2015-11-09T19:29:29-06:00 2014-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2014-01-01 590624462 Morton Plant Hospital Association Inc % John Gantner EVP & CFO MORT 7274627878 300 Pinellas Street Clearwater FL 33756 CARL TREMONTI CFO 2015-11-06 KATHY PITTS P00292940 4048748300 2014 2016-04-25 22:37:26Z Glenn Waters 300 Pinellas St Clearwater FL 33756 660253661 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 23 4246 495 2581188 -1504399 9656158 7852527 584509614 642794468 308241 -23769 3834476 9589573 598308489 660212799 4823055 5944425 0 0 203143936 207672249 0 0 0 340789742 360563837 548756733 574180511 49551756 86032288 814739636 899513771 68939932 72535265 745799704 826978506 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 474111528 5944425 649891669 MORTON PLANT HOSPITAL ASSOCIATION, INC. (MPHA) IS A FULL-SERVICE 913-BED COMMUNITY HOSPITAL. DURING 2014, MPHA PROVIDED INPATIENT CARE TO 35,086 PATIENTS, TREATED 114,450 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 2,249 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM MPHA SAW A NET COMMUNITY BENEFIT EXPENSE OF $51.6 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $2.2 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 ADDITIONAL INFORMATION. 474111528 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 442 0 true 4246 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 true true X John Gantner EVP CFO 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 GAY LANCASTER TRUSTEE/SECRETARY 1.0 3.0 X X 0 0 0 V RAYMOND FERRARA TRUSTEE/CHAIRMAN 1.0 2.0 X X 0 0 0 JAMES CANTONIS TRUSTEE/VICE CHAIRMAN 1.0 3.0 X X 0 0 0 MAHESH AMIN TRUSTEE/PAST CHAIRMAN 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 NEIL HOCE PRES MORTON PLANT HOSP 1.0 45.0 X 0 512663 108656 MICHAEL YUNGMANN PRES MORTON PLANT NORTH BAY 1.0 45.0 X 0 364039 19604 ROBERT LYNCH DIRECTOR CARDIOLOGY SVCS 45.0 0.0 X 259267 0 5875 DIANA SHAND-KREIDLER DIR SURG SVCS MORTON PLAN HOSP 45.0 0.0 X 194025 0 33338 THOMAS DORIA DIR PAT CARE MORTON PLANT HOSP 45.0 0.0 X 193201 0 21548 MATTHEW NOVAK DIR. OPERATIONS MORTON PLANT 45.0 0.0 X 165712 0 23879 PATRICIA SAVITSKY CLINICAL PHARMACIST 45.0 0.0 X 192644 0 20539 ERIC CUDZIL CLINICAL PHARMACIST 45.0 0.0 X 187169 0 14808 TERRY KARFONTA DIR. PAT SVCS MORTON PLANT RHB 45.0 0.0 X 170772 0 23981 SHANNON HANCOCK DIR PAT SVCS MORTON PLNT N BAY 45.0 0.0 X 163528 0 31958 DANIELLE JONES CLINICAL PHARMACIST 45.0 0.0 X 161743 0 26209 HARREL ZIECHECK FRM PRES MORTON PLT N. BAY HSP 0.0 0.0 X 0 584746 21070 1688061 5670522 582120 101 true true false Skanska USA Building Inc 4030 Boyscout Blvd STE 200 TAMPA FL 33607 construction svcs 18516737 Wehr Constructors Inc 4425 Lois Ave TAMPA FL 33614 construction svcs 4092985 Bay Linen Inc 11525 47th Street N CLEARWATER FL 33762 Laundry services 3142125 Aegis Therapies Inc PO Box 8103 FORT SMITH AR 72902 Therapy services 2821158 IN Compass Health Inc 318 Maxwell Rd STE 500 ALPHARETTA GA 30009 Medical services 2530977 83 0 6358791 1322355 171381 0 7852527 Hospital patient care 621500 308819489 306282487 2537002 0 MEDICARE/MEDICAID PAYMENTS 621999 331609100 331609100 0 0 RENTAL INCOME FROM AFFILIATES 531120 2365879 2365879 0 0 642794468 0 0 0 728464 0 728464 0 728464 728464 0 17093 40862 -23769 -23769 -23769 0 0 0 0 MISCELLANEOUS REVENUE 900099 6245876 6201690 44186 0 Community affairs 624200 190816 190816 0 0 Cafeteria 722514 2424417 0 0 2424417 8861109 660212799 647354667 2581188 2424417 5944425 5944425 0 0 0 0 0 0 896847 707256 189591 0 0 0 0 0 176825567 176295632 529935 0 5766141 5748860 17281 0 11512261 11477759 34502 0 12671433 12625925 45508 0 0 0 0 16417 0 16417 0 0 0 0 0 21374 21374 0 0 0 0 0 0 0 0 25451515 24698715 752800 546061 545833 228 0 8483272 4889199 3594073 0 1047091 711519 335572 0 0 0 0 0 12774989 12592383 182606 0 892243 684244 207999 0 0 0 0 0 0 0 0 0 5163459 5163459 0 0 0 0 0 0 30409945 30376388 33557 0 10049408 7828970 2220438 0 Medical Supplies 115348462 115345607 2855 0 Management Fees 90152809 0 90152809 0 Bad Debt Expense 38229930 38229930 0 0 Assessments 6808797 6808797 0 0 15168065 13415253 1752812 574180511 474111528 100068983 0 0 812237 121660 0 0 0 0 64701781 71751507 0 0 0 0 575755 386182 10052451 10900758 2827436 2778052 702191517 367725958 314221976 334465559 1466 2781 0 0 5219564 5237288 14271179 9721179 402055791 464148805 814739636 899513771 33914757 39470230 0 0 570521 776647 0 0 0 0 0 0 3789382 3382350 0 0 30665272 28906038 68939932 72535265 X 745424137 826536644 375567 441862 0 0 745799704 826978506 814739636 899513771 X 86032288 -4853486 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 21374 21374 false Supplemental Information SCHEDULE C,PART II-B, LINE 11 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 386526852 189511287 197015565 6602175 4200369 2401806 211211954 174014302 37197652 66815645 66815645 334465559 Deposits 22095 Prepaid Physician Recruitment 653450 Due From Affiliates 463473260 464148805 0 Deposits 20067 ASSET RETIREMENT OBLIGATION - ST 130600 ASSET RETIREMENT OBLIGATION - LT 115693 ESTIMATED THIRD PARTY SETTLEMENTS 28639678 28906038 651042114 651042114 9170685 9170685 660212799 569929607 569929607 4250904 4250904 574180511 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B REVENUES NETTED WITH EXPENSES $9,170,685 SCHEDULE D, PART XII, LINE 4B REVENUES NETTED WITH EXPENSES $4,250,904 true true X true X 250. false true true false true true 2 25869 33527486 847473 32680013 0.06100 2 41687 64039049 45175593 18863456 0.03520 2 89 140645 47154 93491 0.00010 6 67645 97707180 46070220 51636960 0.09630 14 8591 131545 131545 0.00020 4 123 1851996 1851996 0.00350 15 13 245420 245420 0.00050 33 8727 2228961 2228961 0.00420 39 76372 99936141 46070220 53865921 0.10050 2 3150 3150 0.00000 2 98 1181 1181 0.00000 2 694 694 0.00000 6 98 5025 5025 0.00000 true 38229930 18577545 157949548 168929278 -10979730 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 300 Pinellas 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 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 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. Both Morton Plant Hospital and Morton Plant North Bay Hospital have the same major priorities but the specific strategies employed to meet these priorities are customized to their respective markets and communities. All three of the priorities have action plans that either have been implemented or are currently being implemented. 1) Improve access to affordable healthcare: Morton Plant Hospital (MPH) has signed an agreement with Pinellas County government to provide services to their clients, most of which are uninsured. MPH continues to work with a number of Clearwater based free and community clinics (including Clearwater Free Clinic, La Clinica Guadalupana, The Willa Carson Health Center, and Community Health Centers of Pinellas (FQHC)) to improve process for setting up appointments for patients leaving the hospital. For Morton Plant North Bay (MPNBH) collaborative efforts were initiated and are ongoing with New Port Ritchey community based clinics Premier Community Health Clinic and the Good Samaritan Clinic. In addressing the need for mental health issues, MPM Behavioral Health created the "Pathways" program a navigator service to assist patients and families in accessing and optimizing the mental health services available in the community for them. The Pathways programs provided services to over 2000 patients and their families in the MPM market area in 2014. In addition, MPNBH, through their Recovery Center increased the number of pediatric mental health beds from 17 to 20 and introduced a detox program to respond to these needs in the Pasco County community. Both hospitals also have a grant funding to provide prescription assistance to indigent patients using the BayCare Health System pharmacies. All MPM hospitals participated in a "financial assistance navigator" program that assists uninsured residents in Pinellas and Pasco counties in identifying and applying for qualifying medical benefits. In 2014 MPH averaged between 2500-3000 (per quarter) and MPNBH averaged between 1500-2000 (per quarter) uninsured residents assisted in identifying and applying for medical benefits including hospitals based assistance (charity care). 2) Decrease the prevalence of clinical health issues: Both hospitals are addressing a number of prevalent clinical health issues in their communities. Specific programs have been introduced for Diabetes and Congestive Heart Failure patients where tracking mechanisms have been set up to follow up on patients to reduce readmissions back to the hospital for these chronic diseases 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 with pulmonary diseases (e.g. COPD) and these patients are linked up with a Pulmonary Rehab Clinic and timely appointments to manage their medication to treat their COPD. The stroke coordinator for the MPM Hospitals offers community lectures and has put together educational brochures to educate the community on stroke systems. Flyers on stroke awareness were mailed out to the surrounding community with information as well. 3) Improve healthy behavior and the environment. Both MPH and MPNBH Hospitals actively sponsor Faith Community Nursing to follow up with discharged patients to actively prevent readmissions to the hospital and to improve the 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 REHAB FACILITY 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 Rehab Facility Ptak Orthopedic & Neuroscience Pavilion 430 Morton Plant Street Suite 101 Clearwater FL 33756 Rehab Facility 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 $38,229,930 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, & 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 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) ($10,979,730) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($21,563,167) TOTAL SURPLUS OR (SHORTFALL) ($32,542,897). 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 is 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 13.5% of the population. 15.4% 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 16 hospitals with 9 being Not-for Profit. There are 2 federally designated medically underserved areas and 4 federally designated medically underserved populations in Morton Plant Hospitals' service area. With the service area expanding and the over 65 population expected to grow almost 12% 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 3.9% in the next 5 years. This expected growth is higher than the expected growth rate for the United States of 3.5%. 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 53.2% Medicare/Medicare HMO, 16.2% Medicaid/Medicaid HMO, 19.8% Commercial Insurance, 7.4% Self-pay/Non-payment, and 3.4% 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 6,900 Morton Plant Mease employees and more than 1,220 board-certified physicians. Community Benefit Homeless Outreach According to a 2014 Point in Time study from the Pinellas County Homeless Leadership Board, approximately 5,887 homeless men, women and children live in Pinellas County. The study revealed that 36 percent of respondents admitted to experiencing depression, 52 percent deal with serious mental illness, 35 percent reported substance abuse disorder and 20 percent said they have post-traumatic stress disorder (PTSD). While these are not clinical diagnoses, high reported prevalence rates of depression, physical disability, mental illness, alcohol and/or drug abuse, and PTSD, as well as a willingness to admit to these, indicates a substantial need for help with regard to these conditions among the homeless population. BayCare Behavioral Health, the Homeless Emergency Project (HEP) and Morton Plant Hospital partnered to apply for and receive a five-year grant of $400,000 each year from 2009 through September 2014 for a total of $2 million from the U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT). The project, entitled Supportive Housing Overlay Program (SHOP), provided intensive service delivery in therapeutic recovery, clinical and case management areas that contribute to homeless intervention and treatment programming. The staff was strongly supported by BayCare and HEP leadership and had no administrative obstacles other than the complex challenges brought on by this high-risk, co-occurring homeless population which requires holistic intervention leading to permanent housing. SHOP used motivational interviewing since it appears to have meaningful impact with the target population. This has strengthened the alliance for creating the right ambiance for building a meaningful comfort zone for the client population to engage in program and evaluation activities. Significant findings on improvement for participants completing pre- and post-program evaluations indicated that the persistence of mental health symptoms was reduced. 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. VIP is designed to expand and strengthen treatment resources for 420 individuals based on identified local needs. This program will be operational until September 2015. At present, the evaluation team continues to assess this challenging case management and therapeutic treatment endeavor. Advisory group members are residents themselves, and this helps us remain concrete in areas which warrant new initiatives, attention and/or corrective action. The program also captures process data and interfaces it with outcome data in both areas of outreach and maintaining participants in a safe home and treatment environment including access to resources to support their recovery and reduce their clinical symptoms. Ultimately the goal of the program is to reduce clinical symptoms while improving the program participant's quality of life. 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 $182,647 in 2014 for support of ongoing services. Morton Plant Mease physicians and nurses also donated 1,100 hours of their time to provide care at two 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 Samaritan's patients at no cost. The Health Clinic treats patients with non-emergency medical needs who do not have health insurance, do not qualify for Medicare or Medicaid and do not have the financial means to pay for care. Premier Community Health Group: Morton Plant North Bay also provides lab and diagnostic testing services to Premier Community Health Group. As Pasco's 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 From the latest in advanced heart valve techniques, to advances in physical rehabilitation to international standards for newborn feeding and care, to GPS-like mapping of lung tumors, Morton Plant Hospital brought a variety of new resources and procedures to Clearwater and the North Pinellas County community in 2014. 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 Hospital has completed a major step in its multi-year campus transformation plan with the extension of its emergency room, Cantonis ER-1. Featuring an entrance relocated closer to the street for easier access, Cantonis ER-1 at Morton Plant offers patients and visitors a new waiting room, two triage rooms, four more patient rooms, coffee service, laptop tables and charging stations for phones and other electronic devices. Morton Plant North Bay Hospital Morton Plant North Bay Mitchell Rehabilitation Hospital Renovation To create a more patient-centered environment, Morton Plant North Bay Hospital began an expansion of its acute care Mitchell Rehabilitation Hospital. As the only Commission on Accreditation of Rehabilitation Facilities (CARF)-accredited facility in Pasco County and specializing in neurological Part VI Line 6 - Affiliated Health Care System Morton Plant Hospital Association, 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 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 CLEARWATER FL 33759 593140335 501(c)(3) 4970667 0 Residency Program BEHAVIORAL HEALTH MANAGEMENT SERVICES INC 323 Jeffords Street Clearwater FL 33756 593279573 501(c)(3) 837672 0 PATHWAYS PROGRAM SUNCOAST COMMUNITY HEALTH CENTERS INC 13110 ELK MOUNTAIN DR RIVERVIEW FL 33579 591741303 501(c)(3) 130936 0 3 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. 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 NEIL HOCE PRES MORTON PLANT HOSP 0 392184 0 103192 0 17287 0 85344 0 23312 0 621319 0 0 MICHAEL YUNGMANN PRES MORTON PLANT NORTH BAY 0 253920 0 100000 0 10119 0 7800 0 11804 0 383643 0 0 ROBERT LYNCH DIRECTOR CARDIOLOGY SVCS 118392 0 17694 0 123181 0 0 5875 0 265142 0 0 0 DIANA SHAND-KREIDLER DIR SURG SVCS MORTON PLAN HOSP 173085 0 19105 0 1835 0 9516 0 23822 0 227363 0 0 0 THOMAS DORIA DIR PAT CARE MORTON PLANT HOSP 171838 0 18902 0 2461 0 9337 0 12211 0 214749 0 0 0 MATTHEW NOVAK DIR. OPERATIONS MORTON PLANT 146417 0 16462 0 2833 0 8064 0 15815 0 189591 0 0 0 PATRICIA SAVITSKY CLINICAL PHARMACIST 144393 0 40045 0 8206 0 8479 0 12060 0 213183 0 0 0 ERIC CUDZIL CLINICAL PHARMACIST 143414 0 37885 0 5870 0 8104 0 6704 0 201977 0 0 0 TERRY KARFONTA DIR. PAT SVCS MORTON PLANT RHB 157137 0 13248 0 387 0 8303 0 15678 0 194753 0 0 0 SHANNON HANCOCK DIR PAT SVCS MORTON PLNT N BAY 146363 0 16674 0 491 0 8137 0 23821 0 195486 0 0 0 DANIELLE JONES CLINICAL PHARMACIST 150292 0 4600 0 6851 0 8054 0 18155 0 187952 0 0 0 HARREL ZIECHECK FRM PRES MORTON PLT N. BAY HSP 0 109351 0 25 0 475370 0 18978 0 2092 0 605816 0 55539 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 Harrel Ziecheck received a severance payment in the amount of $355,909 during 2014. Robert Lynch received a severance payment in the amount of $93,226 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. Neil Hoce - Participated in a supplemental nonqualified deferred compensation plan. He had $72,344 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. Harrel Ziecheck - Participated in a supplemental nonqualified deferred compensation plan. He had $61,143 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $492,512 in 2014. 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 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 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 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 2013, 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 and policies are not available for public inspection. PART XI, LINE 9 - OTHER CHANGE IN NET ASSETS CHANGE IN NET ASSETS OF FOUNDATION ($4,897,489) OTHER $44,003 TOTAL ($4,853,486) 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 Medical Group Inc 300 S Park Place Blvd Ste 170 Clearwater FL 33759 593140335 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 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 true true true false false false false true true true false true false true false false true true Baycare Medical Group Inc a(iv) 195932 FMV Morton Plant Mease Health Services Inc a(iv) 1175987 FMV Baycare Medical Group Inc b 4970667 FMV Morton Plant Mease Health Care Foundation c 4919781 FMV Trustees of Mease Hospital Inc i 3950697 FMV Morton Plant Mease Health Services Inc k 71136 FMV Trustees of Mease Hospital Inc o 1672053 FMV Morton Plant Mease Health Services Inc o 57512 FMV Morton Plant Mease Health Services Inc r 5084242 FMV Trustees of Mease Hospital Inc r 9862141 FMV Behavioral Health Management Services Inc b 837672 FMV