayCare's partnership with Family Healthcare Foundation, Winter Haven Hospital hosts a health care navigator to help anyone navigate or enroll in the Health Insurance Marketplace under the Affordable Care Act. The navigator team held enrollment events at WHH, and took appointments or walk-ins to offer free, one-on-one assistance in understanding insurance options and enrollment. In September 2014, WHH opened a Cancer Resource Room in conjunction with the American Cancer Society. This resource room, staffed by volunteers from both organizations, offers support to navigate cancer diagnosis and treatment as well as needs associated with life after remission such as spiritual, emotional, healthy eating and follow-up guidelines. Information in the form of pamphlets and handouts - plus wigs, scarves, caps, bras and more - are offered free of charge. Open to the public and patients, medical libraries offer books, videos and online clinical research tools for a variety of health care topics. The library at the Women's Hospital focuses on women- and infant-related resources. The library at Winter Haven Hospital, in operation through July, staffed an onsite Research Information Specialist trained by the National Library of Medicine and the Medical Library Association. At WHH, our Chaplaincy Services provide spiritual and emotional support to patients and their families of all religious traditions and faith communities as well as those with no faith background. In addition to providing a Chapel for prayer and quiet reflection, staff chaplains participate in family conferences regarding patient care; offer ethics consultation services; assist with the explanation and distribution of Advance Directives; and welcome and assist local clergy as they visit their members. In 2014, Chaplaincy Services initiated a spiritual care volunteer program to assist with new patient introductions of the availability of spiritual care services and faith community information. Support and education is also provided in the form of support groups. In 2014, Winter Haven Hospital facilitated or provided free meeting space for the following support groups: aphasia, better breathers, brain injury, breast cancer, caregivers, cardiac events and disease, memory disorder caregiver, memory clinic students, mental health peer recovery, narcotics anonymous, ostomy, and stroke. Health education lectures by physicians and other credentialed providers are held at Winter Haven Hospital facilities on a variety of topics. Lecture topics in 2014 included joint pain, warning signs of a heart attack, and surgical weight loss options. The Speaker's Bureau program provides speakers at no charge to an assortment of hosts, such as residential communities, civic groups, churches, and schools. In 2014, WHH and WHWH professionals spoke to numerous groups, including the Polk State College Nursing Students; Retired Educators, Grace Lutheran congregation, and Ridge Manor residents. Winter Haven Hospital also provides educators and providers, upon invitation, to community and business events to answer questions about health care services and provide screenings. A sample of the events attended in 2014 includes the Historic Pughsville May Day Festival; COPIA Education Health and Wellness Expo; One Billion Rising domestic violence awareness rally; and the Polk Senior Games. Community Connections Winter Haven Hospital's Board of Trustees is comprised of a diverse set of community members who believe in the mission, values, and vision of Winter Haven Hospital and who donate their time, talents and support. The primary responsibility of the Board is to assist with policy formulation, decision making and oversight by ensuring decision and actions conform to Winter Haven Hospital's strategic plans and budgets and produce intended results. A senior hospital employee served as the liaison with the Polk Healthcare Alliance. As a member of a five person Executive Committee for the Polk Healthcare Alliance, the liaison reviews progress toward the organization's Community Health Improvement Plan (CHIP). Through a partnership with the United Way of Central Florida, local churches and government agencies, Winter Haven Hospital helps operate a Neighborhood Services Center with the employment of a full time director. The center opened in 1970 to serve as a one-stop, direct services agency for the community of Florence Villa. Its primary service is to increase the community's awareness of available health, welfare, rehabilitative and educational services and to facilitate the use of those services. Today, it functions as a multi-purpose senior center to empower senior residents with dignity and independence. In 2014, we provided $57,999 directly to the partnership which then translated into the year's budget of $129,089 raised from other partners, community donations and center fundraisers. The 2014 funds helped provide more than 1500 hot meals, 1700 health aids, 600 transportation trips, 3700 agency appointments, and 420 home check-in visits. Winter Haven Hospital has partnered with USF Applied Neuroscience and Cognitive Electrophysiology Lab to offer a memory clinic for the treatment of memory loss associated with Alzheimer's disease, dementia, stroke and other brain injuries. The Memory Clinic is designed to provide high-quality care, including assessment, diagnosis, treatment, education, and support. Health care providers collaborate with researchers to study topics related to memory loss. The partnership also provides opportunities for participation in clinical trials for some of the latest non-pharmacological interventions. The hospital has a full-time physician recruiter and actively recruits physicians in primary care and specialty care areas where it has identified a community need. The hospital also works closely with physician groups to assist them in recruiting new physicians to our area. The Hospital enables its leaders to participate in organizations that benefit the well-being of the community including, The United Way, Girls, Inc., the Women's Resource Center, and the Winter Haven Chamber of Commerce. Winter Haven Hospital and its employees provided financial support, in the form of sponsorships and fund raising, for not-for-profit organizations whose missions are to improve the health and well-being of our community. In 2014, we donated $22,900 to community organizations including American Heart Association, Citizens CPR, Florence Villa CDC, Florida Polytechnic University, Greater Winter Haven Chamber of Commerce, Le Part VI Line 6 - Affiliated Health Care System Winter Haven Hospital, Inc. is part of BayCare, a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 13 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and wellness. BayCare's 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 In 2014, BayCare hospitals provided 144,475 discharges and 544,678 emergency room visits. BayCare's network also includes 3,419 licensed beds, an expanding physician network, a comprehensive home health agency, three wellness centers, four ambulatory surgery centers, seven urgent care centers, 13 outpatient imaging facilities, outreach laboratories, retail pharmacies, and two stand-alone, behavioral health centers. BayCare has been developing an overall strategy to address the community's growing needs around post acute and ambulatory services. With a continued focus on establishing the foundation for population health management, BayCare strives to improve the area's access to affordable, high-quality health care. Creating the infrastructure to manage risk and population health is a multi-year initiative that encompasses aligning physicians, acquiring insurance competencies, developing information systems, and expanding care management capabilities. In this regard, BayCare has continued to expand its physician practices to 154 access points with 411 employed physicians. In 2014, its clinically integrated network, BayCare Physician Partners, grew to 943 specialists, 388 primary care physicians and 157,000 covered lives. BayCare also created a new organization, BayCare Physician Partners ACO, LLC, and applied to participate in the Medicare Shared Savings Program. BayCare will further mature its population health initiatives by working with the Centers for Medicare and Medicaid, and managing Medicare beneficiaries in the market. BayCare was founded in 1997 when several of the area's not-for-profit hospitals came together, united by the common Mission to improve the health of all they served. As an integrated health system, BayCare's hospital members believed they could reduce costs by consolidating administrative functions and services, and improve quality by sharing best practices. BayCare is currently one of the largest employers in the region with 23,600 employees and one of the few health systems in the nation with a top-decile, AA2 credit rating. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, St. Joseph's Hospital-North, St. Joseph's Hospital-South, Winter Haven Hospital and Winter Haven Women's. Today, BayCare's 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 each hospital's ability to serve the health needs of its local communities and continue providing traditional charity care and unbilled community services to uninsured and underinsured residents. BayCare also provides the organizational commitment and corporate infrastructure to help its hospitals and services continue striving to be among the highest quality organizations in the country, with a shared culture centered on continuous improvement and serving the needs of patients, regardless of their ability to pay. In 2014, BayCare provided $266.4 million in community benefit, which includes $117.3 million in traditional charity care, $139 million in Medicaid and other means-tested programs, and $10.1 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare also continues to refocus its strategic vision around 4 Key Results: 1. Patient-Centered Experience - A relationship with patients that places them first in everything we do. 2. One Standard of Care - Reducing variation by adhering to standard processes which assure best practices. 3. Top-Decile Performance - Consistently performing in the top 10 percent of publicly reported quality and service measures. 4. Preservation of Financial Stability - Maintaining its AA credit rating and level of market relevance to secure future access to the capital necessary to advance health care quality and access. Part VI Line 7 State filing of community benefit report Winter Haven 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 true false false false false false false false GLENN WATERS PRES/EVP BAYCARE HOSP DIV 769166 246271 0 85196 0 118321 0 33805 0 1252759 0 CARL TREMONTI CFO, BAYCARE HOSP DIV 343558 80851 0 80159 0 13923 0 11794 0 530285 0 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 297986 0 87645 0 60599 0 43643 0 21392 0 511265 0 0 0 DAVID LIBBY VP OPERATIONS WINTER HAVEN HOS 166028 0 0 0 2566 0 57590 0 17629 0 243813 0 0 0 DAVID MACDOUGALL VP/CFO 21030 0 0 0 532158 0 22474 0 2771 0 578433 0 0 0 JOSEPH LYNCH PHYSICIAN INTENSIVIST 336973 0 0 0 3344 0 17796 0 22233 0 380346 0 0 0 MAJD ALSAMMAN MEDICAL DIRECTOR 316103 0 20000 0 482 0 28101 0 8284 0 372970 0 0 0 JOHN PARMAN VP/CORPORATE ATTORNEY 7132 0 0 0 322444 0 7015 0 662 0 337253 0 0 0 DONALD GALE VP PHYSICIAN AFFAIRS 277106 0 0 0 8142 0 14442 0 4577 0 304267 0 0 0 CELESTINO VEGA FORMER VP/MD WINTER HAVEN HOS 279883 0 25 0 632 0 18588 0 18245 0 317373 0 0 0 MARY JO SCHREIBER FORMER VP ICU & CARDIOLOGY 160199 0 0 0 55203 0 303508 0 754 0 519664 0 0 0 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRK 145187 0 0 526 0 7550 0 17676 0 170939 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 4a John Parman received a severance payment in the amount of $278,161 during 2014. David MacDougall received a severance payment in the amount of $459,150 during 2014. Part I, Line 4b Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $58,771 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. He had $923 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,655 in 2014. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $70,489 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other Compensation. He had $98,732 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $29,570 in 2014. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $30,269 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. He had $23,461 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $12,698 in 2014. PART VI Part VI, Line 2 - Description of Business Relationship William Murrell and Mark Bostick have a family relationship. Carl Tremonti and Glenn Waters are officers of the filing organization, as well as board members of a taxable entity affiliated with the filing organization. PART VI, LINE 6 - DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. PART VI, LINE 7A - DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN VOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE MEMBER, UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CApacity OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE. PART VI, LINE 7B - DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (E)THE EXECUTION OF MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FORM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE COrPoRATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THESE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION. 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 A THE ORGANIZATION'S PAID PREPARER. PRIOR TO FILING WITH THE IRS, A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD VIA WEB PORTAL. PART VI, LINE 12C - DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Winter Haven Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation. if an actual conflict exists and any action required to address the conflict of interest situation. PART VI Part VI, Line 15a & 15b - Process used for compensation review and approval. The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & Chief Financial Officer, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in November 2013 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 19 - Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public The financial statements of Winter Haven Hospital, Inc. are made available to the public upon request. The organization's governing documents and conflict of interest policy are not made available to the public. PART XI, LINE 9 UNREALIZED LOSS ON SWAPS ($3,380,627) MINIMUM PENSION OBLIGATION ($7,638,382) OTHER $352,966 TOTAL ($10,666,043) BayCare Health System 2985 Drew St Clearwater FL 33759 592796965 health srvcs FL 501(C)(3) 3 na false BayCare Behavioral Health Inc 7809 Massachusetts Ave New Port Richey FL 34653 591371752 health srvcs FL 501(C)(3) 7 BCHS true BC Emergency Assistance Program Inc 2985 Drew St Clearwater FL 33759 592697770 Emerg Assist FL 501(C)(3) 9 Baycare true BayCare Home Care Inc 8452 118th Ave North Largo FL 33773 593582520 home hlth srv FL 501(C)(3) 9 Baycare true Behavioral Health Management Srvcs Inc 900 Carillon Pkwy Suite 406 St Petersburg FL 33716 593279573 health srvcs FL 501(C)(3) 9 BCHS true Winter Haven Hospital Auxiliary Inc 200 Ave F Northeast Winter Haven FL 33881 237190109 Volunteer Srv FL 501(C)(3) 3 na false Winter Haven Hospital Foundation Inc 200 Ave F Northeast Winter Haven FL 33881 030406130 Fundraising FL PF 11a na false BC Purchas PT LLC 8731 Fl Mining Tampa FL 33634 640950837 Group purch FL NA N/A 0 0 false 0 false 0.00000 BC Employ Health CL 8452 118th Ave Largo FL 33773 461533183 Health Services FL NA N/A 0 0 false 0 false 0.00000 BC Surgery Ctr LLC 8452 118th A N Largo FL 33774 460591430 Surgery Centers FL NA N/A 0 0 false 0 false 0.00000 Bay Vista Claims Service Inc 2985 Drew St Clearwater FL 33759 743168200 claims admin FL BayCare C Corp 0 0 0.00000 true BCHS Insurance Inc 000000000 Insur Captive FL BayCare C Corp 0 0 0.00000 true Medspecialists Inc 2985 Drew St Clearwater FL 33759 680587533 Payroll Srvcs FL BayCare C Corp 0 0 0.00000 true false false false true false false false true true false false true false true false false true true