2011-11-11T15:40:57-05:00 2010-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2010-01-01 593140335 Morton Plant Mease Primary Care Inc MORT 7275242606 300 S Park Place Clearwater FL 33759 STEPHEN JACOBS 9999990093 2011-11-11 4048748300 2010 2016-03-07 17:11:31Z Dr Stephen Jacobs MD Pres 300 S Park Place Blvd Clearwater FL 33759 53653612 false X www.mpmprimarycare.com X 1992 FL Morton Plant Mease Primary Care will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 15 8 553 8 0 0 12028371 15656809 37698286 37972890 -140656 6891 -1713 -4129 49584288 53632461 20850 30300 0 0 39343660 41140100 0 0 0 12628251 12343798 51992761 53514198 -2408473 118263 7743800 8053994 2996784 3188715 4747016 4865279 X Morton Plant Mease Primary Care will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 46494118 30300 37972890 See Schedule O 46494118 true true false false false false false false false true true false false true false true true false false false false false false false false false true false true false false false false false false false false false false false false true true false false false false true 109 0 553 true false false false false false false false false false false X 15 8 true false false false true true true true true false true true true true true true true true true true false X Sandra Chittenden 7275242606 300 S Park Place Ste 170 Clearwater FL 33759 X Stephen Jacobs 45.0 X X 1048038 0 24197 Jennifer Marx 45.0 X 165553 0 19598 Vakesh Rajani 45.0 X X 450532 0 22636 Robert Burwell 1.0 X X 0 0 0 James Cantonis 1.0 X 0 0 0 James Harper 1.0 X 0 0 0 Odalys Lara 1.0 X 0 0 0 Pat Perzel 1.0 X 0 0 0 William Price 1.0 X X 0 0 0 Pat Ryan 1.0 X 0 0 0 Jim Watrous 1.0 X 0 0 0 Stephen Mason 1.0 X 0 2500313 31717 Donald Pocock 1.0 X 0 620635 26676 Carl Tremonti 1.0 X X 0 331163 43859 Glenn Waters 1.0 X 0 994353 108699 Sean Bryan 45.0 X 261204 0 18263 Kevin Corrigan 45.0 X 270947 0 18123 Michael Wanger 45.0 X 376137 0 23838 Ruvan Wickramasinghe 45.0 X 365457 0 22464 Moeen Khalil 45.0 X 360413 0 15342 Nelson Smith 45.0 X 338391 0 18454 Giachino Tomasino 45.0 X 326395 0 17474 3963067 4446464 411340 106 false true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 Physician Services 158205 MCKESSON MEDICAL SURGICAL PO BOX 933027 ATLANTA GA 311933027 Software Maintenance 177543 MCKESSON INFORMATION SOLUTIONS 22423 NETWORK PLACE CHICAGO IL 606731224 Software Maintenance 314280 3 15656809 15656809 Patient Care 621999 20626427 20626427 Medicare/Medicaid Payments 621999 15028435 15028435 Management Fees 561110 1709188 1709188 Physician Fees 621999 608840 608840 37972890 6891 6891 0 0 17022 21151 -4129 -4129 -4129 0 0 0 0 0 53632461 37972890 2762 30300 30300 0 0 0 952074 952074 0 34142883 30826909 3315974 0 1187181 1071881 115300 3000300 2708911 291389 1857662 1579065 278597 0 27030 27030 7751 7751 0 0 0 761859 494293 267566 606480 583818 22662 3197945 2701704 496241 581541 112307 469234 0 3406255 3164814 241441 211142 180550 30592 0 0 0 0 1492182 1492182 994302 994302 Corporate Allocation 187876 187876 Bad Debt Expenses 483522 483522 All other expenses 385913 69560 316353 53514198 46494118 7020080 0 28980 28808 1538988 1497409 150 3786 540400 1443983 18954030 15384579 4113108 3569451 1381417 1376947 1000 1000 139757 132610 7743800 8053994 2931378 3112581 62141 75927 3265 207 2996784 3188715 X 4747016 4865279 4747016 4865279 7743800 8053994 118263 X false true true X false X 10751646 10790383 14366222 12028371 15656809 63593431 29895816 33527698 35024654 37698286 37972890 174119344 40647462 44318081 49390876 49726657 53629699 237712775 0 0 0 0 0 0 0 0 0 0 0 0 237712775 709 539 68025 47213 23913 140399 980 13 0 0 0 993 1689 552 68025 47213 23913 141392 238792 21422 37181 297395 40887943 44340055 49496082 49773870 53653612 238151562 0.99816 0.99732 0.00059 0.00051 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6385753 4839122 1546631 12399527 10545457 1854070 168750 168750 3569451 INSURANCE INVESTMENTS 1376947 C 1376947 0 Abandoned Property 207 207 53632461 53514198 118263 -11088175 -11088175 -10969912 36490015 36490015 17142446 17142446 53632461 47459927 47459927 6054271 6054271 53514198 Part XI, Line 8 Contributions included in Net Assets ($11,088,175) Part XII, Line 4b Revenues Netted with Expenses $6,054,271 Contributions in Net Assets $11,088,175 Total $17,142,446 Part XIII, Line 4b Revenues netted with Expenses $6,054,271 true Morton Plant Mease Health Care Foundation 1200 Druid Road S Clearwater FL 33756 591751535 501c(3) 30000 Support Foundation's community accitivities support the MPM Healthcare Foundation, a related organization in the charitable activites they undertake in the community 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants MPM Primary Care contributes to organizations that are in alignment with our mission. We strive to ensure that contributions are made to organizations that improve the health and well-being of the communities we serve. Typically, members of management are involved with these organizations and monitor the benefits our local community receives from these contributions. false true false false false false false true false Stephen Jacobs 467173 0 148341 0 432524 0 12250 0 11947 0 1072235 0 0 0 Jennifer Marx 163275 0 0 0 2278 0 8470 0 11128 0 185151 0 0 0 Vakesh Rajani 449392 0 0 0 1140 0 12250 0 10386 0 473168 0 0 0 Stephen Mason 0 967987 0 467277 0 1065049 0 12152 0 19565 0 2532030 0 261951 Donald Pocock 0 400652 0 126283 0 93700 0 12250 0 14426 0 647311 0 0 Carl Tremonti 0 232804 0 68315 0 30044 0 35213 0 8646 0 375022 0 0 Glenn Waters 0 654001 0 325832 0 14520 0 91798 0 16901 0 1103052 0 0 Sean Bryan 227576 0 32488 0 1140 0 8384 0 9879 0 279467 0 0 0 Kevin Corrigan 217279 0 38830 0 14838 0 11651 0 6472 0 289070 0 0 0 Michael Wanger 374997 0 0 0 1140 0 12250 0 11588 0 399975 0 0 0 Ruvan Wickramasinghe 364591 0 0 0 866 0 12250 0 10214 0 387921 0 0 0 Moeen Khalil 359755 0 0 0 658 0 10413 0 4929 0 375755 0 0 0 Nelson Smith 335769 0 0 0 2622 0 12250 0 6204 0 356845 0 0 0 Giachino Tomasino 326107 0 0 0 288 0 10993 0 6481 0 343869 0 0 0 Supplemental Compensation Information Part I, Line 4b Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $987,062 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $359,784 in 2010. Donald Pocock - Participated in a supplemental nonqualified deferred compensation plan. He had $72,128 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $26,291 in 2010. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $13,401 in benefits vest in 2010. He had $23,856 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. The plan made cash distribution of $4,885 in 2010. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2010. He had $81,385 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. Supplemental compensation information Part I, line 7 80 percent of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20 percent would be considered non-fixed and is based on the discretion of the employee's immediate supervisor. Supplemental 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. 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 III and Part VI Form 990, Part III, Program Services All of our offices are community based and located to enhance patient access to quality medical care. Through our affiliation with BayCare and Morton Plant Mease Healthcare, we provide our patients with access to inpatient and outpatient services at facilities that are nationally recognized for quality of care and services. Our 90 plus board certified primary care physicians performed 355,511 visits in 2010. During this period we provided nearly $473,000 in charity care to the community and donated more than 2,000 hours of free medical care and education in furtherance of our mission. Our physicians volunteer, without compensation at community based organizations such as Hope International Orphanage, the Sickle Cell Anemia Foundation, the American Cancer Society and the Clearwater Free Clinic. MPMPC also provides the clinical environment for the Turley Family Practice Residency Program, which in affiliation with the University of South Florida provides the faculty instruction of new Family Medicine Residents. Given the shortage of primary care physicians nationally, this is critical to improving the community's access to quality care as many of these residents stay in the community or are employed by MPMPC upon completion of their residency. In furtherance of our mission to improve the care of all we serve, MPMPC continues to expend significant resources on improvements in patient quality care and safety. The MPMPC Patient Quality and Safety committee, formed in 2007, comprised of physician volunteers, continue to oversee the group's efforts in clinical protocol development and safety related programs. As a direct result of this Committee's efforts, MPMPC as a group has received NCQA recognition of its Diabetic patients. In addition, the majority of MPMPC physicians have received individual recognition by the NCQA for the quality of their Heart and Stroke care. With our clinical protocol chart reviews in the areas of Diabetes, Hypertension, Hyperlipidemia, Mammogram Screening, Depression Screening, Vaccine administration, Colo-Rectal Cancer and Abdominal Aortic Aneurysm screening, and our group-wide adoption of an electronic medical record, we are confident that our group's clinical outcomes are amount the best in the country. In 2010, MPMPC began the process of NCQA recognition as a Patient Centered Medical Home and to-date, all offices have been submitted and all have received that highest lever (III) recognition by NCQA. Our MPMPC Patient Satisfaction scores benchmarked in the highest percentile of all group practices surveyed. Form 990, Part VI, Question 2 - Description of Family or Business Relationship Stephen Mason and Glenn Waters are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Form 990, Part VI, Question 6 - Description of Classes of Members or Stockholders The MPMPC bylaws state that the member of MPMPC is Morton Plant Mease Health Care, Inc. Form 990, Part VI, Question 7a - Description of Classes of Persons and the Nature of Their Rights The Articles of Incorporation state that the Member (MPMHC) shall appoint directors for MPMPC. Form 990, Part VI, Question 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The MPMPC's Operating Budget and Capital Budget are approved by its Member, MPMHC. Any major corporate restructures are also approved by its Member. Form 990, Part VI, Question 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, a final copy of the Form 990 will be made available to the entire Board. Form 990, Part VI, Question 12c - Description of Process to Monitor Transactions for Conflicts of Interest Morton Plant Mease Primary Care, 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. and any action required to address the conflict of interest situation. Part VI and Part VII Form 990, Part VI, Question 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 Administrative Officer & CFO, 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 the last review occurring in 2009, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, Question 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Morton Plant Mease Primary Care, Inc does not make its financial statements, governing documents or conflict of interest policy available to the public. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Carl Tremonti - Morton Plant Hospital Association, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 Carl Tremonti - Morton Plant Mease Health Services, Inc. - 1 Carl Tremonti - St. Anthony's Hospital, Inc. - 1 Carl Tremonti - St. Anthony's Professional Buildings & Services, Inc. - 1 Carl Tremonti - Trustees of Mease Hospital, Inc. - 1 Donald Pocock - Morton Plant Mease Health Care, Inc. - 45 Donald Pocock - Morton Plant Mease Health Services, Inc. - 1 Glenn Waters - BayCare Alliant Hospital, Inc. - 0 Glenn Waters - BayCare Home Care, Inc. - 1 Glenn Waters - Morton Plant Hospital Association, Inc. - 1 Glenn Waters - Morton Plant Mease Health Care, Inc. - 45 Glenn Waters - Morton Plant Mease Health Services, Inc. - 1 Glenn Waters - Trustees of Mease Hospital, Inc. - 1 James Harper - Morton Plant Mease Health Services, Inc. - 1 Odalys Lara - BayCare Health System, Inc. - 1 Odalys Lara - Morton Plant Hospital Association, Inc. - 1 Odalys Lara - Morton Plant Mease Health Care, Inc. - 1 Odalys Lara - Trustees of Mease Hospital, Inc. - 1 Pat Ryan - Morton Plant Hospital Association, Inc. - 1 Pat Ryan - Morton Plant Mease Health Care, Inc. - 1 Pat Ryan - Morton Plant Mease Health Services, Inc. - 1 Pat Ryan - Trustees of Mease Hospital, Inc. - 1 Stephen Mason - BayCare Health System, Inc. - 45 Stephen Mason - BayCare Home Care, Inc. - 1 Stephen Mason - Morton Plant Hospital Association, Inc. - 1 Stephen Mason - Morton Plant Mease Health Care, Inc. - 1 Stephen Mason - St. Anthony's Hospital, Inc. - 1 Stephen Mason - St. Joseph's Health Care Center, Inc. - 1 Stephen Mason - Trustees of Mease Hospital, Inc. - 1 William Price - Morton Plant Hospital Association, Inc. - 1 William Price - Morton Plant Mease Health Care, Inc. - 1 William Price - Trustees of Mease Hospital, Inc. - 1 MPM Immediate Care Centers LLC 300 S Park Place Blvd Ste 170 Clearwater FL 33759 202928709 health srvcs FL 2229171 394587 Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(c)(3) 11B NA Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(c)(3) 11A MPHATOM Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 Health srvcs FL 501(c)(3) 3 MPMHC Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 Health srvcs FL 501(c)(3) 3 MPMHC Trustees of Mease Hospital Inc 601 Main Street Dunedin FL 34698 590855412 Health srvcs FL 501(c)(3) 3 MPMHC The Pinellas Neuro-Ortho Spine Group LL 601 Main Street Dunedin FL 34698 830420933 Neuro/Ortho Srvs FL na n/a 0 0 0 0.00000 Trinity Surgery Center LLC 2102 Trinity Oaks Blvd New Port Richey FL 34655 020656933 Health srvcs FL na n/a 0 0 0 0.00000 Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Inactive FL na C corp 0 0 0.00000 MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection srvcs FL na C corp 0 0 0.00000 Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Supporting srvcs FL na C corp 0 0 0.00000 Medspecialists Inc 16255 Bay Vista Drive Clearwater FL 33760 680587533 Health srvcs FL na C corp 0 0 0.00000 false true true false false false false false true true true false false true true false false false