2015-11-09T21:02:50-06:00 2014-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2014-01-01 050615150 BayCare Alliant Hospital Inc % John Gantner EVP & CFO BAYC 7277346782 601 Main Street Dunedin FL 34698 JOHN PRONI CFO 2015-11-05 KATHY PITTS P00292940 4048748300 2014 2016-04-25 22:37:26Z Jacqueline Arocho 601 Main Street Dunedin FL 34698 17623442 false X www.baycare.org/alliant-hospital X 2004 FL ALLIANT 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. 7 7 1 10 0 4972 4083 17258710 17614017 0 0 7448 5342 17271130 17623442 0 3491 0 0 7374215 7075135 0 0 0 9416111 9365504 16790326 16444130 480804 1179312 5167637 6589808 8043543 8286402 -2875906 -1696594 BAYCARE 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. false false 14140468 3491 17619359 BAYCARE ALLIANT HOSPITAL, INC. (BAH) IS A 48 BED, LONG-TERM ACUTE CARE HOSPITAL. DURING 2014, BAH PROVIDED INPATIENT CARE TO 386 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 $611,476. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 14140468 true false false true false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 26 0 true 1 true false false false false false false false false false false X 7 7 false false false false true true true true true false false true true true true true true true true false X John Gantner EVP CFO 7278208005 2985 Drew Street Clearwater FL 33759 BRUCE BOKOR TRUSTEE 1.0 0.0 X 0 0 0 ROBERT EVANS TRUSTEE 1.0 0.0 X 0 0 0 CHARLES ROBINSON TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA SIZEMORE TRUSTEE/VP PATIENT CARE SVCS 1.0 0.0 X 0 0 0 GLENN WATERS TRUSTEE/PRES/EVP BAYCARE HOSP 1.0 0.0 X 0 0 0 KEN HAMILTON TRUSTEE/CHAIRMAN 1.0 0.0 X X 0 0 0 ALAN HOLDERITH TRUSTEE/SECRETARY 1.0 0.0 X X 0 0 0 JACQUELINE AROCHO ADMINISTRATOR ALLIANT HOSPITAL 45.0 0.0 X 196521 0 0 JOHN PRONI FINANCE MANAGER 1.0 0.0 X 0 0 0 196521 0 0 1 false true false BayCare Health System Inc 2985 Drew Street CLEARWATER FL 33759 Management Fees 1120965 DVA Healthcare Renal Care Inc PO Box 8500-1607 PHILADELPHIA PA 191781607 Dialysis services 270392 BayCare Home Care Inc 8452 118th Ave N LARGO FL 33773 Home Care services 236992 Leonard J Dunn MD 3201 Leprechaun Lane PALM HARBOR FL 34683 Physician services 134082 Emcare 7032 Collection Center Dr CHICAGO IL 60693 Medical services 129168 5 0 4083 4083 Hospital patient care 621990 3751123 3751123 0 0 MEDICARE/MEDICAID PAYMENTS 621990 13862894 13862894 0 0 17614017 0 0 0 0 0 0 0 0 0 0 Other revenue 524298 5342 5342 0 0 5342 17623442 17619359 0 0 3491 3491 0 0 0 0 0 0 196521 0 196521 0 0 0 0 0 5568127 5036321 531806 0 178175 161158 17017 0 721361 652465 68896 0 410951 362173 48778 0 779876 0 779876 0 45603 0 45603 0 8345 0 8345 0 540 540 0 0 0 0 0 0 0 0 700896 669962 30934 20867 0 20867 0 335489 284025 51464 0 6564 682 5882 0 0 0 0 0 1382520 1313423 69097 0 52132 32689 19443 0 0 0 0 0 0 0 0 0 57973 57973 0 0 0 0 0 0 56618 53568 3050 0 170422 130717 39705 0 OTHER SERVICES 3611916 3270421 341495 0 MEDICAL SUPPLIES 1716895 1716833 62 0 ASSESSMENTS 261948 261948 0 0 BAD DEBT EXPENSE 124749 124749 0 32151 7330 24821 16444130 14140468 2303662 0 0 2500866 4280904 0 0 0 0 2199296 1826165 0 0 0 0 0 0 0 0 78910 98929 424819 151118 290301 273701 0 0 0 0 14406 12954 45824 42551 38034 54604 5167637 6589808 326454 585425 0 0 0 0 0 0 0 0 0 0 6687830 6088920 0 0 1029259 1612057 8043543 8286402 X -2875906 -1696594 0 0 0 0 -2875906 -1696594 5167637 6589808 1179312 X false true X true false X false false false 0 false 0 false 0 false 0 false 0 false 0 true 540 540 false PART II-B, LINE 1I Dues were paid to the Florida Hospital Association. This association uses a portion of its dues to conduct lobbying activities. 388075 151118 236957 36744 36744 273701 0 Deferred Compensation Plan 54604 Est Third Party Settlements 188563 Due to Affiliates 1368890 1612057 17498693 17498693 124749 124749 17623442 16319381 16319381 124749 124749 16444130 PART XI LINE 4B Bad Debt Expense $124,749 PART XII LINE 4B Bad Debt Expense $124,749 true true true X 250. false true true false false 1 10 17074 0 17074 0.00110 1 20 1386101 791699 594402 0.03640 2 30 1403175 791699 611476 0.03750 2 30 1403175 791699 611476 0.03750 true 124749 0 10435075 9809919 625156 X true true 1 1 BayCare Alliant Hospital 601 Main Street Dunedin FL 34698 www.baycare.org/alliant-hospital 4492 X Acute LTC Hospital Baycare Alliant Hospital Inc 1 false false true X X X X X X X X 13 true true false true X SEE PART V SECTION C true 13 true SEE PART V SECTION C false false true X 250. 0. X X X X X true true X X X X true X X X X X X X X X X true X false X X X X X false X X false false PART V SECTION B LINE 5 QUALITATIVE 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 6A CHNA 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 11 Four main topics surfaced from the CHNA that BayCare Alliant Hospital is addressing. All four topics have action plans that are either implemented or are being currently addressed. 1) Access to Necessary Medical Care The hospital has established a formal fundraising strategy and an annual fundraising goal with respect to the hospital's charity fund. The goal of the charity fund is to provide philanthropic support for the continued improvement of the health of its patients and community. In particular, the fund seeks to provide support to patients who are uninsured or financially compromised and who need continued medical treatment upon their return to the community. The amount of funds raised and the number of patients assisted is tracked on a quarterly basis. During FY 2014, the hospital was successful in increasing available funds by 19.0%. Numerous needy patients were assisted with post-discharge expenditures such as utilities to ensure a safe discharge, rent payments, pharmaceuticals, and dialysis costs. The hospital continues to remain as one of the leading long-term acute care hospitals in Florida with respect to providing care to the underinsured. In FY 2014, 7.9% of the hospital's patient days were for underinsured patients. The hospital is increasing access to necessary medical care through the construction of a 6-bed ICU unit. The 6-bed ICU has been formally approved by the hospital's Board of Director's with a construction start date of October 1, 2015. The construction plan includes installation of the necessary components required to establish an E-ICU. Patients residing in the ICU will often be receiving drips such as levophed, dopamine, and diprivan. The ICU will provide increased staffing levels and constant monitoring required by these patients leading to gains in patient safety and improved outcomes. 2) Communication and Education In order to increase awareness about programs/services available, the hospital has developed a formal plan with respect to communication and education with specific goals that have either been obtained or being currently addressed. Included in these goals are various educational sessions and symposiums aimed at the medical community. The hospital has additionally established goals intended to increase awareness of workers compensation providers, nursing leaders, hospitalists, and referral sources. Lastly, the hospital has embarked upon an aggressive campaign to educate the community about the new 6-bed ICU and the associated benefits. 3) Access to Bedside Dialysis The hospital has increased and improved access to bed side dialysis by paying for a portion of post-discharge dialysis services through letters of agreements for patients who are transferred from the hospital to nursing homes. Additionally, the hospital has hired a Medical Director of Nephrology to assist with the access and quality of bed side dialysis provided at the hospital. In particular, the physician is providing assurance with respect to access, consistency, quality control, and patient safety. 4) Transportation The hospital has continued to provide complimentary transportation services to patients who are financially needy or whose safety may be of concern. In FY 2014, the hospital expanded the hours in which these services are available. PART V, SECTION B, LINE 13B AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. PART 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. 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. Part I LINE 3C Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. 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 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. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits. PART I LINE 7 COLUMN F BAD DEBT EXPENSE OF ($124,749) WAS EXCLUDED ON FORM 990, PART IX, LINE 25,COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART III LINES 2, 3, & 4 Lines 2 & 3 Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid. Line 4 The organization's financial statements include a footnote that describes bad debt expense on page 6 of the Baycare Alliant Hospital, Inc. Notes to Consolidated Financial Statements. PART III LINE 8 Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Line 7 Surplus or (Shortfall)$625,156 Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($96,631) Total Surplus or (Shortfall) $528,525 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 BayCare 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 Eligibility for Assistance BayCare 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 Information BayCare Alliant Hospital is in a suburban setting serving parts of Pasco and Pinellas counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 10.4% of the population. 14.5% 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 12 hospitals with 4 being Not-for Profit. There is 1 federally designated medically underserved area and four medically underserved populations in BayCare Alliant Hospital's 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 3.2% in the next 5 years. This expected growth is slightly lower than the expected growth rate for the United States (3.5%). However, the population Age 55+ is expected to grow 11% in the next 5 years. 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 56.8% Medicare/Medicare HMO, 13.7% Medicaid/Medicaid HMO, 19.8% Commercial Insurance, 7.3% Self-pay, and 3.3% Other. Part VI Line 5 - Promotion of Community Health BayCare Alliant Hospital, Inc. is a 48-bed, long-term acute care hospital (LTCH) affiliated with BayCare. 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" or "HIH's". A typical stay at a long-term acute care hospital is 27.25 days. 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. In addition, the Hospital has lectured to local organizations and sponsored charitable events. 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 System BayCare Alliant 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 BayCare Alliant Hospital, Inc. operates in the State of Florida, which does not require a community benefit report to be filed with the state government. false false false false false false false false false JACQUELINE AROCHO ADMINISTRATOR ALLIANT HOSPITAL 182539 0 13982 0 0 0 0 0 0 0 196521 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION PART I, LINE 3 The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. PART VI Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of BayCare Alliant Hospital, Inc. is BayCare Health System, Inc. Part VI, Line 7a - Members of the Board of Directors A. 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" and "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. Part VI, Line 7b - Descr 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. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. 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. Part VI, Line 12c - Description 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. PART VI Part VI, Lines 15a & 15b - Offices & 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 2013 and the next review will occur 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. 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 and policies are not available for public inspection.