2016-11-16T16:07:30-06:00 2015-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2015-01-01 590724462 Winter Haven Hospital Inc % JOHN GANTNER WINT 8632931121 200 Avenue F NE Winter Haven FL 33881 CARL TREMONTI CFO 8138704025 2016-11-03 true Melanie A McPeak P01346034 8132254800 2015 2017-02-10 21:41:12Z GLENN WATERS 2985 Drew Street Clearwater FL 33759 312389926 false X www.baycare.org/winter-haven-hospital X 1926 FL To improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 14 14 2920 125 482104 -122527 3530156 2902560 290242965 286583065 3884807 2423608 8310856 6747065 305968784 298656298 26700 8149 0 0 142407720 137824149 0 0 0 156080836 153671023 298515256 291503321 7453528 7152977 272130597 277307720 139967457 143364035 132163140 133943685 TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 276949826 8149 292007255 Winter Haven Hospital, Inc. (WHH) is a full-service 529 bed community hospital. During 2015, WHH provided Inpatient Care to 16,915 patients, treated 60,174 patients in the Emergency Department, and delivered 1,548 babies. Through efforts of the medical assistance program and the hospital's charity care program, WHH saw a net community benefit expense totaling approximately $22.1 million. 276949826 true true false true false false false false false false true false true false true false false true false false true false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 297 0 true 2920 true true true false false false false false false false false false X 14 14 true false false false true true true true true false false true true true true true true true true false X JOHN GANTNER 7278208005 2985 DREW STREET Clearwater FL 33759 X Mark Bostik TRUSTEE/CHAIRMAN 1.0 0.0 X X 0 0 0 William Burns TRUSTEE/TREASURER 1.0 0.0 X X 0 0 0 Robert Carter TRUSTEE 1.0 0.0 X 0 0 0 Al Cassidy TRUSTEE 1.0 0.0 X 0 0 0 Todd Dantzler TRUSTEE 1.0 0.0 X 0 0 0 Eileen Holden TRUSTEE/ASSISTANT SECRETARY 1.0 0.0 X X 0 0 0 Don Ingram TRUSTEE/SECRETARY 1.0 0.0 X X 0 0 0 Charles Mcpherson TRUSTEE/PAST CHAIR 1.0 0.0 X X 0 0 0 William Murrell TRUSTEE 1.0 0.0 X 0 0 0 Tommy Oakley TRUSTEE 1.0 0.0 X 0 0 0 Cindy Price TRUSTEE 1.0 0.0 X 0 0 0 Richard Straughn TRUSTEE/VICE CHAIR 1.0 0.0 X X 0 0 0 Chip Tucker TRUSTEE 1.0 0.0 X 0 0 0 Edward Lubin TRUSTEE 1.0 0.0 X 0 0 0 Carl Tremonti CFO, BAYCARE HOSP DIV 1.0 57.0 X 0 577588 25119 Glenn Waters PRES/EVP BAYCARE HOSP DIV 1.0 59.0 X 0 1189584 112420 Stephen Nierman PRES WINTER HAVEN HOSP 45.0 0.0 X 477077 0 60168 George Winny PSYCHIATRIST ASSOC MEDICAL DIR 45.0 0.0 X 248565 0 33052 Sean Paul PSYCHIATRIST 45.0 0.0 X 226753 0 33659 Carol Koeppel-Olsen VP PATIENT CARE SVCS - WHH 45.0 0.0 X 226061 0 38434 Iftikhar Rasul PSYCHIATRIST 45.0 0.0 X 212279 0 36098 Donald Gale VP PHYSICIAN SERVICES-WHH 45.0 0.0 X 343111 0 18772 Joel Thomas FORMR KEY/VP WINTER HAVEN FND 0.0 45.0 X 0 152917 24976 Celestino Vega FORMER VP/MD WHH PHYS GR 0.0 45.0 X 373150 0 30292 David Libby FORMR KEY/VP OP WINTER HAVEN 45.0 0.0 X 180645 0 -5055 Joseph Lynch Physician Intensivist 0.0 45.0 X 0 354291 41823 2287641 2274380 449758 68 true true false Sodexo Inc Affiliates PO Box 536922 ATLANTA GA 303536922 Management fees 3649811 McKesson Technologies Inc 5995 Windward Pkwy ALPHARETTA GA 30005 software maintenance 1124719 OB Hospitalist Group LLC 10 Centimeters Dr MAULDIN SC 29662 Medical services 1728000 Doster Construction Co Inc 2100 International Park Dr BIRMINGHAM AL 35243 construction svcs 3540780 Harvard Jolly Inc 2714 Dr MLK Jr Street N ST PETERSBURG FL 33704 architecture svcs 1714757 51 0 2444539 458021 0 2902560 HOSPITAL PATIENT CARE 621990 159260121 158801990 458131 0 MEDICARE/MEDICAID PAYMENT 621990 126672998 126672998 0 0 PREMIER PURCHASING PTRS 900099 649946 645273 4673 0 286583065 1407607 19300 1388307 0 0 894335 894335 0 894335 894335 14697969 51660 13722957 10671 975012 40989 1016001 1016001 0 0 0 CIN REVENUE 900099 5449529 5449529 0 0 MISCELLANEOUS REVENUE 900099 403201 403201 0 0 5852730 298656298 291972991 482104 3298643 8149 8149 0 0 0 0 0 0 559550 0 559550 0 0 0 0 0 115678994 114403194 1275800 0 3555695 3516480 39215 0 9807415 9699251 108164 0 8222495 8222495 0 0 0 0 0 0 118047 0 118047 0 696 0 696 0 19788 19788 0 0 0 0 0 0 0 11671140 11671140 886192 886192 0 0 5983003 5983003 0 0 4413163 4413163 0 0 0 0 0 0 5605275 5605275 0 0 506630 506630 0 0 0 0 0 0 0 0 0 0 2467416 2467416 0 0 0 0 0 0 17432167 17432167 0 0 3431536 3275259 156277 0 MEDICAL SUPPLIES 46113210 46113210 0 0 BAD DEBT EXPENSE 31642085 31642085 0 0 MANAGEMENT FEES 12295746 0 12295746 0 ASSESSMENTS 3069336 3069336 0 0 8015593 8015593 291503321 276949826 14553495 0 0 2918899 561312 0 0 0 0 38324010 33581304 0 0 0 0 790415 2780883 6195295 8482847 3257589 1777793 184352832 45581732 136062638 138771100 58294175 65438181 0 0 14675229 14490060 7439000 7439000 4173347 3985240 272130597 277307720 19780735 17963751 0 0 44328 52436 0 0 0 0 0 0 3854834 2045257 0 0 116287560 123302591 139967457 143364035 X 129937809 127870954 1258932 5106332 966399 966399 132163140 133943685 272130597 277307720 X 7152977 0 0 0 0 -5372432 X false true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 6400 false true 13388 19788 false SCHEDULE C PART II-B, LINES 1B,1G, AND 1I LINES IB & 1G BAYCARE EMPLOYEES CONDUCTING LOBBYING ACTIVITIES. LINE 1I ANNUAL DUES WERE PAID TO THE AMERICAN MEDICAL ASSOCIATION, POLK COUNTY MEDICAL ASSOCIATION, AND THE FLORIDA MEDICAL ASSOCIATION. THESE ASSOCIATIONS USE A PORTION OF THEIR RESPECTIVE ANNUAL DUES FOR LOBBYING. 14280000 14280000 102616828 13573148 89043680 0 56034101 32008584 24025517 11421903 11421903 138771100 INVESTMENT IN BPP 164227 F INVESTMENT PREMIER 309368 C INT IN FNDT NET ASSETS 13915807 C PREMIER CLASS B CONVERSION 100658 F 14490060 0 DEPOSITS 80000 ABANDONED PROPERTY 48697 DEFERRED COMPENSATION PLAN 3985240 NONCURRENT PENSION OBLIGATION 12780023 ASSET RETIREMENT OBLIGATION LT 839466 EST THIRD PARTY SETTLEMENTS 7932135 DUE TO AFFILIATES 97637030 123302591 292805641 292805641 5850657 5850657 298656298 290799110 290799110 704211 704211 291503321 SCHEDULE D, PART XI, LINE 4B CHANGE IN NET ASSETS OF FOUNDATION $2,135,944 UNREALIZED GAINS / LOSS ON INVESTMENTS $2,868,586 REVENUES NETTED WITH EXPENSES $704,210 INVESTMENT FEES $141,917 TOTAL $5,850,657 SCHEDULE D, PART XII, LINE 4B REVENUES NETTED WITH EXPENSES $704,210 ROUNDING $1 TOTAL $704,211 Central America and the Caribbean Investments 6634000 East Asia and the Pacific Investments 964000 Europe (Including Iceland and Greenland) Investments 2734000 Europe (Including Iceland and Greenland) Investments 13000 Middle East and North Africa Investments 14000 North America Investments 242000 Russia and the Newly Independent States Investments 12000 South America Investments 174000 South Asia Investments 22000 10809000 10809000 false false false true true false 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 ($2,734,000) 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. DURING THE TAX YEAR, WINTER HAVEN WAS A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY AND ALSO HAD AN OWNERSHIP INTEREST IN A FOREIGN PARTNERSHIP. PER THE INSTRUCTIONS FOR FORMS 8621 (LINE 4) AND 8865 (LINE 5), WINTER HAVEN DID NOT MEET THE FILING THRESHOLD RELATED TO EACH FORM. true true X true X 250. false true true false false 1 7329 10861085 10861085 0.04180 1 22097 35896805 25795082 10101723 0.03890 1 447 1282880 382103 900777 0.00350 3 29873 48040770 26177185 21863585 0.08420 207071 207071 0.00080 13149 13149 0.00010 220220 220220 0.00090 3 29873 48260990 26177185 22083805 0.08510 true 31642085 10922304 67501349 80930240 -13428891 X true true 1 1 Winter Haven Hospital Inc 200 Avenue F NE Winter Haven FL 33881 www.baycare.org/whh 3974 X X A Winter Haven Hospital Inc 1 false false true X X X X X X X X 15 true false false true X SEE PART V SECTION C true 15 true SEE PART V SECTION C false false true X 250. 0. X X X X X true true X X X X true X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X true X false X X X X X true X false false PART V, SECTION B & SECTION C ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO WINTER HAVEN HOSPITAL, INC., WHICH INCLUDES REGENCY CENTER FOR WOMEN & INFANTS. REGENCY CENTER FOR WOMEN & INFANTS OPERATES UNDER THE SAME STATE LICENSE NUMBER (#3974) AS WINTER HAVEN HOSPITAL, INC. PART V SECTION B LINE 5 Winter Haven Hospital and Winter Haven Womens 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 Womens 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 Womens 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 Center In addition to the community -based organization interviews, Winter Haven Hospital and Winter Haven Womens 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 Womens Hospital service area which provides a +/- 6.66 confidence interval for a 95% confidence level. Tripp Umbach worked with the oversight committee to design a 32 question health status survey. The survey was offered in English, Spanish, and Vietnamese. The survey was administered by community- based organizations providing services to vulnerable populations in the hospital service area. Community based organizations were trained to administer the survey using hand-distribution. Surveys were administered onsite and securely mailed to Tripp Umbach for tabulation and analysis. Vulnerable populations were identified by the CHNA oversight committee and through stakeholder interviews. Vulnerable populations targeted by the surveys were residents that were: seniors, low-income (including families), uninsured, Latino, chronically ill, residents with a mental health history, homeless, residents with a literacy challenge, women of child bearing age, diabetic, and residents with special needs. The survey process lasted from August 2015 until September 2015. Part V Section B Line 7a http://baycare.org/whh/about-us/community-health-needs Part V Section B Line 10a http://baycare.org/whh/about-us/community-health-needs Part V Section B Line 11 Based on its most recent community health needs assessment (CHNA), Winter haven Hospital is committed to addressing the following significant community needs: 1) Improving access to health services 2) Decreasing the prevalence of clinical health issues 3) Improving healthy behavior and environments Progress was made to address each of the key health needs as prioritized within the 2015 Community Health Needs Assessment. Efforts were specifically dedicated to the following activities as noted below: Improve access to and coordination of mental health services o Active recruiting and retention strategies continue to maintain stability in Outpatient Prescriber staffing. Currently staffing pattern appears to meet the needs of those requesting access to services. Expansion to the indigent in the community will further improve access to care. o Working with Polk County government to establish a clinic within our behavioral health building to enhance the access to medical care for this underserved population. Continue advocacy outreach efforts to expand access o Navigators are in place across BayCare to facilitate enrollment in marketplace plans. Outreach activities continue (by navigators) to encourage enrollment in health insurance plans across various community locations. Team members are also available to interview uninsured patients in the hospitals and assist insured patients needing assistance for copays/deductibles (by phone or by appointment). The number of people served continues to increase. Implement Health Ministry program o 8 RN/church pairs with stated intent or strong interest in participation. o Continue to build relationships and address barriers to participation. o Proposed 8-wk Church Health Promotor curriculum program to be coordinated by hospital-based FCN. o CHP program also useful to FCN Partners in building a churchs Health Ministry Team. Improve access to Mental Health treatment in the community o WHH-CBH Outpatient Services continues to conduct a suicide screening with all new clients at intake and whenever there is a deterioration of status. The PHQ-9 is also used to determine severity of depression which depending on the score initiates a referral to a Prescriber. Participation at several health fairs throughout the year has served as a method of prevention to ensure individuals have information about where to access services. Many mental health provider have become certified in Mental health First Aid to improve their acuity at identifying and treating those at risk for suicide. o Suicide Risk Modified to incorporation within the Cerner Medical record for behavioral documentation (June 2015). Implement plans to collaborate with community-based programs addressing needs of expecting mothers at risk for poor birth outcomes o Continued relationship with Healthy Start Coalition to promote and support healthy pregnancies, babies, and families. o Maintained and started new quality projects with Florida Perinatal Quality Collaborative. o Continue partnership with Polk County Health Department and Central Florida Health Care by providing delivery services for patients that receive prenatal care through their clinics. o Continue to join efforts with CFHC to recruit area physicians to support high risk patients. Improve care coordination and outcomes for heart failure (CHF) patients o Heart Function clinic opened in November with 6 patients seen in November and 18 patients seen in December. o Participation on system wide collaborative. o Faith community nurse developing network Develop and implement plans to meet the health needs available to undocumented and uninsured residents o Political Action Committee Developed proceeding with referendum planned for November 2016 general election. o County board approved November 2016 ballot referendum Increase the availability of treatment in Polk County for individuals with co-occurring mental health and substance abuse o TCHS Co-location being pursued. All those with co-occurring mental health and substance abuse are served and referrals to appropriate substance abuse providers are made as well. Continue to offer education and community support o We continue to offer free health education seminars and screening test. o We have initiated a policy to discourage early elective deliveries which has successfully reduced early elective deliveries. o We continue to be a smoke free campus. o Provide various support groups, educational seminars, and health fairs. o We sponsor AHA and ACS. o We have implemented a faith community nurse program. o We participate in the 'Building a Healthier Polk' initiative to reduce obesity. o We co-sponsored the Polk County community needs assessment forum. While it is our desire to have a maximum positive impact on our community all of our goals were not achieved: Substance Abuse We have been challenged to make a significant impact on substance abuse. The rise of new substances such as bath slats and K2 has provided additional challenges to our services for mental health as well as emergency care. We will continue to work with organizations to establish better networks with those organizations that specialize in the treatment of these patients. Expanding availability of Primary Care Physicians While not specifically identified as a goal in our CHNA we have focused on the availability of primary care physicians to enhance access to care in our community. In 2015 we experienced significant turnover in our employed primary care physicians resulting in fewer access points for our services. Our original assessment of Graduate Medical Education as a means to address this concern in 2014 was deemed unfeasible at that time. We are currently participating in a broader group assessment of opportunities across the community to implement a graduate medical education program in our community for the purpose of increasing access to primary care through the program and develop a feeder system to retain primary care physicians within our community upon completion of the program. PART V SECTION B LINE 13B Patients may be eligible for financial assistance on the portion of hospital bills exceeding 25% of annual income. PART V SECTION B LINE 16 Line 16a https://baycare.org/about-us/financial-assistance Line 16b https://baycare.org/about-us/financial-assistance Line 16c https://baycare.org/about-us/financial-assistance PART V SECTION B LINE 18d Lien action related to collections is limited to patients involving auto liability insurance. PART V SECTION B LINE 20E Every patient bill includes a plain language summary of the financial assistance policy. PART V SECTION B LINE 22D 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. ONCE A PATIENT IS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE HIS/HER ACCOUNT BALANCE IS WRITTEN OFF 100% TO CHARITY WRITE-OFFS AND ARE NO LONGER BILLED FOR SERVICES PROVIDED. 9 Blood Banks of Mid-Florida Medical Svc 460 First Street North Winter Haven FL 33881 Blood Bank Family Health Center - Auburndale 2028 Highway 92 West Auburndale FL 33823 Outpatient Physician Clinic Family Health Center - Bartow 1625 North Carpenter Ave Bartow FL 33830 Outpatient Physician Clinic Family Health Center - Dundee 5999 Dundee Road Suite 750 Dundee FL 33884 Outpatient Physician Clinic Family Health Center - Haines City 36245 Highway 27 Haines City FL 33844 Outpatient Physician Clinic Family Health Center - Lake Wales 201 SR 60 West Lake Wales FL 33853 Outpatient Physician Clinic Family Health Center - Winter Haven 100 Avenue I NE Winter Haven FL 33881 Outpatient Physician Clinic Family Health Center - SE Winter Haven 6035 Cypress Gardens Blvd Winter Haven FL 33884 Outpatient Physician Clinic Center for Behavoiral Health - Polk Co 1201 First Street South Winter Haven FL 33880 Outpatient Beh Health Center part vi - part i LINE 3 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 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 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. 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, Line 7 Col (f): There is $31,642,085 (accrual basis) of bad debt expense which is included in Form 990, Part IX, Line 25. This amount was removed in the calculation of the Percent of Total Expense on Schedule H, Part I, Column 7f. part vi - part ii The Hospital helps build the community in two major ways. First, if the hospital finds that that there is a shortage in a certain health care specialty, it works to recruit those types of physicians to the area. In the past, the hospital has commissioned a manpower study to determine what the community's needs are. The second major way the hospital helps the community is through subsidizing the cost of anesthesia for women giving birth at the Regency Center for Women and Infants. This benefits the community by allowing those who are less fortunate to have access to anesthesia services. part vi - part iii Lines 2 & 3 Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients 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 4 The organization's financial statements include a footnote that describes bad debt expense on page 12 of the BayCare Health System, Inc. and Affiliates Notes to Consolidated Financial Statements. part vi - 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 70% 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) ($13,428,891) -Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($5,697,223) -Total Surplus or (Shortfall) ($19,126,114) part vi - 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), patients' account balance would be written off completely to charity and not billed to the patients. part vi, line 2 - needs assessment 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 - patient education of elegibility for assitance 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 - community information Winter Heaven Hospital and Winter Haven Womens Hospital serves part of Polk County. The average income falls below both the state average and the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 19.5% of the population. 14.5% of households have annual household income below $15,000 per year. Winter Heaven Hospital is part of BayCare Health System that serves west central Florida. The area served by Winter Heaven Hospitals has 5 hospitals including Winter Haven Hospital and Winter Haven Womens. Winter Haven & Winter Haven Womens are not for profit, the other 3 are for profit. There is one federally designated medically underserved area in Winter Heaven Hospitals service area. With the over 65 population expected to grow 12.4% in the next five years, the health care needs of our service area are expanding and changing. The population served by Winter Heaven Hospital is expected to grow 4.9% in the next 5 years. This is higher than the expected growth rate of 3.7% for the United States. Based on Florida inpatient discharge data for the period of 1/01/15-12/31/15, the payer mix for the geographic area consists of 52.4% Medicare/Medicare HMO, 19.0% Medicaid/Medicaid HMO, 18.8% Commercial Health & Liability Insurance, 6.7% Self-pay/NoPay, and 3.1% Other. part vi, line 5 - promotion of community health 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 Womens Hospital. Winter Haven Hospital (WHH) was established in 1926, and today concentrates in the treatment of heart disease, behavioral health, cancer, stroke, and urological conditions. The hospital also provides emergency care, outpatient diabetes education; seven primary care providers; endoscopy and surgical services; neurological, orthopedic and in-patient rehabilitation; outpatient surgery; and imaging services. The Winter Haven Womens Hospital, formerly known as The Regency Center for Women and Infants, built in 1987 and located approximately 1.5 miles south of WHH, includes a level II neonatal intensive care unit and on-site obstetric services 24 hours a day, 7 days a week. Community Outreach and Partnerships Community outreach and partnerships are an essential expression of Winter Haven Hospitals commitment to improving the health of communities we serve. Through 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. 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, glucose, 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. One hundred and thirty-five community residents participated in the 2015 events. Though BayCares 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. 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 September 2014, WHH opened a Cancer Resource Room in conjunction with the American Cancer Society. This resource 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. Open to the public and patients, medical libraries offer books, videos and online clinical research tools for a variety of health care topics. The library at the Womens Hospital focuses on women- and infant-related resources. At WHH, 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; and welcome and assist local clergy as they visit their members. In 2014, Chaplaincy Services initiated a spiritual care volunteer program to assist with new patient introductions of the availability of spiritual care services and faith community information. Support and education is also provided in the form of support groups. In 2015, Winter Haven Hospital facilitated or provided free meeting space for the following support groups: aphasia, better breathers, brain injury, breast cancer, caregivers, cardiac events and disease, memory disorder caregiver, memory clinic students, mental health peer recovery, narcotics anonymous, ostomy, and stroke. Health education lectures by physicians and other credentialed providers are held at Winter Haven Hospital facilities on a variety of topics. Lecture topics in 2015 included depression symptoms and treatment, stress management and aging, atrial fibrillation, understanding heart health, pelvic health and surgical weight loss options. The Speakers Bureau program provides speakers at no charge to an assortment of hosts, such as residential communities, civic groups, churches, and schools. In 2015, WHH and WHWH professionals spoke to numerous groups, including the Winter Haven Optimist Club, Hidden Golf Club Mobile Home Park Womens Club and the MS Support Group. 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 2015 includes the Senior Adult Center Health Fair, Polk County School Board Employee Health Fair, COPIA Education Health and Wellness Expo, Legoland Health Fair and the Polk Senior Games. Community Connections Winter Haven Hospital's Board of Trustees is comprised of a diverse set 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. A senior hospital employee served as the liaison with the Polk Healthcare Alliance. As a member of a five person Executive Committee for the Polk Healthcare Alliance, the liaison reviews progress toward the organizations Community Health Improvement Plan (CHIP). 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 director. 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 communitys 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 2015, we provided $50,700 directly to the partnership which then translated into the years budget of $92,391 raised from other partners, community donations and center fundraisers. The 2015 funds helped provide more than 1500 hot meals, 1700 health aids, 600 transportation trips, and 3700 agency appointments. Winter Haven Hospital has partnered with USF Applied Neuroscience and Cognitive Electrophysiology Lab to offer a memory clinic for the treatment of memory loss associated with Alzheimers disease, dementia, stroke and other brain injuries. The Memory Clinic is designed to provide high-quality care, including assessment, diagnosis, treatment, education, and support. Health care providers collaborate with researchers to study topics related to memory loss. The partnership also provides opportunities for participation in clinical trials for some of the latest non-pharmacological interventions. 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. The Hospital enables its leaders to participate in organizations that benefit the well-being of the community including, The United Way, Girls, Inc., the Womens Resource Center, and the Winter Haven 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 2015, we donated $29,950 to community organizations including American Heart Association, American Cancer Center, Citizens CPR, Florence Villa Community Development Corp., Florida Polytechnic University, Greater Winter Haven Chamber of Commerce, Main Street Winter Haven, Lewis Family Cancer Fund, Polk Senior Games, Polk State College Foundation, Polk County Organization of Nurse Executives, Polk Ecumenical Action Council for Empowerment, and the New Cardiovascular Horizons Foundation. 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 clinics success. It has been operational since December 2005 with the hospital providing free lab, X-ray and pulmonary function testing. part vi line 6 - affiliated health care system 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 clinical services at 14 hospitals and hundreds of other convenient locations throughout the Tampa Bay region and west central Florida. BayCares services include acute care, primary care, imaging, laboratory, behavioral health, home care and wellness. BayCares Mission is to improve the health of all we serve through community-owned, health care services that set the standard for high-quality, compassionate care. On the web: http://www.baycare.org BayCares network includes 3,491 licensed beds, an expanding physician network, a comprehensive home health agency, three wellness centers, four ambulatory surgery centers, 10 urgent care centers, 13 outpatient imaging facilities, outreach laboratories, retail pharmacies, and two stand-alone, behavioral health inpatient centers. In 2015, BayCare hospitals provided 158,909 discharges and 592,487 emergency room visits. BayCares hospitals* are Bartow Regional Medical Center, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthonys, South Florida Baptist, St. Josephs, St. Josephs Womens, St. Josephs Childrens, St. Josephs Hospital-North, St. Josephs Hospital-South, Winter Haven Hospital and Winter Haven Womens. BayCare continued to expand its footprint to serve the communitys growing need for physician services. BayCare Medical Group has 178 office sites and 406 employed physicians (256 primary care and 150 specialists) and more than 1.2 million visits. BayCare also continued to mature its clinically integrated network BayCare Physician Partners, with more than 167,000 lives under management and over 1,400 physicians who are members of the network. BayCare was founded when several of the areas not-for-profit hospitals came together, united by the common Mission to improve the health of all they served. As an integrated health system, BayCares hospitals believed they could reduce costs by consolidating administrative functions and services, and better serve the community by sharing best practices with each other and working together to improve the overall quality of care. Today, BayCare is a $3.3 billion integrated health delivery system and one of the largest employers in the region with 25,600 employees. BayCare also is one of the few health systems in the nation with an Aa2 credit rating. BayCare provides the organizational commitment and corporate infrastructure to help its hospitals be among the highest quality organizations in the country, with a culture centered on continuous improvement and serving the needs of patients, regardless of their ability to pay. BayCares financial stability and centralization of shared services in Finance, Business Office, Information Technology, Human Resources, Performance Improvement, Clinical Outcomes, Materials Management, and Marketing/Communications strengthen its hospitals abilities to serve the needs of its local communities and continue providing charity care, Medicaid and other means-tested programs, as well as unbilled community services to the uninsured and under-insured. In 2015, BayCare provided $266.8 million in community benefit, which includes $96.9 million in traditional charity care, $154.0 million in Medicaid and other means-tested programs, and $15.8 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 STATE FILING OF COMMUNITY BENEFIT REPORT 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. true true false false false false false false false Carl Tremonti CFO, BAYCARE HOSP DIV 0 369443 0 106095 0 102050 0 13250 0 11869 0 602707 0 6595 Glenn Waters PRES/EVP BAYCARE HOSP DIV 0 792346 0 273455 0 123783 0 77804 0 34616 0 1302004 0 0 Stephen Nierman PRES WINTER HAVEN HOSP 313163 0 90452 0 73462 0 36341 0 23827 0 537245 0 0 0 George Winny PSYCHIATRIST ASSOC MEDICAL DIR 244521 0 514 0 3530 0 9276 0 23776 0 281617 0 0 0 Sean Paul PSYCHIATRIST 226591 0 0 162 0 7176 0 26483 0 260412 0 0 0 Carol Koeppel-Olsen VP PATIENT CARE SVCS - WHH 218754 0 85 0 7222 0 14707 0 23727 0 264495 0 0 0 Iftikhar Rasul PSYCHIATRIST 211084 0 514 0 681 0 6380 0 29718 0 248377 0 0 0 Donald Gale VP PHYSICIAN SERVICES-WHH 247700 0 71736 0 23675 0 15626 0 3146 0 361883 0 0 0 Joel Thomas FORMR KEY/VP WINTER HAVEN FND 0 145096 0 40 0 7781 0 7696 0 17280 0 177893 0 0 Celestino Vega FORMER VP/MD WHH PHYS GR 280091 0 25025 0 68034 0 12434 0 17858 0 403442 0 0 0 David Libby FORMR KEY/VP OP WINTER HAVEN 73387 0 46426 0 60832 0 -11617 0 6562 0 175590 0 0 0 Joseph Lynch Physician Intensivist 0 336959 0 0 0 17332 0 19871 0 21952 0 396114 0 0 Supplemental Compensation Information 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 $77,340 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $32,444 in 2015. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $104,562 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other Compensation. He had $65,804 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $43,864 in 2015. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $43,781 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. He had $19,170 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $18,366 in 2015. Carol Koeppel-Olsen - Participated in a supplemental nonqualified deferred compensation plan. She had $7,888 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $43,864 in 2015. part vi Part VI, Line 2 - Description of Business Relationship William Murrell and Mark Bostick have a family relationship. Carl Tremonti and Glenn Waters are officers of the filing organization, as well as board members of a taxable entity affiliated with the filing organization. PART VI, LINE 6 - DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION SHALL HAVE ONE MEMBER WHICH SHALL BE BAYCARE HEALTH SYSTEM, INC. PART VI, LINE 7A - DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE TOTAL NUMBER CONSTITUTING THE MEMBERS OF THE BOARD SHALL BE FOURTEEN VOTING TRUSTEES AS FOLLOWS: (I) EIGHT TRUSTEES APPOINTED BY THE SOLE 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. PART VI, LINE 7B - DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 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; (E)THE EXECUTION OF MANAGED CARE CONTRACTS 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 Corporations 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. PART VI, LINE 11B - DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL 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. PART VI, LINE 12C - DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required addressing the conflict of interest situation. If an actual conflict exists and any action required to address the conflict of interest situation. part vi Part VI, Line 15a & 15b - Process used for compensation review and approval. The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief 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 November 2015 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 19 - Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Winter Haven Hospital's governing documents are available to the public via Sunbiz.org. part xi, line 9 Other changes in net assets EQUITY TRANSFER ($3,554,051) CHANGE IN MINIMUM PENSION OBLIGATION ($1,418,107) OTHER ($399,064) Total ($5,372,432) BayCare Health System 2985 Drew St Clearwater FL 33759 592796965 health srvcs FL 501(C)(3) 3 na false BayCare Behavioral Health Inc 7809 Massachusetts Ave New Port Richey FL 34653 591371752 health srvcs FL 501(C)(3) 7 BCHS true BC Emergency Assistance Program Inc 2985 Drew St Clearwater FL 33759 592697770 Emerg Assist FL 501(C)(3) 9 Baycare true BayCare Home Care Inc 8452 118th Ave North Largo FL 33773 593582520 home hlth srv FL 501(C)(3) 9 Baycare true Behavioral Health Management Srvcs Inc 900 Carillon Pkwy Suite 406 St Petersburg FL 33716 593279573 health srvcs FL 501(C)(3) 9 BCHS true Winter Haven Hospital Auxiliary Inc 200 Ave F Northeast Winter Haven FL 33881 237190109 Volunteer Srv FL 501(C)(3) 3 na false Winter Haven Hospital Foundation Inc 200 Ave F Northeast Winter Haven FL 33881 030406130 Fundraising FL PF 11a na false BayCare Medical Group Inc 300 S Park Place Blvd Clearwater FL 33759 593140335 Physicians FL 501(c)(3) 9 BCHS true Bartow Regional Medical Center Inc 2200 Osprey Blvd Bartow FL 33830 475387418 Hospital FL 501(c)(3) 3 BCHS true BayCare Choice Health Plans Inc 2985 Drew Street Clearwater FL 33759 810785902 Insurance FL 501(c)(4) n/a BCHS true BayCare Select Health Plans Inc 2985 Drew Street Clearwater FL 33759 810795815 MCR Advantage FL 501(c)(4) n/a BCHS true BC Purchas PT LLC 8731 Fl Mining Tampa FL 33634 640950837 Group purching FL NA NA 0 0 false 0 false 0.00000 BC Employ Health CL 8452 118th Ave Largo FL 33773 461533183 Health Services FL BayCare NA 0 0 false 0 false 0.00000 BC Surgery Ctr LLC 8452 118th A N Largo FL 33774 460591430 Surgery Center FL BayCare NA 0 0 false 0 false 0.00000 Bay Vista Claims Service Inc 2985 Drew St Clearwater FL 33759 743168200 claims admin FL BayCare C Corp 0 0 0.00000 true BCHS Insurance Inc 720 W Bay Rd Buckng Sqr Grand Cayman CA KY1-1102 000000000 Insur Captive FL BayCare C Corp 0 0 0.00000 true Medspecialists Inc 2985 Drew St Clearwater FL 33759 680587533 Payroll Srvcs FL BayCare C Corp 0 0 0.00000 true true true false true false false false false true true false false true false true false false true true BayCare Medical Group Inc a(iv) 23208 FMV Winter Haven Hospital Foundation a(iv) 11056 FMV BayCare Medical Group Inc b 2297811 FMV Behavioral Health Management Services Inc r 176570 FMV BayCare Medical Group Inc s 4258152 FMV