2016-11-10T10:22:44-06:00 2015-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2015-01-01 590624462 Morton Plant Hospital Association Inc % CARL TREMONTICFO MORT 7274627878 300 Pinellas Street Clearwater FL 33756 CARL TREMONTI CFO 2016-11-03 true Melanie A McPeak P01346034 8132254800 2015 2017-02-10 21:41:12Z Glenn Waters 2985 Drew Street Clearwater FL 33759 693237232 false X www.mpmhealth.com X 1919 FL MORTON PLANT HOSPITAL ASSOC, INC. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 25 18 4413 617 2683152 -1735307 7852527 6721211 642794468 683099174 -23769 -9085303 9589573 3399754 660212799 684134836 5944425 5936912 0 0 207672249 220854491 0 0 0 360563837 388138386 574180511 614929789 86032288 69205047 899513771 975854936 72535265 79679766 826978506 896175170 MORTON PLANT HOSPITAL ASSOCIATION, INC. WILL IMPROVE THE HEALTH OF, ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 509134714 5936912 683133050 MORTON PLANT HOSPITAL ASSOCIATION, INC. (MPHA) IS A FULL-SERVICE 913-BED COMMUNITY HOSPITAL. DURING 2015, MPHA PROVIDED INPATIENT CARE TO 37,121 PATIENTS, TREATED 118,910 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 2,257 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITALS CHARITY CARE PROGRAM MPHA SAW A NET COMMUNITY BENEFIT EXPENSE OF $50.0 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $3.7 MILLION. SOME OF THE PROGRAMS INCLUDED SUPPORTIVE HOUSING OVERLAY PROGRAM, TURLEY FAMILY HEALTH CENTER, FAITH COMMUNITY NURSING, AND INDIGENT DIABETIC PATIENT FOLLOW-UP PROGRAM. REFER TO SCHEDULE H FOR ADDITONAL INFORMATION. 509134714 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 527 0 true 4413 true true true false false false false false false false false false X 25 18 true false false false true true true true true false false true true true true true true false true true true X CARL TREMONTICFO 7278208005 2985 DREW STREET Clearwater FL 33759 X Mahesh Amin TRUSTEE 1.0 20.0 X 0 95996 0 Andy Burwell TRUSTEE 1.0 2.0 X 0 0 0 James Cantonis TRUSTEE/VICE CHAIRMAN 1.0 4.0 X X 0 0 0 Steven Cass TRUSTEE/FOUNDATION CHAIRMAN 1.0 2.0 X 0 0 0 Rick Chesler TRUSTEE 1.0 2.0 X 0 0 0 Steve Doran TRUSTEE 1.0 2.0 X 0 0 0 Kurt Erickson TRUSTEE 20.0 3.0 X 89192 0 0 V Raymond Ferrera TRUSTEE/CHAIRMAN 1.0 2.0 X X 0 0 0 Dilip Ghanekar TRUSTEE 10.0 2.0 X 30502 0 0 Isay Gulley TRUSTEE 1.0 2.0 X 0 0 0 Jim Huguet TRUSTEE 1.0 2.0 X 0 0 0 Lonnie Klein TRUSTEE 1.0 2.0 X 0 0 0 George Korones TRUSTEE 1.0 10.0 X 0 27083 0 Gay Lancaster TRUSTEE/SECRETARY 1.0 3.0 X X 0 0 0 Kevin Mason TRUSTEE 1.0 2.0 X 0 0 0 Stephen Mason TRUSTEE/PRES/CEO BAYCARE 1.0 50.0 X 0 3185745 39267 Dewey Mitchell TRUSTEE 1.0 3.0 X 0 0 0 Thomas Nash TRUSTEE 1.0 2.0 X 0 0 0 Vakesh Rajani TRUSTEE 1.0 2.0 X 0 0 0 Nancy Ridenour TRUSTEE 1.0 2.0 X 0 0 0 David Stone TRUSTEE 1.0 2.0 X 0 0 0 Stephanie Vanzandt TRUSTEE 1.0 2.0 X 0 0 0 Thomas Whiddon TRUSTEE/TREASURER 1.0 3.0 X X 0 0 0 Debbie White TRUSTEE 1.0 2.0 X 0 0 0 Glenn Waters TRUSTEE/PRES/EVP BAYCARE HOSP 1.0 59.0 X X 0 1189584 112420 Carl Tremonti CFO BAYCARE HOSP DIV 1.0 57.0 X 0 577588 25119 Michael Yungmann PRES MORTON PLANT NORTH BAY 1.0 45.0 X 0 351098 71027 Neil Hoce PRES MORTON PLANT HOSP 1.0 46.0 X 0 535616 111335 Matthew Novak DIR. OPERATIONS MORTON PLANT 45.0 0.0 X 174971 0 25242 Thomas Doria DIR PAT CARE MORTON PLANT HOSP 45.0 0.0 X 202388 0 16091 Eric Cudzil CLINICAL PHARMACIST 45.0 0.0 X 197707 0 14969 Diana Shand-Kreidler DIR SURG SVCS MORTON PLAN HOSP 45.0 0.0 X 196807 0 36167 Patricia Savitsky CLINICAL PHARMACIST 45.0 0.0 X 184877 0 20228 Shannon Hancock DIR PAT SVCS MORTON PLNT N BAY 45.0 0.0 X 170260 0 31497 1246704 5962710 503362 126 false true false Skanska USA Building Inc 4030 Boyscout Blvd STE 200 TAMPA FL 33607 construction svcs 4885509 Wehr Constructors Inc 4425 Lois Ave TAMPA FL 33614 construction svcs 5148499 Bay Linen Inc 11525 47th Street N CLEARWATER FL 33762 Laundry services 3370169 Aegis Therapies Inc PO Box 8103 FORT SMITH AR 72902 Therapy services 3108246 IN Compass Health Inc 318 Maxwell Rd STE 500 ALPHARETTA GA 30009 Medical services 2800194 77 0 5179666 1240444 301101 0 6721211 HOSPITAL PATIENT CARE 621500 354939926 352312221 2627705 0 MEDICARE/MEDICAID PAYMENTS 621999 325585797 325585797 0 0 RENTAL INCOME FROM AFFILIATES 531120 2573451 2573451 0 0 683099174 0 0 0 682726 682726 0 682726 682726 17093 9102396 -9085303 -9085303 -9085303 0 0 0 CAFETERIA 722514 2659473 2659473 0 MISCELLANEOUS REVENUE 900099 57555 2108 55447 0 2717028 684134836 683133050 2683152 -8402577 5936912 5936912 0 0 0 0 0 319907 119694 200213 0 0 0 0 0 188572895 188049454 523441 0 6431538 6413685 17853 0 11994874 11961579 33295 0 13535277 13491028 44249 0 0 0 0 0 40956 0 40956 0 905 0 905 0 7676 7676 0 0 0 0 0 0 0 0 28062312 26187637 1874675 588381 585095 3286 0 9066734 5171647 3895087 0 1092574 605516 487058 0 0 0 0 0 13104419 12912086 192333 0 882573 663319 219254 0 0 0 0 0 0 0 0 0 6202087 6202087 0 0 0 0 0 0 29135620 28992526 143094 0 10605984 8585095 2020889 0 MEDICAL SUPPLIES 127889170 127883342 5828 0 MANAGEMENT FEES 94459665 0 94459665 0 BAD DEBT EXPENSE 45493634 45493634 0 0 ASSESSMENT 7194378 7194378 0 0 14311318 12678324 1632994 614929789 509134714 105795075 0 0 121660 167296 0 0 0 0 71751507 75333653 0 0 0 0 386182 791276 10900758 12041093 2778052 3256785 767561558 391978590 334465559 375582968 2781 4114 0 0 5237288 4479278 9721179 0 464148805 504198473 899513771 975854936 39470230 52038605 0 0 776647 0 0 0 0 0 0 0 3382350 3147723 0 0 28906038 24493438 72535265 79679766 X 826536644 895741693 441862 433477 0 0 826978506 896175170 899513771 975854936 X 69205047 0 0 0 0 -8383 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7676 7676 false Supplemental Information SCHEDULE C,PART II-B, LINE 1i Dues were paid to the Florida HealthCare Association, Florida Hospital Association, Association of Rehabilitation Nurses, and the American Physical Therapy Association. These associations use a portion of their respective dues to conduct lobbying activities. 31034891 31034891 440366814 204978777 235388037 6618076 4832986 1785090 220176847 182084041 38092806 69364930 82786 69282144 375582968 DEPOSITS 22095 PPD PHYSICIAN RECRUITMENT LT 461574 DUE FROM AFFILIATES 503714804 504198473 0 DEPOSITS 20067 ASSET RETIREMENT OBLIGATION ST 40000 ASSET RETIREMENT OBLIGATION LT 131822 EST THIRD PARTY SETTLEMENTS 24301549 24493438 687511832 687511832 -3376996 -3376996 684134836 618306783 618306783 -3376994 -3376994 614929789 Schedule D, Part XI, Line 4b Revenues netted with expenses $(3,376,994) rounding $(2) ____________ Total $(3,376,996) Schedule D, Part XII, Line 4b revenues netted with expenses $(3,376,994) true true X true X 250. false true true false true true 1 24755 27875381 794744 27080637 0.04890 1 44308 68103808 45294345 22809463 0.04120 1 105 145214 37550 107664 0.00020 3 69168 96124403 46126639 49997764 0.09030 7804 890659 890659 0.00160 97 2073378 2073378 0.00370 246497 246497 0.00040 140926 140926 0.00030 13 301141 301141 0.00050 7914 3652601 3652601 0.00650 3 77082 99777004 46126639 53650365 0.09680 98 3155 0 3155 0.00010 5439 0 5439 0.00010 98 8594 0 8594 0.00020 true 45493634 28233940 160638901 174938735 -14299834 X true true 2 1 Morton Plant Hospital 300 Pinellas Street Clearwater FL 33756 www.baycare.org/mph 4064 X X X X A 2 Morton Plant North Bay Hospital 6600 Madison Street New Port Richey FL 34652 www.baycare.org/mpnb 4216 X X X A A 12 false false true X X X X X X X X 13 true true false true X See Part V Section C true 13 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 ALL ANSWERS PROVIDED IN PART V, SECTION B & C PERTAIN TO FACILITY GROUP A WHICH INCLUDES MORTON PLANT HOSPITAL and MORTON PLANT NORTH BAY HOSPITAL AS IDENTIFIED ON SCHEDULE H, PART V, SECTION A, LINES 1-2. PART V SECTION B LINE 5 QUALITATIVE DATA WAS GATHERED DURING INDIVIDUAL INTERVIEWS WITH A TOTAL OF 33 STAKEHOLDERS OF MORTON PLANT HOSPITAL AND MORTON PLANT NORTH BAY HOSPITAL SERVICE AREAS. THESE STAKEHOLDERS WERE IDENTIFIED BY A CHNA OVERSIGHT COMMITTEE INCLUDING HOSPITAL LEADERSHIP AND COLLABORATING AREAS OF OTHER HOSPITAL FACILITIES IN BAYCARE HEALTH SYSTEM. EACH STAKEHOLDER WAS INTERVIEWED BY TRIPP UMBACH, A CONSULTING FIRM REPRESENTING THE HOSPITALS, AND LASTED APPROXIMATELY 60 MINUTES. ALL RESPONDENTS WERE ASKED THE SAME SET OF QUESTIONS (QUESTIONS AND RESPONSES CAN BE FOUND IN THE CHNA REPORT STARTING ON PAGE 52 FOR MORTON PLANT HOSPITAL AND PAGE 56 FOR MORTON PLANT NORTH BAY HOSPITAL) PREVIOUSLY DEVELOPED BY TRIPP UMBACH AND REVIEWED BY THE INDIVIDUAL HOSPITALS FACILITY LEADERSHIP. 1. CITY MANAGER FOR THE CITY OF CLEARWATER 2. EXECUTIVE VICE PRESIDENT OF PROVISE MANAGEMENT/HOMELESS EMERGENCY PROJECT 3. INTERNIST AT MORTON PLANT HOSPITAL 4. DIRECTOR OF BUSINESS DEVELOPMENT FOR THE COMMUNITY HEALTH CENTERS OF PINELLAS COUNTY 5. WEST COAST CARDIOLOGY ASSOCIATION 6. CPA AT PRD-CERTIFIED PUBLIC ACCOUNTANTS 7. BUREAU DIRECTOR FOR THE PINELLAS COUNTY HEALTH & HUMAN SERVICES 8. DIRECTOR OF THE PINELLAS COUNTY HEALTH DEPARTMENT 9. PROJECT MANAGER FOR THE ONE BAY HEALTHY COMMUNITIES 10. CONCURRENT REVIEW NURSE FOR UNIVERSAL MEDICARE/MEDICAID 11. CHAPLAIN FOR MORTON PLANT NORTH BAY HOSPITAL 12. PRESIDENT/CEO OF UNITED WAY OF PASCO COUNTY 13. REVEREND OF METROPOLITAN MINISTRIES 14. CEO OF PREMIER COMMUNITY HEALTH CARE GROUP 15. COMMUNITY SALES DIRECTOR AT ATRIA BAY POINT VILLAGE 16. CEO/EXECUTIVE DIRECTOR OF THE GOOD SAMARITAN HEALTH CLINIC 17. PUBLIC INFORMATION OFFICER FOR THE PASCO COUNTY HEALTH DEPARTMENT 18. PHYSICIAN WITH THE PASCO COUNTY EMERGENCY PHYSICIANS 19. COALITION COORDINATOR FOR THE PASCO COUNTY ALLIANCE FOR SUBSTANCE ABUSE PREVENTION 20. CHAIRPERSON OF THE PASCO COUNTY BOARD OF COUNTY COMMISSIONERS 21. HOUSE REPRESENTATIVE ELECTED TO THE FLORIDA STATE HOUSE OR REPRESENTATIVES 22. EXECUTIVE DIRECTOR OF OPERATION PAR 23. PUBLIC DEFENDER FROM THE PINELLAS/PASCO COUNTY PUBLIC DEFENDER'S OFFICE 24. EXECUTIVE DIRECTOR OF PEMHS 25. CLERK AND COMPTROLLER FOR PASCO COUNTY 26. CHAIR OF MENTAL HEALTH AND SUBSTANCE ABUSE COALITION IN PINELLAS COUNTY 27. DETECTIVE FROM THE PINELLAS COUNTY SHERIFF'S DEPARTMENT 28. SERGEANT FROM THE PASCO COUNTY SHERIFF'S DEPARTMENT 29. CEO OF CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK 30. REGIONAL DIRECTOR OF THE DEPARTMENT OF CHILDREN AND FAMILIES 31. VP OF BEHAVIORAL HEALTH FOR BAYCARE HEALTH SYSTEM BEHAVIORAL HEALTH 32. COMMISSIONER OF PINELLAS COUNTY 33. COALITION COORDINATOR FOR THE PASCO COUNTY ALLIANCE FOR SUBSTANCE ABUSE PREVENTION IN ADDITION TO THE SPECIFIC STAKEHOLDER'S IDENTIFIED, MORTON PLANT HOSPITAL AND MORTON PLANT NORTH BAY HOSPITAL GATHERED QUALITATIVE DATA FROM RESIDENTS OF THE INDIVIDUAL COMMUNITIES BY CONDUCTING FACILITATED FOCUS GROUPS. THE PARTICIPANTS WERE ABLE TO PROVIDE DIRECT INPUT RELATED TO TOP COMMUNITY NEEDS OF THEMSELVES, THEIR FAMILIES, AND COMMUNITIES. THE GOAL OF THE FOCUS GROUP PROCESS IS THAT EACH PARTICIPANT FEELS COMFORTABLE AND SPEAKS OPENLY SO THAT THEY CONTRIBUTE TO THE DISCUSSION. IT WAS EXPLAINED TO PARTICIPANTS THAT THERE ARE NO WRONG ANSWERS, JUST DIFFERENT EXPERIENCES AND POINTS OF VIEW. THIS PROCESS ENSURES THAT EACH PARTICIPANT SHARES THEIR EXPERIENCES FROM THEIR POINT OF VIEW, EVEN IF IT IS DIFFERENT FROM WHAT OTHERS HAVE SAID. SPECIFICALLY, FOCUS GROUP PARTICIPANTS WERE ASKED TO IDENTIFY AND DISCUSS WHAT THEY PERCEIVED To BE THE TOP HEALTH ISSUES AND/OR CONCERNS IN THEIR COMMUNITIES. FOCUS GROUP INPUT IS SUBJECT TO THE LIMITATIONS OF THE IDENTIFIED TARGET POPULATIONS (I.E., VOCABULARY, PERSPECTIVE, KNOWLEDGE, ETC.), AND THEREFORE, IS NOT FACTUAL AND INHERENTLY SUBJECTIVE IN NATURE. FOCUS GROUP AUDIENCES OF MORTON PLANT HOSPITAL: 1. RESIDENTS EARNING A LOW-INCOME THAT ARE MEDICAID INELIGIBLE 2. RESIDENTS FOR WHOM ENGLISH IS A SECOND LANGUAGE 3. OBSTETRIC PROFESSIONALS SERVING FAMILIES THAT ARE AT RISK OF POOR BIRTH OUTCOMES 4. SCHOOL NURSES SERVING CHILDREN AND FAMILIES IN SCHOOL SETTINGS 5. PRIVATE BEHAVIORAL HEALTH PRACTITIONERS SERVING RESIDENTS WITH BEHAVIORAL HEALTH NEEDS FOCUS GROUP AUDIENCES OF MORTON PLANT NORTH BAY HOSPITAL 1. RESIDENTS EARNING A LOW INCOME THAT ARE MEDICAID-INELIGIBLE 2. PRIVATE BEHAVIORAL HEALTH PRACTITIONERS SERVING RESIDENTS WITH BEHAVIORAL HEALTH NEEDS PART V SECTION B LINE 6A CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: 1. ST. ANTHONY'S HOSPITAL 2. MEASE COUNTRYSIDE HOSPITAL 3. MEASE DUNEDIN HOSPITAL 4. SOUTH FLORIDA BAPTIST HOSPITAL 5. ST. JOSEPH'S HOSPITAL - MAIN (INCLUDING WOMEN'S & CHILDREN'S) 6. ST. JOSEPH'S HOSPITAL - NORTH 7. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER 8. BAYCARE ALLIANT HOSPITAL PART V SECTION B LINE 7A MORTON PLANT HOSPITAL: HTTPS://WWW.BAYCARE.ORG/MPH/ABOUT-US/COMMUNITY-HEALTH-NEEDS MORTON PLANT NORTH BAY HOSPITAL: HTTPS://WWW.BAYCARE.ORG/MPNB/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 10A MORTON PLANT HOSPITAL: HTTPS://WWW.BAYCARE.ORG/MPH/ABOUT-US/COMMUNITY-HEALTH-NEEDS MORTON PLANT NORTH BAY HOSPITAL: HTTPS://WWW.BAYCARE.ORG/MPNB/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 11 Three main health priorities were identified as part of the CHNA that the Morton Plant Hospitals completed. Based on its most recent community health needs assessment (CHNA), Morton Plant Hospital (MPH) is committed to addressing the following significant community needs: 1) Improving access to affordable health care 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 2013 Community Health Needs Assessment. Efforts were specifically dedicated to the following action step categories during 2015 with highlighted activities as noted below: Improve access to and coordination of mental health services o BayCare has added and is actively recruiting psychiatrists in an effort to expand access and service in Pinellas County. o Mental health services are now co-located with primary care in Pinellas County. o Through support from the Morton Plant Mease Foundation, the Patient Navigator and Behavioral Health Voucher Program launched in Pinellas County at the Homeless Empowerment Project (HEP), a Pinellas County-based homeless shelter. This program provides homeless adults who present with acute mental illness or substance abuse impairment or with a co-occurring mental illness and substance abuse issue increased access to early evaluation, triage, stabilization, and community-based follow up services. Outcomes from this program have included increased access to mental health and substance abuse care, reduction of admissions to emergency departments, inpatient psychiatric units and hospitals and longer periods of housing stability for HEP residents. o Funding for a pilot project to bring mobile behavioral health services to Pinellas County homeless shelters has been approved. This program was scheduled to launch in May 2016. o The Pathways program was created to provide education and navigation services during crisis. This program was made possible via the Morton Plant Mease Foundation. 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. o Morton Plant Mease (MPM) partnered with the Pinellas County government and other organizations to support the establishment of clinics for the under-served. A partnership has been established with Community Health Centers of Pinellas (CHCP), a federally qualified health center (FQHC) and a CHCP has become operational in Dunedin. Continue to implement the Medical Home Model through BayCare Medical Group (BMG) and the hospital division o Implementation of the Medical Home Model through BayCare Medical Group (BMG) continues in an effort to enhance access to care and overall care coordination. Enhance cancer prevention and treatment initiatives o Community outreach efforts continue across the health system to encourage the community to understand risk factors and to promote early detection of various types of cancer. o BayCare sites have signed the "80% by 2018" pledge with the American Cancer Society to promote appropriate colorectal cancer screening in 80% of age-appropriate community member 6 Bardmoor Emergency Center 8839 Bryan Dairy Rd Ste 100 Largo FL 33777 ER-24 Hours Morton Plant Rehab Center 400 Corbett Street Belleair FL 33756 Rehabilitation services Morton Plant Hospital Heart and Vascular 455 Pinellas Street Clearwater FL 33756 Outpatient Clinic Turley Family Health Center 807 N Myrtle Avenue Clearwater FL 34616 Outpatient Clinic Bardmoor Rehab Services 8711 Bryan Dairy Road Largo FL 33777 Rehabilitation services PTAK Orthopaedic & Neuroscience Pavilion 430 Morton Plant Street Ste 101 Clearwater FL 33756 Rehabilitation services 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. Morton Plant Hospital Association, 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. PART I, LINE 6A The Community Benefit Report is available to the public and was prepared by BayCare Health System Inc. (EIN 59-2796965), 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 LINE 7 COLUMN F IN THIS COLUMN BAD DEBT EXPENSE OF $45,493,634 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II MORTON PLANT AND NORTH BAY HOSPITALS SUPPORT THE HEALTH OF ITS COMMUNITY BY PROVIDING COMMUNITY SUPPORT, HEALTH IMPROVEMENT ADVOCACY, AND WORKFORCE DEVELOPMENT THROUGH COLLABORATION WITH SEVERAL COMMUNITY BASED CHARITABLE ORGANIZATIONS: -KIWANIS CLUB OF DUNEDIN, FL WHICH SUPPORTS THE CHILDREN OF THE COMMUNITY THROUGH THE FLORIDA SHERIFFS YOUTH RANCH, "EVERY CHILD A SWIMMER" PROGRAM, AND PROVIDING BABY FOOD. -THE MORTON PLANT MEASE FOUNDATION THROUGH ITS "CAMP NURSE JR." PROGRAM WHICH TEACHES 7TH AND 8TH GRADE STUDENTS ABOUT STRESS MANAGEMENT, HOW TO PERFORM CPR, AND HEALTHY EATING HABITS. IN ADDITION TO SUPPORTING THESE CHARITABLE ORGANIZATIONS THE PASTORAL CARE DEPARTMENTS OF THE RESPECTIVE FACILITIES WORK IN THE LOCAL COMMUNITIES TO PRESENT INFORMATION AND ADVOCATE FOR HEALTH IMPROVEMENT INITIATIVES. 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 10 OF THE MORTON PLANT MEASE HEALTH CARE, INC. 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 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) ($14,299,834) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($19,210,466) TOTAL SURPLUS OR (SHORTFALL) ($33,510,280). 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 MORTON PLANT HOSPITAL ASSOCIATION, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. IN ADDITION, MORTON PLANT HOSPITAL ASSOCIATION, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST MORTON PLANT HOSPITAL ASSOCIATION, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE MORTON PLANT HOSPITAL ASSOCIATION, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE MORTON PLANT HOSPITAL ASSOCIATION, 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, MORTON PLANT HOSPITAL ASSOCIATION, 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 Morton Plant Hospitals are in a suburban setting serving parts of Pasco, Pinellas, Hillsborough and Hernando Counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 18.2% of the population. 14.0% of households have annual household income below $15,000 per year. Morton Plant Hospitals are part of BayCare Health System that serves West Central Florida. The area served by Morton Plant Hospitals has 23 hospitals with 12 being Not-for Profit. There are 2 federally designated medically underserved areas and 8 federally designated medically underserved populations in Morton Plant Hospitals service area. With the service area expanding and the over 65 population expected to grow over 16% in the next five years, the health care needs of our service area are expanding and changing. The population served by Morton Plant Hospitals is expected to grow 5.1% in the next 5 years. This expected growth is higher than the expected growth rate for the United States of 3.7%. Based on Florida inpatient discharge data for the period of 01/01/2015-12/31/2015, the payer mix for the geographic area consists of 52.1% Medicare/Medicare HMO, 16.8% Medicaid/Medicaid HMO, 21.2% Commercial Insurance, 6.5% Self-pay/Non-payment, and 3.5% Other. PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH The history of Morton Plant Hospital Association began in 1916 when Morton F. Plant responded to the lack of hospitals and medical care in the area by helping the community raise funds needed to open a 20-bed hospital. Morton Plant North Bay Hospital opened in 1965 in New Port Richey and was subsequently acquired by Morton Plant Hospital Association, Inc. Today, Morton Plant Hospital Association continues in that same philosophy of improving the health of the community with two hospitals that set the standard for high-quality, compassionate care - Morton Plant in Clearwater and Morton Plant North Bay in New Port Richey. Services are provided through more than 6,333 Morton Plant Mease employees and more than 1,319 board-certified physicians. Community Benefit Veteran and Inebriate Program In 2010, BayCare Behavioral Health and Morton Plant Mease applied for and received a five-year grant of $350,000 for each year for a total of $1,750,000 from the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT). BayCare Behavioral Health was awarded funding for the Veteran and Inebriate Program (VIP) to provide services for homeless veterans and chronic inebriates experiencing behavioral health disorders in Pinellas County. Operational until September 2015, the VIP was designed to expand and strengthen treatment resources for 420 individuals based on identified local needs. Free Community Clinic Support Community members who are uninsured or under-insured often rely on free clinics to meet their health care needs. These clinics survive on generous donations, both financial and in-kind, to provide valuable services to the community. Morton Plant Mease donated $483,693 in 2015 for support of ongoing services. Morton Plant Mease physicians and nurses also donated 1,500 hours of their time to provide care at area clinics: Clearwater Free Clinic: Morton Plant Mease is a community partner with the Clearwater Free Clinic, which provides health services to low-income citizens. Since 1977, the Clearwater Free Clinic has provided problem-oriented health care to low-income uninsured residents of upper Pinellas County by means of office visits, medications, lab work, x-rays, and specialty referrals. The Clinic, a volunteer driven non-profit, non-government medical facility, provides primary health care at no cost to those who do not qualify for government assistance and who cannot afford private medical care. When services are beyond the clinic's capability, patients are referred to our hospitals. La Clinica Guadalupana: La Clinica Guadalupana is a free clinic that provides health care to Pinellas County's rapidly growing Hispanic community. Morton Plant Mease provides $50,000 annually to support ongoing operations which include services such as primary, gynecological and pediatric care; free health screenings; and immunizations. Willa Carson Health and Wellness Center: The Willa Carson Health and Wellness Center in Clearwater provides preventative health care, wellness and education services to uninsured and low-income community members at no charge. Morton Plant Mease provides $50,000 annually to support ongoing operations. Services provided include blood pressure tests, diabetes screenings, lead screenings, physicals and tuberculosis (TB) testing. Good Samaritan Clinic: In an effort to provide medical services to the underinsured or uninsured residents of Pasco County, Morton Plant Mease Foundation provided assistance with funding for a Nurse Practitioner position for the Good Samaritan Health Clinic. On average, the Good Samaritan Health Clinic provides medical and dental care to 3,500 Pasco County residents annually. Additionally, Morton Plant North Bay Hospital provides lab services and diagnostic tests to Good Samaritans patients at no cost. The Health Clinic treats patients with non-emergency medical needs who do not have health insurance, do not qualify for Medicare or Medicaid and do not have the financial means to pay for care. Premier Community Health Group: Morton Plant North Bay also provides lab and diagnostic testing services to Premier Community Health Group. As Pascos only Federally Qualified Health Center (FQHC), it provides quality, affordable and accessible health care services to nearly 20,000 Pasco County residents. Morton Plant Hospital In 2015, Morton Plant Hospital continued its reputation for top quality heart care with national recognition and through participating in clinical research trials; successfully achieved a national designation for creating a positive practice environment for nurses; introduced robotic-assisted surgery for brain, spine and orthopedic procedures and brought access to cochlear implant surgery to the North Pinellas community. Top 50 Hospital for 14th Time For the 14th time, Morton Plant was selected from more than 1,000 hospitals in the United States as a Truven Health Analytics Top 50 hospital for cardiac care. Robotic Option for Brain and Spine Procedures Morton Plant was the first hospital in Pinellas County to offer a robotic option for patients needing brain or spine surgery. Benefits to patients can include faster recovery, reduced post-operative pain, lowered complication rates and improved accuracy. Robotic-Arm Assisted Joint Surgery Morton Plant Hospital was the first in the area to offer a robotic-arm assisted partial knee resurfacing and total hip replacement procedures. Cochlear Implants In 2015, Morton Plant began offering cochlear implant surgery to adults who receive little or no benefit from hearing aids. The procedure is now more convenient to patients in the hospitals service area. Morton Plant Master Site Plan Morton Plant continued transforming its hospital campus to meet the future needs of the community. The comprehensive master site plan creates a seamless facility design that ties together the existing inpatient buildings to the almost 100-year-old hospital campus. The new facilities will house a number of clinical services including surgery, women's and newborn services and orthopedics. The overall plan will provide improved patient access and navigation, better alignment of resource utilization and efficiencies, larger operating suites, flexibility in future planning and additional space for ancillary departments and storage. Morton Plant North Bay Hospital 50 Years of Serving the Community In 2015, Morton Plant North Bay celebrated 50 years of serving the community with several community events and a gala celebration that helped raise $50,000 for hospital improvements, as well as community projects and programs. Morton Plant North Bay Mitchell Rehabilitation Hospital Renovation To create a more patient-centered environment, Morton Plant North Bay Hospital completed Phase I of the expansion of its acute care Mitchell Rehabilitation Hospital, which specializes in neurological and orthopedic inpatient rehabilitation. As the only Commission on Accreditation of Rehabilitation Facilities (CARF)-accredited facility in Pasco County, the new Mitchell Rehabilitation Hospital will offer 30 new private patient rooms and additional space for patient treatment and therapy. This latest project is part of a more than five-year expansion to ensure Morton Plant North Bay Hospital provides the community with a modern community-based medical complex. Morton Plant North Bays other recent additions include: --A new surgical center featuring six larger, integrated operating suites to provide ample working space for advanced surgical procedures with high-tech equipment. The new surgical center and wing added 25,000 square feet to the hospital. --A 9,750 square-foot cardiovascular center providing advanced imaging equipment and more space for heart care including elective and emergency heart catheterizations and angioplasties. --The four-story, 56,000 square-foot Starkey Medical Tower with all new private patient rooms and a three-story, 45,000 square-foot Medical Arts Building that doubled the size of the hospital campus. Morton Plant North Bay Recovery Center As part of its continued commitment to meeting the mental health needs of the Tampa Bay community, BayCare Behavioral Health operates the Morton Plant North Bay Hospital Recovery Center. Located in Pasco County, Morton Plant North Bay Hospital Recovery Center operates under the Morton Plant North Bay Hospital license and is a 72-bed acute care, behavioral health facility. The Recovery Center provides a full-range of behavioral health services for adults, children and adolescents who require inpatient care. Patients can receive treatment for inpatient psychiatric crisis stabilization, crisis intervention, and support in a tranquil environment. To meet the needs of younger patients, the Recovery Center converted nine of its 56 adult beds to nine child and adolescent inpatient psychiatric beds for a total of 25 child and adolescent beds. SHARE P PART VI LINE 6 - AFFILIATED HEALTH CARE SYSTEM Morton Plant Hospital Association, 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 MORTON PLANT HOSPITAL ASSOCIATION, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. true Baycare medical group INC 300 S PARK PLACE BLVD CLEARWATER FL 33759 593140335 501(c)(3) 3487818 Residency Program SUNCOAST COMMUNITY HEALTH CENTERS INC 13110 ELK MOUNTAIN DR RIVERVIEW FL 33579 591741303 501(c)(3) 93654 Community support 2 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 MORTON PLANT HOSPITAL ASSOCIATION, INC. IS COMMITTED TO ASSISTING NON-PROFIT ORGANIZATIONS WHOSE FOCUS IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EACH CASH DONATION REQUEST IS REVIEWED BY MORTON PLANT HOSPITAL'S SENIOR MANAGEMENT TEAM TO DETERMINE WHETHER THE ORGANIZATION IS ONE WE WANT TO DONATE TO, BASED ON THE ORGANIZATION'S MISSION, NON-PROFIT STATUS, AND USAGE OF FUNDS. ONCE APPROVED, WE REQUIRE PROPER DOCUMENTATION FROM THE ORGANIZATION OF ITS NON-PROFIT STATUS, AND AS NEEDED, FOLLOW-UP WITH THE ORGANIZATION TO ENSURE THE ACTIVITY OCCURRED. false true false false false false false false false Stephen Mason TRUSTEE/PRES/CEO BAYCARE 0 1277613 0 564504 0 1343628 0 15286 0 23981 0 3225012 0 0 Glenn Waters TRUSTEE/PRES/EVP BAYCARE HOSP 0 792346 0 273455 0 123783 0 77804 0 34616 0 1302004 0 0 Carl Tremonti CFO BAYCARE HOSP DIV 0 369443 0 106095 0 102050 0 13250 0 11869 0 602707 0 6595 Michael Yungmann PRES MORTON PLANT NORTH BAY 0 268011 0 73541 0 9546 0 43102 0 27925 0 422125 0 0 Neil Hoce PRES MORTON PLANT HOSP 0 403826 0 114203 0 17587 0 88254 0 23081 0 646951 0 0 Matthew Novak DIR. OPERATIONS MORTON PLANT 151093 0 16875 0 7003 0 8385 0 16857 0 200213 0 0 0 Thomas Doria DIR PAT CARE MORTON PLANT HOSP 178909 0 20965 0 2514 0 9647 0 6444 0 218479 0 0 0 Eric Cudzil CLINICAL PHARMACIST 147481 0 44054 0 6172 0 8438 0 6531 0 212676 0 0 0 Diana Shand-Kreidler DIR SURG SVCS MORTON PLAN HOSP 175571 0 19361 0 1875 0 9795 0 26372 0 232974 0 0 0 Patricia Savitsky CLINICAL PHARMACIST 149925 0 26513 0 8439 0 8483 0 11745 0 205105 0 0 0 Shannon Hancock DIR PAT SVCS MORTON PLNT N BAY 151341 0 18416 0 503 0 8406 0 23091 0 201757 0 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 Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $1,299,280 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $545,048 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 cluded in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $43,864 in 2015. 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. Neil Hoce - Participated in a supplemental nonqualified deferred compensation plan. He had $75,004 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. Vickie Burwell see Part V 21812 see Part V false Part IV Vickie Burwell is a family member of Andy Burwell, a director of the filing organization. Vickie Burwell was paid reasonable compensation as an employee of the filing organization. PART VI Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters, Stephen Mason and Carl Tremonti are Board members of the filing Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Morton Plant Hospital Association, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the member Morton Plant Mease Health Care, Inc. such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. part VI, line 11b - Describe the process usedby managment &/or governing body to review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 was provided to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Morton Plant Hospital Association, 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 to address the conflict of interest situation. part VI, lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & Chief Financial Officer, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year, the last review occurring in 2015, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 16b - Procedure to evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Morton Plant Hospital Association, Inc. publishes its financial statements with The Agency for Health Care Administration. Governing documents are available via Sunbiz.org. PART XI, LINE 9 - other changes in net assets change in net assets of foundation ($5,417) contributions in 990 income, not in book income ($2,968) Rounding $2 TOTAL ($8,383) Trustees of Mease Hospital Inc 601 Main Street Dunedin FL 34698 590855412 Health Srvcs FL 501(C)(3) 3 MPMHC true Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 health srvcs FL 501(C)(3) 9 MPMHC true BayCare Health System Inc 2985 Drew St Clearwater FL 33759 592796965 Support srvcs FL 501(c)(3) 11a na false Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(c)(3) 11a MPHATOM true Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(c)(3) 11b na false Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL MPHV C corp 0 0 0.00000 true MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 COLLECTIONS SVCS FL MPHV C corp 0 0 0.00000 true Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL MPMHC C corp 0 0 0.00000 true true false true true false false false false true true true false true false true false false true true Morton Plant Mease Health Services Inc a(iv) 1264501 FMV Morton Plant Mease Foundation c 4955517 FMV Morton Plant Mease Health Services Inc k 72200 FMV Trustees of Mease Hospital Inc o 2437567 FMV Morton Plant Mease Health Services Inc o 70228 FMV Morton Plant Mease Health Services Inc r 1390862 FMV Trustees of Mease Hospital Inc r 2579099 FMV