2014-11-10T11:35:23-06:00 2013-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2013-01-01 050615150 BayCare Alliant Hospital Inc % JOHN GANTNER BAYC 7277346782 601 Main Street Suite Dunedin FL 34698 JOHN PRONI CFO 2014-11-03 WILLIAM RIKER P01226021 2013 2015-11-30 17:44:51Z Jacqueline Arocho 601 Main Street Dunedin FL 34698 17271130 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 5 0 2916 4972 16752765 17258710 0 0 9523 7448 16765204 17271130 0 0 0 0 6672182 7374215 0 0 0 8784436 9416111 15456618 16790326 1308586 480804 5487824 5167637 8844534 8043543 -3356710 -2875906 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 14501646 0 17266158 BayCare Alliant Hospital, Inc. (BAH) is a 48 bed, long-term acute care hospital. During 2013, BAH provided inpatient care to 386 patients and the average length of stay was 27.25 days. Through efforts of the medical assistance program and the hospital's charity care program BAH saw a net community benefit expense of nearly $1.2 million. Refer to Schedule H for additional information. 14501646 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 27 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 7278208005 2985 DREW STREET clearwater FL 33759 Glenn Waters Trustee/President/EVP BC Hosp 1.0 0.0 X Patricia Sizemore Trustee/SAH-VP Patient Care 1.0 0.0 X Bruce Bokor Trustee 1.0 0.0 X Robert Evans Trustee 1.0 0.0 X Ken Hamilton Trustee/Chairman 1.0 0.0 X X Alan Holderith Trustee/Secretary 1.0 0.0 X X Charles Robinson Trustee 1.0 0.0 X Jacqueline Arocho Administrator Alliant Hospital 45.0 0.0 X 189482 0 8293 John Proni Finance Manager 1.0 0.0 X 189482 0 8293 1 false true false BAYCARE HEALTH SYSTEM 2985 Drew Street CLEARWATER FL 33759 Support Costs 1096345 BAYCARE HOME CARE INC 8452 118TH AVE N LARGO FL 33773 home care services 236915 LEONARD J DUNN MD 3201 LEPRECHAUN LANE PALM HARBOR FL 34683 physician services 133375 EMCARE 7032 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 163008 DVA HEALTHCARE RENAL CARE INC PO BOX 8500-1607 PHILADELPHIA PA 19178 DIALYSIS SVS 202845 5 4972 4972 HOSPITAL PATIENT CARE 621990 1413320 1413320 MEDICARE/MEDICAID NET REVENUE 621990 15845390 15845390 17258710 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 524298 7448 7448 7448 17271130 17266158 0 0 0 0 197775 197775 0 5836037 5320127 515910 186957 170430 16527 721604 657814 63790 431842 384257 47585 782288 782288 27545 27545 16002 16002 477 477 0 0 750132 694888 55244 31318 1006 30312 363702 312870 50832 14957 6631 8326 0 1368208 1299869 68339 64645 46540 18105 0 0 65835 65835 0 45999 41819 4180 182469 143988 38481 MISCELLANEOUS EXPENSES 3116908 2799840 317068 MEDICAL SUPPLIES 2242215 2241769 446 ASSESSMENTS 260936 260936 BAD DEBT EXPENSE 43109 43109 39366 9441 29925 16790326 14501646 2288680 0 3411756 2500866 0 0 0 0 1715537 2199296 0 0 0 0 0 0 0 0 82837 78910 388075 97774 205072 290301 0 0 0 0 11284 14406 49097 45824 12241 38034 5487824 5167637 589049 326454 0 0 8475 0 0 0 0 0 0 0 7286740 6687830 0 0 960270 1029259 8844534 8043543 X -3356710 -2875906 0 0 0 0 -3356710 -2875906 5487824 5167637 480804 X false true X true false X false false false false false false false false true 477 477 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 97774 290301 290301 0 ESTIMATED THIRD PARTY SETTLEMENTS 174527 DUE TO AFFILIATES 816698 DEFERRED COMPENSATION PLAN 38034 1029259 X 17228021 17228021 43109 43109 17271130 16747217 16747217 43109 43109 16790326 Part XI Line 4b Bad Debt Expense $43,109 Part XII Line 4b Bad Debt Expense $43,109 true true X true X 250. false true false false 1 21 1381157 927654 453503 0.02710 1 31 1827165 1112919 714246 0.04260 2 52 3208322 2040573 1167749 0.06970 2 52 3208322 2040573 1167749 0.06970 true 43109 10809895 9791981 1017914 X true true 1 1 BayCare Alliant Hospital 601 Main Street Dunedin FL 34698 www.baycare.org/alliant-hospital 4492 X Acute LTC Hospital A A - Baycare Alliant Hospital Inc 1 true X X X X X X X X 13 true true true X See Schedule H Part V Section C X X X true false true true 250. false true X X X X X X X true true X X X true X false X X X X false X X false false 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 ($43,109) 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 7 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)$1,017,914 Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($28,418) Total Surplus or (Shortfall) $989,496 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 11% of the population and 14% of households are poverty level. BayCare Alliant Hospital is part of BayCare Health System that serves west central Florida. The area served by BayCare Alliant Hospital has 14 hospitals with 7 being Not-for Profit. There are 6 federally designated medically underserved areas in BayCare Alliant Hospital's service area. With the service area expanding and the over 65 population expected to grow 14% 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 3.5% in the next 5 years. This expected growth is consistent with the expected growth rate for the United States. However, the population Age 55+ is expected to grow 12% in the next 5 years. The County where BayCare Alliant Hospital resides experiences higher incidence rates compared to the state of Florida in the following areas: adults with asthma, HIV cases, AIDs cases, adults with high blood cholesterol, melanoma, asthma hospitalization, adult smokers, domestic violence, fully immunized kindergarteners and sexually transmitted diseases. Based on Florida inpatient discharge data for the period of 10/01/12-09/30/13, the payor mix for the geographic area consists of 55.8% Medicare/Medicare HMO, 13.6% Medicaid/Medicaid HMO, 19.8% Commercial Insurance, 7.8% Self-pay, and 3.0% 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 Health System, Inc., a not-for-profit corporation that operates an integrated health care delivery system ("BayCare") in the Tampa Bay region of Florida. BayCare provides a full continuum of care through its five clinical divisions which are supported by a comprehensive suite of centralized corporate services. The largest division is the hospital division, which includes 11 acute care hospitals and 3,433 licensed beds. In 2013, the hospital division provided 127,532 admissions and 478,296 emergency room visits. The remaining four BayCare clinical divisions include four urgent care centers, 13 imaging facilities, five ambulatory surgery centers, three wellness centers, a physician network, outreach laboratories, a retail pharmacy, and a comprehensive home health agency. BayCare's strategy is focused on establishing the framework and foundation to enable population health management and improve access to affordable, high-quality health care. Developing the infrastructure to manage risk and population health has been a multi-year initiative that encompasses aligning physicians, acquiring insurance competencies, and expanding care management capabilities. In this regard, BayCare has developed a physician network that includes 248 employed primary care physicians and 140 employed specialist physicians. Inclusive of these 388 physicians, about 1,200 physicians (employed and community-based) currently operate in a clinically integrated network, BayCare Physician Partners. With 284 access points across its four-county service area, BayCare is focused on establishing a geographic footprint across the Tampa Bay region to promote access to its comprehensive services, regardless of a patient's ability to pay. On Aug. 30, 2013, BayCare expanded into Polk County by becoming the sole corporate member of Winter Haven Hospital, Inc., a 529-bed, not-for-profit hospital that provided 15,167 admissions and generated $237 million in total revenue in the fiscal year 2013, immediately prior to joining BayCare. 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 we serve through community-based, health care services that set the standard for high-quality, compassionate care." As an integrated health system, BayCare's hospital members believed they could reduce costs by consolidating back-office functions and administrative services, and improve quality through the sharing of best practices. BayCare is currently one of the largest employers in the region with 22,900 employees, and salary and benefit expenses exceeding $1.3 billion. 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, and Winter Haven Hospital. Today, BayCare's financial stability and centralization of shared services in Finance, Business Office, Information Technology, Human Resources and Materials Management strengthens each hospital's ability to serve the health needs of their local communities and provide traditional charity care and unbilled community services to uninsured and underinsured residents. In 2013, BayCare provided $243.5 million in community benefit, which includes $110.8 million in traditional charity care, $121.4 million in Medicaid and other means-tested programs, and $11.3 million in unbilled community services. All of these are measured in unreimbursed cost. In 2012, BayCare refocused its strategic vision around a new culture of accountability and working together to achieve the following Four Key Results: 1. Patient-Centered Care - 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 publically reported quality and service measures 4. Preservation of Financial Stability - Maintaining AA credit rating and level of market relevance to secure future access to the capital necessary to advance health care quality and access COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) In 2013, BayCare hospitals completed a detailed Community Health Needs Assessment (CHNA), as required by the Patient Protection and Affordable Care Act. The CHNA research utilized independent reviews of existing data, in-depth interviews with community stakeholders representing a cross section of agencies, and detailed input provided by community focus groups. The studies included detailed environmental scans of available resources and services. The assessments, supported by secondary and primary data, determined that the top three results of the community health needs, within the geographic regions served by BayCare hospitals, were: 1. Improving access to affordable health care 2. Decreasing the prevalence of clinical health issues 3. Improving health behaviors and environments BayCare assisted its hospitals in developing detailed implementation strategies, action steps, and objectives to align hospital resources with each key community health need. BayCare hospitals' CHNA reports and implementation plans are available on its website, www.baycare.org. KEY COMMUNITY HEALTH NEED #1: IMPROVING ACCESS TO AFFORDABLE HEALTH CARE Secondary data and primary input from community stakeholders and focus groups for BayCare hospitals' CHNA reports identified the following underlying factors: 1. Need for increased access to affordable health care through insurance 2. Availability of affordable care for the underinsured and uninsured 3. Availability of health care providers and services 4. Communication among health care providers and consumers 5. Socioeconomic barriers to accessing health care BayCare hospitals' have developed the following key objectives to address specific areas of need within their geographic regions. At Morton Plant Hospital: Implement timely and effective coordination of care between primary care and emergency departments by enabling access to patient information for new primary care partners, exploring partnerships to facilitate referrals, developing relationships that guarantee appointment slots per day and inpatient referrals, exploring the development of a patient navigator role, and establishing metrics to monitor coordination of care. At Morton Plant North Bay Hospital: Increase the appropriate use of available health care resources by increasing the use of affordable primary care clinics, exploring partnerships to facilitate referrals and establishing metrics to monitor coordination of care. At Mease Countryside, Mease Dunedin, Morton Plant, St. Anthony's, South Florida Baptist and Winter Haven hospitals: Enhance care coordination to underinsured and uninsured residents by working with municipalities and other groups to develop community resources that help residents find more detailed information about health insurance coverage, exploring the feasibility of creating or enhancing clinics for uninsured, and considering evidence-based practices to increase access to affordable primary care and increase awareness about health care resources. At every BayCare hospital: Increase the availability of mental health services by implementing programs for at-risk families, expanding services, and increasing service capacity for children with mental health needs. BayCare continues to be the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, support groups, and case management services. BayCare operates the only freestanding, inpatient Baker Act-receiving private psychiatric hospital in Hillsborough County, a freestanding, Baker Act-receiving facility in Pasco County, and inpatient crisis stabilization in Pinellas County. KEY COMMUNITY HEALTH NEED #2: DECREASING THE PREVALENCE OF CLINICAL HEALTH ISSUES Secondary data and primary input from community stakeholders and focus groups for BayCare hospitals' CHNA reports identified the following underlying factors: 1. The prevalence of clinical indicators and areas of poorer health outcomes across clinical indicators that are correlated with race, geographical location and socioeconomic status BayCare hospitals' have developed the following key objectives to address specific areas of need within their geographic regions. At Mease Countryside Hospital: Increase the resources available to diabetic children in school by exploring the feasibility of providing regional resources to support daily pediatric disease management at public schools. At St. Joseph's hospitals: Align services with best practices to improve health outcomes for patients diagnosed with diabetes. At St. Anthony's Hospital: Increase access to screenings, and diagnostic and treatment services Part VI Line 7 - State filing of community benefit report N/A: BayCare Alliant Hospital, Inc. does not prepare a community benefit report. false false false false false false false false false Jacqueline Arocho Administrator Alliant Hospital 171214 0 18268 0 0 8266 0 27 0 197775 0 0 0 Supplemental Compensation Information Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. The organization follows the compensation policy of 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.