2018-11-07T08:28:33-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2017-01-01 590724462 WINTER HAVEN HOSPITAL INC WINT 8632931121 200 AVENUE F NE WINTER HAVEN FL 33881 CARL TREMONTI CFO 8632931121 2018-11-07 1 MELANIE MCPEAK P01346034 8132254800 199.52.13.129 2018-11-07 08:11:11 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484 2017 2019-02-21 02:37:17Z GLENN WATERS 2985 DREW STREET WINTER HAVEN FL 33759 388412174 0 X WWW.BAYCARE.ORG/WINTER-HAVEN-HOSPITAL X 1926 FL SEE SCHEDULE OTO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 13 13 2621 125 430880 -629 2571526 2607004 316057641 348792395 1800464 4722885 6062675 5318978 326492306 361441262 18068 29546 0 0 133816948 135906489 0 0 0 167139996 190285877 300975012 326221912 25517294 35219350 285033900 323788215 132221499 136970526 152812401 186817689 TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 0 0 276494155 29546 352705839 WINTER HAVEN HOSPITAL, INC. (WHH) IS A FULL-SERVICE 519 BED COMMUNITY HOSPITAL. DURING 2017, WHH PROVIDED INPATIENT CARE TO 19,521 PATIENTS, TREATED 66,575 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 1,625 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, WHH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING APPROXIMATELY $31.2 MILLION. 276494155 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 261 0 1 2621 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JANICE POLO EVP & CFO 7278208021 2985 DREW STREET CLEARWATER FL 33759 MARK BOSTIK TRUSTEE/PAST CHAIR 1.00 0.00 X 0 0 0 ROBERT CARTER TRUSTEE 1.00 0.00 X 0 0 0 AL CASSIDY TRUSTEE 1.00 0.00 X 0 0 0 TODD DANTZLER TRUSTEE 1.00 0.00 X 0 0 0 ANGELA FALCONETTI TRUSTEE 1.00 0.00 X 0 0 0 ALAN GUSTAFSON TRUSTEE 1.00 0.00 X 0 0 0 EILEEN HOLDEN TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 DON INGRAM TRUSTEE/VICE CHAIR 1.00 1.00 X X 0 0 0 MICHELE MCCLENDON TRUSTEE 1.00 0.00 X 0 0 0 CHARLES MCPHERSON TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 WILLIAM MURRELL TRUSTEE 1.00 0.00 X 0 0 0 TOMMY OAKLEY TRUSTEE/ASSISTANT SECRETARY 1.00 0.00 X X 0 0 0 CINDY PRICE TRUSTEE 1.00 0.00 X 0 0 0 ASHISH SHAH TRUSTEE 1.00 0.00 X 0 0 0 RICHARD STRAUGHN TRUSTEE/CHAIR 1.00 0.00 X X 0 0 0 CHIP TUCKER TRUSTEE 1.00 0.00 X 0 0 0 EDGAR WILLARD TRUSTEE 1.00 0.00 X 0 0 0 CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 1.00 45.00 X 0 680038 32073 GLENN WATERS EVP, COO BAYCARE 1.00 45.00 X 0 1581392 76036 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 45.00 1.00 X 525170 0 58091 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO - POLK 45.00 0.00 X 314177 0 80009 DEBRA WOLF DIRECTOR, PATIENT SVCS - WHH 45.00 0.00 X 170062 0 15732 TINA SOLOMON DIRECTOR, FINANCE POLK 45.00 0.00 X 159794 0 18380 IMELDA AZURIN CLINICAL NURSE III-POLK 45.00 0.00 X 172151 0 32124 KHURRAM KAMRAN VP/CHIEF MEDICAL OFFICER - WHH 45.00 0.00 X 428560 0 72409 JACQUES VASCONCELLOS DIRECTOR, OPERATIONS - WHH 45.00 1.00 X 203103 0 27063 GLENN WYSOCK MANAGER PHARMACY 45.00 0.00 X 196081 0 21938 KELLY RYAN MEDICAL PHYSICIST - POLK 45.00 0.00 X 190349 0 10846 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FNDTN 1.00 45.00 X 0 165351 24272 2359447 2426781 468973 82 1 1 0 DOSTER CONSTRUCTION CO INC 2100 INTERNATIONAL PARK DR BIRMINGHAM AL 35243 CONSTRUCTION SERVICES 16990413 OB HOSPITALIST GROUP LLC PO BOX 16329 GREENVILLE SC 29606 MEDICAL SERVICES 1817403 HENKELMAN CONSTRUCTION INC 1830 N CRYSTAL LAKE DR LAKELAND FL 33801 CONSTRUCTION SERVICES 1503810 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 LAUNDRY SERVICES 1395046 COMPREHENSIVE CARE SERVICES 31330 SCHOOLCRAFT LIVONIA MI 48150 MEDICAL SERVICES 1043010 61 1454473 1152531 2607004 MEDICARE/MEDICAID PMNT 621990 188238744 188238744 HOSPITAL PATIENT CARE 621990 160483682 160085654 398028 PREMIER PURCHASING PAR 900099 69969 65372 4597 348792395 1751020 28255 1722765 1405534 0 1405534 1405534 1405534 29932569 10208 26964677 6235 2967892 3973 2971865 2971865 MISCELLANEOUS REVENUE 621990 3845850 3845850 EMR INCENTIVE 621990 67594 67594 3913444 361441262 352303214 430880 6100164 29546 29546 1384277 1384277 111879716 111187782 691934 4960984 4930302 30682 9614051 9554592 59459 8067461 7982487 84974 51185 51185 838 838 994 994 197683 197683 14578412 13356638 1221774 300818 295395 5423 4804368 4577492 226876 1375910 977712 398198 5847000 5318315 528685 619021 577162 41859 2300498 2300498 14714798 14567814 146984 8083892 805864 7278028 MEDICAL SUPPLIES 58533407 58279602 253805 MANAGEMENT FEES 32633531 32633531 BAD DEBT EXPENSE 24975276 24975276 ALL OTHER EXPENSES 17229514 12540269 4689245 4038732 4038732 326221912 276494155 49727757 0 148822 9318 34463641 32019850 2912116 2729785 7951134 8442575 1500412 1806809 237301489 74088330 147077307 163213159 64721934 86845296 14685133 16328541 7439000 7439000 4134401 4953882 285033900 323788215 17592515 19935974 37824 43276 1056250 206562 113534910 116784714 132221499 136970526 X 146269072 179964228 5576930 5887062 966399 966399 152812401 186817689 285033900 323788215 X 35219350 4749029 -5963091 X 0 1 X 1 1 1 X 0 1 0 0 0 0 1 8400 0 1 994 9394 0 SCHEDULE C PART II - B, LINES 1B,1G, AND 1I, SUPPLEMENTAL INFORMATION LINES 1B & 1G BAYCARE EMPLOYEES WERE COMPENSATED FOR LOBBYING ACTIVITIES. LINE 1I DUES WERE PAID TO THE 340B HEALTH, FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS, AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS AND THE AMERICAN ORGANIZATION OF NURSE EXECUTIVES. THESE ASSOCIATIONS USE A PORTION OF THEIR RESPECTIVE DUES FOR LOBBYING ACTIVITIES. 14280000 14280000 145979107 26642599 119336508 72027067 47445731 24581336 5015315 5015315 163213159 INVESTMENT IN BPP 331077 F INVESTMENT PREMIER 185619 C INT IN FNDT NET ASSETS 15753277 C PREMIER CLASS B CONVERSION 58568 F 16328541 DUE TO AFFILIATES 98239431 TENANT DEPOSITS 82500 ASSET RETIREMENT OBLIGATION 887279 ABANDONED PROPERTY 14934 DEFERRED COMPENSATION PLAN 4342386 NONCURRENT PENSION OBLIGATION 11340466 EST. THIRD PARTY SETTLEMENTS 1877718 116784714 X 341673617 3748637 2213772 5962409 335711208 197683 25532371 25730054 361441262 300491857 0 300491857 197683 25532372 25730055 326221912 PART X, LINE 2: MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FOUNDATION EARNINGS 1,213,380. UNREALIZED GAIN ON SWAPS 1,000,392. PART XI, LINE 4B - OTHER ADJUSTMENTS: PREMIER INCENTIVES 69,969. BAD DEBT 24,975,276. INTERCOMPANY RENT 487,126. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 24,975,276. RENTAL 487,127. PREMIER INCENTIVES 69,969. CENTRAL AMERICA/CARIBBEAN INVESTMENTS 8348000 EAST ASIA AND THE PACIFIC INVESTMENTS 1205000 EUROPE INVESTMENTS 2891000 EUROPE INVESTMENTS 13000 MIDDLE EAST AND NORTH AFRICA INVESTMENTS 79000 NORTH AMERICA INVESTMENTS 399000 SOUTH AMERICA INVESTMENTS 226000 SUB-SAHARAN AFRICA INVESTMENTS 9000 0 0 0 0 0 0 13170000 0 13170000 0 0 0 0 0 0 SCHEDULE F, PART I, QUESTION 3 THE INVESTMENTS ARE REPORTED AT YEAR END MARKET VALUES, AND EXPENSES ARE REPORTED AT WHAT WAS ACTUALLY PAID. THE FIRST LISTED AMOUNT UNDER EUROPE ($2,891,000) REPRESENTS THE MARKET VALUE OF INVESTMENTS, THE SECOND LISTED AMOUNT UNDER EUROPE ($13,000) REPRESENTS INVESTMENT RELATED EXPENSES PAID. THE MAJORITY OF INVESTMENTS REPORTED ARE PART OF POOLED INVESTMENTS HELD BY BAYCARE HEALTH SYSTEM, INC. SCHEDULE F, PART IV, LINE 4 AND 5 ALL RELATED FILINGS FOR THE POOLED INVESTMENTS ARE SUBMITTED BY BAYCARE HEALTH SYSTEM, INC. 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 1 10966 11655416 0 11655416 0.03870 1 30989 39966238 23230384 16735854 0.05560 1 987 2330051 1004386 1325665 0.00440 3 42942 53951705 24234770 29716935 0.09870 5 717 403218 0 403218 0.00130 4 996 980075 0 980075 0.00330 1 21950 0 21950 0.00010 10 1713 1405243 1405243 0.00470 13 44655 55356948 24234770 31122178 0.10340 1 28847 0 28847 0.00010 1 28847 28847 0.00010 1 24975276 17035986 76100241 85984868 -9884627 X 1 1 1 1 WINTER HAVEN HOSPITAL INC 200 AVENUE F NE WINTER HAVEN FL 33881 WWW.BAYCARE.ORG/WHH 3974 X X X WINTER HAVEN HOSPITAL INC 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X HTTP://BAYCARE.ORG/WHH/ABOUT-US/COMMUNITY-HEALTH-NEEDS 1 15 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 WINTER HAVEN HOSPITAL, INC. PART V, SECTION B, LINE 5: WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL TOOK INTO ACCOUNT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS IN THE REGION DURING THE CHNA PROCESS. INTERVIEWS WERE CONDUCTED WITH TEN COMMUNITY LEADERS WHO ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING 1)PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS. THE INTERVIEWS OFFERED COMMUNITY ORGANIZATIONS AN OPPORTUNITY TO PROVIDE FEEDBACK ON THE NEEDS OF THE COMMUNITY, SECONDARY DATA RESOURCES, AND OTHER INFORMATION RELEVANT TO THE STUDY. EACH INTERVIEW WAS CONDUCTED BY TRIPP UMBACH, A CONSULTING FIRM REPRESENTING THE HOSPITALS, AND LASTED APPROXIMATELY 60 MINUTES. ALL RESPONDENTS WERE ASKED THE SAME SET OF QUESTIONS DEVELOPED BY TRIPP UMBACH AND PREVIOUSLY REVIEWED BY A WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL CHNA OVERSIGHT COMMITTEE. THE PURPOSE OF THESE INTERVIEWS WAS FOR STAKEHOLDERS TO IDENTIFY HEALTH ISSUES AND CONCERNS AFFECTING RESIDENTS IN THE COMMUNITIES SERVED BY WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL, AS WELL AS WAYS TO ADDRESS THOSE CONCERNS.THERE WAS A DIVERSE REPRESENTATION OF COMMUNITY-BASED ORGANIZATIONS AND AGENCIES AMONG THE 10 STAKEHOLDERS INTERVIEWED. THOSE ORGANIZATIONS REPRESENTED INCLUDED:-ANGEL CARE CENTER ELOUISE-PEACE RIVER CENTER-POLK COUNTY HEALTH DEPARTMENT-POLK HEALTH CARE PLAN-WINTER HAVEN HOSPITAL EMERGENCY DEPARTMENT PHYSICIANS GROUP-CENTRAL FLORIDA HEALTH CARE INC.-HALEY CENTER-TRI-COUNTY HUMAN SERVICES-POLK STATE COLLEGE-NEIGHBORHOOD SERVICES CENTERIN ADDITION TO THE COMMUNITY -BASED ORGANIZATION INTERVIEWS, WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL GATHERED ADDITIONAL INFORMATION BY SURVEYING VULNERABLE POPULATIONS.TRIPP UMBACH WORKED CLOSELY WITH THE CHNA OVERSIGHT COMMITTEE TO ENSURE THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS, WERE INCLUDED IN THE NEEDS ASSESSMENT THROUGH A SURVEY PROCESS. A TOTAL OF 216 SURVEYS WERE COLLECTED IN THE WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL SERVICE AREA WHICH PROVIDES A +/- 6.66 CONFIDENCE. WINTER HAVEN HOSPITAL, INC. PART V, SECTION B, LINE 11: WINTER HAVEN HOSPITAL IS CONCENTRATING EFFORTS DURING THE 2016-2018 TIME PERIOD TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA:- ACCESS TO HEALTH SERVICES- NEED TO DECREASE CLINICAL HEALTH ISSUES- NEED TO IMPROVE THE USE OF HEALTHY OPTIONS- BEHAVIORAL HEALTH AND SUBSTANCE ABUSEPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2017-2019 TIME PERIOD.WHILE WINTER HAVEN HOSPITAL IS DEDICATED TO IMPROVING THE USE OF HEALTHY OPTIONS, THE HOSPITAL HAS LIMITED RESOURCES AND SERVICES SPECIFICALLY DEDICATED TO THIS AREA OF FOCUS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO COMPLEMENT WINTER HAVEN HOSPITAL'S EFFORTS TO BETTER MEET THIS NEED. WINTER HAVEN HOSPITAL'S LEADERSHIP BELIEVES THAT EFFORTS OUTLINED WITHIN THE IMPLEMENTATION PLAN SPECIFICALLY TO IMPROVE ACCESS TO HEALTH SERVICES AND TO DECREASE CLINICAL HEALTH ISSUES WILL ALSO HAVE A POSITIVE IMPACT ON IMPROVING THE USE OF HEALTHY OPTIONS IN WINTER HAVEN HOSPITAL'S SERVICE AREA; THEREFORE, ADDITIONAL ACTIVITIES BEYOND THOSE LISTED IN THE IMPLEMENTATION PLAN WERE NOT CONSIDERED TO BE NECESSARY AT THIS TIME. WINTER HAVEN HOSPITAL, INC. PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME. WINTER HAVEN HOSPITAL, INC. PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. 9 1 - BLOOD BANKS OF MID-FLORIDA MEDICAL SVC 460 FIRST STREET NORTH WINTER HAVEN FL 33881 BLOOD BANK 2 - FAMILY HEALTH CENTER- AUBURNDALE 2028 HIGHWAY 92 WEST AUBURNDALE FL 33823 OUTPATIENT PHYSICIAN CLINIC 3 - FAMILY HEALTH CENTER- BARTOW 1625 NORTH CARPENTER AVE BARTOW FL 33830 OUTPATIENT PHYSICIAN CLINIC 4 - FAMILY HEALTH CENTER-DUNDEE 5999 DUNDEE ROAD SUITE 750 DUNDEE FL 33884 OUTPATIENT PHYSICIAN CLINIC 5 - FAMILY HEALTH CENTER-HAINES CITY 36245 HIGHWAY 27 HAINES CITY FL 33844 OUTPATIENT PHYSICIAN CLINIC 6 - FAMILY HEALTH CENTER- LAKE WALES 201 SR 60 WEST LAKE WALES FL 33853 OUTPATIENT PHYSICIAN CLINIC 7 - FAMILY HEALTH CENTER- WINTER HAVEN 100 AVENUE I NE WINTER HAVEN FL 33881 OUTPATIENT PHYSICIAN CLINIC 8 - FAMILY HEALTH CENTER- SE WINTER HAVEN 6035 CYPRESS GARDENS BLVD WINTER HAVEN FL 33884 OUTPATIENT PHYSICIAN CLINIC 9 - CENTER FOR BEHAVORIAL HEALTH -POLK CO 1201 FIRST STREET SOUTH WINTER HAVEN FL 33880 OUTPATIENT BEH HEALTH CENTER PART I, LINE 3C: PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. WINTER HAVEN HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE WINTER HAVEN HOSPITAL CRITERIA FOR FINANCIAL ASSISTANCE (250%) PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION. PART I, LINE 7: FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, 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. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $24,975,276 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: WINTER HAVEN HOSPITAL PROVIDES COMMUNITY SUPPORT AND COALITION BUILDING IN COORDINATION WITH A NUMBER OF EXTERNAL ORGANIZATIONS INCLUDING: -CENTRAL FLORIDA DEVELOPMENT COUNCIL WHO IS RESPONSIBLE FOR RECRUITING NEW BUSINESS TO POLK COUNTY AND HELPING EXISTING BUSINESSES EXPAND. -WINTER HAVEN ECONOMIC DEVELOPMENT COUNCIL WHOSE MISSION IS TO FOSTER EXPANSION OF EXISTING BUSINESSES AND INDUSTRY, ATTRACT NEW HIGH-SKILL, HIGH WAGE BUSINESS AND INDUSTRY, EXPAND ECONOMIC AND JOB OPPORTUNITIES FOR WINTER HAVEN RESIDENTS, BROADEN THE LOCAL TAX BASE AND ENHANCE RELATIONSHIPS WITH LOCAL, REGIONAL, STATE, NATIONAL, AND INTERNATIONAL ECONOMIC DEVELOPMENT ORGANIZATIONS AND INDUSTRIES. -HAINES CITY, WINTER HAVEN, AND LAKE ALFRED CHAMBERS OF COMMERCE WHO PROVIDE SUPPORT FOR MEMBERS TO ENHANCE COMMUNITY SUPPORT AND ECONOMIC PROSPERITY. -MAIN STREET WINTER HAVEN WHOSE MISSION IS TO DEVELOP AND PRESERVE THE ECONOMIC, CULTURAL AND HISTORIC QUALITIES THAT MAKE DOWNTOWN THE HEART OF OUR COMMUNITY. PART III, LINE 2: 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 FINANCE ASSISTANCE. THE STATE OF FLORIDA REQUIRES THE PATIENT TO PROVIDE CERTAIN DOCUMENTATION IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE. IN CASES WHERE THE PATIENT HAS NOT RESPONDED TO HOSPITAL REQUESTS OR BILLING STATEMENT ALERTS, THOSE ACCOUNTS ARE PROCESSED AS BAD DEBT, IF UNPAID. PART III, LINE 3: SEE PART III, LINE 2 PART III, LINE 4: 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. PART III, LINE 8: COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 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) ($9,884,627) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($9,001,898) - TOTAL SURPLUS OR (SHORTFALL) ($18,886,525) PART III, LINE 9B: PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE, ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), THE PATIENT'S ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY PARTICIPATING IN SEVERAL COMMUNITY ORGANIZATIONS THAT DEVELOP COMMUNITY STRATEGIC PLANS SUCH AS WINTER HAVEN'S "OUR FUTURE BY DESIGN". THE HOSPITAL ALSO WORKS WITH THE POLK COUNTY HEALTH DEPARTMENT IN ORDER TO CONDUCT STUDIES AND HELP SET PRIORITIES. ADDITIONALLY, THE HOSPITAL WORKS WITH AND UTILIZES SEVERAL COMMUNITY HEALTH SURVEYS CONDUCTED BY POLK HEALTHCARE ALLIANCE. PART VI, LINE 3: WINTER HAVEN HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE WINTER HAVEN 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, WINTER HAVEN HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL ARE ACUTE CARE FACILITIES SERVING PARTS OF POLK AND HIGHLANDS COUNTIES. THE AVERAGE HOUSEHOLD INCOME FALLS LESS THAN FLORIDA'S AVERAGE AND LESS THAN THE NATIONAL AVERAGE INCOME; 15.1% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND WITH 81% HAVING HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 21.8% OF THE POPULATION AND 15.3% ARE AFRICAN AMERICAN. THE SERVICE AREA SERVED BY WINTER HAVEN HOSPITALS IS EXPECTED TO GROW 5.9% IN POPULATION OVER THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.8% FOR THE UNITED STATES. THE OVER 65 POPULATION EXPECTED TO GROW 13.6% IN THE NEXT FIVE YEARS.WINTER HAVEN HOSPITAL IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY WINTER HAVEN HOSPITALS HAS 6 ACUTE CARE HOSPITALS INCLUDING WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S. THERE ARE 4 HOSPITALS WHICH ARE NOT-FOR-PROFIT AND 2 ARE FOR-PROFIT. THE ENTIRE SERVICE AREA FOR WINTER HAVEN AND WINTER HAVEN WOMEN'S HOSPITAL LIES WITHIN 3 FEDERALLY DESIGNATED UNDERSERVED AREAS.BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/16-9/30/17, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 52.2% MEDICARE/MEDICARE HMO, 18.6% MEDICAID/MEDICAID HMO, 17.6% COMMERCIAL INSURANCE, 7.4% SELF PAY/NON-PAY, AND 4.3% OTHER. PART VI, LINE 5: WINTER HAVEN HOSPITAL, INC., LOCATED IN WINTER HAVEN, FLORIDA, AND PART OF THE BAYCARE HEALTH SYSTEM, INCLUDES A 468-BED ACUTE CARE HOSPITAL AND A 61-BED OBSTETRIC/GYNECOLOGICAL SPECIALTY HOSPITAL, RESPECTIVELY REFERRED TO AS WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S HOSPITAL. WINTER HAVEN HOSPITAL (WHH) WAS ESTABLISHED IN 1926, AND TODAY CONCENTRATES IN THE TREATMENT OF HEART DISEASE, BEHAVIORAL HEALTH, CANCER, STROKE, AND ORTHOPEDIC CONDITIONS. THE HOSPITAL ALSO PROVIDES EMERGENCY CARE, OUTPATIENT DIABETES EDUCATION; ENDOSCOPY AND SURGICAL SERVICES; CARDIAC, NEUROLOGICAL, ORTHOPEDIC, AND PULMONARY REHABILITATION; AND IMAGING SERVICES. THE WINTER HAVEN WOMEN'S HOSPITAL, BUILT IN 1987 AND LOCATED APPROXIMATELY 1.5 MILES SOUTH OF WHH, INCLUDES A LEVEL II NEONATAL INTENSIVE CARE UNIT AND AN OUTPATIENT BREAST AND IMAGING CENTER. SERVICES INCLUDE ON-SITE CONTINUOUS OBSTETRIC COVERAGE AND LACTATION CONSULTATIONS. IN 2017, MANY NEW ACCREDITATIONS WERE RECEIVED. THE WHH ECHOCARDIOGRAPHY DEPARTMENT EARNED INTERNATIONAL ACCREDITATION IN ADULT SERVICES FOR CLINICAL ACCURACY AND QUALITY. IMAGING SERVICES AT WHH ALSO RECEIVED SEVERAL ACCREDITATIONS IN 2017. THE AMERICAN COLLEGE OF RADIOLOGY GAVE ACCREDITATION FOR ULTRASOUND, MRI, MAMMOGRAPHY, AND STEREOTACTIC SERVICES. WINTER HAVEN HOSPITAL OPENED ITS NEW 45,000 SQUARE FEET EMERGENCY ROOM IN THE SUMMER OF 2017. THE NEW ER IS TWICE THE SIZE OF THE OLD SPACE AND PROVIDES NEARLY DOUBLE THE NUMBER OF PATIENT ROOMS PLUS SPACE FOR DEDICATED MEDICAL IMAGING AND OTHER SUPPORT SERVICES. THE NEW ER INCREASED CAPACITY, AND IMPROVED BOTH EFFICIENCY AND THE PATIENT EXPERIENCE. RIGHT BEFORE THE GRAND OPENING, WHH HELD AN OPEN HOUSE TO GIVE TOURS AND ANSWER QUESTIONS; MORE THAN 400 MEMBERS OF THE COMMUNITY ATTENDED THE EVENT. THE OLD SPACE WILL BE RENOVATED TO PROVIDE ADDITIONAL ER SERVICES; COMPLETION IS EXPECTED IN 2018.IN JUNE 2017, WINTER HAVEN HOSPITAL BEGAN OFFERING COMPLEMENTARY VALET SERVICES FOR PATIENTS AND VISITORS. THIS SERVICE WAS INTENDED TO PROVIDE AN IMPROVED EXPERIENCE FOR PATIENTS AND VISITORS TO BE ABLE TO HAVE FRONT CURB DROP OFF AND PICK UP. IN DECEMBER 2017, WINTER HAVEN HOSPITAL LAUNCHED A DISCHARGE HOSPITALITY CENTER. THIS CENTER IS DESIGNED TO CREATE A COMFORTABLE PLACE FOR PATIENTS TO WAIT AFTER DISCHARGE FOR THEIR TRANSPORTATION TO A SUBACUTE FACILITY OR TO THEIR HOME. PATIENTS RECEIVE CONCIERGE-TYPE SERVICES IN THE CENTER, ALLOWING FOR QUICK RESPONSE TO QUESTIONS AND NEEDS ON A ONE-TO-ONE COMMUNICATION LEVEL WITH A REGISTERED NURSE. WINTER HAVEN HOSPITAL WAS A PROUD RECIPIENT IN NOVEMBER 2017 FOR AN APPRECIATION AWARD FROM THE FLORIDA DIVISION OF BLIND SERVICES. THE AWARD RECOGNIZES WHH FOR SUPPORTING A BARRIER-FREE WORKPLACE FOR INDIVIDUALS WHO ARE BLIND OR VISUALLY IMPAIRED. ALSO IN 2017, WINTER HAVEN HOSPITAL FORMALLY CONTRACTED WITH FLORIDA STATE UNIVERSITY TO BEGIN OFFERING GRADUATE MEDICAL EDUCATION FOR FAMILY HEALTH PHYSICIANS. THE PROGRAM WILL PROVIDE ADDITIONAL HEALTH ACCESS IN OUR COMMUNITY AND HELP RECRUIT FAMILY HEALTH PHYSICIANS TO PRACTICE IN THE AREA. WHH AND FSU WILL BEGIN BUILDING THE PROGRAM OVER THE NEXT TWO YEARS, INCLUDING CONSTRUCTION OF A TRAINING FACILITY, DEVELOPMENT OF A CURRICULUM AND APPLICATION FOR ACGME ACCREDITATION. RESIDENTS ARE EXPECTED TO BEGIN TRAINING IN JULY OF 2020. COMMUNITY OUTREACH AND PARTNERSHIPSCOMMUNITY OUTREACH AND PARTNERSHIPS ARE AN ESSENTIAL EXPRESSION OF WINTER HAVEN HOSPITAL'S COMMITMENT TO IMPROVING THE HEALTH OF COMMUNITIES WE SERVE. THROUGH ADDED RESOURCES, EDUCATION AND SCREENINGS, COMMUNITY CONNECTIONS, AND FREE OR REDUCED-COST CLINICAL CARE TO THE UNINSURED OR UNDERINSURED, WE CONTINUE TO CONTRIBUTE TO THE WELLBEING OF WINTER HAVEN AND SURROUNDING COMMUNITIES. RESOURCES & SERVICESTHROUGH BAYCARE'S PARTNERSHIP WITH FAMILY HEALTHCARE FOUNDATION, WINTER HAVEN HOSPITAL HOSTS A HEALTH CARE NAVIGATOR TO HELP ANYONE NAVIGATE OR ENROLL IN THE HEALTH INSURANCE MARKETPLACE UNDER THE AFFORDABLE CARE ACT, OR OTHER TYPES OF COVERAGE SUCH AS MEDICAID AND MEDICARE DISABILITY. THE NAVIGATOR TEAM HELD ENROLLMENT EVENTS AT WHH, AND TOOK APPOINTMENTS OR WALK-INS TO OFFER FREE, ONE-ON-ONE ASSISTANCE IN UNDERSTANDING INSURANCE OPTIONS AND ENROLLMENT. IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY, WINTER HAVEN HOSPITAL HOSTS A CANCER RESOURCE ROOM. THIS ROOM, STAFFED BY VOLUNTEERS FROM BOTH ORGANIZATIONS, OFFERS SUPPORT TO NAVIGATE CANCER DIAGNOSIS AND TREATMENT AS WELL AS NEEDS ASSOCIATED WITH LIFE AFTER REMISSION SUCH AS SPIRITUAL, EMOTIONAL, HEALTHY EATING AND FOLLOW-UP GUIDELINES. INFORMATION IN THE FORM OF PAMPHLETS AND HANDOUTS PLUS WIGS, SCARVES, CAPS, BRAS AND MORE ARE OFFERED FREE OF CHARGE. AS AN INTRINSIC OFFERING, OUR CHAPLAINCY SERVICES PROVIDE SPIRITUAL AND EMOTIONAL SUPPORT TO PATIENTS AND THEIR FAMILIES OF ALL RELIGIOUS TRADITIONS AND FAITH COMMUNITIES AS WELL AS THOSE WITH NO FAITH BACKGROUND. IN ADDITION TO PROVIDING A CHAPEL FOR PRAYER AND QUIET REFLECTION, STAFF CHAPLAINS PARTICIPATE IN FAMILY CONFERENCES REGARDING PATIENT CARE; OFFER ETHICS CONSULTATION SERVICES; ASSIST WITH THE EXPLANATION AND DISTRIBUTION OF ADVANCE DIRECTIVES; PROVIDE NEW PATIENT INTRODUCTIONS TO THEIR SERVICES; AND WELCOME AND ASSIST LOCAL CLERGY AS THEY VISIT THEIR MEMBERS. CHAPLAINCY SERVICES ALSO COORDINATES A FAITH COMMUNITY NURSING PROGRAM TO ASSIST LOCAL CONGREGATIONS WITH PROMOTING GOOD HEALTH HABITS TO ALL THEIR MEMBERS. IN 2017, WINTER HAVEN HOSPITAL PROVIDED MORE THAN $280,000 IN TRANSPORTATION SERVICES TO HELP PATIENTS ARRIVE HOME AFTER DISCHARGE OR TRANSFER TO A SUBACUTE CARE FACILITY. THE CONTRIBUTIONS SUPPORTED CAB FARE, BUS TICKETS AND NON-EMERGENCY AMBULANCE TRANSFERS FOR PATIENTS WHO DID NOT HAVE ANOTHER MEANS OF TRANSPORTATION AND WERE UNABLE TO AFFORD THE TRANSPORTATION COST.SCREENINGS, SUPPORT AND EDUCATION DURING HEART DISEASE AWARENESS MONTH, WINTER HAVEN HOSPITAL HOSTS FREE SCREENINGS FOR PARTICIPANTS TO LEARN MORE ABOUT THEIR HEART HEALTH. THE SCREENINGS INCLUDE BLOOD PRESSURE, BODY MASS INDEX AND TOTAL CHOLESTEROL READINGS TO PROVIDE A SNAPSHOT OF OVERALL HEALTH AND RECOMMENDATIONS FOR THE NEXT STEP TOWARD LIVING A HEALTHIER LIFE. ALSO PROVIDED WERE PRESCREENING FOR DIABETES AND BLOOD GLUCOSE, WHICH IF RISK WAS DETECTED, THEN AN AIC WAS OFFERED. EIGHTY-NINE (89) COMMUNITY RESIDENTS PARTICIPATED IN THE 2017 EVENTS.SUPPORT AND EDUCATION IS ALSO PROVIDED IN THE FORM OF SUPPORT GROUPS, CLASSES, AND COMMUNITY LECTURES. IN 2017, WINTER HAVEN HOSPITAL FACILITATED OR PROVIDED FREE MEETING SPACE FOR THE FOLLOWING SUPPORT GROUPS: APHASIA, BRAIN INJURY, CAREGIVERS, CARDIAC EVENTS AND DISEASE, DIABETES, MEN'S CANCER, MENTAL HEALTH PEER RECOVERY, NARCOTICS ANONYMOUS, OSTOMY, WOMEN'S CANCER AND STROKE. NEW IN 2017, WHH STARTED OFFERING PERINATAL BEREAVEMENT SUPPORT CLASSES.A VARIETY OF CLASSES ARE HELD MONTHLY FOR HEALTH IMPROVEMENT AND EDUCATION PURPOSES. CLASSES INCLUDE: JOINT REPLACEMENT PREPARATIONS, PREPARED CHILDBIRTH, BREASTFEEDING, INFANT/CHILD CPR, SIBLING PREPARATIONS, GRANDPARENTING FOR TODAY'S NEWBORNS, NEWBORN CARE, AND BABYSITTING BASICS. IN MAY OF 2017, THE FAITH COMMUNITY NURSING PROGRAM SPONSORED MENTAL HEALTH FIRST AID TRAINING CLASSES FOR COMMUNITY LEADERS TO RECOGNIZE AND RESPOND TO SIGNS OF MENTAL HEALTH DISTRESS AND SUBSTANCE ABUSE DISORDERS. THE FREE COURSE WAS TAUGHT BY LICENSED MENTAL HEALTH COUNSELORS AND HAD TWO TRACKS: AN ADULT FOCUSED COURSE OR A YOUTH FOCUSED COURSE. TWENTY-FOUR (24) COMMUNITY LEADERS PARTICIPATED IN THE ADULT TRAINING, AND 19 IN THE YOUTH TRAINING. IN PARTNERSHIP WITH TOBACCO-FREE FLORIDA, WE PROVIDE SPACE FOR THEIR SMOKING CESSATION CLASSES. THEIR CLASSES OFFER PARTICIPANTS FREE NICOTINE-REPLACEMENT THERAPY AND SUPPORT TO QUIT IN A GROUP SETTING. IN 2017, EIGHT (8) CLASSES WERE HELD ASSISTING NEARLY 40 PEOPLE. WINTER HAVEN HOSPITAL ALSO HOSTED NINE (9) COMMUNITY LECTURES TO PROVIDE HEALTH EDUCATION. THE LECTURES INCLUDED A LADIES NIGHT OUT EVENT FOCUSED ON HEALTH OVER HOLIDAYS AND A PAINTING PARTY TO BRING AWARENESS TO BREAST CANCER. OTHER TOPICS COVERED DIABETES AWARENESS, SPINAL DISORDERS, AFIB, PROSTATE CANCER, ANTERIOR HIP REPLACEMENT, AND WOMEN'S PELVIC HEALTH. WINTER HAVEN HOSPITAL ALSO PROVIDES EDUCATORS AND PROVIDERS, UPON INVITATION, TO COMMUNITY AND BUSINESS EVENTS TO ANSWER QUESTIONS ABOUT HEALTH CARE SERVICES AND PROVIDE SCREENINGS. A SAMPLE OF THE EVENTS ATTENDED IN 2017 INCLUDES THE WINTER HAVEN SENIOR ADULT CENTER HEALTH FAIR, WINTER HAVEN HOUSING AUTHORITY HEALTH FAIR, ALZHEIMER'S ASSOCIATION HEALTHY AGING AND WELLNESS FAIR, AND CITY OF WINTER HAVEN EMPLOYEE HEALTH FAIR. (CONT-D AFTER PART VI, LINE 7 NARRATIVE) PART VI, LINE 6: WINTER HAVEN 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. PART VI, LINE 7 WINTER HAVEN HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. PART VI, LINE 5 (CONT-D) COMMUNITY CONNECTIONSWINTER HAVEN HOSPITAL'S BOARD OF TRUSTEES IS COMPRISED OF COMMUNITY MEMBERS WHO BELIEVE IN THE MISSION, VALUES, AND VISION OF WINTER HAVEN HOSPITAL AND WHO DONATE THEIR TIME, TALENTS AND SUPPORT. THE PRIMARY RESPONSIBILITY OF THE BOARD IS TO ASSIST WITH POLICY FORMULATION, DECISION MAKING AND OVERSIGHT BY ENSURING DECISION AND ACTIONS CONFORM TO WINTER HAVEN HOSPITAL'S STRATEGIC PLANS AND BUDGETS AND PRODUCE INTENDED RESULTS.THROUGH A PARTNERSHIP WITH THE UNITED WAY OF CENTRAL FLORIDA, LOCAL CHURCHES AND GOVERNMENT AGENCIES, WINTER HAVEN HOSPITAL HELPS OPERATE A NEIGHBORHOOD SERVICES CENTER WITH THE EMPLOYMENT OF A FULL-TIME LEADER. THE CENTER OPENED IN 1970 TO SERVE AS A ONE-STOP, DIRECT SERVICES AGENCY FOR THE COMMUNITY OF FLORENCE VILLA. ITS PRIMARY SERVICE IS TO INCREASE THE COMMUNITY'S AWARENESS OF AVAILABLE HEALTH, WELFARE, REHABILITATIVE AND EDUCATIONAL SERVICES AND TO FACILITATE THE USE OF THOSE SERVICES. TODAY, IT FUNCTIONS AS A MULTI-PURPOSE SENIOR CENTER TO EMPOWER SENIOR RESIDENTS WITH DIGNITY AND INDEPENDENCE. IN 2017, WE PROVIDED APPROXIMATELY $50,000 DIRECTLY TO THE PARTNERSHIP WHICH THEN TRANSLATED INTO THE YEAR'S BUDGET OF MORE THAN $85,000 RAISED FROM OTHER PARTNERS, COMMUNITY DONATIONS AND CENTER FUNDRAISERS. THE 2017 FUNDS HELPED PROVIDE MORE THAN 1,000 HOT MEALS, 1,000 HEALTH AIDS, 500 TRANSPORTATION TRIPS, AND 3,000 AGENCY APPOINTMENTS. THE HOSPITAL HAS A FULL-TIME PHYSICIAN RECRUITER AND ACTIVELY RECRUITS PHYSICIANS IN PRIMARY CARE AND SPECIALTY CARE AREAS WHERE IT HAS IDENTIFIED A COMMUNITY NEED. THE HOSPITAL ALSO WORKS CLOSELY WITH PHYSICIAN GROUPS TO ASSIST THEM IN RECRUITING NEW PHYSICIANS TO OUR AREA. IN 2017, PHYSICIANS OF THE FOLLOWING SPECIALTIES WERE SUCCESSFULLY RECRUITED TO SERVE THE WINTER HAVEN COMMUNITIES: FAMILY HEALTH, GENERAL SURGERY AND BREAST SURGERY.THROUGH A PARTNERSHIP WITH THE POLK COUNTY INDIGENT HEALTH CARE PROGRAM, WINTER HAVEN HOSPITAL'S CENTER FOR BEHAVIORAL HEALTH CONTINUED A "SPECIALIZED COMMUNITY CARE TEAM." THE SCCT IS FOR ADULTS WITH MENTAL HEALTH DIFFICULTIES THAT AFFECT THEIR DAILY FUNCTIONING. SERVICES PROVIDE AT-HOME THERAPY, MEDICATION MANAGEMENT, AND RESOURCE REFERRALS TO HELP THE PATIENT ATTAIN WELLNESS, RESILIENCY AND SELF-SUFFICIENCY. THE HOSPITAL ENABLES ITS LEADERS TO PARTICIPATE IN ORGANIZATIONS THAT BENEFIT THE WELL-BEING OF THE COMMUNITY INCLUDING, THE UNITED WAY, GIRLS, INC., THE WOMEN'S RESOURCE CENTER, THE WINTER HAVEN ECONOMIC DEVELOPMENT COUNCIL, AND THE WINTER HAVEN CHAMBER OF COMMERCE. WHH ALSO CONTRIBUTES TO THE CENTRAL FLORIDA ECONOMIC DEVELOPMENT COUNCIL, MAIN STREET WINTER HAVEN, THE LAKE ALFRED CHAMBER OF COMMERCE AND THE HAINES CITY CHAMBER OF COMMERCE. WINTER HAVEN HOSPITAL AND ITS EMPLOYEES PROVIDED FINANCIAL SUPPORT, IN THE FORM OF SPONSORSHIPS AND FUND RAISING, FOR NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. IN 2017, WE DONATED MORE THAN $30,000 TO COMMUNITY ORGANIZATIONS INCLUDING AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, FLORENCE VILLA COMMUNITY DEVELOPMENT CORP., GREATER WINTER HAVEN CHAMBER OF COMMERCE, LEWIS FAMILY CANCER FUND, POLK STATE COLLEGE FOUNDATION, POLK COUNTY FIRE RESCUE, POLK ECUMENICAL ACTION COUNCIL FOR EMPOWERMENT, THE NEW CARDIOVASCULAR HORIZONS FOUNDATION, RIDGE ART ASSOCIATION, THE GIVEWELL COMMUNITY FOUNDATION, GRACE KIDS, AND CENTRAL FLORIDA HEALTH CARE.CHARITABLE CLINICAL CARE WINTER HAVEN HOSPITAL WAS INSTRUMENTAL IN THE DEVELOPMENT OF A FREE CLINIC IN WINTER HAVEN CALLED THE HALEY CENTER. THE FIRST BAPTIST CHURCH OF WINTER HAVEN ASKED FOR ASSISTANCE FROM THE COUNTY HEALTH DEPARTMENTS, WHH, THE COMMUNITY HEALTH AND SOCIAL SERVICES DEPARTMENT AND OTHERS TO ENSURE THE FREE CLINIC'S SUCCESS. IT HAS BEEN OPERATIONAL SINCE DECEMBER 2005 WITH THE HOSPITAL PROVIDING FREE LAB, X-RAY AND PULMONARY FUNCTION TESTING. BASED ON THE SUCCESS OF THE HALEY CENTER, PARKVIEW CHRISTIAN CHURCH IN HAINES CITY REQUESTED COUNSEL ON STARTING A SIMILAR CLINIC IN THEIR COMMUNITY. VOLUNTEERS FROM BOTH WHH AND THE HALEY CENTER SHARED THEIR EXPERTISE FOR THE OPENING OF THE PARKVIEW OUTREACH COMMUNITY CENTER. WINTER HAVEN HOSPITAL PARTICIPATES IN THE LOCAL CHURCH-BASED PROGRAM CALLED THE ANGELS CARE CENTER OF ELOISE. THIS CENTER OFFERS A FREE DIABETIC CLINIC THE SECOND WEDNESDAY OF EACH MONTH FOR PERSONS WHOSE INCOME DOES NOT EXCEED 200 PERCENT OF THE FEDERAL POVERTY LEVEL, WHO ARE NOT ELIGIBLE FOR MEDICAID OR MEDICARE AND WHO DO NOT HAVE PRIVATE MEDICAL INSURANCE.POLK HEALTHCARE PLAN IS A PUBLIC/PRIVATE PARTNERSHIP THAT ALLOWS FOR A COMPREHENSIVE MANAGED HEALTH CARE PROGRAM FOR ELIGIBLE POLK COUNTY RESIDENTS. WINTER HAVEN HOSPITAL PARTICIPATES IN AND ACCEPTS THE POLK HEALTHCARE PLAN TO HELP INCREASES HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF POLK COUNTY. THE PLAN PROVIDES AN INTEGRATED SYSTEM OF HEALTH CARE AND SOCIAL SERVICES THROUGH A WIDE RANGE OF PRIMARY AND PREVENTIVE MEDICAL CARE, SPECIALTY MEDICAL CARE, HOSPITALIZATION, DIAGNOSTIC TESTING, ANCILLARY SERVICES AND PHARMACEUTICALS. IN ESSENCE, THE PLAN FUNCTIONS AS A COUNTY-OPERATED HMO FOR QUALIFIED POLK COUNTY RESIDENTS. HEALTH PROFESSIONALS EDUCATION WINTER HAVEN HOSPITAL IS COMMITTED TO EDUCATING HEALTHCARE PROVIDERS IN THE LOCAL AREA. STUDENT CLINICAL EXPERIENCES PROVIDE AN OPPORTUNITY TO LEARN SKILLS NECESSARY TO FUNCTION IN AN ACUTE CARE FACILITY. STUDENTS ARE PROVIDED WITH DIVERSE EXPERIENCES IN MULTIPLE PATIENT SETTINGS BASED ON THE LEVEL OF EDUCATION THEY HAVE RECEIVED. CLINICAL EXPERIENCES ALLOW STUDENTS TO RECEIVE THE GUIDANCE, SUPERVISION AND ENCOURAGEMENT NECESSARY TO GAIN COMPETENCE IN CLINICAL TECHNIQUES. TOWARDS THE END OF A STUDENT'S FORMAL EDUCATION, HE OR SHE WILL BE PROVIDED WITH OPPORTUNITY TO DEVELOP LEADERSHIP AND MANAGEMENT SKILLS WHILE WORKING WITH A PRECEPTOR. EVALUATION AND FEEDBACK BY THE EXPERIENCED PRECEPTOR ARE ESSENTIAL COMPONENTS IN ASSISTING THE STUDENT TO IDENTIFY ADDITIONAL LEARNING NEEDS PRIOR TO APPLYING FOR EMPLOYMENT IN THE HEALTH CARE ARENA.NURSING STUDENTS FROM POLK STATE COLLEGE, SOUTHEASTERN UNIVERSITY, FLORIDA SOUTHERN COLLEGE, CONCORDE CAREER INSTITUTE, CONCORDE CAREER COLLEGE, SOUTHERN TECHNICAL COLLEGE, TRAVISS CAREER CENTER AND RIDGE TECHNICAL COLLEGE COMPLETED CLINICAL INTERNSHIPS AT WHH. IN TOTAL, $513,921 IN STAFF TIME WAS USED TO EDUCATE THESE FUTURE NURSES ABOUT MANY ASPECTS OF PATIENT CARE.STUDENTS PURSUING CAREERS IN OTHER HEALTH FIELDS, SUCH AS MEDICAL STUDENTS, PHYSICIAN ASSISTANTS, DIETITIANS, AND MENTAL HEALTH COUNSELORS ALSO COMPLETED INTERNSHIPS AND CLINICAL ROTATIONS AT WHH. OTHER STUDENTS OF A VARIETY OF TECHNICAL SPECIALTIES INCLUDING EKG, IMAGING AND NUCLEAR MEDICINE COMPLETED CLINICAL ROTATIONS TOO AT WHH. IN 2017, STUDENTS STUDIED AT OUR FACILITIES WITH TEAM MEMBERS DEVOTING MORE THAN $313,171 TOWARD THEIR TIME AND TRAINING.WINTER HAVEN HOSPITAL ALSO PROVIDES AN ASHP-ACCREDITED PHARMACY RESIDENCY PROGRAM THAT BUILDS ON THE DOCTOR OF PHARMACY (PHARMD) CURRICULUM TO CONTRIBUTE TO THE DEVELOPMENT OF CLINICAL PHARMACISTS RESPONSIBLE FOR PHARMACEUTICAL CARE OF PATIENTS WITH A WIDE RANGE OF CONDITIONS. THE 12-MONTH TRAINING ALLOWS RESIDENTS TO COLLABORATE WITH MEDICAL STAFF, WORK WITH PATIENTS AND PARTNER WITH NURSING. TWO RESIDENTS GRADUATED IN SUMMER OF 2017, AND THREE NEW RESIDENTS STARTED IN JULY 2017. WHH CLINICAL PHARMACISTS CONTRIBUTED $152,983 IN STAFF TIME TO HELP PREPARE GRADUATES FOR PRACTICE IN DIVERSE CLINICAL SETTINGS, BECOME BOARD-CERTIFIED, OR TO CONTINUE TRAINING IN A SECOND YEAR PROGRAM. VOLUNTEERISMSINCE 1938, THE WINTER HAVEN HOSPITAL VOLUNTEER AUXILIARY FOUND MANY WAYS TO CONTRIBUTE DIRECTLY TO THE WELFARE OF THE HOSPITAL, ITS PATIENTS AND THE COMMUNITY AT LARGE. STRIVING TO MAINTAIN THE HIGHEST STANDARDS OF CONDUCT, THE AUXILIARY AND VOLUNTEERS, PROVIDE A HEALTHFUL, SAFE, CARING ENVIRONMENT FOR STAFF VISITORS AND PATIENTS. VOLUNTEERS OFFER ASSISTANCE AT THE PATIENT INFORMATION DESKS, GIFT SHOPS, PATIENT REGISTRATION, ACTIVITIES CART AS WELL AS LIGHT CLERICAL SUPPORT. THE AUXILIARY SPONSORS BOOK FAIRS AND UNIFORM/SHOE SALES TO SUPPORT THE APPROVED HOSPITAL PROJECTS INCLUDING PROVIDING HOLIDAY GIFTS FOR 20 UNDERPRIVILEGED POLK COUNTY SCHOOL CHILDREN, OFFERING GRIEVING FAMILIES A BEREAVEMENT ANGEL AFTER THE DEATH OF A NEWBORN, PURCHASING MAMMOGRAPHY CAPES FOR THE BREAST IMAGING CENTER, SUPPLYING BREAST CANCER HANDBOOKS TO NEWLY DIAGNOSED CANCER PATIENTS, AND PROVIDING A VISIT AND GIFT FOR ALL PATIENTS HOSPITALIZED ON CHRISTMAS DAY. THE AUXILIARY ALSO PURCHASES EQUIPMENT FOR PATIENT SAFETY AND COMFORT AND DONATES TO THE HOSPITAL'S FOUNDATION TO HELP FINANCE HOSPITAL BUILDING PROJECTS, PURCHASE NEW EQUIPMENT AND SPONSOR HEALTHCARE-RELATED PROGRAMS. 1 AMERICAN HEART ASSOCIATION 11207 BLUE HERON BLVD N ST PETERSBURG FL 33716 135613797 501(C)(3) 17500 ANNUAL HEART WALK AND HEART BALL 1 SCHEDULE I, PART 1, LINE 2 WINTER HAVEN HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS WHICH WILL IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. MANAGEMENT REVIEWS FUNDING REQUESTS TO ENSURE THE ORGANIZATIONS ARE PROPERLY ALIGNED WITH OUR MISSION. X 1 1 0 1 0 0 0 0 0 0 0 CARL TREMONTI VP, CFO, BAYCARE HOSP DIV 0 391450 0 122076 0 166512 0 13500 0 18573 0 712111 0 33098 GLENN WATERS EVP, COO BAYCARE 0 882861 0 387681 0 310850 0 34342 0 41694 0 1657428 0 0 STEPHEN NIERMAN PRES WINTER HAVEN HOSP 333114 0 97492 0 94564 0 25108 0 32983 0 583261 0 1581 0 CAROL KOEPPEL-OLSEN VP, PATIENT SVCS/CNO - POLK 231030 0 64596 0 18551 0 54323 0 25686 0 394186 0 0 0 DEBRA WOLF DIRECTOR, PATIENT SVCS - WHH 146908 0 14045 0 9109 0 7902 0 7830 0 185794 0 0 0 TINA SOLOMON DIRECTOR, FINANCE POLK 142891 0 16231 0 672 0 8450 0 9930 0 178174 0 0 0 IMELDA AZURIN CLINICAL NURSE III-POLK 152141 0 15608 0 4402 0 8872 0 23252 0 204275 0 0 0 KHURRAM KAMRAN VP/CHIEF MEDICAL OFFICER - WHH 354118 0 59418 0 15024 0 36612 0 35797 0 500969 0 0 0 JACQUES VASCONCELLOS DIRECTOR, OPERATIONS - WHH 175752 0 19410 0 7941 0 9084 0 17979 0 230166 0 0 0 GLENN WYSOCK MANAGER PHARMACY 174469 0 12435 0 9177 0 9471 0 12466 0 218018 0 0 0 KELLY RYAN MEDICAL PHYSICIST - POLK 189057 0 580 0 712 0 9489 0 1357 0 201195 0 0 0 JOEL THOMAS FORMER VP COMMUNITY HEALTH/MRKTG/FND 0 156652 0 0 0 8699 0 8272 0 16000 0 189623 0 0 PART I, LINE 1A KHURRAM KAMRAN RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $2,000 DURING 2017 WHICH WAS INCLUDED IN HIS TAXABLE WAGES. PART I, LINE 3 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. PART I, LINE 4B 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. 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. STEPHEN NIERMAN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $74,467 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $31,239 IN 2017. CAROL KOEPPEL-OLSEN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $41,704 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. FORM 990, PART VI, SECTION A, LINE 2 AL CASSIDY AND RICHARD STRAUGHN ARE BOARD MEMBERS OF THE ORGANIZATION WHO HAVE A BUSINESS RELATIONSHIP UNRELATED TO THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A VOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN MEMBER, UPON PRIOR CONSULTATION WITH THE MID-FLORIDA MEDICAL SERVICES, INC. ACTING IN ITS CAPACITY OF BEING THE SOLE MEMBER OF MID FLORIDA MEDICAL SERVICES FOUNDATION, INC. (MFMS FOUNDATION) AND (II) SIX TRUSTEES APPOINTED BY THE MFMS FOUNDATION DESIGNEE. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER SHALL HAVE THE RIGHT TO MAKE ALL DECISIONS REGARDING THE GOVERNANCE, STRATEGY, FINANCES AND OPERATIONS OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE EXCLUSIVE AUTHORITY TO AUTHORIZE, APPROVE, AND/OR PERFORM THE FOLLOWING: (A)THE APPROVAL OF THE CORPORATION'S STRATEGIC PLAN, OPERATING BUDGETS AND CAPITAL BUDGETS; (B)THE APPROVAL OF THE CORPORATION'S PHILOSOPHY, MISSION STATEMENT AND PURPOSES; (C)THE ADDITION, DELETION OR RECONFIGURATION OF THE SERVICES AMONG THE CORPORATION AND ITS AFFILIATES; (D)THE ESTABLISHMENT OF THE FEES AND CHARGES ON BEHALF OF THE CORPORATION; (F)THE APPROVAL OF NON-BUDGETED EXPENDITURES AND INCURRENCE OF INDEBTEDNESS ABOVE LIMITS APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FORM TIME TO TIME; (G)THE HIRING, FIRING, DISCIPLINE AND DISCHARGE OF THE CORPORATION'S PRESIDENT; (H)THE PURCHASE, SALE, TRANSFER, LEASE, LOAN, OR OTHER ENCUMBRANCE OF THE CORPORATION'S ASSETS ABOVE A CERTAIN THRESHOLD APPROVED BY THE SOLE MEMBER'S GOVERNING BOARD FROM TIME TO TIME; (I)THE TERMINATION OR MATERIAL MODIFICATION OF THE BOSTICK HEART CENTER, CASSITY CANCER CENTER, OR THE CENTER FOR ROBOTIC SURGERY AFTER THE SEVENTH ANNIVERSARY OF THE EFFECTIVE DATE OF THESE AMENDED AND RESTATED BYLAWS; (J)AMENDMENT OF THESE BYLAWS AND THE CORPORATIONS ARTICLES OF INCORPORATION; (K)THE FILING OF A VOLUNTARY PETITION IN BANKRUPTCY OR OTHER APPLICATION FOR JUDICIAL RELIEF FROM THE CREDITORS OF THE CORPORATION; AND (L)THE DEVELOPMENT OR ACQUISITION OF NEW FACILITIES AND/OR THE CLOSURE OR RELOCATION OF ANY FACILITY OPERATED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL A 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 WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C WINTER HAVEN HOSPITAL, INC HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES AN INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION 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. FORM 990, PART VI, SECTION C, LINE 19 WINTER HAVEN HOSPITAL'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF FOUNDATION 3,394,036. TRANSFER TO BMG -9,357,127. BAYCARE HEALTH SYSTEM 2985 DREW ST CLEARWATER FL 33759 592796965 HEALTH SRVCS FL 501(C)(3) 12A N/A 0 BAYCARE BEHAVIORAL HEALTH INC 7809 MASSACHUSETTS AVE NEW PORT RICHEY FL 34653 591371752 HEALTH SRVCS FL 501(C)(3) 7 BCHS 1 BC EMERGENCY ASSISTANCE PROGRAM INC 2985 DREW ST CLEARWATER FL 33759 592697770 EMERG ASSIST FL 501(C)(3) 10 BAYCARE 1 BAYCARE HOME CARE INC 8452 118TH AVE NORTH LARGO FL 33773 593582520 HOME HLTH SRV FL 501(C)(3) 10 BAYCARE 1 BEHAVIORAL HEALTH MANAGEMENT SRVCS INC 900 CARILLON PKWY SUITE 406 ST PETERSBURG FL 33716 593279573 HEALTH SRVCS FL 501(C)(3) 10 BCHS 1 WINTER HAVEN HOSPITAL AUXILIARY INC 200 AVE F NORTHEAST WINTER HAVEN FL 33881 237190109 VOLUNTEER SRV FL 501(C)(3) 12A N/A 0 WINTER HAVEN HOSPITAL FOUNDATION INC 200 AVE F NORTHEAST WINTER HAVEN FL 33881 030406130 FUNDRAISING FL PF 12A N/A 0 BAYCARE MEDICAL GROUP INC 300 S PARK PLACE BLVD CLEARWATER FL 33759 593140335 PHYSICIANS FL 501(C)(3) 10 BCHS 1 BARTOW REGIONAL MEDICAL CENTER INC 2200 OSPREY BLVD BARTOW FL 33830 475387418 HOSPITAL FL 501(C)(3) 3 BCHS 1 BAYCARE CHOICE HEALTH PLANS INC 2985 DREW STREET CLEARWATER FL 33759 810785902 INSURANCE FL 501(C)(4) N/A BCHS 1 BAYCARE SELECT HEALTH PLANS INC 2985 DREW STREET CLEARWATER FL 33759 810795815 MCR ADVANTAGE FL 501(C)(4) N/A BCHS 1 BC PURCHASING PARTNERS LLC 8731 FL MINING TAMPA FL 33634 640950837 GROUP PURCHING FL N/A RELATED 641500 331344 0 28255 0 0.08660 BC EMPLOY HEALTH CL 8452 118TH AVE LARGO FL 33773 461533183 HEALTH SERVIC FL BAYCARE N/A 0 0 BC SURGERY CTR LLC 8452 118TH A N LARGO FL 33774 460591430 SURGERY CENTE FL BAYCARE N/A 0 0 BCHS INSURANCE INC 720 W BAY RD BUCKNG SQR GRAND CAYMAN CA KY1-1102 CAPTIVE INSURANCEINSUR CAPTIVE FL BAYCARE C 1 MEDSPECIALISTS INC 2985 DREW ST CLEARWATER FL 33759 680587533 PAYROLL SRVCS FL BAYCARE C 1 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 0 0 1 1 BAYCARE MEDICAL GROUP INC A 364588 FMV BAYCARE MEDICAL GROUP INC B 7873718 FMV BEHAVIORAL HEALTH MANAGEMENT SERVICES INC B 1357532 FMV BARTOW REGIONAL MEDICAL CENTER INC O 1000087 FMV BEHAVIORAL HEALTH MANAGEMENT SERVICES INC S 98738 FMV BAYCARE MEDICAL GROUP INC S 4336752 FMV