2015-11-09T22:20:01-06:00 2014-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2014-01-01 590855412 Trustees of Mease Hospital Inc % John Gantner TRUS 7274627697 601 Main Street Dunedin FL 34698 CARL TREMONTI CFO 2015-11-06 KATHY PITTS P00292940 4048748300 2014 2016-03-07 17:11:31Z GLENN WATERS 601 Main Street Dunedin FL 34698 431001575 false X www.mpmhealth.com X 1938 FL Trustees of Mease Hospital, 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 23 2568 525 24343 20909 1841413 31218990 344397494 390423237 191689 45976 4938467 9282653 351369063 430970856 0 249000 0 0 123728424 132469867 0 0 0 178265670 196511563 301994094 329230430 49374969 101740426 534312418 608583046 34201181 37945372 500111237 570637674 TRUSTEES OF MEASE HOSPITAL, 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 272622842 249000 395246211 TRUSTEES OF MEASE HOSPITAL, INC. (TOM) IS A FULL-SERVICE 433-BED COMMUNITY HOSPITAL. DURING 2014, TOM PROVIDED INPATIENT CARE TO 21,528 PATIENTS, TREATED 80,429 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 2,168 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM TOM SAW A NET COMMUNITY BENEFIT EXPENSE OF $31.3 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $1.3 MILLION. SOME OF THE PROGRAMS INCLUDED FAITH COMMUNITY NURSING, HEALTH FAIRS, AND SUPPORT GROUPS. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 272622842 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 false false false false false false false true true true false false true 259 0 true 2568 true true true false false false false false false false false false X 25 23 true false false false true true true true true false false true true true true true true false true false X John Gantner 7278208005 2985 Drew Street Clearwater FL 33759 STEPHEN MASON TRUSTEE/PRES/CEO BAYCARE 1.0 50.0 X 0 2603873 52812 ANDY BURWELL TRUSTEE 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 1.0 2.0 X 0 0 0 DILIP GHANEKAR TRUSTEE 1.0 2.0 X 0 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 2.0 X 0 0 0 KEVIN MASON TRUSTEE 1.0 2.0 X 0 0 0 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 JIM WATROUS TRUSTEE 1.0 2.0 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 1100633 152126 MAHESH AMIN TRUSTEE/PAST CHAIRMAN 1.0 3.0 X X 0 0 0 JAMES CANTONIS TRUSTEE/VICE CHAIRMAN 1.0 3.0 X X 0 0 0 V RAYMOND FERRARA TRUSTEE/CHAIRMAN 1.0 2.0 X X 0 0 0 GAY LANCASTER TRUSTEE/SECRETARY 1.0 3.0 X X 0 0 0 THOMAS WHIDDON TRUSTEE/TREASURER 1.0 3.0 X X 0 0 0 CARL TREMONTI CFO BAYCARE HOSP DIV 1.0 57.0 X 0 504568 25717 LOUIS GALDIERI PRES MEASE HOSP 1.0 45.0 X 0 444653 37437 CELIA LARIMORE DIRECTOR SURGICAL SVCS MEASE 45.0 0.0 X 315430 0 21594 ROBIN LAPHAM DIRECTOR PATIENT SVCS MEASE 45.0 0.0 X 176619 0 25902 GERALD MASSEY DIRECTOR OPERATIONS MEASE 45.0 0.0 X 175171 0 14702 KELLY CULLEN DIRECTOR PATIENT SVCS 45.0 0.0 X 180037 0 23280 MOHSEN HABIB MANAGER PHARMACY 45.0 0.0 X 169017 0 31575 RODNEY CAVALIER CLINICAL PHARMACIST 45.0 0.0 X 167081 0 26191 MAIKEL BOLOS CLINICAL PHARMACIST 45.0 0.0 X 161732 0 14923 NICOLE HANNA CLINICAL PHARMACIST 45.0 0.0 X 147621 0 14422 1492708 4653727 440681 57 false true false Skanska USA Building Inc 4030 W Boyscout Blvd Ste 200 TAMPA FL 33607 Construction svcs 9698369 Bay Linen Inc 11525 47th Street N CLEARWATER FL 33762 Laundry services 1931250 OB Hospitalist Group LLC 10 Centimeters Dr MAULDIN SC 29662 Medical services 1232213 Siemens Medical Solutions USA PO Box 120001 DALLAS TX 753120733 IT Consulting 985093 Graham Florida II Medical Build 505 Fifth Ave Ste 200 DES MOINES IA 503092449 Architectural svcs 944193 38 0 31213990 5000 0 31218990 Hospital patient care 621999 227785849 227785849 0 0 MEDICARE / MEDICAID PAYMENTS 621999 162251000 162251000 0 0 RENTAL INCOME FROM AFFILIATES 532000 386388 386388 0 0 390423237 14618 24343 -9725 0 0 2629766 2629766 0 2629766 2629766 62077 30719 31358 31358 31358 0 0 0 EMR INCENTIVE REVENUE 900099 4265311 4265311 0 0 CAFETERIA 722514 1829913 0 0 1829913 MISCELLANEOUS REVENUE 900099 557663 557663 0 0 6652887 430970856 395246211 24343 4481312 249000 249000 0 0 0 0 0 0 729417 539544 189873 0 0 0 0 0 110142699 110098267 44432 0 3673442 3671960 1482 0 10007729 10003692 4037 0 7916580 7903726 12854 0 0 0 0 0 37 0 37 0 0 0 0 0 9708 9708 0 0 0 0 0 0 0 0 10108867 8797468 1311399 406541 401041 5500 0 5517582 3270221 2247361 0 477586 329090 148496 0 0 0 0 0 7159556 7141990 17566 0 233447 167030 66417 0 0 0 0 0 0 0 0 0 4752678 4752678 0 0 0 0 0 0 15644940 15619907 25033 0 6569030 5088802 1480228 0 Medical Supplies 55505407 55504417 990 0 Management Fees 50217456 0 50217456 0 Bad Debt Expense 26308400 26308400 0 0 Assessments 4177223 4177223 0 0 9423105 8588678 834427 329230430 272622842 56607588 0 0 349779 113131 0 0 0 0 39498501 46605739 0 0 0 0 1650621 905487 5834071 5643420 1238025 1202721 397940068 218481700 171059574 179458368 0 0 0 0 429549 441307 5316861 4583501 308935437 369629372 534312418 608583046 19264059 16811558 0 208192 0 0 0 0 0 0 0 0 4283129 3912264 0 0 10653993 17013358 34201181 37945372 X 500111237 570637674 0 0 0 0 500111237 570637674 534312418 608583046 X 101740426 -31213989 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 9708 9708 false SUPPLEMENTAL INFORMATION Schedule C Part II-B, Line 1I Dues were paid to the American Health Information Management Association and the Florida Hospital Association. These associations use a portion of their dues to conduct lobbying activities. 11886639 11886639 244628734 102155268 142473466 315980 97470 218510 139133080 116228962 22904118 1975635 1975635 179458368 Due From Affiliates 369629372 369629372 0 Deposits 6518 ASSET RETIRMENT OBLIGATION - ST 6800 ASSET RETIRMENT OBLIGATION - LT 146374 Est Third Party Settlement 16853666 17013358 399370766 399370766 31600090 31600090 430970856 328844329 328844329 386101 386101 329230430 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B CHANGE IN NET ASSETS OF FOUNDATION $31,213,990 REVENUES NETTED WITH EXPENSES $386,101 ROUNDING ($1) TOTAL $31,600,090 SCHEDULE D, PART XII, LINE 4B REVENUES NETTED AGAINST EXPENSES $386,101 true true X true X 250. false true true false true true 2 11914 13523171 361894 13161277 0.04340 2 21053 34687924 17920208 16767716 0.05540 2 63 166016 64068 101948 0.00030 6 33030 48377111 18346170 30030941 0.09910 10 5046 77267 77267 0.00030 1 72 1087832 1087832 0.00360 9 8 144155 144155 0.00050 20 5126 1309254 1309254 0.00440 26 38156 49686365 18346170 31340195 0.10350 2 1850 0 1850 0.00000 2 58 693 0 693 0.00000 2 407 0 407 0.00000 6 58 2950 0 2950 0.00000 true 26308400 10839084 85005032 91883314 -6878282 X true true 1 1 TRUSTEES OF MEASE HOSPITAL INC 3231 McMullen Booth Rd Clearwater FL 33761 www.baycare.org 4378 X X X A Trustees of Mease Hospital Inc 1 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 X X X X X 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 THE HOSPITAL FACILITY TRUSTEES OF MEASE HOSPITAL, INC., WHICH INCLUDES THE MEASE COUNTRYSIDE HOSPITAL AND MEASE DUNEDIN HOSPITAL LOCATIONS. MEASE COUNTRYSIDE HOSPITAL & MEASE DUNEDIN HOSPITAL OPERATE UNDER THE SAME STATE LICENSE NUMBER (#4378) AS TRUSTEES OF MEASE HOSPITAL, INC. PART V SECTION B LINE 5 QUALITATIVE DATA WAS GATHERED DURING INDIVIDUAL INTERVIEWS WITH A TOTAL OF 17 STAKEHOLDERS, SEVERAL OF THESE STAKEHOLDERS REPRESENTED THEIR COMMUNITIES FOR BOTH MEASE COUNTRYSIDE AND MEASE DUNEDIN 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 46 FOR MEASE COUNTRYSIDE HOSPITAL AND PAGE 51 FOR MEASE DUNEDIN HOSPITAL) PREVIOUSLY DEVELOPED BY TRIPP UMBACH AND REVIEWED BY THE INDIVIDUAL HOSPITALS FACILITY LEADERSHIP. 1. PRESIDENT/CEO OF SUNCOAST HOSPICE 2. COO OF SUNSTAR PARAMEDICS 3. VOLUNTEER FOR THE MORTON PLANT MEASE FOUNDATION 4. EXECUTIVE DIRECTOR OF THE NORTH PINELLAS BRANCH - YMCA OF THE SUNCOAST 5. LEADER OF HOSPITALIST GROUP 6. MAYOR OF SAFETY HARBOR, FL 7. BOARD OF COUNTY COMMISSIONERS 8. DIRECTOR, PINELLAS COUNTY HEALTH DEPARTMENT 9. PROJECT MANAGER OF THE ONE BAY HEALTHY COMMUNITIES 10. CITY MANAGER OF THE CITY OF DUNEDIN 11. FORMER BOARD CHAIR FOR MORTON PLANT HOSPITAL 12. PRESIDENT OF THE DUNEDIN CHAMBER OF COMMERCE 13. FORMER MAYOR AND FORMER CHAIR OF THE FLORIDA COMMITTEE ON AGING 14. MANAGER OF MPM FAITH COMMUNITY NURSING 15. MAYOR OF THE CITY OF DUNEDIN 16. CONCURRENT REVIEW NURSE FOR UNIVERSAL MEDICARE/MEDICAID 17. DIRECTOR OF BUSINESS DEVELOPMENT FOR THE COMMUNITY HEALTH CENTERS OF PINELLAS COUNTY IN ADDITION TO THE SPECIFIC STAKEHOLDERS IDENTIFIED, MEASE COUNTRYSIDE AND MEASE DUNEDIN HOSPITALS GATHERED QUALITATIVE DATA FROM RESIDENTS OF THEIR 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 MEASE COUNTRYSIDE HOSPITAL: RESIDENTS EARNING A LOW INCOME THAT ARE MEDICAID-INELIGIBLE RESIDENTS FOR WHOM ENGLISH IS A SECOND LANGUAGE OBSTETRIC PROFESSIONALS SERVING FAMILIES THAT ARE AT RISK OF POOR BIRTH OUTCOMES SCHOOL NURSES SERVING CHILDREN AND FAMILIES IN SCHOOL SETTINGS FOCUS GROUP AUDIENCES OF MEASE DUNEDIN HOSPITAL: RESIDENTS EARNING A LOW INCOME THAT ARE MEDICAID-INELIGIBLE RESIDENTS FOR WHOM ENGLISH IS A SECOND LANGUAGE PRIVATE BEHAVIORAL HEALTH PRACTITIONERS SERVING RESIDENTS WITH BEHAVIORAL HEALTH NEEDS NURSING HOME ADMINISTRATORS SERVING SENIOR RESIDENTS PART V SECTION B LINE 6A CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: 1. ST. ANTHONY'S HOSPITAL 2. MORTON PLANT HOSPITAL 3. MORTON PLANT NORTH BAY HOSPITAL 4. MORTON PLANT NORTH BAY RECOVERY CENTER 5. SOUTH FLORIDA BAPTIST HOSPITAL 6. ST. JOSEPH'S HOSPITAL - MAIN (INCLUDING WOMEN'S & CHILDREN'S) 7. ST. JOSEPH'S HOSPITAL - NORTH 8. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER 9. BAYCARE ALLIANT HOSPITAL PART V SECTION B LINE 7A MEASE COUNTRYSIDE HOSPITAL: HTTPS://BAYCARE.ORG/MCH/ABOUT-US/COMMUNITY-HEALTH-NEEDS MEASE DUNEDIN HOSPITAL: HTTPS://BAYCARE.ORG/MDH/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 10A MEASE COUNTRYSIDE HOSPITAL: HTTPS://BAYCARE.ORG/MCH/ABOUT-US/COMMUNITY-HEALTH-NEEDS MEASE DUNEDIN HOSPITAL: HTTPS://BAYCARE.ORG/MDH/ABOUT-US/COMMUNITY-HEALTH-NEEDS PART V SECTION B LINE 11 Three main topics surfaced from the CHNA that the hospitals are working on. Both Mease Dunedin and Mease Countryside Hospitals have relatively the same initiatives. All three of the topics have action plans being either implemented or are being worked on. 1) Improving access to affordable healthcare: Both Mease hospitals have signed an agreement with Pinellas county government to provide services to their clients. We are currently looking to establish a Dunedin community clinic. We Continue to work with the Clearwater Free Clinic to improve process for setting up appointments for patients leaving the hospital. In 2014, we provided charity care for 972 patients of Mease Dunedin and 1,238 patients of Mease Countryside Hospital. In addressing the need for mental health issues, Pathways now has linkage with the hospitals for discharged psychiatric patients. Both hospitals have a grant funding to provide prescription assistance to indigent patients using the BayCare Health System pharmacies. 2) Decrease prevalence of clinical health issues: Along the line of Diabetes and CHF, tracking mechanisms have been set up to follow up on patients that are readmitted to the hospitals by setting up appointments and follow up calls. A program has also been implemented to provide diabetic testing equipment to indigent patients. Another initiative is a pulmonary Rehab collaborative for patients discharged from the hospital for pulmonary services such as a pulmonary clinic. The stroke coordinator for the Mease Hospitals attends community lectures and has put together educational brochures to educate the community on stroke systems. Flyers were mailed out to the surrounding community with information as well. 3) Improving health behavior and environment: Hospitals are working with Faith Community Nursing to follow up with discharged patients to actively prevent readmissions to the hospital. We have established relationships with local taxis and our axillary to help patients unable to afford transportation to medical appointments. Hospitals also have partnered with local wellness programs to team members for a healthier life style. 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/FINANCIAL-ASSISTANCE-POL ICY 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. 5 Mease Countryside Surgery Center 1880 Mease Dr Safety Harbor FL 34695 Day Surgery Center Mease Outpatient Imaging 1840 Mease Drive Suite 103 Safety Harbor FL 34695 Outpatient Imaging Center MPM Outpatient Rehabilitative Services 32672 US Highway 19 North Palm Harbor FL 34684 Rehab Services Mease Sports Medicine Center 3251 McMullen Booth Road Suite 200 Safety Harbor FL 34695 Outpatient Clinic Mease Hand Clinic 1840 Mease Drive Suite 409 Safety Harbor FL 34695 Outpatient Clinic 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. TRUSTEES OF MEASE HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. 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 BAD DEBT EXPENSE OF $26,308,400 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. PART II MEASE DUNEDIN AND MEASE COUNTRYSIDE 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 7 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, & 4 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. LINE 4 THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 10 AND 11 OF THE MORTON PLANT MEASE HEALTH CARE, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS. PART III LINE 8 COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 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) ($6,878,282) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($11,479,027) TOTAL SURPLUS OR (SHORTFALL) ($18,357,309) 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 TRUSTEES OF MEASE HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS IN THE COMMUNITIES IT SERVES. TRUSTEES OF MEASE HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. IN ADDITION, TRUSTEES OF MEASE HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE 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 TRUSTEES OF MEASE HOSPITAL, 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 FOR ASSISTANCE TRUSTEES OF MEASE HOSPITAL, INC. FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE TRUSTEES OF MEASE HOSPITAL, INC. FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, TRUSTEES OF MEASE HOSPITAL, INC. ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. PART VI LINE 4 Community Information Mease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas 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 13.5% of the population. 14.1% of households have annual household income below $15,000 per year. Mease Hospitals are part of BayCare Health System that serves West Central Florida. The area served by Mease Hospitals has 8 hospitals with 5 being Not-For-Profit. There is 1 federally designated medically underserved area and 4 federally designated medically underserved populations in Mease Hospitals' service area. With the over 65 population expected to grow 14.5% in the next five years, the health care needs of our service area are expanding and changing. The population served by Mease Hospitals is expected to grow 3.7% in the next 5 years. This expected growth is similar to the expected growth rate for the United States which is 3.5%. However, the population Age 55+ is expected to grow 12.3% in the next 5 years. Based on Florida inpatient discharge data for the period of 10/01/13-09/30/14, the payor mix for the geographic area consists of 54.2% Medicare/Medicare HMO, 14.9% Medicaid/Medicaid HMO, 19.9% Commercial Insurance, 7.6% Self-pay/Non-payment, and 3.4% Other. PART VI LINE 5 PROMOTION OF COMMUNITY HEALTH Residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help in 1937. Today Mease Dunedin is a 120-bed hospital celebrating more than 75 years of meeting the needs of the community it serves. Mease Dunedin Hospital was recognized by the American Heart Association and American Stroke Association in receiving the 2015 Get With the Guidelines Target Stroke Honor Roll Elite Award and Stroke Gold Plus Achievement Award. Mease Countryside Hospital originally began as a satellite clinic to Mease Dunedin Hospital. The needs of the community grew along with a housing boom and in 1985 Mease Countryside Hospital opened. Today, Mease Countryside Hospital is a 311-bed facility. Mease Countryside Hospital has been nationally recognized by Truven nine times in a study identifying the 100 top U.S. hospitals based on their overall organizational performance. The Truven Health 100 Top Hospitals study evaluates performance in 10 areas mortality, medical complications, patient safety, average patient stay, expenses, profitability, patient satisfaction, adherence to clinical standards of care, core measures score, and post-discharge mortality and readmission rates for acute myocardial infarction (heart attack), heart failure, and pneumonia. 2014 Overview Mease Dunedin Hospital Behavioral Health Center To provide additional access to mental health services in Pinellas County, BayCare and Mease Dunedin Hospital opened a 32-bed specialized inpatient Behavioral Health Center in 2014. The new unit gives the community additional access to convenient acute inpatient care that is part of a comprehensive treatment continuum. The Behavioral Health Center features three separate units - one for adults with 12 beds, one for children and adolescents with 10 beds and one for geriatric patients with 10 beds. Mease Dunedin's third floor was rebuilt into a separate space with units for each patient group separated into individual wings. Weight Loss Surgery Program Mease Dunedin Hospital is the center for the Surgical Bariatric Program within Morton Plant Mease. Mease Dunedin is in the final stages of becoming a Bariatric Surgery Center. Nursing Excellence In 2014, Mease Dunedin Hospital achieved Pathway to Excellence designation by the American Nurses Credentialing Center (ANCC). The Pathway to Excellence designation identifies the elements of work environments where nurses can flourish. The designation substantiates the professional satisfaction of nurses at Mease Dunedin and identifies it as one of the best places to work. For an organization to earn the Pathway to Excellence distinction, it must successfully undergo a thorough review process that documents foundational quality initiatives in creating a positive work environment - as defined by nurses and supported by research. These initiatives must be present in the facility's practices, policies and culture. As a Pathway to Excellence designated organization, Mease Dunedin is committed to nurses, to what nurses identify as important to their practice, and to valuing nurses' contributions in the workplace. This designation confirms to the public that nurses working at Mease Dunedin know their efforts are supported. Mease Countryside Hospital Master Facility Plan Mease Countryside Hospital has completed the first phase of its proposed master facility plan with the construction of its new central utilities plant. The central utilities plant contains the hospital's new emergency power generators, climate control, a state of the art control room and other important equipment. Women's & Children's Care Serving North Pinellas and Pasco counties, the Women and Children's Center at Mease Countryside Hospital seeks to combine modern technology with personalized, family-centered care. For infants needing specialized care, the Level III neonatal intensive care unit is available. Birthing, childcare and breastfeeding classes are offered to expectant parents, as well as an online class for parents who prefer to learn on their own schedule. In 2014, an additional eight- bed mother-baby unit opened to accommodate future growth. Mease Countryside has been recognized for its support of breastfeeding mothers. The hospital received the Care Award from the International Board of Lactation Consultant Examiners (IBLCE) and the International Lactation Consultant Association (ILCA). Mease Countryside also was designated "Baby Friendly" for demonstrating its ability to offer breastfeeding mothers the information, skills and support needed to successfully initiate and continue breastfeeding their babies. Pre-Natal Care for Drug Treatment Patients Babies born to mothers addicted to drugs are a problem in the state of Florida and across the country. Mease Countryside offers expectant moms addicted to drugs a program that crosses the continuum of care from prenatal through hospital stay. The hospital has reached out to drug treatment centers to get expectant mothers who are using methadone into a special prenatal class. The hospital also provides a parent advocate who works one-on-one with the parents to enhance bonding and teach parenting skills such as soothing techniques for babies suffering the effects of drug withdrawal. St. Joseph's Children's at Morton Plant Mease Mease Countryside Hospital continued its commitment to strengthen and advance children's care in north Pinellas and south Pasco counties through its partnership with St. Joseph's Children's Hospital. Called St. Joseph's Children's at Morton Plant Mease, the goal of the partnership is to offer the community more access to innovative and high-tech care in a family-centered setting. Through the partnership Mease Countryside offers pediatric emergency services, neonatal intensive care units, and an enhanced 15-bed, private inpatient children's unit. A child life specialist works with children and their parents to bring a sense of normalcy to the experience of hospitalization. Through Children's Advocacy, Mease Countryside Hospital provides leadership, experience and expertise as a community and state resource to advocate for the health and wellbeing of children and their families. Educational classes and community activities include home safety assessments, asthma assessments, asthma education, child passenger safety education, bicycle and pedestrian safety education, fall prevention education, drowning prevention education, and fire/burn and poisoning prevention education. Children's Advocacy also works to make families aware of Florida KidCare insurance. The St. Joseph's Children's Specialty Center on the Mease Countryside campus provides the north Pinellas and south Pasco communities greater access to physical, occupational, speech, and sensory therapy programs. The center also houses pediatric physician specialty services for neurology, gastroenterology, endocrinology and cardiology and offers convenient, on-site pediatric laboratory services and a community education room for parent information and education. Morton Plant Mease Concussion Management Program for Student Athletes Morton Plant Mease's sports medicine program for student athletes screened 1,085 student athletes in 2014, with ImPACT, (Immediate Post-Concussion Assessment and Cognitive Testing) an objective measurement tool used for concussion screenings. ImPACT is a neurocognitive test that measures visual and verbal memory, reaction time, visual motor time, and impulse control. The baseline test is compared to a follow up test after a concussion occurs to determine if there are any changes in the brain, whether or not the student athlete needs to be sidelined for a period of time, and when an athlete can return to play. Sports Medicine Conference Ensuring the health of middle and high school athletes was the focus of the 2014 BayCare Sports Medicine Conference, titled Keeping Young Athletes in the Game. Physicians and dieticians from throughout BayCare Health System spoke to parents, athletic trainers, youth coaches and health professionals about keeping young athletes healthy. Presentations included information on preventing overuse injuries; female athletes and eating disorders; managing the child athlete's asthma; and gaining a competitive edge through good nutrition. BayCare's Sports Medicine team also explored the hidden threat of concussion in young athletes. David Epstein, a senior writer for Sports Illustrated and author of the bestseller, The Sports Gene, was the keynote speaker. Community Screenings Morton Plant Mease screened community members on such diseases and conditions as high blood pressure, skin cancer, memory disorders, sleep disorders, sports injuries and cardiovascular disease. In addition, Morton Plant Mease gave free athletic physicals to 175 Pinellas County high school students. Our comprehensive physicals included checks of height, weight, blood pressure, vision and lungs, as well as a musculoskeletal exam. Support Groups Morton Plant PART VI LINE 6 AFFILIATED HEALTH CARE SYSTEM Trustees of Mease Hospital, Inc. is part of BayCare, a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 13 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and wellness. BayCare's 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 In 2014, BayCare hospitals provided 144,475 discharges and 544,678 emergency room visits. BayCare's network also includes 3,419 licensed beds, an expanding physician network, a comprehensive home health agency, three wellness centers, four ambulatory surgery centers, seven urgent care centers, 13 outpatient imaging facilities, outreach laboratories, retail pharmacies, and two stand-alone, behavioral health centers. BayCare has been developing an overall strategy to address the community's growing needs around post acute and ambulatory services. With a continued focus on establishing the foundation for population health management, BayCare strives to improve the area's access to affordable, high-quality health care. Creating the infrastructure to manage risk and population health is a multi-year initiative that encompasses aligning physicians, acquiring insurance competencies, developing information systems, and expanding care management capabilities. In this regard, BayCare has continued to expand its physician practices to 154 access points with 411 employed physicians. In 2014, its clinically integrated network, BayCare Physician Partners, grew to 943 specialists, 388 primary care physicians and 157,000 covered lives. BayCare also created a new organization, BayCare Physician Partners ACO, LLC, and applied to participate in the Medicare Shared Savings Program. BayCare will further mature its population health initiatives by working with the Centers for Medicare and Medicaid, and managing Medicare beneficiaries in the market. BayCare was founded in 1997 when several of the area's not-for-profit hospitals came together, united by the common Mission to improve the health of all they served. As an integrated health system, BayCare's hospital members believed they could reduce costs by consolidating administrative functions and services, and improve quality by sharing best practices. BayCare is currently one of the largest employers in the region with 23,600 employees and one of the few health systems in the nation with a top-decile, AA2 credit rating. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, St. Joseph's Hospital-North, St. Joseph's Hospital-South, Winter Haven Hospital and Winter Haven Women's. Today, BayCare's 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 each hospital's ability to serve the health needs of its local communities and continue providing traditional charity care and unbilled community services to uninsured and underinsured residents. BayCare also provides the organizational commitment and corporate infrastructure to help its hospitals and services continue striving to be among the highest quality organizations in the country, with a shared culture centered on continuous improvement and serving the needs of patients, regardless of their ability to pay. In 2014, BayCare provided $266.4 million in community benefit, which includes $117.3 million in traditional charity care, $139 million in Medicaid and other means-tested programs, and $10.1 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare also continues to refocus its strategic vision around 4 Key Results: 1. Patient-Centered Experience - A relationship with patients that places them first in everything we do. 2. One Standard of Care - Reducing variation by adhering to standard processes which assure best practices. 3. Top-Decile Performance - Consistently performing in the top 10 percent of publicly reported quality and service measures. 4. Preservation of Financial Stability - Maintaining its AA credit rating and level of market relevance to secure future access to the capital necessary to advance health care quality and access. PART VI LINE 7 STATE FILING TRUSTEES OF MEASE HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. true SUNCOAST COMMUNITY HEALTH CENTERS INC 13110 ELK MOUNTAIN DR RIVERVIEW FL 33579 591741303 501(c)(3) 249000 0 Donation 1 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 TRUSTEES OF MEASE HOSPITAL, INC. IS COMMITTED TO ASSISTING NON-PROFIT ORGANIZATIONS WHOSE FOCUS IS TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EACH CASH DONATION REQUEST IS REVIEWED BY TRUSTEES OF MEASE HOSPITAL, INC.'S SENIOR MANAGEMENT TEAM TO DETERMINE WHETHER THE ORGANIZATION IS ONE WE WANT TO DONATE TO, BASED ON THE ORGANIZATION'S MISSION, NON-PROFIT STATUS, AND USAGE OF FUNDS. ONCE APPROVED, WE REQUIRE PROPER DOCUMENTATION FROM THE ORGANIZATION OF ITS NON-PROFIT STATUS, AND AS NEEDED, FOLLOW-UP WITH THE ORGANIZATION TO ENSURE THE ACTIVITY OCCURRED. true true false false false false false false false STEPHEN MASON TRUSTEE/PRES/CEO BAYCARE 0 1212566 0 587025 0 804282 0 28683 0 24129 0 2656685 0 0 GLENN WATERS TRUSTEE/PRES/EVP BAYCARE HOSP 0 769166 0 246271 0 85196 0 118321 0 33805 0 1252759 0 0 CARL TREMONTI CFO BAYCARE HOSP DIV 0 343558 0 80851 0 80159 0 13923 0 11794 0 530285 0 0 LOUIS GALDIERI PRES MEASE HOSP 0 304482 0 74077 0 66094 0 21770 0 15667 0 482090 0 0 CELIA LARIMORE DIRECTOR SURGICAL SVCS MEASE 167521 0 18897 0 129012 0 11894 0 9700 0 337024 0 0 0 ROBIN LAPHAM DIRECTOR PATIENT SVCS MEASE 158952 0 16772 0 895 0 8641 0 17261 0 202521 0 0 0 GERALD MASSEY DIRECTOR OPERATIONS MEASE 158238 0 16339 0 594 0 8321 0 6381 0 189873 0 0 0 KELLY CULLEN DIRECTOR PATIENT SVCS 161511 0 18029 0 497 0 8662 0 14618 0 203317 0 0 0 MOHSEN HABIB MANAGER PHARMACY 148131 0 9463 0 11423 0 8326 0 23249 0 200592 0 0 0 RODNEY CAVALIER CLINICAL PHARMACIST 120579 0 45855 0 647 0 7332 0 18859 0 193272 0 0 0 MAIKEL BOLOS CLINICAL PHARMACIST 140471 0 15425 0 5836 0 7540 0 7383 0 176655 0 0 0 NICOLE HANNA CLINICAL PHARMACIST 145892 0 1475 0 254 0 7440 0 6982 0 162043 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 4a Celia Larimore received a severance payment in the amount of $91,957 during 2014. Part I, Line 4b Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $740,856 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $310,789 in 2014. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $70,489 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other Compensation. He had $98,732 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $29,570 in 2014. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $58,771 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. He had $923 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,655 in 2014. Louis Galdieri - Participated in a supplemental nonqualified deferred compensation plan. He had $57,025 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. He had $5,200 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $23,922 in 2014. PART VI Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters, Carl Tremonti and Stephen Mason are Board members of the 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 Trustees of Mease Hospital, 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 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 used by Management &/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 Trustees of Mease Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. 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 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 with the last review occurring in 2013 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 19 - how and if the governing documents, conflict of interest policy and financial statements are made available to the public Trustees of Mease Hospital, inc. publishes its financial statements with the agency for health administration. Governing documents and policies are not available for public inspection. PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS CHANGE IN NET ASSETS OF FOUNDATION ($31,213,989) BayCare Health System Inc 2985 Drew St Clearwater FL 33759 592796965 Support srvcs FL 501(C)(3) 11b na false Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 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 Medical Group Inc 300 S Park Place Blvd Ste 170 Clearwater FL 33759 593140335 health srvcs FL 501(C)(3) 9 MPMHC true Morton Plant Mease Health Care Found 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 na C corp 0 0 0.00000 true MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collections svcs FL na C corp 0 0 0.00000 true Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL na 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 Baycare Medical Group Inc a 265661 FMV Morton Plant Mease Health Care Foundation c 31213990 FMV Morton Plant Mease Health Services Inc k 89963 FMV Morton Plant Hospital Association Inc o 1180253 FMV Morton Plant Hospital Association Inc s 9370570 FMV