2023-11-09T08:39:31+00:00 2022-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-01-01 592796965 BayCare Health System Inc BAYC 7275191200 2985 Drew Street Clearwater FL 33759 Janice Polo EVP, CFO - BayCare Health System 7275191200 2023-11-09 true Janice Polo 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z Stephanie Conners 2985 Drew Street Clearwater FL 33759 1815086029 false X www.baycare.org X 1987 FL BAYCARE HEALTH SYSTEM, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 23 21 7122 21 2489586 610895 1048104 671063 592749929 599917432 464453358 151234802 85052029 58165812 1143303420 809989109 1061249 1957509 0 369806750 395915990 0 0 278949464 273294133 649817463 671167632 493485957 138821477 8728312613 7895171196 7454507967 6422748461 1273804646 1472422735 BAYCARE HEALTH SYSTEM, INC. 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 601985359 1957509 649653120 BayCare Health System, headquartered in Clearwater, Florida, is the leading, not-for-profit health care system that connects individuals and families to a wide range of services at 16 hospitals and hundreds of other convenient locations throughout the Tampa Bay and West Central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, surgery centers, wellness centers, behavioral health, home care and urgent care. BayCare's 2022 Report to the Community can be viewed at BayCare.org/Annual-Report. Continued on Schedule O 601985359 true true false true false false false false false true true false false true true false true false false true false false false false false false true false true true false false false false false false false false true false false false false false true true true true true false true X 1572 0 true 7122 true true true true CJ false false false false false false false false true false X 23 21 true false true false true true true true true false false true true true true true true true true true true FL X JANICE POLO 7278208021 2985 Drew Street Clearwater FL 33759 CHARLES OSTERHOLT TRUSTEE/SECRETARY/TREASURER 1.0 0 X X 0 0 0 JAMES CANTONIS TRUSTEE/VICE CHAIR 1.0 0 X X 0 0 0 RICK COLON TRUSTEE/CHAIR 1.0 0 X X 0 0 0 STEPHANIE CONNERS TRUSTEE/PRES/CEO BAYCARE (eff Dec 2022) 45.0 1.0 X X 378191 0 514 TOMMY INZINA TRUSTEE/PRES/OUTGOING CEO BAYCARE 45.0 3.0 X X 4332716 0 74413 ALAN BOMSTEIN TRUSTEE 1.0 0 X 0 0 0 ANDY BURWELL TRUSTEE 1.0 4.0 X 0 0 0 CATHY SWANSON TRUSTEE 1.0 1.0 X 0 0 0 GAY LANCASTER TRUSTEE 1.0 3.0 X 0 0 0 HUGH CAMPBELL TRUSTEE 1.0 0 X 0 0 0 JORGE NAVAS TRUSTEE 1.0 3.0 X 0 0 0 KATIE COLE TRUSTEE 1.0 3.0 X 0 0 0 KURT ERICKSON TRUSTEE 1.0 3.0 X 0 0 0 MARION ALBANESE TRUSTEE 1.0 0 X 0 0 0 MIKE SLUBOWSKI TRUSTEE 1.0 0 X 0 0 0 PATRICIA SHIRLEY TRUSTEE 1.0 4.0 X 0 0 0 RALPH GARCIA TRUSTEE 1.0 3.0 X 0 0 0 RAY FERRARA TRUSTEE 1.0 3.0 X 0 0 0 RENA UPSHAW-FRAZIER TRUSTEE 1.0 3.0 X 0 0 0 SUSAN LATVALA TRUSTEE 1.0 3.0 X 0 0 0 TRACY HALME TRUSTEE 1.0 3.0 X 0 0 0 WILLIAM MORROW TRUSTEE 1.0 1.0 X 0 0 0 YVONNE FRY TRUSTEE 1.0 3.0 X 0 0 0 GLENN WATERS EVP, COO BAYCARE (until Oct 2022) 45.0 18.0 X 3983800 0 133160 JANICE POLO EVP, CFO BAYCARE 45.0 6.0 X 1578334 0 77935 NISHANT ANAND EVP, CMO BAYCARE (until May 2022) 45.0 1.0 X 839520 0 125879 LYNNETTE CLINTON VP APPLICATIONS 45.0 0 X 357526 0 90561 TIM THOMPSON CHIEF INFORMATION OFFICER 45.0 0 X 1025878 0 74495 ANDREW FINK SVP/PRESIDENT BAYCARE MEDICAL GROUP 1.0 46.0 X 939955 0 136774 CARL TREMONTI VP/CFO BAYCARE MEDICAL GROUP AMBULATORY 10.0 44.0 X 668077 0 73358 EDWARD RAFALSKI CHIEF STRATEGY & MARKETING OFFICER 45.0 1.0 X 688969 0 109636 KYLE BARR CHIEF TEAM RESOURCES OFFICER 45.0 0 X 923593 0 112053 LISA JOHNSON CHIEF NURSE EXECUTIVE 45.0 0 X 711828 0 110970 16428385 0 1119748 757 false true false ROBINS & MORTON GROUP 400 SHADES CREEK PKWY BIRMINGHAM AL 35209 Construction services 47440641 CERNER CORPORATION 2800 ROCKCREEK PKWY NORTH KANSAS CITY MO 64117 Software Support 39597081 PIVOT TECHNOLOGY SERVICES CORP DBA COMPUTACENTER 6025 THE CORNERS PKWY NORCROSS GA 30092 Software Support 8000027 3M HEALTH INFORMATION SYSTEMS DEPT 0881 PO BOX 120881 DALLAS TX 753120881 Software Support 6768010 CISCO SYSTEMS CAPITAL CORP 170 W TASMAN DR SAN JOSE CA 95134 Software Support 3026169 231 30000 27777 613286 671063 MANAGEMENT FEES 541611 545633314 545633314 OUTPATIENT CARE SERVICES 621000 33319309 33319309 RENTAL INCOME 531120 9681389 9681389 MEDICARE/CAID-OUTPATIENT 621999 7105293 7105293 PURCHASING PARTNER REVENUE 525990 1243163 1232320 10843 2934964 3491521 -556557 0 599917432 186844380 468394 186375986 5863218 0 5863218 0 5863218 5863218 969434175 53167 1005088897 8023 -35654722 45144 -35609578 -35609578 BISC REVENUE 561000 23560232 23560232 CIN REVENUE 561000 13656570 11203397 2453173 BMG REVENUE 561000 7129222 7129222 7956570 7842837 113733 0 52302594 809989109 650198834 2489586 156629626 1957509 1957509 13072922 13072922 380773 380773 302805445 302805445 16219786 16219786 42592031 42592031 20845033 20182591 662442 1443502 1443502 1130984 1130984 296117 296117 15187840 15187840 32345467 25698313 6647154 0 13151746 13150873 873 26030032 26030032 107923819 107835052 88767 16594928 16231034 363894 1824067 1989 1822078 288233 288233 37515554 37301801 213753 1790902 1790902 MEDICAL SUPPLIES 1675824 1675824 REPAIRS & MAINTENANCE 3436818 3436093 725 EXCISE TAX 1419123 1419123 UBI TAXES 103723 103723 11135454 10789822 345632 0 671167632 601985359 69182273 0 44508226 45112893 0 0 2939749 4459394 0 0 0 0 21944315 19294065 46668921 43179627 40946819 48641888 1103733469 533114338 494020144 570619131 3510416751 3163294057 4186659893 3598198522 321147233 346768969 2101539 1882283 56959023 53720367 8728312613 7895171196 460364966 494634184 0 3779248 4799629 958689255 953767703 0 0 0 95584424 212974295 542833380 517466225 5393256694 4239106425 7454507967 6422748461 X 1273804646 1472422735 0 0 0 0 0 1273804646 1472422735 8728312613 7895171196 X 138821477 -922733779 982530391 X false true X true true true X X 13 MORTON PLANT HOSPITAL ASSOCIATION INC 590624462 3 true 0 120367176 ST ANTHONY'S HOSPITAL INC 592043026 3 true 0 52182416 ST JOSEPH'S HOSPITAL INC 590774199 3 true 0 198747896 SOUTH FLORIDA BAPTIST HOSPITAL INC 590594631 3 true 0 19216961 BAYCARE HOME CARE INC 593582520 9 false 0 11234217 TRUSTEES OF MEASE HOSPITAL INC 590855412 3 true 0 60759019 MORTON PLANT MEASE HEALTH SERVICES INC 592600684 9 false 0 6761848 BAYCARE BEHAVIORAL HEALTH INC 591371752 7 false 0 3605897 BEHAVIORAL HEALTH MANAGEMENT SERVICES INC 593279573 9 false 0 585892 BAYCARE MEDICAL GROUP INC 593140335 9 false 0 63436437 ST ANTHONY'S PROFESSIONAL BUILDINGS AND SERVICES INC 592018848 9 false 0 2463980 WINTER HAVEN HOSPITAL INC 590724462 3 false 0 50023399 BARTOW REGIONAL MEDICAL CENTER INC 475387418 3 false 0 10642712 13 0 600027850 false false false false false true false false false false false false false false false true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name PER ITS ARTICLES, THE ORGANIZATION WILL SUPPORT organizations specifically listed (see Part I, Line 12g) and OTHER ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR (2) OF THE INTERNAL REVENUE CODE, AS MAY BE SPECIFIED FROM TIME TO TIME. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs PER ITS ARTICLES, BAYCARE HEALTH SYSTEM, INC PROVIDES SUPPORT TO VARIOUS CHARITABLE ORGANIZATIONS TO FURTHER ITS EXEMPT PURPOSE. SEE SCHEDULE I FOR MORE DETAIL. THESE CONTRIBUTIONS ARE MADE AT THE BAYCARE HEALTH SYSTEM LEVEL RATHER THAN THE INDIVIDUAL HOSPITAL LEVEL AS A WAY TO COORDINATE THE GIVING. BAYCARE HEALTH SYSTEM'S SUPPORTED ORGANIZATIONS ARE FULLY AWARE OF THIS ACTIVITY. THESE AMOUNTS ARE DE MINIMIS WITH RESPECT TO BAYCARE HEALTH SYSTEM'S TOTAL ACTIVITIES AND TOTAL SUPPORT PROVIDED. Schedule A, Part IV, Section B, Line 2 Benefit Of Supp. Org. Other Than The One Operating The Org. BAYCARE HEALTH SYSTEM, INC. OPERATED FOR THE BENEFIT OF BOTH THE SUPPORTED ORGANIZATIONS WHICH ARE THE MEMBERS OF BAYCARE HEALTH SYSTEM, INC. AND THOSE ORGANIZATIONS THAT ARE CONTROLLED BY THE SUPPORTED ENTITIES AND OPERATE AS PART OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM THAT FURTHERS THE MEMBER ENTITIES' PURPOSE OF PROVIDING HEALTHCARE IN A CHARITABLE MANNER. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 750 false false true 783117 false true 63681 847548 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lines 1a, 1b, 1d, 1g - In 2022, BayCare board members, team members, family advocates and consultants engaged in lobbying efforts at the state and federal levels of government. Efforts centered around protecting Medicaid funding for hospitals and protecting nonprofit hospitals' tax exempt status. Additional advocacy efforts involved a range of health care issues, including enhanced access to behavioral health services, payment and quality policies, passage of legislation to improve the coordination and delivery of health care services for medically-complex children, and efforts to enhance coverage and reimbursement of health care services delivered via telehealth. Lobbying issues specific to 2022 include: - Strengthen Kids' Mental Health Now Act, HR7236 - Helping Kids Cope Act, HR4944 - ACE Kids - Advancing Telehealth Beyond Covid-19 HR 4040 - Behavioral/Mental health parity, equal coverage - LCSW & Marriage & Family Therapists, extend Medicare coverage, HR432 - Enforcement of Mental Health Parity and Addiction Equity Act of 2008 - Addiction Treatment Act, X waivers, HR1384 - ACA subsidies - Outpatient Proposed Rule - 340B Program - Preserving Access to Home Health Act HR 8581 S4605 - Home Health Care cuts - Supporting Medicare Providers Act of 2022 HR3020 S3314 - Extend Medicare Access and CHIP Reauthorization HR4587 - Improving Seniors Timely Access to Care Act HR3173 - Value Based Care - Alternative payment models Line 1i. Dues were paid to: - American Health Information Management Association - Florida Society of Health System Pharmacists - Society for Vascular Surgery - Institute of Internal Auditors - American Medical Group Association - Society of Thoracic Surgeons - National Association for Behavioral Healthcare - Healthcare Information and Management Systems Society - Florida Medical Association - American College of Physician Advisors - American College of Cardiology - College of Healthcare Information Management Executives These associations use a portion of their respective dues to conduct lobbying activities. 43693030 43693030 228615785 45286716 183329069 26002245 21939323 4062922 590838343 465870706 124967637 214584066 17593 214566473 570619131 HARBOURVEST / DOVER ST/ HIPEP FUNDS NTGI FUNDS BLACKSTONE MONDRIAN MREP / PARK STREET / CLARION LION GOLUB / WHITE OAK PICTET / PRUDENTIAL PGIM (EMD) / PIMCO HARBOURVEST/ DOVER ST/ HIPEP FUNDS 314931173 F NTGI FUNDS 1057088170 F BLACKSTONE 392791956 F MONDRIAN 194960716 F MREP/ PARK STREET/CLARION LION 469119535 F GOLUB/ WHITE OAK 314976328 F PRUDENTIAL 412594494 F PGIM (EMD) / PIMCO 441736150 F 3598198522 DEPOSITS ABANDONED PROPERTY DEFERRED COMPENSATION PLAN SERP LIABILITY FMV SWAPS Due to Affiliates OTHER Deferred Payroll Taxes DUE TO AFFILIATES 4148493416 ABANDONDED PROPERTY 2891952 DEFERRED COMPENSATION PLAN 47332586 SERP LIABILITY 22124849 FMV SWAPS 8590879 OTHER 9672743 4239106425 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The majority of the affiliates within the Organization are not-for-profit organizations described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code, and are also exempt from state income taxes. The Organization accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management has determined that no material unrecognized tax benefits or liabilities exist as of December 31, 2022 or 2021. Central America and the Caribbean 0 0 Program Services Insurance 90032000 Central America and the Caribbean 0 0 Investments 966656000 East Asia and the Pacific 0 0 Investments 61106000 Europe (Including Iceland and Greenland) 0 0 Investments 291527000 Europe (Including Iceland and Greenland) 0 0 Investments 979000 Middle East and North Africa 0 0 Investments 5091000 North America (Canada & Mexico only) 0 0 Investments 61514000 South America 0 0 Investments 17952000 Sub-Saharan Africa 0 0 Investments 2837000 0 0 0 0 0 0 1497694000 0 1497694000 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SUB-SAHARAN AFRICA-Accrual true Alzheimer's Association 14010 Roosevelt Blvd Suite 709 Clearwater FL 33762 133039601 501(C)(3) 15000 Access to Healthcare American Cancer Society 3709 West Jetton Avenue Tampa FL 33629 131788491 501(C)(3) 79000 Access to Healthcare Feeding America Tampa Bay 4702 Transport Dr BLDG 6 Tampa FL 33605 592116576 501(C)(3) 100000 Exercise Nutrition and Weight Florida Recovery Schools of Tampa Bay Inc PO Box 4009 Holiday FL 34692 850841336 501(C)(3) 7500 Behavioral Health Goodwill Industries-Suncoast Inc 10596 Gandy Blvd St Petersburg FL 33702 590718492 501(C)(3) 10000 Access to Healthcare Morton Plant Mease Foundation 1200 Druid Rd S Belleair FL 33756 591751535 501(C)(3) 16500 Access to Healthcare St Anthony's Foundation 1200 7th Ave N St Petersburg FL 33705 592128991 501(C)(3) 10000 Access to Healthcare South Florida Baptist Hospital Foundation 301 N Alexander St Plant City FL 33563 650598653 501(C)(3) 8500 Access to Healthcare St Joseph's Hospital Foundation 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 591100828 501(C)(3) 16000 Access to Healthcare Winter Haven Hospital Foundation 200 Avenue F NE Winter Haven FL 33881 030406130 501(C)(3) 15000 Access to Healthcare Leukemia & Lymphoma Society 3 International Drive Suite 200 Rye Brook NY 10573 135644916 501(C)(3) 22500 Access to Healthcare Oasis Network of Tampa 16057 Tampa Palms Blvd 315 Tampa FL 33647 593715732 501(C)(3) 6500 Access to Healthcare American Foundation for Suicide Prevention 199 Water St 11th Floor New York NY 10038 133393329 501(C)(3) 10000 Behavioral Health Positive Coaching Alliance - Tampa Bay 1411 N West Shore Blvd Ste 205 Tampa FL 33607 770485946 501(C)(3) 25000 Exercise Nutrition and Weight Straz Center for the Performing Arts 1010 North WC Macinnes Place Tampa FL 33602 592037085 501(C)(3) 15000 Good Neighbor Program Tampa Bay Times Fund 490 First Ave S St Petersburg FL 33701 596142547 501(C)(3) 20000 Access to Healthcare Tampa Metropolitan Area YMCA New Tampa Family YMCA 110 Oak Ave E Tampa FL 33602 591742909 501(C)(3) 20000 Exercise Nutrition and Weight Advocates for World Health 13200 Belcher Rd S Largo FL 33773 264695101 501(C)(3) 1496009 FMV Medical Supplies Access to Healthcare 18 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BAYCARE HEALTH SYSTEM, INC. 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. X X true true X X X X X true true false false false false false false false STEPHANIE CONNERS TRUSTEE/PRES/CEO BAYCARE (eff Dec 2022) 307555 0 52672 0 17964 0 0 0 514 0 378704 0 0 0 TOMMY INZINA TRUSTEE/PRES/OUTGOING CEO BAYCARE 1806884 0 802057 0 1723775 0 20814 0 53599 0 4407129 0 0 0 NISHANT ANAND EVP, CMO BAYCARE (until May 2022) 337717 0 351601 0 150202 0 108358 0 17521 0 965399 0 0 0 JANICE POLO EVP, CFO BAYCARE 926464 0 347705 0 304165 0 21925 0 56010 0 1656268 0 57126 0 GLENN WATERS EVP, COO BAYCARE (until Oct 2022) 814968 0 430922 0 2737911 0 85787 0 47373 0 4116961 0 0 0 LYNNETTE CLINTON VP APPLICATIONS 264318 0 65564 0 27644 0 49795 0 40765 0 448086 0 0 0 TIM THOMPSON CHIEF INFORMATION OFFICER 589343 0 191432 0 245103 0 26265 0 48230 0 1100373 0 54016 0 KYLE BARR CHIEF TEAM RESOURCES OFFICER 573868 0 190341 0 159384 0 58346 0 53707 0 1035646 0 0 0 ANDREW FINK SVP/PRESIDENT BAYCARE MEDICAL GROUP 595770 0 212028 0 132157 0 79271 0 57503 0 1076728 0 0 0 LISA JOHNSON CHIEF NURSE EXECUTIVE 446616 0 142060 0 123153 0 62034 0 48936 0 822798 0 0 0 EDWARD RAFALSKI CHIEF STRATEGY & MARKETING OFFICER 455694 0 139735 0 93540 0 59359 0 50277 0 798605 0 0 0 CARL TREMONTI VP/CFO BAYCARE MEDICAL GROUP AMBULATORY 429704 0 114286 0 124088 0 49184 0 24174 0 741435 0 0 0 Schedule J, Part I, Line 1a Travel for companions In 2022, there was an instance of reimbursement for companion air travel for the incoming CEO that was taxable. Schedule J, Part I, Line 1a Housing allowance or residence for personal use In 2022 there was a housing allowance for the incoming CEO that was both taxable and time limited. Schedule J, Part I, Line 4a Severance or change-of-control payment Glenn Waters received a severance payment in the amount of $2,399,968 during 2022. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan BayCare Health System provides two nonqualified deferred compensation plans to executive level employees: Executive Nonqualified Defined Contribution Plan The plan provides for annual credits of a specified percentage of an eligible participant's eligible compensation paid in a plan year and interest credits. Plan participants vest in increasing percentages based on years of service. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Payments made during employment are made for required tax withholding and reduce the participant's account balance. Distribution of the vested account balance occurs upon termination of employment. The plan is frozen for the participants hired after 1.1.2018. Supplemental Executive Retirement Plan The plan provides for annual credits to the participant's company contribution account of a specified percentage of an eligible participant's eligible compensation paid in a plan year and investment income credits. Plan participants vest on January 1 of the fifth Plan Year following the Plan Year for which the contribution was made. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Distribution of the vested amounts shall be made no later than the earlier of 90 days following the date the amounts become vested or the March 15th following the Plan Year in which the participant became vested. Amounts accrued, vested and distributed for plan participants are provided below. Tommy Inzina - As part of his contract, Mr. Inzina received a 2022 retention payment of $1,300,000 which is included in Part II (B)(III) Other Compensation. He also participated in a supplemental nonqualified deferred compensation plan. He had $378,435 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $148,914 in 2022. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $195,493 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $76,927 in 2022. Janice Polo - Participated in a supplemental nonqualified deferred compensation plan. She had $263,296 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $103,607 in 2022. Lisa Johnson - Participated in a supplemental nonqualified deferred compensation plan. She had $80,290 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $31,594 in 2022. Tim Thompson - Participated in a supplemental nonqualified deferred compensation plan. He had $202,478 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $79,675 in 2022. Andrew Fink - Participated in a supplemental nonqualified deferred compensation plan. He had $66,340 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other Compensation. He had $61,599 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $26,105 in 2022. Kyle Barr - Participated in a supplemental nonqualified deferred compensation plan. She had $106,148 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. She had $19,541 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $41,769 in 2022. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $74,365 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $29,263 in 2022. Lynnette Clinton - Participated in a supplemental nonqualified deferred compensation plan. She had $33,655 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. Edward Rafalski - Participated in a supplemental nonqualified deferred compensation plan. He had $59,501 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. He had $40,420 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $23,414 in 2022. A Hillsborough County Industrial Development Authority 591293512 000000000 2022-05-16 188625000 SERIES 2022A: REFUND BONDS false false false B HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT 591293512 43233KAE4 2020-04-30 327215000 SERIES 2020BCDEF: REFUND BONDS false false false C CITY OF TAMPA FLORIDA 591101138 87515ECA0 2016-04-13 218459961 SERIES 2016A: NEW PROJECTS false false false D POLK COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 591292108 73112FAB4 2014-05-01 100000000 SERIES 2014A: NEW PROJECTS false false false A 0 188625000 188625000 2022 true false true true B 0 327215000 327215000 2020 true false true true C 0 218462121 2198516 216263605 2017 false false true true D 0 100000000 77600000 1544390 20855610 2015 false false true true A false true true true true true 0.0 0.0 0.0 false false true B false true true true true true 0.0 0.0 0.0 false false true C false true true true true true 0.0 0.0 0.0 false false true D false true true true true true 0.0 0.0 0.0 false false true A false true false false true false false false true B false true false false true false false false true C false true false false false false false false true D false false true false true false false false true A true B true C true D true Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE (A) SERIES 2022A: THE PROCEEDS OF THE BONDS, TOGETHER WITH OTHER AVAILABLE MONEY OF THE INSTITUTION, ARE BEING USED TO REFUND THE OUTSTANDING AMOUNT OF THE $188,625,000 CITY OF TAMPA HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUES SERIES 2012A. (B) SERIES 2020BCDEF: OUTSTANDING PINELLAS COUNTY HEALTH FACILITIES AUTHORITY HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2009A1 AND SERIES 2009A2 BONDS, ISSUED APRIL 9, 2009 AND REFUNDING ALL OF THE OUTSTANDING CITY OF TAMPA HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2012C, ISSUED MAY 24, 2012. SERIES 2020EF: PRINCIPAL PURPOSE OF REFUNDING ALL OF THE OUTSTANDING CITY OF TAMPA HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2012D AND SERIES 2012E, ISSUED MAY 24, 2012. HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY EXPECTS THAT IT WILL ISSUE ON OR ABOUT MAY 16, 2022, ITS $188,625,000 AGGREGATE PRINCIPAL AMOUNT OF FORWARD DELIVERY HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2022A (THE "FORWARD DELIVERY BONDS"). THE PROCEEDS OF THE FORWARD DELIVERY BONDS ARE EXPECTED TO BE USED TO REFUND THE CITY OF TAMPA, HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2012A, ISSUED ON MAY 3, 2012 FOR THE BENEFIT OF BAYCARE HEALTH SYSTEM. THE FORWARD DELIVERY BONDS ARE TREATED AS PART OF THE SAME PLAN OF FINANCING AS THE SERIES 2020EF AND THE SERIES 2020BCD, ARE REASONABLY EXPECTED TO BE PAID FROM SUBSTANTIALLY THE SAME SOURCE OF FUNDS AS THE SERIES 2020EF AND THE SERIES 2020BCD AND WERE SOLD TO THE INITIAL PURCHASER ON APRIL 30, 2020 (I.E., WITHIN FIFTEEN (15) DAYS OF THE DATE THE SERIES 2020EF AND THE SERIES 2020BCD WERE SOLD). PURSUANT TO TREASURY REGULATIONS §1.150-1(C)(1), THE SERIES 2020EF, THE SERIES 2020BCD AND THE FORWARD DELIVERY BONDS ARE BEING TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. (C) SERIES 2016A: PRINCIPAL PURPOSE IS FOR CAPITAL EXPENDITURES RELATING TO BUILDINGS AND STRUCTURES (D) SERIES 2014A: PRINCIPAL PURPOSE OF REFUNDING THE BRIDGE LOAN ACQUIRED TO REFUND ALL OF WINTER HAVEN HOSPITAL OUTSTANDING BOND DEBT DURING ACQUISITION. THERE WAS ALSO APPROXIMATELY $21M NEW MONEY WHOSE PRINCIPAL PURPOSE WAS FOR CAPITAL EXPENDITURES RELATING TO BUILDINGS AND STRUCTURES (E) SERIES 2012B: PRINCIPAL PURPOSE OF REFUNDING ALL OF THE OUTSTANDING PINELLAS COUNTY HEALTH FACILITIES AUTHORITY HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2000 BONDS, ISSUED FEBRUARY 1, 2001 AND REFUNDING ALL OF THE OUTSTANDING PINELLAS COUNTY HEALTH FACILITIES AUTHORITY HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2006B, ISSUED APRIL 26, 2006. THERE WAS ALSO APPROXIMATELY $24M NEW MONEY WHOSE PRINCIPAL PURPOSE IS FOR CAPITAL EXPENDITURES RELATING TO BUILDINGS AND STRUCTURES (F) SERIES 2009A-3: PRINCIPAL PURPOSE OF CURRENTLY REFUNDING ALL OF THE OUTSTANDING PINELLAS COUNTY HEALTH FACILITIES AUTHORITY HEALTH SYSTEM REVENUE BONDS, BAYCARE HEALTH SYSTEM ISSUE, SERIES 2006A ISSUED APRIL 26, 2006. $50 MILLION OF THE SERIES 2009 A-3 BONDS WERE REISSUED FOR FEDERAL TAX PURPOSES ON DECEMBER 15, 2015. EACH OF THE FOLLOWING ENTITIES WITHIN THE BAYCARE HEALTH SYSTEM BENEFITED FROM ONE OR MORE OF THE LISTED BOND ISSUES: BAYCARE HEALTH SYSTEM, INC., MORTON PLANT HOSPITAL ASSOCIATION, INC., MORTON PLANT MEASE HEALTH CARE, INC., SOUTH FLORIDA BAPTIST HOSPITAL, INC., ST. ANTHONY'S HOSPITAL, INC., ST. JOSEPH'S HOSPITAL, INC., TRUSTEES OF MEASE HOSPITAL, INC., WINTER HAVEN HOSPITAL Schedule K, Part II, Line 3 TOTAL PROCEEDS REPORTED PROCEEDS OF THE ISSUES INCLUDE INVESTMENT EARNINGS AS FOLLOWS: *SERIES 2016A $2,159.38 Schedule K, Part II, Line 17 FINAL ALLOCATION THE ORGANIZATION DOES MAINTAIN ADEQUATE BOOKS AND RECORDS TO SUPPORT THE ALLOCATION OF PROCEEDS, HOWEVER A FINAL ALLOCATION IS NOT REQUIRED FOR REFUNDING ISSUES (COLUMN B AND F). Schedule K, Part III, Line 3a PBU PROPERTY BAYCARE, WITH ASSISTANCE OF LEGAL COUNSEL, CONTINUES TO MONITOR AND REVIEW ALL MANAGMENT CONTRACTS, OPERATING AGREEMENTS, AND RESEARCH AGREEMENTS FOR COMPLIANCE WITH THE SAFE HARBOR PROVISIONS OF REV. PROC. 2013-13. Schedule K, Part III, Line 4 PBU PERCENTAGES THE ORGANIZATION HAS USED A COMBINATION OF BOND FUNDS AND EQUITY TO CONSTRUCT, EXPAND, AND/OR RENOVATE HOSPITAL FACILITIES. CONSISTENT WITH THE INSTRUCTIONS, THE COSTS RELATED TO ISSUANCE AND CREDIT ENHANCEMENTS ARE NOT CONSIDERED IN THESE CALCULATIONS. Schedule K, Part IV, Line 2c REBATE COMPUTATION *SERIES 2020BCDEF REBATE WAS COMPUTED BY BOND COUNSEL IN 2022 *SERIES 2009A-3 REBATE WAS COMPUTED BY BOND COUNSEL IN 2017 *SERIES 2012B REBATE WAS COMPUTED BY BOND COUNSEL IN 2022 *SERIES 2014A REBATE WAS COMPUTED BY BOND COUNSEL IN 2016 *SERIES 2016A REBATE WAS COMPUTED BY BOND COUNSEL IN 2017 Schedule K, Part II, Line 16 FINAL ALLOCATION 2020B AND 2020C FINAL ALLOCATION NOT REQUIRED FOR REFUNDINGS. Schedule K, Part II, Line 3 TOTAL PROCEEDS SUCH PROCEEDS DO NOT INCLUDE TRANSFERRED PROCEEDS FROM THE REFUNDED BONDS FOR THE SERIES 2012B. Schedule K, Part II, Line 11 OTHER SPENT PROCEEDS SERIES 2009A-3 INCLUDED A PAYMENT TO TERMINATE SWAPS ASSOCIATED WITH THE REFUNDED ISSUE 2006A. Schedule K, Part IV, Line 2c COLUMN A Issuer name: CITY OF TAMPA, FLORIDA The calculation for computing no rebate due was performed on 01/01/2022 A CITY OF TAMPA FLORIDA 591101138 87515EAW4 2012-05-03 77215000 SERIES 2012B: REFUND BONDS false false false B PINELLAS COUNTY HEALTH FACILITIES AUTHORITY FL 592384219 72316MEY1 2015-12-15 50000000 SERIES 2009A-3: REFUND BONDS false false false A 0 77215000 77215000 2015 true false true true B 0 50000000 50000000 2010 true false true true A false true true true true true 0.0 0.0 0.0 false false true B false true true true true true 0.0 0.0 0.0 false false true A false false false true true false false false true B false false true false true true GOLDMAN SACHS BANK 29.6 false false false false true A true B true ASHLEY SQUIRES FAMILY MEMBER OF TIM THOMPSON 119268 ASHLEY SQUIRES IS A FAMILY MEMBER OF TIMOTHY THOMPSON, A KEY EMPLOYEE OF THE FILING ORGANIZATION. ASHLEY SQUIRES WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION. false ALEXANDER SQUIRES FAMILY MEMBER OF TIM THOMPSON 146330 ALEXANDER SQUIRES IS A FAMILY MEMBER OF TIMOTHY THOMPSON, A KEY EMPLOYEE OF THE FILING ORGANIZATION. ALEXANDER SQUIRES WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION. false REGINA THOMPSON FAMILY MEMBER OF TIM THOMPSON 115175 REGINA THOMPSON IS A FAMILY MEMBER OF TIMOTHY THOMPSON, A KEY EMPLOYEE OF THE FILING ORGANIZATION. REGINA THOMPSON WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION. false Form 990, Part III, Line 4a Program Service Accomplishments BayCare's 16 hospitals are Bartow Regional Medical Center, BayCare Alliant, BayCare Hospital Wesley Chapel, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, St. Joseph's, St. Joseph's Children's, St. Joseph's Women's, St. Joseph's-North, St. Joseph's-South, South Florida Baptist, Winter Haven and Winter Haven Women's. (In certain cases, hospital locations with the same tax identification and state license number are listed as one facility on Form 990, Schedule H, consistent with IRS reporting guidelines.) During 2022, BayCare continued construction of two new hospitals to provide acute care services in parts of the region experiencing rapid population growth: BayCare Hospital Wesley Chapel opened in March 2023, and construction progressed on a replacement South Florida Baptist Hospital near its current location, with opening expected in late 2023. BayCare celebrated its 25th anniversary in 2022. It was founded in 1997 after leaders of several of the area's independent, not-for-profit hospitals began discussing ways to ensure that high-quality, not-for-profit health care would remain a viable option for the Tampa Bay community for decades to come. The founding hospitals agreed to sacrifice some of their autonomy to be operated by a new entity, BayCare. With $5.1 billion in operating revenue in 2022, BayCare is now a fully integrated health system dedicated to providing high-quality, compassionate care to all we serve, regardless of their ability to pay. BayCare has 3,946 hospital beds, 21 urgent care centers, 4 surgery centers, 15 outpatient imaging facilities, 193 physician practice locations and 36 walk-in care stations in Publix supermarkets. BayCare annually generates $8.5 billion in economic impact in the region and state. BayCare is one of the largest employers in the Tampa Bay area, with 29,402 team members. During 2022, BayCare provided $699.7 million in benefits for its employees, including $218.8 million in retirement, $192 million in medical insurance, $174 million in paid time off and $53 million in education and development. In 2022, BayCare was named to these prestigious national lists: Fortune Best Workplaces in Health Care, PEOPLE Companies that Care, and BOLD Programs of Distinction from the National Center for Healthcare Leadership. BayCare also made the 2022 Top Workplaces list of the Tampa Bay Times newspaper. In 2022, BayCare provided $492 million in total Community Benefit, including $332 million in Medicaid and other income-based programs, $97 million in traditional charity care and $63 million in unbilled community services, all measured in unreimbursed costs. After a Community Health Needs Assessment conducted in 2019 identified food insecurity as one of the top issues in the Tampa Bay and West Central Florida regions - an issue only exacerbated by the pandemic - BayCare stepped up to help not just our patients, but individuals and families throughout the area we serve. BayCare partnered with not-for-profit Feeding Tampa Bay and in 2022 helped to fund food pantries in 42 public schools in lower-income neighborhoods across four counties. In 2022, BayCare distributed more than 9,200 "Healing Bags" of food to our patients who identified food insecurity as a problem. BayCare also adjusted its patient record system to prompt case managers to ask every vulnerable, high-risk patient about food insecurity and record the answer so that hunger can be diagnosed and treated like other medical problems. During 2022, 103,000 patients were asked those questions and their answers were recorded in their electronic medical records. BayCare's financial strength, the efficiencies gained from its operating model, its visionary leadership, the hard work of its team members, and its determination to provide exceptional care to its patients helped BayCare in 2022 retain its ranking in the top 20% of large U.S. health systems clinical excellence by Fortune/Merative. Twenty-five years after it was created, BayCare is achieving the goal of its founders to preserve not-for-profit health care for the communities of Tampa Bay and West Central Florida, and it is fulfilling its Mission as an organization to "improve the health of all we serve through community-owned services that set the standard for high-quality, compassionate care." Form 990, Part VI, Line 1a Delegate broad authority to a committee The organization has committees with authority to make decisions and/or act in regard to specific matters. The composition and scope of authority for any such committees are described in the organization's governing documents. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Glenn Waters, Janice Polo and Nishant Anand - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents The organization amended its bylaws in 2022 as follows: Nine members of the Board of Trustees will be appointed by Catholic Health East (CHE), but the CHE appointees are no longer required to include the chair of the St. Anthony's Community Health Alliance and the chair of the St. Joseph's-Baptist Community Health Alliance; nine members of the Board of Trustees will be appointed by Morton Plant Mease but they are no longer required to include the chair of the Morton Plant Mease Community Health Alliance; and two members of the Board of Trustees will be appointed by South Florida Baptist Hospital but they are no longer required to include the chair of the St. Joseph's-Baptist Community Health Alliance. Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATE MEMBERS OF THE ORGANIZATION ARE MORTON PLANT MEASE HEALTH CARE, INC., TRINITY HEALTH, AND SOUTH FLORIDA BAPTIST HOSPITAL, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF TRUSTEES IS APPOINTED BY THE CORPORATE MEMBERS AS FOLLOWS: MORTON PLANT MEASE HEALTH CARE, INC. APPOINTS NINE MEMBERS, TRINITY HEALTH APPOINTS NINE MEMBERS, AND SOUTH FLORIDA BAPTIST HOSPITAL, INC. APPOINTS TWO MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders RESERVED POWERS FOR THE CORPORATE MEMBERS INCLUDED IN THE BYLAWS ARE: SECTION 2. CORPORATE MEMBER RESERVED RIGHTS. THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF TRUSTEES OF THE CORPORATION EXCEPT AS FOLLOWS: A. CORPORATE MEMBER RESERVED RIGHTS RELATIVE TO THE CORPORATION. THE CORPORATE MEMBERS SHALL HAVE THE RIGHT TO APPROVE THE ACTIONS OF THE BOARD OF TRUSTEES OF THE CORPORATION WITH REGARD TO THE FOLLOWING: 1. FUNDAMENTAL CHANGE IN THE PHILOSOPHY, MISSION STATEMENT OR PURPOSES OF THE CORPORATION. 2. CHANGES IN THE ARTICLES OF INCORPORATION OF THE CORPORATION OR IN THESE AMENDED AND RESTATED BYLAWS. 3. APPROVAL OF AMENDMENTS TO THE JOINT OPERATING AGREEMENT (JOA) PURSUANT TO AND IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF THE JOA. 4. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION. 5. APPROVAL OF ADDITIONAL CORPORATE MEMBERS OF THE CORPORATION (AND ANY CORRESPONDING CHANGES IN THE PERCENTAGE INTERESTS OF THE CORPORATE MEMBERS PURSUANT TO AND IN ACCORDANCE WITH THE JOA). 6. APPROVAL OF THE ESTABLISHMENT OF A COMMON OBLIGATED GROUP TO CONSOLIDATE THE INDEBTEDNESS OF THE PARTICIPANTS. B. CORPORATE MEMBER RESERVED RIGHTS RELATIVE TO RESPECTIVE PARTICIPANTS. EACH CORPORATE MEMBER (OR, IN THE CASE OF SOUTH FLORIDA, ITS CORPORATE MEMBERS) WILL HAVE THE RIGHT TO APPROVE THE ACTIONS OF THE BOARD OF TRUSTEES OF THE CORPORATION WITH RESPECT TO THE FOLLOWING MATTERS, AS APPLICABLE: 1. WITH RESPECT TO A CORPORATE MEMBER'S HOSPITAL PARTICIPANT(S): (A) APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF A HOSPITAL PARTICIPANT. (B) CHANGE IN THE NAME OF THE HOSPITAL FACILITY OF THE HOSPITAL PARTICIPANT. (C) APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION AND BYLAWS OF THE HOSPITAL PARTICIPANT (PROVIDED THAT PRIOR NOTICE OF ANY CHANGE IN THE ARTICLES OF INCORPORATION OR BYLAWS OF A TRINITY HEALTH ENTITY SHALL BE PROVIDED TO TRINITY HEALTH AND, IF SUCH CHANGE, AS A RESULT OF TRINITY HEALTH BEING A CATHOLIC ENTITY, MUST BE APPROVED BY THE CORPORATE MEMBERS OF TRINITY HEALTH, SUCH CHANGE, REGARDLESS OF WHETHER IT IS SUBSTANTIVE AS A MATTER OF CIVIL LAW, SHALL BE SUBJECT TO THE APPROVAL OF TRINITY HEALTH). 2. WITH RESPECT TO ALL TRINITY HEALTH ENTITIES: (A) APPROVAL BY TRINITY HEALTH OF ANY SALE, LONG TERM LEASE, MORTGAGE, ENCUMBRANCE, OR DISPOSITION OF PROPERTY OF ANY OF THE TRINITY HEALTH ENTITIES CONSTITUTING AN "ALIENATION" UNDER PRINCIPLES OF CANON LAW. (B) APPROVAL BY TRINITY HEALTH OF MATTERS RELATING TO THE IMPLEMENTATION OF AND COMPLIANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES, AS THE SAME MAY BE REVISED FROM TIME TO TIME, SUBJECT TO AND IN ACCORDANCE WITH THE JOA. (C) APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION AND BYLAWS OF THE PARTICIPANT (PROVIDED THAT PRIOR NOTICE OF ANY CHANGE IN THE ARTICLES OF INCORPORATION OR BYLAWS OF A TRINITY HEALTH ENTITY SHALL BE PROVIDED TO TRINITY HEALTH AND, IF SUCH CHANGE, AS A RESULT OF TRINITY HEALTH BEING A CATHOLIC ENTITY, MUST BE APPROVED BY THE CORPORATE MEMBERS OF TRINITY HEALTH, SUCH CHANGE, REGARDLESS OF WHETHER IT IS SUBSTANTIVE AS A MATTER OF CIVIL LAW, SHALL BE SUBJECT TO THE APPROVAL OF TRINITY HEALTH). 3. WITH RESPECT OF ALL PARTICIPANTS: (A) APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE PARTICIPANT; PROVIDED THAT SUCH PHILOSOPHY, MISSION STATEMENT AND PURPOSES SHALL AT ALL TIMES BE CONSISTENT WITH THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION AND THE OPERATIONS OF THE JOA. (B) APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE PARTICIPANT, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE PARTICIPANT. THE APPROVALS SET FORTH IN THIS SUBPARAGRAPH (B) SHALL NOT BE DEEMED IN ANY WAY TO DIMINISH THE RIGHTS OF THE CORPORATION WITH REGARD TO THE GOVERNANCE AND MANAGEMENT OF THE NON-HOSPITAL PARTICIPANTS AS DESCRIBED IN THE JOA. (C) SUBJECT TO ARTICLE 111, SECTION 2.8.2 (A), WITH REGARD TO ANY ASSETS OF A PARTICIPANT NO LONGER REQUIRED IN THE OPERATION OF THE JOA, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $5 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF A PARTICIPANT USED IN THE OPERATION OF THE JOA, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM ONE PARTICIPANT TO ANOTHER IN CONNECTION WITH A RECONFIGURATION OF SERVICES DULY AUTHORIZED HEREUNDER, INCLUDING UNDER ARTICLE IV, SECTION 2 (IV) BELOW, IF REQUIRED). Form 990, Part VI, Line 11b Review of form 990 by governing body The form 990 is prepared by the organization and reviewed by the CFO as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the form 990 is made available to the entire Board. Form 990, Part VI, Line 12c Conflict of interest policy BAYCARE HEALTH SYSTEM, 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 INTEREST. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. 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. 4. 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 BOARD/COMMITTEE MEMBER SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/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 BOARD/COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE CHIEF TEAM RESOURCES OFFICER. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 COMMITTEE MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2021, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. Form 990, Part VI, Line 15b Process to establish compensation of other employees SEE NARRATIVE FOR PART VI, LINE 15A Form 990, Part VI, Line 19 Required documents available to the public THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES ARE AVAILABLE THROUGH EMMA FOR BOND INVESTORS. THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE FLORIDA DEPARTMENT OF STATE AND CAN BE LOCATED AT SUNBIZ.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 2f Other Program Service Revenue BILLING COLLECTION FEE - Total Revenue: 1031802, Related or Exempt Function Revenue: 1031802, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; BCHS INSURANCE - Total Revenue: 1903162, Related or Exempt Function Revenue: 2459719, Unrelated Business Revenue: -556557, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER - Total Revenue: 7956570, Related or Exempt Function Revenue: 7842837, Unrelated Business Revenue: 113733, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSET TRANSFER PER JOA - XXX-XX-XXXX; PAYMENTS TO TRINITY - -2000000; CLOSE OUT BALANCE - -1575248; Net DISTRIBUTIONs to Affiliates - -1052241; Book-Tax Difference Captive Income - -576212; Pension Settlement - -2583908; Schedule F, Part I, Line 3 Investments in Europe THE FIRST LISTED AMOUNT UNDER EUROPE ($291,527,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($979,000) REPRESENTS INVESTMENT RELATED EXPENSE PAID. THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. BayCare Ambulatory Services LLC 8452 118th Ave North Largo FL 337335007 331205788 Health Services FL 1149549 10585398 BCHS BayCare Integrated Service Center LLC 8731 Florida Mining Blvd Tampa FL 336341259 453559404 Procure/Distribution FL 16402900 90533715 BCHS BayCare Properties LLC 8452 118th Ave N Largo FL 337735007 263201926 Real Estate FL 8363561 73382572 BCHS BayCare Laboratories LLC 8452 118th Ave N Largo FL 337735007 274598855 Health Services FL 0 5800337 BCHS BayCare Physician Partners LLC 2985 Drew St Clearwater FL 337593012 452908908 CIN FL 12709992 13730742 BCHS BayCare Health Solutions LLC 2985 Drew St Clearwater FL 337593012 461358555 Health Services FL 0 3222509 BCHS BayCare Medical Services LLC 2985 Drew St Clearwater FL 337593012 462282247 Health Services FL 8668876 48191325 BCHS BayCare Hospital Support Services LLC 2985 Drew St Clearwater FL 337593012 471658676 Admin Support FL -158 205197467 BCHS BayCare Physician Partners ACO LLC 2985 Drew St Clearwater FL 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