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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS NASH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JORGE NAVAS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOS PITARYS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VAKESH RAJANI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY RIDENOUR</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SMITH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS WHIDDON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBBIE WHITE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GLENN WATERS</PersonNm>
        <TitleTxt>TRUSTEE/PRES/EVP, COO BAYCARE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>45.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>1581392</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>76036</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL TREMONTI</PersonNm>
        <TitleTxt>VP, CFO BAYCARE HOSP DIV</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>45.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>680038</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN LAPHAM</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS GALDIERI</PersonNm>
        <TitleTxt>PRES MEASE COUNTRYSIDE HOSP</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>45.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>568290</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42673</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN POLLARD</PersonNm>
        <TitleTxt>DIRECTOR SURGICAL SVCS MCH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY CULLEN</PersonNm>
        <TitleTxt>DIRECTOR OPERATIONS MCH</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MOHSEN HABIB</PersonNm>
        <TitleTxt>MANAGER PHARMACY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAIKEL BOLOS</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY CAVALIER</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>24118</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SCHUMACHER</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE BURDI</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28768</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>2900301</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FREEMANWHITE INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8845 RED OAK BLVD</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28217</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BAY LINEN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11525 47TH ST N</AddressLine1Txt>
            <CityNm>CLEARWATER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33762</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY SERVICES</ServicesDesc>
        <CompensationAmt>2281035</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TERBO GROUP INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1410 SANTA ANNA DR</AddressLine1Txt>
            <CityNm>DUNEDIN</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34698</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OB HOSPITALIST GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 16329</AddressLine1Txt>
            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29606</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1636072</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CANON MEDICAL SYSTEMS USA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2441 MICHELLE DR</AddressLine1Txt>
            <CityNm>TUSTIN</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92780</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <RelatedOrganizationsAmt>933009</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>22235</AllOtherContributionsAmt>
      <NoncashContributionsAmt>22235</NoncashContributionsAmt>
      <TotalContributionsAmt>955244</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPITAL PATIENT CARE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>256979298</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>256979298</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PMNT</Desc>
        <BusinessCd>623990</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INC FROM AFFILI</Desc>
        <BusinessCd>532000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>707463</RelatedOrExemptFuncIncomeAmt>
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        <RealAmt>1944290</RealAmt>
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        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>1944290</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1944290</TotalRevenueColumnAmt>
        <ExclusionAmt>1944290</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-657</TotalRevenueColumnAmt>
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        <Desc>CAFETERIA</Desc>
        <BusinessCd>722514</BusinessCd>
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        <ExclusionAmt>2218742</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>34249</ProgramServicesAmt>
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        <ProgramServicesAmt>5044137</ProgramServicesAmt>
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        <ProgramServicesAmt>9786844</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>355772</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>550</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1385</ProgramServicesAmt>
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        <ProgramServicesAmt>14076735</ProgramServicesAmt>
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        <ProgramServicesAmt>89748</ProgramServicesAmt>
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        <ProgramServicesAmt>3729908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3448003</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>467990</ProgramServicesAmt>
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        <ProgramServicesAmt>7796584</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17761</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>232046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91818</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>6485623</TotalAmt>
        <ProgramServicesAmt>6485623</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>15948679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>963014</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6238760</ProgramServicesAmt>
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        <Desc>UBI TAXES</Desc>
        <TotalAmt>765</TotalAmt>
        <ProgramServicesAmt>765</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>72081842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58731</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <TotalAmt>59603935</TotalAmt>
        <ManagementAndGeneralAmt>59603935</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>22704596</TotalAmt>
        <ProgramServicesAmt>22704596</ProgramServicesAmt>
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        <ProgramServicesAmt>15335998</ProgramServicesAmt>
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        <ProgramServicesAmt>326286409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76419525</ManagementAndGeneralAmt>
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        <FormAndLineReferenceDesc>TRUSTEES OF MEASE HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: 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 TRUSTEES OF MEASE 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, 66 COMMUNITY STAKEHOLDERS IN THE TRUSTEES OF MEASE HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 8 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS.</ExplanationTxt>
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        <ExplanationTxt>PART V, SECTION B, LINE 6A: CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:1. ST. ANTHONY'S HOSPITAL2. MORTON PLANT HOSPITAL ASSOCIATION3. TRUSTEES OF MEASE4. ST. JOSEPH'S HOSPITAL5. SOUTH FLORIDA BAPTIST HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>TRUSTEES OF MEASE HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: WHILE 14 AREAS OF OPPORTUNITY WERE IDENTIFIED WITHIN THE MEASE COUNTRYSIDE HOSPITAL AND MEASE DUNEDIN HOSPITAL SERVICE AREAS, CONCENTRATED EFFORTS WILL BE DEDICATED DURING THE 2017-2019 TIME PERIOD TO ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA: - ACCESS TO HEALTHCARE SERVICES - DIABETES - HEART DISEASE &amp; STROKE - INFANT HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE - NUTRITION, PHYSICAL ACTIVITY &amp; WEIGHTPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2017-2019 TIME PERIOD.BASED ON THE SCOPE/SCALE OF THE ISSUE, MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS' LEADERSHIP TEAM'S PERCEIVED ABILITY TO IMPACT THE ISSUE, THE AVAILABILITY OF EXISTING COMMUNITY RESOURCES ALREADY IN PLACE TO ADDRESS THE ISSUE AND CONSIDERING COMMUNITY STAKEHOLDER FEEDBACK, THE SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE 2016 ASSESSMENT THAT ARE NOT DIRECTLY REFERENCED IN THE 2017-2019 CHNA IMPLEMENTATION STRATEGY, ARE LISTED BELOW:CANCER MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS REMAIN COMMITTED TO SUPPORTING THOSE AFFECTED BY CANCER. MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITAL'S LEADERSHIP BELIEVES THAT EXISTING HOSPITAL INITIATIVES AND NEW EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON AIDING THOSE AFFECTED BY CANCER AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY AT THIS TIME.DEMENTIA (INCLUDING ALZHEIMER'S DISEASE) MEASE COUNTRYSIDE HOSPITAL AND MEASE DUNEDIN HOSPITAL HAVE LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS DEMENTIA (INCLUDING ALZHEIMER'S DISEASE). WHILE THIS IS AN IMPORTANT ISSUE, OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.HIV/AIDS MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS HAVE LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS HIV/AIDS. OTHER COMMUNITY ORGANIZATIONS (INCLUDING RESOURCES WITHIN THE BAYCARE HEALTH SYSTEM) HAVE INFRASTRUCTURE IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.INJURY &amp; VIOLENCE MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITAL'S LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY ORGANIZATIONS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.ORAL HEALTH MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS HAVE LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.POTENTIALLY DISABLING CONDITIONS MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITAL'S LEADERSHIP BELIEVES THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON AIDING THOSE WITH POTENTIALLY DISABLING CONDITIONS AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY AT THIS TIME.SEXUALLY TRANSMITTED DISEASES MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITAL'S LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>TRUSTEES OF MEASE HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>TRUSTEES OF MEASE HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>10</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - MEASE COUNTRYSIDE SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1880 MEASE DR</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>DAY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - MEASE OUTPATIENT IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 MEASE DR STE 103</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - MPM OUTPATIENT REHABIILATATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32672 US HIGHWAY 19 NORTH</AddressLine1Txt>
            <CityNm>PALM HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - MEASE SPORTS MEDICINE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3251 MCMULLEN BOOTH RD STE 200</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - MEASE HAND CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 MEASE DR STE 409</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - MCH CARDIAC &amp; PULMONARY REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 MEASE DRIVE SUITE 105</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - MCH SUSAN CHEEK NEEDLER BREAST CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 MEASE DRIVE SUITE 103</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - MEASE COUNTRYSIDE SLEEP DISORDERS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 MEASE DR SUITE 102</AddressLine1Txt>
            <CityNm>SAFETY HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34695</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - BAYCARE WOUND CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3890 TAMPA ROAD</AddressLine1Txt>
            <CityNm>PALM HARBOR</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - BAYCARE OP SLEEP DISORDERS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12780 RACE TRACK RD SUITE 115</AddressLine1Txt>
            <CityNm>TAMPA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34684</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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. TRUSTEES OF MEASE 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 TRUSTEES OF MEASE HOSPITAL FINANCIAL ASSISTANCE (250%)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE OF $22,704,596 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEASE HOSPITALS SUPPORT THE HEALTH OF ITS COMMUNITY BY PROVIDING COMMUNITY SUPPORT AND COALITION BUILDING. THIS INCLUDES FUNDING SUPPORT FOR: -THE ROTARY CLUB OF DUNEDIN THAT FOCUSES ON SERVING AND PROVIDING HANDS-ON SUPPORT TO COMMUNITY AGENCIES INCLUDING PINELLAS HOPE, DUNEDIN CARES, HABITAT FOR HUMANITY AND SEVERAL OTHERS. -KIWANIS CLUB OF DUNEDIN THAT FOCUSES ON SUPPORTING THE YOUTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PART III, LINE 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 11 AND 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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) ($14,711,492) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($13,090,900) - TOTAL SURPLUS OR (SHORTFALL) ($27,802,392)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS IN THE COMMUNITIES IT SERVES. TRUSTEES OF MEASE HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. IN ADDITION, TRUSTEES OF MEASE HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE PHYSICIANDEFICITS 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 TRUSTEES OF MEASEHOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTESS OF MEASE HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE TRUSTEES OF MEASE HOSPITAL, 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, TRUSTEES OF MEASE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEASE HOSPITALS ARE ACUTE CARE FACILITIES SERVING PARTS OF HILLSBOROUGH, PASCO AND PINELLAS COUNTIES. THE AVERAGE HOUSEHOLD INCOME IS LOWER THAN BOTH THE STATE AND NATIONAL AVERAGES. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 12.2% OF THE POPULATION. 13.3% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR.MEASE HOSPITALS ARE PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY THE MEASE HOSPITALS HAS 17 ACUTE CARE HOSPITALS (7 NOT-FOR-PROFIT), 2 LONG TERM ACUTE CARE HOSPITALS (1 NOT-FOR-PROFIT) AND 1 FOR-PROFIT REHABILITATION HOSPITAL. THERE IS 1 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA AND 6 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATIONS IN MEASE HOSPITALS' SERVICE AREA. WITH THE OVER 65 POPULATION EXPECTED TO GROW 16.0% IN THE NEXT FIVE YEARS, THE HEALTH CARE NEEDS OF OUR SERVICE AREA ARE EXPANDING AND CHANGING. THE POPULATION SERVED BY MEASE HOSPITALS IS EXPECTED TO GROW 5.2% IN THE NEXT 5 YEARS. THIS EXPECTED GROWTH IS HIGHER THAN THE EXPECTED GROWTH RATE FOR THE UNITED STATES WHICH IS 3.8%. BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/2016-9/30/2017, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 55.9% MEDICARE/MEDICARE HMO, 13.9% MEDICAID/MEDICAID HMO, 19.0% COMMERCIAL INSURANCE, 7.4% SELF PAY/NON-PAY, AND 3.8% OTHER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALSRESIDENTS OF THE SMALL CITY OF DUNEDIN ENCOURAGED DR. JACK MEASE TO BUILD A HOSPITAL WITH THE COMMUNITY'S HELP IN 1937. TODAY MEASE DUNEDIN IS A 120-BED HOSPITAL COMMITTED TO CONTINUING MORE THAN 80 YEARS OF MEETING THE NEEDS OF THE COMMUNITY IT SERVES. THE HOSPITAL SPECIALIZES IN BARIATRIC AND ORTHOPEDIC SURGERY AS WELL AS BEHAVIORAL HEALTH CARE. MEASE COUNTRYSIDE HOSPITAL ORIGINALLY BEGAN AS A SATELLITE CLINIC TO MEASE DUNEDIN HOSPITAL. THE NEEDS OF THE COMMUNITY GREW ALONG WITH A HOUSING BOOM AND IN 1985, MEASE COUNTRYSIDE HOSPITAL OPENED. MEASE COUNTRYSIDE HOSPITAL HAS BEEN SERVING ITS FAST-GROWING COMMUNITY FOR MORE THAN 30 YEARS.TODAY, MEASE COUNTRYSIDE HOSPITAL IS A 311-BED FACILITY. MEASE COUNTRYSIDE HOSPITAL HAS BEEN NATIONALLY RECOGNIZED BY TRUVEN NINE TIMES IN A STUDY IDENTIFYING THE 100 TOP U.S. HOSPITALS BASED ON THEIR OVERALL ORGANIZATIONAL PERFORMANCE. BOTH HOSPITALS ARE PART OF THE MORTON PLANT MEASE HEALTH CARE SYSTEM WHICH PROVIDES SERVICES THROUGH MORE THAN 6,700 MORTON PLANT MEASE EMPLOYEES AND MORE THAN 2,100 BOARD-CERTIFIED PHYSICIANS. COMMUNITY BENEFITCOMMUNITY CLINIC SUPPORTCLEARWATER FREE CLINIC: THE CLEARWATER FREE CLINIC PROVIDES PROBLEM ORIENTED HEALTH CARE TO LOW-INCOME UNINSURED RESIDENTS OF PINELLAS COUNTY BY OFFERING OFFICE VISITS, MEDICATIONS, LAB WORK, AND X-RAYS. MORTON PLANT MEASE PROVIDES $300,000 ANNUALLY TO SUPPORT ONGOING OPERATIONS INCLUDING MEDICATION ASSISTANCE AND AN ON-SITE ADVANCED REGISTERED NURSE PRACTITIONER. THE CLINIC PROVIDES PRIMARY HEALTH CARE AT NO COST TO THOSE WHO DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE AND WHO CANNOT AFFORD PRIVATE MEDICAL CARE. LA CLINICA GUADALUPANA: LA CLINICA GUADALUPANA IS A FREE CLINIC THAT PROVIDES HEALTH CARE TO PINELLAS COUNTY'S RAPIDLY GROWING HISPANIC COMMUNITY. MORTON PLANT MEASE PROVIDES $60,000 ANNUALLY TO SUPPORT ONGOING OPERATIONS WHICH INCLUDE SERVICES SUCH AS PRIMARY, GYNECOLOGICAL AND PEDIATRIC CARE; FREE HEALTH SCREENINGS; AND IMMUNIZATIONS. WILLA CARSON HEALTH AND WELLNESS CENTER: THE WILLA CARSON HEALTH AND WELLNESS CENTER IN CLEARWATER PROVIDES PREVENTATIVE HEALTH CARE, WELLNESS AND EDUCATION SERVICES TO UNINSURED AND LOW-INCOME COMMUNITY MEMBERS AT NO CHARGE. MORTON PLANT MEASE PROVIDES $55,000 ANNUALLY TO SUPPORT ONGOING OPERATIONS. SERVICES PROVIDED INCLUDE BLOOD PRESSURE TESTS, DIABETES SCREENINGS, LEAD SCREENINGS, PHYSICALS AND TUBERCULOSIS (TB) TESTING. GOOD SAMARITAN CLINIC: IN AN EFFORT TO PROVIDE MEDICAL SERVICES TO THE UNDER-INSURED OR UN-INSURED RESIDENTS OF PASCO COUNTY, MORTON PLANT MEASE PROVIDES $50,000 ANNUALLY TO SUPPORT ONGOING OPERATIONS. ON AVERAGE, THE GOOD SAMARITAN HEALTH CLINIC PROVIDES MEDICAL AND DENTAL CARE TO 3,500 PASCO COUNTY RESIDENTS ANNUALLY. ADDITIONALLY, MORTON PLANT NORTH BAY HOSPITAL PROVIDES LAB SERVICES AND DIAGNOSTIC TESTS TO GOOD SAMARITAN'S PATIENTS AT NO COST. THE HEALTH CLINIC TREATS PATIENTS WITH NON-EMERGENCY MEDICAL NEEDS WHO DO NOT HAVE HEALTH INSURANCE, DO NOT QUALIFY FOR MEDICARE OR MEDICAID AND DO NOT HAVE THE FINANCIAL MEANS TO PAY FOR CARE. HOMELESS EMPOWERMENT PROGRAM: HEP IS A SOCIAL SERVICES AGENCY THAT OFFERS SERVICES FOR THE ENTIRE HOMELESS POPULATION PROVIDING HOUSING AND PROGRAMS SPECIFICALLY DESIGNED FOR SINGLE MEN AND WOMEN, FAMILIES WITH CHILDREN AND US VETERANS. MORTON PLANT MEASE PROVIDES $158,684 TO SUPPORT THE HOMELESS EMPOWERMENT PROGRAM'S ON-SITE WELLNESS CLINIC OFFERING CHRONIC DISEASE SELF-MANAGEMENT PROGRAM WORKSHOPS, HEALTH AND WELLNESS NAVIGATOR SERVICES TO EXPEDITE ACCESS TO PRIMARY CARE, DIAGNOSTIC AND PHARMACEUTICAL SERVICES, AS WELL AS CRISIS INTERVENTION/STABILIZATION SERVICES FROM THE BEHAVIORAL HEALTH NAVIGATOR. NORTH GREENWOOD COMMUNITY HEALTH FAIRIN AN EFFORT TO IMPROVE THE HEALTH OF THE RESIDENTS IN THE TRADITIONALLY LOW-INCOME NEIGHBORHOOD OF NORTH GREENWOOD, BAYCARE AND MORTON PLANT MEASE PARTNERED WITH MT. OLIVE AME CHURCH TO HOST A FREE COMMUNITY HEALTH FAIR. OUR FAITH COMMUNITY NURSES HELPED TO FACILITATE THE EVENT, BRINGING IN SERVICES AND HEALTH CARE PROVIDERS FORM THROUGHOUT BAYCARE AND THE COMMUNITY TO PROVIDE BLOOD PRESSURE SCREENINGS, BODY MASS INDEX/OBESITY SCREENINGS TOTAL CHOLESTEROL TESTING, HEALTH RISK ASSESSMENTS, FLU VACCINES, DEPRESSION SCREENINGS AND MORE.ENROLLMENT ASSISTANCEFINANCIAL ASSISTANCE TEAM MEMBERS ARE AVAILABLE IN ALL BAYCARE HOSPITALS TO ASSIST UNINSURED AND UNDER-INSURED PATIENTS UNABLE TO PAY FOR SERVICES DUE TO FINANCIAL HARDSHIP AND MAY ALSO BE IN NEED OF ONGOING MEDICAL CARE. THIS HOSPITAL BASED ELIGIBILITY PROGRAM IS PATIENT-FOCUSED, TAKING A SOCIAL WORK APPROACH TO COORDINATE ENROLLMENT FOR PATIENTS THROUGH A NETWORK OF LOCAL, STATE AND FEDERAL HEALTH CARE ASSISTANCE PROGRAMS. FINANCIAL ASSISTANCE TEAM MEMBERS SCREEN UNINSURED AND UNDER-INSURED ER PATIENTS AND INPATIENTS AT THE BEDSIDE FOR MULTIPLE MEDICAID PROGRAMS AND COUNTY HEALTH CARE PLANS. APPLICATIONS FOR ASSISTANCE PROGRAMS ARE COMPLETED FOR PATIENTS BY FINANCIAL ASSISTANCE TEAM MEMBERS, AND PATIENTS ARE PROVIDED EDUCATION AND CONTINUOUS SUPPORT THROUGHOUT THE APPLICATION PROCESS. AT MEASE COUNTRYSIDE AND MEASE DUNEDIN, THIS ASSISTANCE WAS PROVIDED BY TEAM MEMBERS, INCLUDING ER SPECIALISTS, CASEWORKERS AND SUPERVISORS.CLINICAL RESOURCE MANAGEMENTIN 2017, THE CLINICAL RESOURCE MANAGEMENT PROGRAM PROVIDED $982,889 IN SERVICES. THIS PROGRAM INCLUDES PHARMACY, HOME HEALTH/DME, TRANSPORTATION, PRIVATE INVESTIGATORS, SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES AND OTHER DISCHARGE NEEDS THAT ARE PROVIDED ON THE BEHALF OF THE HOSPITAL TO PATIENTS THAT BENEFIT FROM THESE SERVICES. MANY OF THEIR PATIENTS ARE EITHER UNINSURED, UNABLE TO APPROPRIATELY CARE FOR THEMSELVES, AND/OR NOT WILLING TO HAVE A CAREGIVER READILY AVAILABLE FOR THEM. 2017 OVERVIEWMEASE COUNTRYSIDE HOSPITALMEASE COUNTRYSIDE RECOGNIZED AS A BABY FRIENDLY HOSPITAL--MEASE COUNTRYSIDE'S EFFORTS TO ADVOCATE FOR BREASTFEEDING INFANTS WERE RECOGNIZED AGAIN AS A BABY-FRIENDLY HOSPITAL BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF), A GLOBAL EFFORT TO IMPLEMENT PRACTICES THAT PROTECT, PROMOTE AND SUPPORT BREASTFEEDING. THE MATERNITY CENTER AT MEASE COUNTRYSIDE OFFERS BREASTFEEDING MOTHERS THE INFORMATION, SKILLS AND SUPPORT NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES. MASTER FACILITY PLAN-- MEASE COUNTRYSIDE HOSPITAL COMPLETED PLANNING FOR THE START OF A MAJOR EXPANSION AND RENOVATION PROJECT THAT WILL CREATE A MORE CONNECTED HOSPITAL CAMPUS BY ADDING A NEW FOUR-STORY PATIENT TOWER WITH ALL PRIVATE ROOMS AND A FOUR-STORY PARKING GARAGE WITH AN ELEVATED PEDESTRIAN WALKWAY.PUBLIX PHARMACY MEASE COUNTRYSIDE WAS ONE OF THE BAYCARE HOSPITALS TO COLLABORATE WITH PUBLIX IN OPENING AN IN-HOSPITAL PUBLIX PHARMACY. PUBLIX PHARMACY SERVICES INCLUDE PROVIDING PATIENTS WITH BEDSIDE PRESCRIPTION DELIVERY DURING HOSPITAL DISCHARGE, ACCESS TO SPECIALTY MEDICATIONS AND REFILLS AT ANY PUBLIX PHARMACY LOCATION.WOMEN'S &amp; CHILDREN'S CARE SERVING NORTH PINELLAS AND PASCO COUNTIES, THE WOMEN AND CHILDREN'S CENTER AT MEASE COUNTRYSIDE HOSPITAL SEEKS TO COMBINE MODERN TECHNOLOGY WITH PERSONALIZED, FAMILY-CENTERED CARE. FOR INFANTS NEEDING SPECIALIZED CARE, THE LEVEL III NEONATAL INTENSIVE CARE UNIT IS AVAILABLE. BIRTHING, CHILDCARE AND BREASTFEEDING CLASSES ARE OFFERED TO EXPECTANT PARENTS.IN 2014, AN ADDITIONAL EIGHT-BED MOTHER-BABY UNIT OPENED TO ACCOMMODATE FUTURE GROWTH.MEASE COUNTRYSIDE HAS BEEN RECOGNIZED FOR ITS SUPPORT OF BREASTFEEDING MOTHERS. THE HOSPITAL RECEIVED THE CARE AWARD FROM THE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) AND THE INTERNATIONAL LACTATION CONSULTANT ASSOCIATION (ILCA).AS NOTED EARLIER, MEASE COUNTRYSIDE IS DESIGNATED "BABY-FRIENDLY" FOR DEMONSTRATING ITS ABILITY TO OFFER BREASTFEEDING MOTHERS THE INFORMATION, SKILLS AND SUPPORT NEEDED TO SUCCESSFULLY INITIATE AND CONTINUE BREASTFEEDING THEIR BABIES.PRE-NATAL CARE FOR DRUG TREATMENT PATIENTS BABIES BORN TO MOTHERS ADDICTED TO DRUGS ARE A PROBLEM IN THE STATE OF FLORIDA AND ACROSS THE COUNTRY. MEASE COUNTRYSIDE OFFERS EXPECTANT MOMS ADDICTED TO DRUGS A PROGRAM THAT CROSSES THE CONTINUUM OF CARE FROM PRENATAL THROUGH HOSPITAL STAY. THE HOSPITAL ALSO PROVIDES AN OCCUPATIONAL THERAPIST, SPECIALIZING IN NEONATES, WHO WORKS ONE-ON-ONE WITH THE PARENTS TO ENHANCE BONDING AND TEACH PARENTING SKILLS SUCH AS SOOTHING TECHNIQUES FOR BABIES SUFFERING THE EFFECTS OF DRUG WITHDRAWAL.(CONT-D AFTER PART VI, LINE 7)</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL,INC. IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY REGION AND WEST CENTRAL FLORIDA. INPATIENT AND OUTPATIENT SERVICES INCLUDE ACUTE CARE, PRIMARY CARE, IMAGING, LABORATORY, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S ANNUAL "REPORT TO THE COMMUNITY" CAN BE VIEWED AT HTTPS://BAYCARE.ORG/ANNUAL-REPORT.BAYCARE'S HOSPITALS ARE BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, SOUTH FLORIDA BAPTIST, ST. JOSEPH'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S HOSPITAL-NORTH, ST. JOSEPH'S HOSPITAL-SOUTH, WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S.*BAYCARE WAS FOUNDED IN 1997 WHEN SEVERAL OF THE AREA'S NOT-FOR-PROFIT HOSPITALS CAME TOGETHER, UNITED BY THE COMMON MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVED. BAYCARE IS NOW A $4.39 BILLION, INTEGRATED HEALTH DELIVERY SYSTEM WITH 27,600 EMPLOYEES. IT PLAYS AN IMPORTANT ROLE AS AN ECONOMIC ENGINE, ANNUALLY GENERATING A $6.62 BILLION IMPACT ON THE REGION AND THE STATE. IN 2017, BAYCARE SPENT $1.97 BILLION TO PAY FOR THE SALARY AND BENEFITS OF ITS EMPLOYEES AND $696 MILLION TO PROVIDE FUNDING FOR FUTURE COMMUNITY HEALTH CARE NEEDS, TECHNOLOGY, AND NEW PROGRAMS AND FACILITIES.BAYCARE'S CENTRALIZATION OF ADMINISTRATIVE FUNCTIONS IN A NUMBER OF AREAS, INCLUDING FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, PERFORMANCE IMPROVEMENT, CLINICAL OUTCOMES, PLANNING, MATERIALS MANAGEMENT AND MARKETING/COMMUNICATIONS, HAS PROVIDED A MANAGEMENT STRUCTURE THAT HELPS ITS HOSPITALS AND SERVICE LINES OPERATE MORE EFFICIENTLY AND CONTINUE STRIVING FOR CLINICAL EXCELLENCE. BAYCARE'S FINANCIAL STABILITY ALSO HELPS ENSURE THAT ITS HOSPITALS REMAIN FOCUSED ON THEIR SHARED MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE, REGARDLESS OF PATIENTS' ABILITY TO PAY.IN 2017, BAYCARE PROVIDED $391 MILLION IN TOTAL COMMUNITY BENEFIT, WHICH INCLUDES $121 MILLION IN TRADITIONAL CHARITY CARE FOR UNDERINSURED AND UNINSURED PATIENTS, $246 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, AND $24 MILLION IN UNBILLED COMMUNITY SERVICES. ALL OF THESE ARE MEASURED IN UNREIMBURSED COST.*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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (CONT-D)</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. JOSEPH'S CHILDREN'S AT MORTON PLANT MEASEMEASE COUNTRYSIDE HOSPITAL CONTINUED ITS COMMITMENT TO STRENGTHEN AND ADVANCE CHILDREN'S CARE IN NORTH PINELLAS AND SOUTH PASCO COUNTIES THROUGH ITS PARTNERSHIP WITH ST. JOSEPH'S CHILDREN'S HOSPITAL. CALLED ST. JOSEPH'S CHILDREN'S AT MORTON PLANT MEASE, THE GOAL OF THE PARTNERSHIP IS TO OFFER THE COMMUNITY MORE ACCESS TO INNOVATIVE AND HIGH-TECH CARE IN A FAMILY-CENTERED SETTING. THROUGH THE PARTNERSHIP, MEASE COUNTRYSIDE OFFERS PEDIATRIC EMERGENCY SERVICES, NEONATAL INTENSIVE CARE UNITS, AND AN ENHANCED 15-BED, PRIVATE INPATIENT CHILDREN'S UNIT. A CHILD LIFE SPECIALIST WORKS WITH CHILDREN AND THEIR PARENTS TO BRING A SENSE OF NORMALCY TO THE EXPERIENCE OF HOSPITALIZATION.THROUGH CHILDREN'S ADVOCACY, MEASE COUNTRYSIDE HOSPITAL PROVIDES LEADERSHIP, EXPERIENCE AND EXPERTISE AS A COMMUNITY AND STATE RESOURCE TO ADVOCATE FOR THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES. EDUCATIONAL CLASSES AND COMMUNITY ACTIVITIES INCLUDE HOME SAFETY ASSESSMENTS, ASTHMA ASSESSMENTS, ASTHMA EDUCATION, CHILD PASSENGER SAFETY EDUCATION, BICYCLE AND PEDESTRIAN SAFETY EDUCATION, FALL PREVENTION EDUCATION, DROWNING PREVENTION EDUCATION, AND FIRE/BURN AND POISONING PREVENTION EDUCATION. CHILDREN'S ADVOCACY ALSO WORKS TO MAKE FAMILIES AWARE OF FLORIDA KIDCARE INSURANCE.THE ST. JOSEPH'S CHILDREN'S SPECIALTY CENTER ON THE MEASE COUNTRYSIDE CAMPUS PROVIDES THE NORTH PINELLAS AND SOUTH PASCO COMMUNITIES GREATER ACCESS TO PHYSICAL, OCCUPATIONAL, SPEECH, AND SENSORY THERAPY PROGRAMS. THE CENTER ALSO HOUSES PEDIATRIC PHYSICIAN SPECIALTY SERVICES FOR NEUROLOGY, GASTROENTEROLOGY, ENDOCRINOLOGY AND CARDIOLOGY AND OFFERS CONVENIENT, ON-SITE PEDIATRIC AND LABORATORY SERVICES. MEASE DUNEDIN HOSPITALOPERATION WALK USA--IN 2017, MEASE DUNEDIN HOSPITAL, ALONG WITH TWO OTHER BAYCARE HOSPITALS, PARTICIPATED IN OPERATION WALK USA, GIVING A TOTAL OF FIVE UNINSURED PATIENTS FREE JOINT REPLACEMENT SURGERY. THE HOSPITAL AND SURGEONS DONATED THE SERVICES ASSOCIATED WITH THE SURGERY. A HOSPITAL STAFF MEMBER COORDINATED DONATIONS FOR OTHER ASPECTS OF CARE AND RECOVERY INCLUDING PRE-SURGERY PHYSICALS, HOME CARE AND REHABILITATION. MEASE DUNEDIN 80TH ANNIVERSARY--IN 2017, MEASE DUNEDIN CELEBRATED 80 YEARS OF SERVING THE COMMUNITY WITH A WEEK OF TEAM MEMBER AND VOLUNTEER CELEBRATIONS. TO CELEBRATE THE ANNIVERSARY, THE HOSPITAL ALSO FUNDED THE CONSTRUCTION OF A NEW BUS SHELTER THAT SERVES AS A PUBLIC ART INSTALLATION TO HELP BEAUTIFY DOWNTOWN DUNEDIN.BEHAVIORAL HEALTH CENTER--TO PROVIDE ADDITIONAL ACCESS TO MENTAL HEALTH SERVICES IN PINELLAS COUNTY, BAYCARE HEALTH SYSTEM AND MEASE DUNEDIN HOSPITAL HAVE A 32-BED SPECIALIZED INPATIENT BEHAVIORAL HEALTH CENTER. THE UNIT GIVES THE COMMUNITY ADDITIONAL ACCESS TO CONVENIENT ACUTE INPATIENT CARE THAT IS PART OF A COMPREHENSIVE TREATMENT CONTINUUM. THE BEHAVIORAL HEALTH CENTER FEATURES THREE SEPARATE UNITS ONE FOR ADULTS WITH 12 BEDS, ONE FOR CHILDREN AND ADOLESCENTS WITH 10 BEDS AND ONE FOR GERIATRIC PATIENTS WITH 10 BEDS. MEASE DUNEDIN'S THIRD FLOOR WAS REBUILT INTO A SEPARATE SPACE WITH UNITS FOR EACH PATIENT GROUP SEPARATED INTO INDIVIDUAL WINGS.NATIONALLY ACCREDITED BARIATRIC PROGRAM--MEASE DUNEDIN HOSPITAL'S BARIATRIC PROGRAM IS ACCREDITED AS A COMPREHENSIVE CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), IN RECOGNITION OF THE PROGRAM'S COMMITMENT TO PROVIDING AND SUPPORTING QUALITY IMPROVEMENT AND PATIENT SAFETY EFFORTS FOR METABOLIC AND BARIATRIC SURGERY PATIENTS.TO RECEIVE THE ACCREDITATION, MEASE DUNEDIN'S BARIATRIC SURGICAL CENTER UNDERWENT A RIGOROUS REVIEW PROCESS DURING WHICH IT PROVED THAT IT CAN MAINTAIN CERTAIN PHYSICAL RESOURCES, HUMAN RESOURCES, AND STANDARDS OF PRACTICE. MEASE DUNEDIN HOSPITAL IS THE CENTER FOR THE SURGICAL BARIATRIC PROGRAM WITHIN MORTON PLANT MEASE. MORTON PLANT MEASECONCUSSION MANAGEMENT PROGRAM FOR STUDENT ATHLETESMORTON PLANT MEASE'S SPORTS MEDICINE PROGRAM SCREENED 1,435 STUDENT ATHLETES IN 2017, WITH IMPACT, (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING) AN OBJECTIVE MEASUREMENT TOOL USED FOR CONCUSSION SCREENINGS. IMPACT IS A NEUROCOGNITIVE TEST THAT MEASURES VISUAL AND VERBAL MEMORY, REACTION TIME, VISUAL MOTOR TIME, AND IMPULSE CONTROL. THE BASELINE TEST IS COMPARED TO A FOLLOW-UP TEST AFTER A CONCUSSION OCCURS TO DETERMINE IF THERE ARE ANY CHANGES IN THE BRAIN, WHETHER OR NOT THE STUDENT ATHLETE NEEDS TO BE SIDELINED FOR A PERIOD OF TIME, AND WHEN AN ATHLETE CAN RETURN TO PLAY. COMMUNITY SCREENINGSMORTON PLANT MEASE SCREENED COMMUNITY MEMBERS ON SUCH DISEASES AND CONDITIONS AS HIGH BLOOD PRESSURE, SKIN CANCER, MEMORY DISORDERS, SLEEP DISORDERS, AND CARDIOVASCULAR DISEASE. IN ADDITION, MORTON PLANT MEASE GAVE FREE ATHLETIC PHYSICALS TO 100 PINELLAS COUNTY HIGH SCHOOL STUDENTS. OUR COMPREHENSIVE PHYSICALS INCLUDED CHECKS OF HEIGHT, WEIGHT, BLOOD PRESSURE, VISION AND LUNGS, AS WELL AS A MUSCULOSKELETAL EXAM. SUPPORT GROUPSMORTON PLANT MEASE PROVIDES FREE COMMUNITY HEALTH EDUCATION IN THE FORM OF SUPPORT GROUPS ON A WIDE VARIETY OF TOPICS RANGING FROM ALZHEIMER'S TO WOMEN'S CANCERS. IN 201, ACTIVE SUPPORT GROUPS MET THROUGHOUT PASCO AND PINELLAS COUNTIES INCLUDING ALZHEIMER'S; BREASTFEEDING; CAR SEAT INSPECTIONS; GRIEF; MANAGING MOTHERHOOD; NEW DAD BOOT CAMP; STROKE; SLEEP DISORDERS CLINICS; SUPPORT GROUPS FOR BARIATRIC SURGERY PATIENTS; CANCER; MEN'S CANCER DISCUSSION GROUP; WOMEN'S CANCERS; AND LUNA (LATINOS UNITED FOR A NEW AWAKENING) DE PINELLAS, A SPANISH SPEAKING SUPPORT GROUP FOR CANCER PATIENTS.IN ADDITION, MORTON PLANT MEASE PROVIDES FREE MEETING ROOM SPACE ON ITS CAMPUSES FOR SUCH COMMUNITY ORGANIZATIONS AS ALCOHOLICS-ANONYMOUS, A.W.A.K.E. SUPPORT GROUP, BOY SCOUTS OF AMERICA, BAY AREA KNITTING GUILD, BRAIN INJURY SUPPORT GROUP, DAISY TROOP (GIRL SCOUTS OF AMERICA), YMCA DIABETES PREVENTION, EARLY LEARNING COALITION OF PINELLAS, HEPATITIS/LIVER DISEASE SUPPORT GROUP, S.O.L.V.E, LIGHTHOUSE FOR THE BLIND, PASCO ASAP AND THE NEW PORT RICHEY ROTARY CLUB. COMMUNITY LECTURESIN 2017, MEASE COUNTRYSIDE AND MEASE DUNEDIN HELD LECTURES ON A VARIETY OF TOPICS INCLUDING ALZHEIMER'S, ARTHRITIS, MANAGING DIABETES, MENTAL AND EMOTIONAL HEALTH, SLEEP DISORDERS, JOINT REPLACEMENT, SURGICAL NECK AND BACK PAIN OPTIONS, PELVIC HEALTH, HEART HEALTH, ATRIAL FIBRILLATION, BARIATRICS, SKIN CANCER, PROSTATE CANCER, HEALTH CARE ACCESS AND STROKE AWARENESS.NURSING EXCELLENCEMEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS ARE BOTH DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AS PATHWAY TO EXCELLENCE FACILITIES. THE PATHWAY TO EXCELLENCE DESIGNATION IDENTIFIES THE ELEMENTS OF WORK ENVIRONMENTS WHERE NURSES CAN FLOURISH AND SUBSTANTIATES THE PROFESSIONAL SATISFACTION OF NURSES AT MEASE DUNEDIN AND MEASE COUNTRYSIDE. FOR AN ORGANIZATION TO EARN THE PATHWAY TO EXCELLENCE DISTINCTION, IT MUST SUCCESSFULLY CREATE A POSITIVE WORK ENVIRONMENT AS DEFINED BY NURSES AND SUPPORTED BY RESEARCH. THESE INITIATIVES MUST BE PRESENT IN THE FACILITY'S PRACTICES, POLICIES AND CULTURE.FAITH COMMUNITY NURSING FAITH COMMUNITY NURSING OFFERS A UNIQUE PARTNERSHIP BETWEEN MORTON PLANT MEASE AND THE FAITH COMMUNITIES IN CITRUS, HERNANDO, PINELLAS AND PASCO COUNTIES. OUR FAITH COMMUNITY NURSES AND HEALTH MINISTERS WORK TO IMPROVE THE HEALTH OF THEIR FAITH COMMUNITY BY ENCOURAGING PREVENTATIVE CARE AND REFERRING MEMBERS TO THE APPROPRIATE HEALTH RESOURCES. FAITH COMMUNITY MEMBERS LEARN HOW TO TAKE CONTROL OF THEIR OWN WELL-BEING AND BETTER MANAGE THEIR FAMILY'S HEALTH. IN 2017, 133 NURSES HAD DIRECT CONTACT WITH FAITH COMMUNITY MEMBERS, CONDUCTED OVER 3,500 SCREENINGS AND 23,295 CLIENT ENCOUNTERS AND VOLUNTEERED MORE THAN 17,000 HOURS WITHIN 62 LOCAL FAITH COMMUNITIES. CANCER CARE &amp; SUPPORTMORTON PLANT MEASE OFFERS MANY OPTIONS TO IDENTIFY AND TREAT BREAST, PROSTATE, LUNG, BRAIN, GYNECOLOGIC AND OTHER CANCERS. OUR BOARD-CERTIFIED ONCOLOGISTS, RADIOLOGISTS AND SURGEONS WORK TO MAKE THE MOST ADVANCED DIAGNOSTIC AND CLINICAL PROCEDURES AVAILABLE. MORTON PLANT MEASE'S CANCER PROGRAMS HAVE RECEIVED ACCREDITATION FROM THE COMMISSION ON CANCER (COC). THE ACCREDITATION PROGRAM ENCOURAGES HOSPITALS, TREATMENT CENTERS AND OTHER FACILITIES TO IMPROVE THEIR QUALITY OF PATIENT CARE THROUGH VARIOUS CANCER-RELATED PROGRAMS. THESE PROGRAMS FOCUS ON PREVENTION, EARLY DIAGNOSIS, PRETREATMENT EVALUATION, STAGING, OPTIMAL TREATMENT, REHABILITATION, SURVEILLANCE FOR RECURRENT DISEASE, SUPPORT SERVICES AND END-OF-LIFE CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (CONT-D)</FormAndLineReferenceDesc>
        <ExplanationTxt>CANCER PATIENT SUPPORT SERVICES -- THIS INNOVATIVE PROGRAM IS THE FIRST AND ONLY OF ITS KIND IN PINELLAS COUNTY. CANCER PATIENT SUPPORT SERVICES (CAPSS) HELPS CANCER PATIENTS AND THEIR FAMILIES COPE MORE EFFECTIVELY WITH THE EMOTIONAL AND PHYSICAL CHANGES RESULTING FROM A CANCER DIAGNOSIS. THE PROGRAM OFFERS THE FOLLOWING SERVICES AT NO CHARGE: - COMMUNITY EDUCATION EVENTS - INDIVIDUALIZED AND FAMILY COUNSELING BY SPECIALIZED ONCOLOGY COUNSELORS AND CASE MANAGERS - BREAST CANCER NURSE NAVIGATORS - SUPPORT GROUPS FOR PATIENTS, FAMILY MEMBERS AND FRIENDS - CANCER WORKSHOPS AND CLASSES -RELAXATION, STRESS MANAGEMENT AND GUIDED IMAGERY PROGRAMS AND MASSAGE THERAPY ACCESS TO ONLINE CANCER INFORMATION AND RESEARCH - CANCER EDUCATION AND SCREENINGS - CANCER RESOURCE LIBRARIESIMPROVING ACCESS TO THE DIAGNOSIS OF BREAST CANCER TO EXPAND ACCESS TO COMPREHENSIVE AND TIMELY DIAGNOSIS OF BREAST CANCER, MORTON PLANT MEASE PROVIDES THREE LOCATIONS OF THE SUSAN CHEEK NEEDLER BREAST CENTER. THESE LOCATIONS OFFER AN INTEGRATED NETWORK OF COMPREHENSIVE BREAST HEALTH SERVICES THAT ARE FOCUSED ON THE NEEDS AND CONCERNS OF ALL WOMEN. A FULL RANGE OF DIAGNOSTIC TESTS INCLUDING MAMMOGRAMS, ULTRASOUND AND BIOPSIES ARE PERFORMED AT THE CENTERS.MAMMOGRAPHY VOUCHER PROGRAM -- FOR WOMEN WHO CANNOT AFFORD TO GET THEIR ANNUAL MAMMOGRAM SCREENING, MORTON PLANT MEASE PROVIDES SCREENING MAMMOGRAMS THROUGH THE MAMMOGRAPHY VOUCHER PROGRAM. IN 2017, THE VOUCHER PROGRAM PROVIDED UNINSURED WOMEN IN PINELLAS COUNTY 267 SCREENING MAMMOGRAMS AND 79 DIAGNOSTIC MAMMOGRAMS AT NO CHARGE. NOT ONLY WERE WOMEN PROVIDED WITH FREE MAMMOGRAMS, EDUCATION, EMOTIONAL SUPPORT, REFERRALS AND NAVIGATION OF THEIR HEALTH CARE, MANY RECEIVED A BIOPSY EXAM. FOR CASES TESTING POSITIVE FOR BREAST CANCER, PATIENTS WERE REFERRED TO ONE OF THE SURGEONS ON OUR PANEL OF PHYSICIANS AND PROVIDED FREE FOLLOW-UP SERVICES IF NEEDED. A NURSE NAVIGATOR HELPED EACH PATIENT THROUGH THE TREATMENT PROCESS.TAMPA BAY COMMUNITY CANCER NETWORK MORTON PLANT MEASE PARTICIPATES IN THE TAMPA BAY COMMUNITY CANCER NETWORK PARTNERING ON SCREENINGS, EDUCATION EVENTS AND RESEARCH. THE NETWORK IS A COLLABORATIVE OF ACADEMIC AND COMMUNITY-BASED ORGANIZATIONS AND IS ONE OF 25 COMMUNITY NETWORKS PROGRAMS ACROSS THE COUNTRY FUNDED BY THE NATIONAL CANCER INSTITUTE'S CENTER TO REDUCE CANCER HEALTH DISPARITIES. THE GOAL IS TO CREATE AND IMPLEMENT SUSTAINABLE AND EFFECTIVE COMMUNITY-BASED INTERVENTIONS TO IMPACT CANCER DISPARITIES IN THE TAMPA BAY AREA. PALLIATIVE CARE PATIENTS WHO EXPERIENCE SERIOUS ILLNESS OFTEN BENEFIT GREATLY FROM SPECIALIZED, COMPASSIONATE CARE FOCUSED ON MANAGING THEIR PAIN, STRESS AND SYMPTOMS. MORTON PLANT MEASE PALLIATIVE CARE TEAMS FOCUS ON EXPERT ASSESSMENT AND MANAGEMENT OF PAIN AND OTHER SYMPTOMS, ASSESSMENT AND SUPPORT OF CAREGIVER NEEDS, AND COORDINATION OF MEDICAL, SOCIAL, AND PRACTICAL SERVICES. PALLIATIVE CARE ATTENDS TO THE PHYSICAL, FUNCTIONAL, PSYCHOLOGICAL, PRACTICAL, AND SPIRITUAL CONSEQUENCES OF A SERIOUS ILLNESS. LED BY OUR OWN BOARD CERTIFIED PHYSICIANS, THE INTERDISCIPLINARY PALLIATIVE CARE TEAM, WHICH ALSO INCLUDES LICENSED COUNSELORS AND BOARD CERTIFIED CHAPLAINS, WORKS TO DEVELOP INDIVIDUAL AND FAMILY CENTERED APPROACHES TO CARE PLANS BASED ON PATIENT GOALS AND WISHES. PALLIATIVE CARE TEAMS ARE AVAILABLE TO PROVIDE CARE THAT IMPROVES QUALITY OF LIFE AT ALL OF THE MORTON PLANT MEASE HOSPITALS.CLINICAL PASTORAL CARE ACCREDITATIONCLINICAL PASTORAL EDUCATION (CPE) IS INTERFAITH PROFESSIONAL EDUCATION FOR MINISTRY IN THE HEALTH CARE SETTING. THE PROGRAM BRINGS THEOLOGICAL STUDENTS AND MINISTERS OF ALL FAITH TRADITIONS TOGETHER FOR EDUCATION COURSES THAT INCLUDE SUPERVISED ENCOUNTERS OF BEDSIDE VISITS WITH PATIENTS IN THE HOSPITAL SETTING. WITH INTENSE INVOLVEMENT AND INSIGHT FROM PEERS AND CERTIFIED EDUCATORS, STUDENTS DEVELOP A DEEPER UNDERSTANDING OF THOSE WHO ARE IN NEED AND HOW BEST TO OFFER SPIRITUAL CARE IN A HEALTH CARE ENVIRONMENT. STUDENTS SELECTED FOR THE PROGRAM SERVE AS EITHER INTERNS (400 HOURS) OR RESIDENTS (ONE YEAR) AT THE HOSPITALS OF MORTON PLANT MEASE. CPE TRAINING IS REQUIRED FOR CHAPLAIN BOARD CERTIFICATION. THE PROGRAM IS FULLY ACCREDITED BY THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION (ACPE). VOLUNTEERS COMMUNITY VOLUNTEERS, THROUGH THE VOLUNTEER RESOURCES DEPARTMENT FOR MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS, PROVIDE SERVICE TO MEET OUR COMMUNITY NEEDS THAT MIGHT OTHERWISE GO UNMET. THESE SERVICES INCLUDE PATIENT WELCOME VISITS, SURGERY VISITOR ASSISTANCE, TRAM/SHUTTLE RIDES, DISCHARGE ASSISTS, VOLUNTEER CHAPLAIN VISITS AND PATIENT COMPANION VISITS.THE VOLUNTEER TEAM OF 485 PROVIDED 101,286 HOURS IN 2017, RESULTING IN 318,356 UNITS OF SERVICE.THESE INDIVIDUALIZED SERVICES INCLUDE 23,030 PATIENT VISITS, 88,077 VISITOR AND WAYFINDING ASSISTANCE SERVICE UNITS, 40,464 WAITING AREA(S) SUPPORT, 36,234 OUTPATIENT VISITOR ASSISTS AND 5,381 PATIENT DISCHARGE ASSISTS. THESE SERVICES ARE MEASURED IN THE FOLLOWING CATEGORIES FOR 2017: 11,394 SPIRITUAL CARE VISITS; 102,192 OUTPATIENT SUPPORT SERVICES WHICH INCLUDE PREADMISSION TESTING, MAMMOGRAPHY, LAB AND THE ER; 72,274 WAYFINDING ASSISTS INCLUDING ESCORTS FOR PATIENTS AND VISITORS WITHIN THE HOSPITAL AND TRAM TRANSPORTATION THROUGHOUT THE HOSPITAL CAMPUS; 55,607 BEDSIDE COMFORT MEASURES INCLUDING NEWSPAPER, FLOWER AND MAIL DELIVERIES AND PET THERAPY VISITS; 36,006 NURSING SUPPORT ASSISTS INCLUDING PATIENT FEEDING AND DISCHARGES, HEALING TOUCH VISITS, PATIENT REPRESENTATIVE VISITS, VOLUNTEER NURSE SUPPORT, UNIT NURSE ASSISTANCE AND ANSWERING CALL LIGHTS; AND 10,536 WAITING ROOM ASSISTS.IN ADDITION TO HOSPITAL SERVICES, THEY ALSO PROVIDED SOME UNIQUE SUPPORT FOR CANCER PATIENTS AND THEIR FAMILIES THROUGH AN ALL-DAY, FREE EVENT -- THE CELEBRATION PICNIC. VOLUNTEERS PROVIDED 12,649 RIDES THROUGH CARELIFT, A FREE VAN TRANSPORTATION PROGRAM FOR PATIENTS NEEDING RIDES TO AND FROM THE HOSPITALS AND OUTPATIENT SERVICES FOR APPOINTMENTS AND TREATMENTS.CLINICAL RESEARCH THE CLINICAL RESEARCH DEPARTMENT PROVIDES SUPPORT AND INFRASTRUCTURE FOR PATIENTS AND PHYSICIANS WHO PARTICIPATE IN CLINICAL RESEARCH STUDIES THROUGHOUT MORTON PLANT MEASE INCLUDING EDUCATION, COORDINATION AND MEDICAL DEVICES. THE INSTITUTIONAL REVIEW BOARD (IBR)THE IRB PROVIDES REGULATORY OVERSIGHT ON ISSUES OF HUMAN RESEARCH SO AS TO MAINTAIN PATIENT SAFETY AND ETHICAL CONDUCT OF RESEARCH FOR ALL OF THE BAYCARE HEALTH SYSTEM. VIRTUAL ICUBAYCARE HEALTH SYSTEM AND THE MORTON PLANT MEASE HOSPITALS HAVE TAKEN THE TREATMENT OF CRITICALLY ILL PATIENTS TO THE NEXT LEVEL WITH VIRTUAL ICU, A TELEMEDICINE-BASED PROGRAM.COMBINING MEDICAL EXPERTISE, TECHNOLOGY AND EXPERIENCED CRITICAL CARE NURSES AND DOCTORS, VIRTUAL ICU IS AN ELECTRONIC PATIENT MONITORING SYSTEM THAT USES REMOTE COMPUTER TECHNOLOGY, EXPERIENCED CRITICAL CARE NURSES AND BOARD CERTIFIED PHYSICIANS TO ENHANCE THE CARE OF CRITICALLY ILL PATIENTS. BAYCARE'S VIRTUAL ICU WORKS THROUGH A CENTRALIZED COMMUNICATION CENTER EQUIPPED WITH COMPUTERS LINKED TO INTENSIVE CARE (ICU) ROOMS AT THE MORTON PLANT MEASE HOSPITALS. THROUGH TWO-WAY AUDIO/VISUAL EQUIPMENT AND HIGH-DEFINITION CAMERAS INSTALLED IN EACH PATIENT ROOM, THE VIRTUAL ICU CLINICAL TEAM CAN MONITOR, EVALUATE, MANAGE AND TREAT A PATIENT'S CONDITION FROM THE COMMUNICATION CENTER. THE BEDSIDE NURSE, PHYSICIAN OR ANY OTHER CLINICAL TEAM MEMBER HAS THE ABILITY TO CALL FOR ASSISTANCE FROM THE VIRTUAL ICU TEAM BY PRESSING A BUTTON MOUNTED ON THE WALL IN EACH PATIENT'S ROOM. BAYCARE'S TELEMEDICINE PROGRAM HAS EXPANDED TO PARTICIPATING SKILLED NURSING FACILITIES SUPPORTING OVERNIGHT PATIENT CARE VIA TWO-WAY AUDIO VISUAL EQUIPMENT OR BY PHONE.INTERACTIVE PATIENT EDUCATION SYSTEMMEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS BECAME PART OF A BAYCARE INITIATIVE TO ENHANCE OUR PATIENT-CENTERED EXPERIENCE WITH AN INTERACTIVE PATIENT EDUCATION SYSTEM. THROUGH THE TELEVISION IN THE PATIENT'S ROOM, EDUCATION IS DELIVERED RIGHT AT THE PATIENT'S BEDSIDE.PATIENTS MUST WATCH THREE SHORT VIDEOS BEFORE THEY ARE ABLE TO WATCH REGULAR TELEVISION. VIDEOS INCLUDE A SHORT WELCOME FROM BAYCARE'S PRESIDENT, AN INTRODUCTION TO GET WELL NETWORK AND A LOOK AT HOSPITAL SAFETY. THE NETWORK IS FILLED WITH INTERACTIVE SERVICES THAT ARE DESIGNED TO MEET THE PATIENT'S INDIVIDUALIZED NEEDS AND PROVIDE HEALTH CARE WORKERS WITH TOOLS THAT DELIVER PATIENT EDUCATION, PAIN MANAGEMENT AND MEDICATION TEACHING, AMONG OTHER HEALTH CONCERNS. PATIENTS ARE ABLE TO SELECT FROM MORE THAN 500 EDUCATIONAL VIDEOS TO AID IN THEIR UNDERSTANDING OF DISEASES AND PROCEDURES. ONCE THE PATIENT WATCHES THE VIDEO, IT WILL AUTOMATICALLY DOCUMENT IN THE ELECTRONIC MEDICAL RECORD. WHILE IN THE HOSPITAL, PATIENTS ARE ALSO ABLE TO VIEW THEIR CURRENT MEDICATION LIST EFFECTS AND EDUCATE THEMSELVES ON THE MEDICATIONS THAT THEY ARE TAKING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 (CONT-D)</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH PROFESSIONALS EDUCATION STUDENT CLINICAL EXPERIENCES AFFORD HEALTH CARE STUDENTS OPPORTUNITIES TO LEARN SKILLS AND KNOWLEDGE NECESSARY TO FUNCTION IN ACUTE CARE FACILITIES. STUDENTS ARE PROVIDED WITH DIVERSE EXPERIENCES IN MULTIPLE PATIENT SETTINGS BASED ON THE LEVEL OF EDUCATION THEY HAVE RECEIVED. CLINICAL EXPERIENCES ALLOW STUDENTS TO OBTAIN THE GUIDANCE, SUPERVISION AND ENCOURAGEMENT NECESSARY TO GAIN COMPETENCE IN CLINICAL TECHNIQUES.IN TOTAL, $1,516,968 IN STAFF TIME FOR NURSES, DIETITIANS, LAB TECHNOLOGISTS AND RESPIRATORY THERAPISTS WAS USED TO EDUCATE THESE FUTURE HEALTH CARE PROVIDERS ABOUT MANY ASPECTS OF PATIENT CARE. STUDENTS PURSUING CAREERS IN EMERGENCY MEDICAL SERVICES (EMS) ALSO COMPLETED INTERNSHIPS AND CLINICAL ROTATIONS AT MEASE HOSPITALS. IN 2017, EMS STUDENTS STUDIED AT OUR FACILITIES WITH TEAM MEMBERS DEVOTING MORE THAN $103,064 TOWARD THEIR TIME AND TRAINING.CAMP NURSE JR. SEVENTH- AND EIGHTH-GRADE STUDENTS WHO ARE INTERESTED IN BECOMING A DOCTOR, NURSE OR OTHER HEALTH CARE PROFESSIONAL ATTENDED CAMP NURSE JR. DURING THE THREE-DAY CAMP, STUDENTS EXPERIENCED HEALTH CARE CAREERS THROUGH VISITS TO VARIOUS HOSPITAL DEPARTMENTS AND HANDS-ON ACTIVITIES SUCH AS WORKING WITH COMPUTERIZED PATIENT SIMULATORS. THE CAMP WAS HELD AT MEASE DUNEDIN HOSPITAL AND TAUGHT BY REGISTERED NURSES FROM MORTON PLANT MEASE HEALTH CARE.EMERGENCY CARETHE EMERGENCY DEPARTMENTS OF MEASE COUNTRYSIDE AND MEASE DUNEDIN SERVE ALL ADULT AND PEDIATRIC PATIENTS SEEKING CARE. EMERGENT CARE IS PROVIDED FOR EVERY PATIENT REGARDLESS OF ABILITY TO PAY. CARDIAC CAREMEASE COUNTRYSIDE HOSPITAL OFFERS ACCESS TO EXPERT CARDIAC CARE FOR PATIENTS IN NORTHERN PINELLAS AND SOUTHERN PASCO COUNTIES WITH ELECTIVE AND EMERGENCY PERCUTANEOUS CORONARY INTERVENTION (PCI) - A MINIMALLY INVASIVE HEART PROCEDURE ALSO KNOWN AS AN ANGIOPLASTY. CORONARY ANGIOPLASTY IS A NON-SURGICAL PROCEDURE THAT RELIEVES NARROWING AND OBSTRUCTION OF THE ARTERIES TO THE MUSCLE OF THE HEART (CORONARY ARTERIES).IN 2017, MEASE COUNTRYSIDE EXPANDED ITS CARDIAC CARE SERVICES BY ADDING A NEW CARDIAC CATHETERIZATION LAB WITH THE MOST ADVANCED IMAGE-GUIDED THERAPY PLATFORM, A 16-BED PRE- AND POST- PROCEDURE PATIENT AREA AND A NEW FAMILY WAITING AREA. ELECTIVE ANGIOPLASTY IS CONSIDERED THE STANDARD OF CARE FOR THE TREATMENT OF CARDIAC DISEASE AND THE PREVENTION OF POSSIBLE HEART DAMAGE. MEASE DUNEDIN HOSPITAL IS EXPERIENCED IN PROVIDING MEDICAL CARE FOR CARDIAC PATIENTS. UROLOGY CAREA TEAM OF NURSES AND PHYSICIANS CAME TOGETHER TO COORDINATE A CENTER OF EXCELLENCE IN UROLOGY AT MEASE COUNTRYSIDE HOSPITAL. TO ASSIST PATIENTS THROUGH THEIR EXPERIENCE, A NURSE NAVIGATOR IS A KEY PART OF THE CENTER.STROKE CARE BOTH MEASE DUNEDIN AND MEASE COUNTRYSIDE HOSPITALS ARE CERTIFIED AS PRIMARY STROKE CENTERS BY THE JOINT COMMISSION. MEASE DUNEDIN RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD AND TARGET STROKE HONOR ROLL ELITE AWARD. MEASE COUNTRYSIDE RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD AND TARGET STROKE HONOR ROLL AWARD. THESE AWARDS RECOGNIZE EXCELLENT CARE FOR STROKE PATIENTS, ACCORDING TO EVIDENCE-BASED GUIDELINES.SPECIAL COMMUNITY EVENTS &amp; SCREENINGSIN 2017, MORTON PLANT MEASE SUPPORTED A NUMBER OF SPECIAL COMMUNITY EVENTS AND SCREENINGS. THESE INCLUDED THE FOLLOWING EVENTS:HEART HEALTH SCREENINGS -- TO PROMOTE HEART HEALTH AWARENESS, BAYCARE HEALTH SYSTEM PERFORMED 13 FREE HEART-HEATHY SCREENINGS ACROSS THE FOUR COUNTIES IN EARLY SPRING. THESE FREE HEART-HEALTHY SCREENINGS INCLUDED TESTING A PARTICIPANT'S BLOOD PRESSURE, CHOLESTEROL, BODY MASS INDEX (BMI) AND A PRE-SCREENING FOR DIABETES. THE 1,339 PARTICIPANTS RECEIVED AN OVERALL SNAPSHOT OF THEIR HEART HEALTH AND TIPS FOR LIVING A HEALTHIER LIFE FROM BAYCARE'S COMMUNITY HEALTH TEAM. MELANOMA MONDAY 2017 -- PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS FROM MORTON PLANT MEASE CONDUCTED 276 FREE SKIN CANCER SCREENINGS IN SUPPORT OF THE 21ST ANNUAL MELANOMA MONDAY, A NATIONWIDE CAMPAIGN TO RAISE AWARENESS AND ENCOURAGE EARLY DETECTION. SLEEP DISORDERS SCREENINGS -- GOOD SLEEP IS ESSENTIAL TO GOOD HEALTH AND THE MORTON PLANT MEASE SLEEP DISORDERS CENTERS IN 2017 PROVIDED 17 FREE SLEEP STUDIES TO COMMUNITY CLINIC PATIENTS AND PROVIDED 19 FREE CPAP MACHINES FOR PATIENTS DIAGNOSED WITH SLEEP APNEA. PITCH FOR PINK -- MORTON PLANT MEASE WENT TO THE BALLPARK TO HELP "STRIKE OUT BREAST CANCER" AT PITCH FOR PINK. HELD IN CONJUNCTION WITH THE CLEARWATER THRESHERS BASEBALL TEAM, THE EVENT FEATURED A CLASS A MINOR LEAGUE GAME. ORGANIZED BY THE MORTON PLANT MEASE FOUNDATION, THE EVENT HELPED RAISE FUNDS FOR BREAST CANCER AWARENESS AND TREATMENT. TEAM MEMBERS &amp; PHYSICIANS SUPPORT -- MORTON PLANT MEASE TEAM MEMBERS AND PHYSICIANS GAVE THROUGHOUT THE YEAR TO HELP THE COMMUNITY. IN MARCH, MORTON PLANT MEASE PULMONARY REHAB OFFERED FREE PULMONARY/ LUNG COPD SCREENINGS FOR THE PASCO AND PINELLAS COUNTY PUBLIC AND TEAM MEMBERS. FROM JUNE 26 THROUGH JULY, TEAM MEMBERS PARTICIPATED IN THE SUPPORT OUR TROOPS DRIVE, DONATING ITEMS SUCH AS SNACKS, SOCKS AND TOILETRIES THAT SERVICE MEMBERS WOULD NEED OR ENJOY TO THANK OUR TROOPS FOR THEIR SERVICE.IN AUGUST, PHYSICIANS AND STAFF FROM THE TURLEY FAMILY HEALTH CENTER PARTICIPATED IN THE ANNUAL NORTH GREENWOOD BACK-TO-SCHOOL WELLNESS EVENT AT THE NORTH GREENWOOD RECREATION AND AQUATIC COMPLEX. TEAM MEMBERS GAVE NEARLY 100 FREE BACK-TO-SCHOOL PHYSICALS, AND ALSO PROVIDED 700 FREE BACKPACKS WITH BASIC SCHOOL SUPPLIES. FOLLOWING HURRICANE MARIA'S DEVASTATION OF PUERTO RICO, BAYCARE TEAM MEMBERS AND PHYSICIANS DONATED MORE THAN $290,000 TO RELIEF EFFORTS TO HELP THE ISLAND IN ITS RECOVERY.ROCK THE RIBBON ROCK THE RIBBON IS A 5K RACE BENEFITTING THE BREAST AND PROSTATE CANCER PROGRAMS OF MORTON PLANT MEASE HEALTH CARE.</ExplanationTxt>
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          <BusinessNameLine1Txt>HOMELESS EMERGENCY PROJECT</BusinessNameLine1Txt>
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          <AddressLine1Txt>1120 N BETTY LANE</AddressLine1Txt>
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          <BusinessNameLine1Txt>LA CLINICA GUADALUPANA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>WILLA CARSON HLTH RESOURCE CTR</BusinessNameLine1Txt>
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          <AddressLine1Txt>1108 N MLK AVE</AddressLine1Txt>
          <CityNm>CLEARWATER</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33755</ZIPCd>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC. IS COMMITTED TO ASSISTING NON-PROFIT ORGANIZATIONS WHOSE FOCUS IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EACH CASH DONATION REQUEST IS REVIEWED BY TRUSTEES OF MEASE HOSPITAL, INC.'S SENIOR MANAGEMENT TEAM TO DETERMINE WHETHER THE ORGANIZATION IS ONE WE WANT TO DONATE TO, BASED ON THE ORGANIZATION'S MISSION, NON-PROFIT STATUS, AND USAGE OF FUNDS. ONCE APPROVED, WE REQUIRE PROPER DOCUMENTATION FROM THE ORGANIZATION OF ITS NON-PROFIT STATUS, AND AS NEEDED, FOLLOW-UP WITH THE ORGANIZATION TO ENSURE THE ACTIVITY OCCURRED.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>610963</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN POLLARD</PersonNm>
        <TitleTxt>DIRECTOR SURGICAL SVCS MCH</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225682</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY CULLEN</PersonNm>
        <TitleTxt>DIRECTOR OPERATIONS MCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>184939</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22613</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>918</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15834</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>224304</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOHSEN HABIB</PersonNm>
        <TitleTxt>MANAGER PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>162562</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12265</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12694</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9132</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21915</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218568</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAIKEL BOLOS</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>150796</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40180</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>209</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8565</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10136</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODNEY CAVALIER</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>131902</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42689</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1198</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7842</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16276</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199907</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SCHUMACHER</PersonNm>
        <TitleTxt>CLINICAL PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>152054</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5173</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8348</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENEE BURDI</PersonNm>
        <TitleTxt>DIRECTOR PATIENT SVCS MCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>146261</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17575</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9601</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8252</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20517</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>202206</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>GLENN WATERS - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $187,776 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. HE HAD $16,993 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $78,772 IN 2017. CARL TREMONTI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $117,157 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $49,147 IN 2017. LOUIS GALDIERI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $107,837 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $45,237 IN 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF TRUSTEES OF MEASE HOSPITAL, INC. IS MORTON PLANT MEASE HEALTH CARE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD SHALL CONSIST OF NO MORE THAN TWENTY-SIX (26) MEMBERS (EACH, A "TRUSTEE"), ALL OF WHOM SHALL BE APPOINTED BY THE MEMBER SUCH THAT AT ALL TIMES THE BOARD IS COMPRISED OF ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. THE MEMBER RESERVES TO ITSELF THE FOLLOWING TWO CATEGORIES OF ACTIONS: CLASS I MEMBER RESERVED RIGHTS AND CLASS II MEMBER RESERVED RIGHTS. A. CLASS I MEMBER RESERVED RIGHTS. 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION. 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION. 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION AND ITS SUBSIDIARIES AND AFFILIATES. 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER). 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION. 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS. 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION. 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION. 10. 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 OF THE CORPORATION. 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER. 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION. 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION. 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER. B. CLASS II MEMBER RESERVED RIGHTS. 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 2. 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 OF THE CORPORATION. 3. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, 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 THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES). 4. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION. 5. CHANGE IN THE NAME OF A HOSPITAL FACILITY OF THE CORPORATION. 6. APPROVAL OF SUBSTANTIVE CHANGES IN THE BYLAWS OF THE ARTICLES OF INCORPORATION OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WAS PROVIDED TO THE ENTIRE BOARD VIA A WEB PORTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT ALSO FOLLOWS THE COMPENSATION POLICY OF THE COMPENSATION COMMITTEE. THE INDEPENDENT COMPENSATION COMMITTEE IS 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 &amp; 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 SIMILARL 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 WITH THE LAST REVIEW OCCURRING IN 2017 BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUSTEES OF MEASE HOSPITAL, INC. PUBLISHES ITS FINANCIAL STATEMENTS WITH THE AGENCY FOR HEALTH ADMINISTRATION. GOVERNING DOCUMENTS ARE AVAILABLE VIA SUNBIZ.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTIONS IN NET ASSETS -933,007.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ANSWERS PROVIDED IN PART V, SECTION B &amp; C PERTAIN TO THE HOSPITAL FACILITY TRUSTEES OF MEASE HOSPITAL, INC., WHICH INCLUDES THE MEASE COUNTRYSIDE HOSPITAL AND MEASE DUNEDIN HOSPITAL LOCATIONS. MEASE COUNTRYSIDE HOSPITAL &amp; MEASE DUNEDIN HOSPITAL OPERATE UNDER THE SAME STATE LICENSE NUMBER (#4378) AS TRUSTEES OF MEASE HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MORTON PLANT MEASE HEALTH CARE FOUND</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>MORTON PLANT MEASE HEALTH SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>98305</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MORTON PLANT HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MORTON PLANT HOSPITAL ASSOCIATION INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MORTON PLANT MEASE HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>S</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>