2020-10-23T06:31:46-05:00 2019-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-01-01 590724462 Winter Haven Hospital Inc WINT 8632931121 200 Avenue F NE Winter Haven FL 33881 Ron Beamon VP, CFO - BayCare Hospital Div 2020-10-23 true Brittney Kocaj P01320603 9542028600 2019 2021-01-29 14:40:06Z Glenn Waters 2985 Drew Street Clearwater FL 33759 401038170 false X www.baycare.org/hospitals/winter-haven-hospital X 1926 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 14 12 2722 172 282776 0 2752900 7195858 368188373 365195151 3306407 4931171 5061187 2756984 379308867 380079164 5000 0 0 140102186 157066902 0 0 202765781 196233808 342872967 353300710 36435900 26778454 344138861 388004932 137062206 148123977 207076655 239880955 TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 299862664 0 365673881 WINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 519 BED COMMUNITY HOSPITAL. DURING 2019, WHH PROVIDED INPATIENT CARE TO 21,596 PATIENTS, TREATED 79,694 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,952 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $46.8 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING OVER $4.6 MILLION. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 299862664 true true false true false false false false false true false false false true true false true false false true false false false false false true true false false true false false false false false false false true false false false false false true true true false false true X 0 0 2722 true true true false false false false false false false false false false false X 14 12 true false false false true true true true true false false true true true true true true false false false X Janice Polo EVP & CFO 7278208021 2985 Drew Street Clearwater FL 33759 CHARLES MCPHERSON TRUSTEE/VICE CHAIR 1.0 0 X X 0 0 0 CHIP TUCKER TRUSTEE/SECRETARY 1.0 0 X X 0 0 0 DON INGRAM TRUSTEE/CHAIR 1.0 1.0 X X 0 0 0 ROBERT CARTER TRUSTEE/TREASURER 1.0 0 X X 0 0 0 AL CASSIDY TRUSTEE 1.0 0 X 0 0 0 ALAN GUSTAFSON TRUSTEE 1.0 0 X 0 0 0 ANGELA FALCONETTI TRUSTEE 1.0 0 X 0 0 0 CINDY ALEXANDER TRUSTEE 1.0 0 X 0 0 0 CINDY HENRY TRUSTEE 1.0 0 X 0 0 0 EDGAR WILLARD TRUSTEE 1.0 0 X 41424 0 0 JUAN RIVERA TRUSTEE 1.0 0 X 0 0 0 MARK BOSTICK TRUSTEE 1.0 0 X 0 0 0 RICHARD STRAUGHN TRUSTEE/PAST CHAIR 1.0 0 X 0 0 0 TODD DANTZLER TRUSTEE 1.0 0 X 0 0 0 GLENN WATERS EVP, COO BAYCARE 1.0 63.0 X 0 1722143 62974 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 58.0 X 0 467400 71631 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO POLK 45.0 0 X 335604 0 88111 LAURIE SHANK DIRECTOR SURGICAL SERVICES WHH 45.0 0 X 156441 0 22680 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.0 0.0 X 582013 0 60348 GLENN WYSOCK MANAGER, PHARMACY 45.0 0 X 206401 0 23661 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 45.0 0.0 X 218152 0 31054 KEITH HAMM PHARMACY OPERATIONS COORD 45.0 0 X 173903 0 29817 VINCENT GATTO DIR/CHIEF MEDICAL OFFICER - WHH 45.0 0 X 287289 0 7283 WALTER LUPKE DIR, CLIN DECISION SUPP WINTER HAVEN HOSP 45.0 0 X 178721 0 24003 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0.0 52.0 X 0 742494 27347 JENNIFER BLANK DIR, EMERGENCY SVCS/NURSE STAFFING WHH 45.0 0 X 169047 0 23769 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN 0.0 45.0 X 0 167333 27220 2348995 3099370 499898 87 true true false NV2A GROUP LLC 9100 S DADELAND BLVD MIAMI FL 33156 construction services 15960308 HOSPITAL MEDICINE ASSOCIATES PO BOX 634850 CINCINNATI OH 452604850 medical services 5159424 GE PRECISION HEALTHCARE LLC 3000 N GRANDVIEW BLVD WAUKESHA WI 53188 Medical Equipment 4227420 BERGLUND CONSTRUCTION COMPANY 8410 S SOUTH CHICAGO AVE CHICAGO IL 60617 construction services 2656329 OB HOSPITALIST GROUP LLC 777 LOWNDES HILL RD GREENVILLE SC 296072131 medical services 1957472 78 5846535 1349323 7195858 MEDICARE / MEDICAID PMNT 622110 199659418 199659418 HOSPITAL PATIENT CARE 622110 165036599 164787017 249582 RENTAL INCOME FROM AFFiliates 531190 453597 453597 PREMIER PURCHASING PARTNERS 900099 45537 40374 5163 0 0 0 0 365195151 2965228 28031 2937197 1094627 0 1094627 0 1094627 1094627 22618958 305991 20959006 1659952 305991 1965943 1965943 CAFETERIA 722514 1183627 1183627 MISCELLANEOUS REVENUE 621990 478730 478730 0 0 0 0 1662357 380079164 365419136 282776 7181394 0 0 1269063 1269063 129622453 128615629 1006824 4625118 4589193 35925 12391457 12295208 96249 9158811 9052940 105871 47405 47405 7563 7563 3454 3454 237343 237343 24094432 23350688 743744 0 323875 323375 500 5667991 2527265 3140726 1450103 956719 493384 5920496 5227028 693468 876947 564319 312628 2501520 2501520 16032713 15800099 232614 6484465 6484465 MAINTENANCE AND REPAIRS 4407705 4407705 MEDICAL SUPPLIES 70301130 70301130 MANAGEMENT FEES 39865884 39865884 BAD DEBT EXPENSE 255533 255533 17755249 12369051 5386198 0 353300710 299862664 53438046 0 8596 8741 34967377 36959879 0 0 4679266 6933545 9157438 9430914 1976930 2173543 308127043 104400934 174564776 203726109 91536745 99515312 0 15576990 17339337 7439000 6920000 4231743 4997552 344138861 388004932 19662260 21262510 76578 73378 0 117323368 126788089 137062206 148123977 X 206110256 238914556 966399 966399 X 207076655 239880955 344138861 388004932 X 26778454 8037641 -2011795 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 8800 false true 3454 12254 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lines 1b, 1g. Lobbying activities performed by employee concerning healthcare issues. 1i. Dues were paid to American Health Information Management Association, Florida Medical Association, Florida Society of Health, 340B Health and American Hospital Association. These associations use a portion of their respective dues to conduct lobbying activities. 14280000 14280000 170962936 43267706 127695230 84565237 61126458 23438779 38318870 6770 38312100 203726109 ASSET RETIREMENT OBLIGATION 793920 ABANDONED PRPTY DEFERRED COMPENSATION PLAN 4418063 PENSION OBLIGATION 11448897 Due To Affiliates 106872284 TENANT DEPOSITS 82500 Third Party Settlements 3172425 126788089 X 381561448 0 0 381561448 -1482284 -1482284 380079164 353300710 0 0 353300710 0 0 353300710 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GRANTS - 145560 PREMIER INCENTIVES - 45538 CHANGE IN FOUNDATION EARNINGS - -1672643 GAIN ON SALE OF ASSETS - -739 Central America and the Caribbean Investments 9347000 East Asia and the Pacific Investments 1402000 Europe (Including Iceland and Greenland) Investments 3417000 Europe (Including Iceland and Greenland) Investments 14000 Middle East and North Africa Investments 95000 North America (Canada & Mexico only) Investments 672000 South America Investments 421000 Sub-Saharan Africa Investments 34000 0 0 0 0 0 0 15402000 0 15402000 false false false false false false Schedule F, Part I, Line 3(f) THE FIRST LISTED AMOUNT UNDER EUROPE ($3,417,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($14,000) REPRESENTS INVESTMENT RELATED EXPENSE PAID. THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. true true X true X 250 false true true true false true true 12421079 0 12421079 0.0352 53881140 21676745 32204395 0.0912 3611502 1472874 2138628 0.0061 0 0 69913721 23149619 46764102 0.1325 631244 0 631244 0.0018 1630578 0 1630578 0.0046 2294426 0 2294426 0.0065 56124 0 56124 0.0002 21201 0 21201 0.0001 0 0 4633573 0 4633573 0.0131 0 0 74547294 23149619 51397675 0.1456 0 0.0 0 0.0 4460 0 4460 0.0000 54358 0 54358 0.0002 0 0.0 0 0.0 0 0.0 270 0 270 0.0000 0 0.0 0 0 59088 0 59088 0.0002 true 255533 134859 76474397 85028503 -8554106 X true true 1 1 WINTER HAVEN HOSPITAL INC 200 AVENUE F NE WINTER HAVEN FL 33881 https://baycare.org/hospitals/winter-haven-hospital/patients-and-visitors 3974 X X X WINTER HAVEN HOSPITAL INC 1 false false true X X X X X X X X X 19 true true false true X https://baycare.org/hospitals/winter-haven-hospital/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/winter-haven-hospital/about-us/community-health-needs false true X 250.0 0.0 X X X X X X true true X X X true X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL, INC.. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY WINTER HAVEN HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 82 COMMUNITY STAKEHOLDERS IN THE WINTER HAVEN HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 10 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL, INC.. CHNA was conducted with the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL, INC. 2. MORTON PLANT HOSPITAL ASSOCIATION, INC. 3. TRUSTEES OF MEASE HOSPITAL, INC. 4. ST. JOSEPH'S HOSPITAL, INC. 5. SOUTH FLORIDA BAPTIST HOSPITAL, INC. 6. WINTER HAVEN HOSPITAL, INC. 7. BARTOW REGIONAL MEDICAL CENTER, INC. 8. BayCare Alliant Hospital, INC. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL, INC.. Winter Haven Hospital is concentrating efforts during the 2020-2022 time period to address the following significant health needs of our community as identified in the most recent CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight WINTER HAVEN HOSPITAL'S Implementation plan DESCRIBES specific activities that are underway to address these significant health needs during the 2020-2022 time period. Although the majority of the overarching goals, objectives and efforts will focus on these top three focus areas, Winter Haven Hospital remains committed to supporting positive advancements in addressing diabetes, heart disease and stroke, while addressing the focus area of exercise, nutrition and weight. There were five additional health focus areas identified through the CHNA. These were: * Cancer * Immunization and infectious disease * Maternal, fetal and infant health * Oral health * Respiratory disease These remaining health needs are significant, but they're not directly addressed in 2020-2022 health improvement plan strategies. However, they'll continue to be impacted through existing hospital strategies for clinical excellence and Winter Haven Hospital partnerships within the community, including the Florida Department of Health and community organizations who may be in a better position to address these health issues. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 1 - WINTER HAVEN HOSPITAL. LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. 1 CENTER FOR BEHAVORIAL HEALTH -POLK COUNTY 1201 FIRST STREET SOUTH WINTER HAVEN FL 33880 OUTPATIENT BEHAVIORAL HEALTH CENTER Schedule H, Part VI, Line 7 WINTER HAVEN HOSPITAL OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. Schedule H, Part VI, Line 5 Promotion of Community Health (continued) The Faith Community Nursing (FCN) Program of Polk County works with local faith organizations to promote whole-person wellness within their congregations and at other non-profits in our surrounding communities. The FCN program is committed to educating registered nurses and lay people to implement health ministry within their local congregation. Presently, there are partnerships with 11 faith community nurses and 10 congregational health promoters. The FCN program is part of Pastoral Care. During April, Advance Directive documents and education was promoted within hospital to our congregational partners and other community nonprofits. Winter Haven Hospital provided Mental Health First Aid trainings in 2019. Adult and youth focused courses were taught by licensed mental health counselors. This training provides community leaders and others to recognize and respond to signs of mental health distress and substance abuse disorders. The Faith Community Nursing team coordinated trainings for 35 community and faith-based leaders. In addition, trainings were held for 62 parole and probation officers from Circuit 10 - Office of Community Corrections, Florida Department of Corrections. BayCare's Community Health team develops community partnerships with area agencies, creating collaborative efforts that bring health services directly into area neighborhoods. As a result, Community Health participated in 321 events and programs in 2019 and was able to promote better health to more than 7,015 people. For more than 20 years, St. Joseph's Children's Wellness and Safety Center has been committed to keeping kids and families healthy, safe and informed through a multifaceted outreach approach focusing on community education, unintentional injury prevention, children's health and wellness and legislative advocacy. In 2019, the Children's Wellness and Safety Center educated more than 90,942 children and their families through community programs and events across BayCare's footprint. Support and education are also provided in the form of support groups, classes, and community lectures at WHH and WHWH. Topics include cancer, diabetes, caregiver and expecting parents/pediatric education, support and safety. WHWH provides infant/child car-seat safety checks on a regular basis to the community. In addition, WHH hosted Melanoma Monday, a skin cancer screening event in May of 2019. 50 people attended the event. In partnership with Tobacco-Free Florida, WHH provides space for their smoking cessation classes. Nine classes were held in 2019. BayCare's Clinical Research Operations Teams provide specialized staffing support to Principal Investigators across BayCare Health System in the conduct of clinical research involving human subjects. The primary purpose is to increase access opportunities for participation in clinical research by both clinicians and patients in an effort to provide life-changing care for patients today and to advance the science of medicine for future generations. Cutting-edge inpatient and outpatient studies focus on pharmaceutical and device trials, infectious diseases including HIV, and pediatric and adult trials including investigational research in hematology, oncology, cardiology and tissue banking studies. In 2019, Winter Haven Hospital worked with neighboring not-for-profit hospitals and the Florida Department of Health-Polk to complete a Community Health Needs Assessment (CHNA). The CHNA provides information on the unmet and emerging health needs as identified through available local, state and national data-and most importantly, the assessment is intended to be inclusive of the thoughts and ideas of members of the communities we serve. We engaged residents, community leaders, and other key advocates throughout each phase of the assessment. Data was collected using a robust, 75 question community survey which was deployed onsite at many community organizations across the county. In addition, data was gathered from key informant surveys and focus groups. In July, a county-wide prioritization meeting was held with community members to rank the needs identified in the collected data. Top priority areas identified included Behavioral Health (Mental Health and Substance Use), Access to Health Services, and Exercise, Nutrition and Weight. An implementation plan to address these top three needs was approved by the Board of Trustees in December. Volunteer Activities Throughout the year, WHH and its team members contribute to the health of our community in a variety of other ways including blood drives; donation of school supplies and a Christmas gift program to assure children of disadvantaged families enjoy the holiday. In 2019, Winter Haven Hospital's 159 volunteers contributed 22,358 hours of volunteer service. Beginning in 1938, the Winter Haven Hospital Auxiliary has found many ways to contribute directly to the welfare of the hospital, its patients and the community at large. Striving to maintain the highest standards of conduct, the Auxiliary and volunteers, provide a healthful, safe, caring environment for staff visitors and patients. Our volunteers offer assistance at the patient information desks, gift shops, patient registration, activities cart as well as light clerical support. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. WINTER HAVEN HOSPITAL, 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 AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. Presumptive financial assistance decisions for uninsured ER patients may be determined based on third party analytics, using a credit inquiry process, under the following circumstances: * Uninsured accounts of patients not seen by the Financial Assistance team or without a current financial assistance application on file * The reported federal poverty level (FPL) of the patient meets the criteria for financial assistance (250%) Schedule H, Part I, Line 6a Community benefit report prepared by related organization BayCare Health System, Inc. Schedule H, Part I, Line 7g Subsidized Health Services Heart Function Clinic: $146,765 Maternal Fetal Medicine Program $613,711 Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 255533 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. Schedule H, Part II Community Building Activities WINTER HAVEN HOSPITAL SUPPORTS ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT. THIS INCLUDES: - FUNDING SUPPORT FOR ORGANIZATIONS SUCH AS, THE ROTARY CLUB, FLORENCE VILLA COMMUNITY DEVELOPMENT CORPORATION, AND POLK STATE COLLEGE FOUNDATION, THAT ADDRESS THE ROOT CAUSES OF HEALTH AND SAFETY ISSUES AND PROMOTE ECONOMIC STABILITY - RECYCLING COSTS FOR DISPOSABLE ITEMS - TEAM MEMBER TIME DEDICATED TO COALITION BUILDING WITH VARIOUS COMMUNITY GROUPS TO IMPROVE BEHAVIORAL HEALTH OUTCOMES - TEAM MEMBER TIME DEDICATED TO WORKING WITH HEALTH CARE OBSERVERS INTERESTED IN PURSUING A CAREER IN THE MEDICAL FIELD Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY 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 FINANCIAL 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE NARRATIVE TO PART III, LINE 2. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 65% OF UNPAID AMOUNTS. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. LINE 7 SURPLUS OR (SHORTFALL) ($8,554,106) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($9,662,455) TOTAL SURPLUS OR (SHORTFALL) ($18,216,561) Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions. Schedule H, Part V, Section B, Line 16a FAP website - WINTER HAVEN HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - WINTER HAVEN HOSPITAL, INC.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - WINTER HAVEN HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment WINTER HAVEN HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. WINTER HAVEN 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. WINTER HAVEN HOSPITAL, INC. recognizes the importance of hearing from those they serve. Along with collecting generally available data, WINTER HAVEN HOSPITAL, INC. conducts a community-based survey to allow for community residents' voices to be heard as well as informed decision making related to health priorities. IN ADDITION, WINTER HAVEN HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS 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 WINTER HAVEN HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance WINTER HAVEN HOSPITAL, INC'S FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BAYCARE HEALTH SYSTEM, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, WINTER HAVEN HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. Schedule H, Part VI, Line 4 Community information Winter Haven Hospital and Winter Haven Women's Hospital are acute care facilities serving parts of Polk and Highlands Counties. The average household income of $68,741 in this area falls $14,649 below the state average and $24,966 below the national average; 12.2% of households have annual household income below $15,000 per year. The population served is predominantly Caucasian with 93.4% being high school or higher educated. Hispanics are the second largest ethnic group representing 21.8% of the population and 14.9% are African American. Winter Haven Hospital is part of BayCare Health System that serves west central Florida. The area served by Winter Haven Hospitals has 7 acute care hospitals including Winter Haven Hospital and Winter Haven Women's Hospital. Of these, 6 hospitals are Not-for-Profit. The service area for Winter Haven and Winter Haven Women's hospital includes parts of Polk and Highland counties which have two federally designated as medically underserved areas/populations. The service area served by Winter Haven Hospitals is expected to grow 6.5% in population over the next 5 years. This is higher than the expected growth rate of 3.3% for the United States. The over 65 population is expected to grow 14.9% in the next five years. Based on Florida inpatient discharge data for the period of 10/01/18-9/30/19, the payer mix for the geographic area consists of 52.6% Medicare/Medicare HMO, 17.5% Medicaid/Medicaid HMO, 16.8% Commercial Insurance, 7.9% Self pay/Non-Pay, and 5.1% Other. Schedule H, Part VI, Line 5 Promotion of community health Winter Haven Hospital Our mission at Winter Haven Hospital as part of BayCare Health System is to improve the health of all we serve through community-owned services that set the standard for high-quality compassionate care. By focusing on education and prevention, we strive to create a healthier community and lower health care expenditures. Winter Haven Hospital, Inc., located in Winter Haven, Florida, includes a 447-bed acute care hospital and a 61-bed obstetric/gynecological specialty hospital, respectively referred to as Winter Haven Hospital and Winter Haven Women's Hospital. Winter Haven Hospital (WHH) was established in 1926, and today concentrates in the treatment of heart disease, behavioral health, cancer, stroke, and orthopedic conditions. The hospital also provides emergency care, outpatient diabetes education; endoscopy and surgical services; cardiac, neurological, orthopedic, and pulmonary rehabilitation; and imaging services. Winter Haven Women's Hospital (WHWH), built in 1987 and located approximately 1.5 miles south of WHH, includes a level II neonatal intensive care unit and an outpatient breast and imaging center. Services include on-site continuous obstetric coverage, maternal fetal medicine appointments and lactation consultations. Community Involvement WHH involves community members as an essential component of its Board of Trustees. The trustees donate their time, talents and support; assist with policy formulation, decision making and oversight; and hail from a wide range of industry including transportation, law, real estate, construction, county government, finance and tertiary education. The hospital enables its leaders to participate in organizations that benefit the well-being of the community including the Winter Haven Economic Development Council, the Rotary Club of Winter Haven and the Winter Haven Chamber of Commerce. Conduit for Using Donated Funds BayCare has received funding from Allegany Franciscan Ministries to provide capacity and support to our Faith Community Nursing program to reduce unnecessary hospital utilization and improve health outcomes for participants. Annual funding of $160,000 supports this work across BayCare Health System. BayCare has also received funding from Allegany Franciscan Ministries to provide assistance to those who face financial barriers in getting their needed prescription medications. Medication assistance coordinators work with patients to determine if there are vouchers available or work with the patient's doctor to see if a more cost effective alternative medication is available. Annual funding of $65,000 provides support for this program across BayCare Health System. Through funding from the Polk County Indigent Health Care Program, Winter Haven Hospital's Center for Behavioral Health created a "Specialized Community Care Team (SCCT)." The SCCT is for adults with mental health difficulties that affect their daily functioning. Services provide at-home therapy, medication management, and resource referrals to help the patient attain wellness, resiliency and self-sufficiency. In addition, the Polk County Indigent Healthcare Division provides transportation to those who cannot access transport to their outpatient mental health services. Economic Impact: There are 2,289 extraordinary WHH team members and more than 360 physicians who together bring the WHH mission to life. WHH is a member of the Central Florida Economic Development Council, Main Street Winter Haven, the Lake Alfred Chamber of Commerce and the Haines City Chamber of Commerce. By inviting the next generation of health care workers to learn from the skill and expertise of our current team members, WHH provides valuable benefit to the community. In 2019, 934 students from Polk State College, Southeastern University, Florida Southern College, University of South Florida, Concorde Career College, Keiser University, Grand Canyon University and others received education, guidance and encouragement from clinical rotations, mentorships, and practicums at WHH. In 2019, approximately $1.2 million in resources provided education to students as well as stipends. In addition, WHH provides an ASHP-accredited pharmacy residency program. The 12-month training allows residents to collaborate with medical staff, work with patients and partner with nursing. The program expanded to four residents in June 2018 with all four graduating in June of 2019. WHH clinical pharmacists have helped prepare graduates for practice in diverse clinical settings, become board-certified, and to continue training in a second-year program. Good Neighbors Winter Haven Hospital helps in funding the Neighborhood Services Center by covering the costs of a full-time staff member and provides funding for new equipment for the center. The Neighborhood Services Center provides support for low-income seniors in helping address basic health and social needs. Recognition In 2019, WHH received five recognitions. The nursing department earned a Pathway to Excellence designation from the American Nurses Credentialing Center, the largest certification body in the country for advanced nursing registered nurses. WHH's Center for Wound Care and Hyperbaric Medicine received a Center of Distinction award from Healogics, which provides advanced wound care. Winter Haven Women's Hospital achieved Baby-Friendly designation from the Florida Breastfeeding Coalition for its encouragement of education and implementation of breastfeeding among new mothers. The Florida State University College of Medicine Family Medicine Residency at BayCare Health System at Winter Haven Hospital has received accreditation from the Accreditation Council for Graduate Medical Education (ACGME). The hospital's Diabetes Prevention Program earned preliminary recognition by the Centers of Disease Control and Prevention for its work in educating the community about avoiding diabetes through lifestyle changes. Responding to Needs Winter Haven Hospital formally contracted with Florida State University in 2017 to begin offering Graduate Medical Education for family health physicians. The program will provide additional health access in our community and help recruit family health physicians to practice in the area. This was in direct response to health disparities in the WHH service area. In 2018, WHH started construction of the training facility, and worked with FSU to hire a program director. WHH's 2019 expenses for the program were over $400,000. The County's Indigent Health Care program is also contributing funds to the service. Through BayCare's partnership with Family Healthcare Foundation, Winter Haven Hospital hosts a health care navigator to help anyone navigate or enroll in the health insurance marketplace under the Affordable Care Act, or other types of coverage such as Medicaid and Medicare disability. Since December 2005, WHH has provided free lab, X-ray and pulmonary function testing to patients of the Haley Center, a free clinic in Winter Haven. In 2019, Financial Assistance team members at Winter Haven Hospital screened uninsured and under-insured ER patients and inpatients at the bedside for multiple Medicaid programs and county health care plans, then assisted with the completion of applications in addition to providing education and continuous support through the process. Across BayCare, our Financial Assistance team members touched approximately 75,000 lives in 2019, providing support in overcoming barriers to accessing health care. Winter Haven Hospital hosts a Cancer Resource Room, which offers support to navigate cancer diagnosis and treatment as well as needs associated with life after remission such as spiritual, emotional, healthy eating and follow-up guidelines. (CONTINUED) Schedule H, Part VI, Line 6 Affiliated health care system BayCare Health System, headquartered in Clearwater, Florida, is a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 15 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, behavioral health, home care and urgent care. BayCare's 2019 Report to the Community can be viewed at BayCare.org/AnnualReport. BayCare's 15 hospitals are BayCare Alliant, Bartow Regional Medical Center, 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.) BayCare 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 $4.4 billion in operating revenue in 2019, 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 3,482 hospital beds, 18 urgent care centers, 5 surgery centers, 12 outpatient imaging facilities, 124 physician practice locations and 33 walk-in care facilities in Publix supermarkets. BayCare annually generates $8.5 billion in economic benefit for the region and state. BayCare is one of the largest employers in the Tampa Bay area, with 29,045 team members. During 2019, BayCare provided $647 million in benefits for its employees, including more than $193.8 million in retirement, $184.5 million in health insurance, $155.7 million in paid time off and $52 million in education and development. In 2019 BayCare received numerous local, national and international workplace awards, including Fortune magazine's 100 Best Companies to Work For; Becker's Healthcare's 150 Top Places to Work in Healthcare; and Training magazine's global, all-industries Training Top 125. In 2019, BayCare provided $461 million in total Community Benefit, including $319 million in Medicaid and other income-based programs, $103 million in traditional charity care and $39 million in unbilled community services, all measured in unreimbursed costs. Also in 2019, BayCare led an unprecedented collaboration with other area hospital systems and local departments of health to conduct an in-depth Community Health Needs Assessment (CHNA) that determined that the three most pressing health needs in the West Central Florida region are 1) mental health and substance abuse, 2) access to health care services, and 3) exercise, nutrition and weight. BayCare and its CHNA partners formed the All4HealthFL Collaborative to create programs to address those top health needs. 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 reach a ranking in the top 20% of large U.S. health systems from IBM Watson Health last year. Twenty-three years after it was created, BayCare is achieving the goal of its founders to preserve the provision of not-for-profit health care for the communities of the Tampa Bay region, 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." false true false false false false false false false CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0 416544 0 138632 0 187318 0 14165 0 13182 0 769841 0 67134 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN 0 158484 0 150 0 8699 0 8425 0 18795 0 194553 0 0 JENNIFER BLANK DIR, EMERGENCY SVCS/NURSE STAFFING WHH 150268 0 16751 0 2028 0 8133 0 15636 0 192816 0 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 0 369649 0 80805 0 16946 0 43556 0 28075 0 539031 0 0 GLENN WATERS EVP, COO BAYCARE 0 955203 0 441696 0 325244 0 20330 0 42644 0 1785117 0 56588 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 354030 0 106774 0 121209 0 28002 0 32346 0 642361 0 28700 0 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO POLK 245670 0 74443 0 15491 0 62879 0 25232 0 423715 0 0 0 LAURIE SHANK DIRECTOR SURGICAL SERVICES WHH 136573 0 16851 0 3017 0 7484 0 15196 0 179121 0 0 0 JACQUES VASCONCELLOS DIR, OPERATIONS WHH 186075 0 22071 0 10006 0 10296 0 20758 0 249206 0 0 0 VINCENT GATTO DIR/CHIEF MEDICAL OFFICER - WHH 269500 0 15975 0 1814 0 6195 0 1088 0 294572 0 0 0 KEITH HAMM PHARMACY OPERATIONS COORD 164940 0 760 0 8203 0 8803 0 21014 0 203720 0 0 0 WALTER LUPKE DIR, CLIN DECISION SUPP WINTER HAVEN HOSP 147948 0 19716 0 11057 0 8241 0 15762 0 202724 0 0 0 GLENN WYSOCK MANAGER, PHARMACY 182393 0 14064 0 9944 0 9916 0 13745 0 230062 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. 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. Ronald Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $31,360 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $286,780 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $112,848 in 2019. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $109,689 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $43,162 in 2019. Carol Koeppel-Olsen - Participated in a supplemental nonqualified deferred compensation plan. She had $49,632 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $159,463 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $62,749 in 2019. EMILY TUCKER FAMILY MEMBER OF CHIP TUCKER 76633 EMILY TUCKER IS A FAMILY MEMBER OF CHIP TUCKER, A DIRECTOR OF THE FILING ORGANIZATION. EMILY TUCKER WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION. false Form 990, Part V, Line 1a Number in Box 3 of Form 1096 THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN. Form 990, Part VI, Line 15a Process for determining compensation THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT FOLLOWS THE COMPENSATION POLICY OF THE INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2019, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. Form 990, Part VI, Line 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Al Cassidy - Business relationship, RICHARD STRAUGHN - Business relationship, CINDY HENRY - Business relationship, CHARLES MCPHERSON - Business relationship, MARK BOSTICK - Business relationship, DON INGRAM - Business relationship, CHIP TUCKER - Business relationship, TODD DANTZLER - Business relationship, ALAN GUSTAFSON - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body VOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE MEMBER. CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN MEMBERS, UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CAPACITY OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THESE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION. 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 WINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. 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 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 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. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATE, BAYCARE HEALTH SYSTEM, INC. THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. 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 11d Other Miscellaneous Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS OF FOUNDATION - 6554783; TRANSFER TO WH PHYSICIANS - -8566578; BAYCARE HEALTH SYSTEM 2985 DREW ST CLEARWATER FL 337593012 592796965 HEALTH SRVCS FL 501(c)(3) Type I NA false BAYCARE BEHAVIORAL HEALTH INC 7809 MASSACHUSETTS AVE NEW PORT RICHEY FL 346533028 591371752 HEALTH SRVCS FL 501(c)(3) 7 BCHS true BC EMERGENCY ASSISTANCE PROGRAM INC 2985 DREW ST CLEARWATER FL 337593012 592697770 EMERG ASSIST FL 501(c)(3) 10 BAYCARE true BAYCARE HOME CARE INC 8452 118TH AVE NORTH LARGO FL 337735007 593582520 HOME HLTH SRV FL 501(c)(3) 10 BAYCARE true BEHAVIORAL HEALTH MANAGEMENT SRVCS INC 900 CARILLON PKWY SUITE 406 ST PETERSBURG FL 337161121 593279573 HEALTH SRVCS FL 501(c)(3) 10 BCHS true WINTER HAVEN HOSPITAL AUXILIARY INC 200 AVE F NORTHEAST WINTER HAVEN FL 338814131 237190109 VOLUNTEER SRV FL 501(c)(3) Type I NA false WINTER HAVEN HOSPITAL FOUNDATION INC 200 AVE F NORTHEAST WINTER HAVEN FL 338814131 030406130 FUNDRAISING FL 501(c)(3) PF NA false BAYCARE MEDICAL GROUP INC 300 S PARK PLACE BLVD CLEARWATER FL 337594931 593140335 PHYSICIANS FL 501(c)(3) 10 BCHS true BARTOW REGIONAL MEDICAL CENTER INC 2200 OSPREY BLVD BARTOW FL 338303308 475387418 HOSPITAL FL 501(c)(3) 3 BCHS true BAYCARE SELECT HEALTH PLANS INC 2985 DREW STREET CLEARWATER FL 337593012 810795815 MCR ADVANTAGE FL 501(c)(4) BCHS true BAYCARE PASCO INC 2985 DREW ST CLEARWATER FL 337593012 832099849 POTENTIAL HOSPITAL FL BCHS true BC PURCHASING PARTNERS LLC 8731 FL MINING TAMPA FL 336341259 640950837 GROUP PURCHING FL NA Related false false BC SURGERY CTR LLC 8452 118TH A N LARGO FL 337745007 460591430 SURGERY CENTE FL BAYCARE N/A false false BCHS INSURANCE INC CAPTIVE INSURANCE FL BAYCARE C Corporation 0 0 0 true MEDSPECIALISTS INC 2985 DREW ST CLEARWATER FL 337593012 680587533 PAYROLL SRVCS FL BAYCARE C Corporation 0 0 0 true false true false true false false false false false true true false true false true false false true true BAYCARE MEDICAL GROUP INC B 7914210 FMV BEHAVIORAL HEALTH MANAGEMENT SERVICES INC B 939481 FMV BARTOW REGIONAL MEDICAL CENTER INC O 1185421 FMV BAYCARE MEDICAL GROUP INC O 62774 FMV BAYCARE HOME CARE INC O 64801 FMV BAYCARE MEDICAL GROUP INC R 333585 FMV BAYCARE BEHAVIORAL HEALTH INC R 170046 FMV