BAYCARE MEDICAL GROUP INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BAYCARE MEDICAL GROUP INC (EIN 59-3140335)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201303169349300645
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T17:30:34-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593140335EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Morton Plant Mease Primary Care IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Sandra ChittendenInCareOfName
Name ControlMORTNameControl
Phone7275242606Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 S Park PlaceAddressLine1
Address Line2Suite Ste 170AddressLine2
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN JACOBS MDName
TitlePRESIDENTTitle
Date Signed2013-11-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDr Stephen Jacobs MD PresNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place BlvdAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64885622GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mpmprimarycare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionMorton Plant Mease Primary Care will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees635TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year17431277ContributionsGrantsPriorYear
Contributions Grants Current Year16627409ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42178623ProgramServiceRevenuePriorYear
Program Service Revenue CY46729453ProgramServiceRevenueCY
Investment Income Prior Year6891InvestmentIncomePriorYear
Investment Income Current Year14391InvestmentIncomeCurrentYear
Other Revenue Prior Year-3706OtherRevenuePriorYear
Other Revenue Current Year1509767OtherRevenueCurrentYear
Total Revenue Prior Year59613085TotalRevenuePriorYear
Total Revenue Current Year64881020TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year63118GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY55200GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year46191111SalariesEtcPriorYear
Salaries Etc Current Year51725535SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12746825OtherExpensePriorYear
Other Expenses Current Year14184538OtherExpensesCurrentYear
Total Expenses Prior Year59001054TotalExpensesPriorYear
Total Expenses Current Year65965273TotalExpensesCurrentYear
Revenues Less Expenses Prior Year612031RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1084253RevenuesLessExpensesCY
Total Assets BOY8695639TotalAssetsBOY
Total Assets EOY8004046TotalAssetsEOY
Total Liabilities BOY3218332TotalLiabilitiesBOY
Total Liabilities EOY3611101TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5477307NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4392945NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMORTON PLANT MEASE PRIMARY CARE WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57624831Expense
Grants55200Grants
Revenue48248416Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense57624831TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees635NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSandra ChittendenNamePerson
Telephone Number7275242606TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place Ste 170AddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN JACOBS
Trustee and President45.0XX971739042458
VAKESH RAJANI
TRUSTEE AND VICE PRESIDENT45.0XX383272041251
ROBERT BURWELL
TRUSTEE AND SECRETARY1.0XX
JAMES CANTONIS
TRUSTEE AND CHAIRMAN1.0XX3.0
JAMES HARPER
TRUSTEE1.0X
PAT PERZEL
TRUSTEE1.0X
WILLIAM PRICE
TRUSTEE1.0X
JIM WATROUS
TRUSTEE1.0X
STEPHEN MASON
TRUSTEE1.0X040033584990850.0
DONALD POCOCK
TRUSTEE1.0X06651375728447.0
CARL TREMONTI
TRUSTEE AND CFO - MPM1.0XX03944654265749.0
GLENN WATERS
TRUSTEE1.0X0106624519346148.0
SEAN BRYAN
DIR FAM. PRACTICE RESIDENCY45.0307771031380X
KEVIN CORRIGAN
CHIEF ADMINI OFFICER - BCMG45.0311923036656X
MICHAEL WANGER
STAFF PHYSICIAN45.05388560368253.0X
HOWARD FEINGOLD
STAFF PHYSICIAN45.0427103046738X
NIVEDITHA REDDY
STAFF PHYSICIAN45.0544032032441X
HRISHI PATEL
STAFF PHYSICIAN45.0615604031887X
GEORGE MUTHALAKUZHY
STAFF PHYSICIAN45.0639984026053X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4740284TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6129205TotalReportableCompFrmRltdOrgs
Total Other Compensation668999TotalOtherCompensation
Number Individuals GT100 K124NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON
PO BOX 98347CHICAGOIL60693Software maintenance366769
INSIDE OUT CONSTRUCTION INC
812 LOUDEN AVEDUNEDINFL34698Construction Svcs227771
BAY AREA MEDICAL EXCHANGE INC
8222 118TH AVE N STE 620LARGOFL33773phone answering Svcs116813
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations16627409RelatedOrganizations
Total Contributions16627409TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Care6219992277013422770134
Medicare/Medicaid Payments6219991925397119253971
Management Fees56111023776052377605
Physician Fees62199923277432327743
FieldValueIRS element (for citing)
Total Program Service Revenue46729453TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6891TotalRevenueColumn
Exclusion$6,891ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1367Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4602Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3235Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3235TotalRevenueColumn
Exclusion-$3,235ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7500TotalRevenueColumn
Related Or Exempt Function Income7500RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS9000991539$1,539
HITECH ELECTRONIC MEDICAL RECORDS INCENTIVE62199915114631511463
FieldValueIRS element (for citing)
Total Other Revenue1513002TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64881020TotalRevenueColumn
Related Or Exempt Function Income48248416RelatedOrExemptFunctionIncome
Exclusion$5,195ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total55200Total
Program Services55200ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1579504Total
Management And General1579504ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43277102Total
Program Services39387855ProgramServices
Management And General3889247ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1463681Total
Program Services1333391ProgramServices
Management And General130290ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3177100Total
Program Services2898241ProgramServices
Management And General278859ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2228148Total
Program Services1915250ProgramServices
Management And General312898ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33405Total
Management And General33405ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total594Total
Program Services594ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1294924Total
Program Services1112047ProgramServices
Management And General182877ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total306736Total
Program Services299203ProgramServices
Management And General7533ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1261967Total
Program Services764731ProgramServices
Management And General497236ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total645032Total
Program Services120545ProgramServices
Management And General524487ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3717281Total
Program Services3359882ProgramServices
Management And General357399ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total218311Total
Program Services189901ProgramServices
Management And General28410ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1371901Total
Program Services1371901ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total662787Total
Program Services662787ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies25320422532042
Bad Debt Expenses11525541152554
Miscellaneous Expense771276468707302569
Corporate Allocation215728215728

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65965273Total
Program Services57624831ProgramServices
Management And General8340442ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36070BOY
EOY28799EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2102635BOY
EOY1845380EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY60985BOY
EOY2790EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1753109BOY
EOY1769169EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20153558LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17294541LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3233111BOY
EOY2859017EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1372581BOY
EOY1368215EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY136148BOY
EOY129676EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8695639BOY
EOY8004046EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3148635BOY
EOY3545438EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY69488BOY
EOY65663EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY209BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3218332BOY
EOY3611101EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5477307BOY
EOY4392945EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5477307BOY
EOY4392945EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8695639BOY
EOY8004046EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1084253ReconcilationRevenueExpenses
Reconcilation Other Changes-109ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14366222CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12028371CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15656809CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17431277CurrentTaxYearMinus1Year
Current Tax Year16627409CurrentTaxYear
Total76110088Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35024654CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37698286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37972890CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42178623CurrentTaxYearMinus1Year
Current Tax Year48240916CurrentTaxYear
Total201115369Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49390876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49726657CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53629699CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59609900CurrentTaxYearMinus1Year
Current Tax Year64868325CurrentTaxYear
Total277225457Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509277225457PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105206CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23913CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21008CurrentTaxYearMinus1Year
Current Tax Year8258CurrentTaxYear
Total205598Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years105206CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23913CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21008CurrentTaxYearMinus1Year
Current Tax Year8258CurrentTaxYear
Total205598Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year1539CurrentTaxYear
Total1539Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49496082CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49773870CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53653612CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59630908CurrentTaxYearMinus1Year
Current Tax Year64878122CurrentTaxYear
Total277432594Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99925PublicSupportPercentage509
Prior Year Support Percentage0.99915PriorYearSupportPercentage
Investment Income Percentage0.00074InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00084PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$594OtherActivitiesAmount
Total Lobbying Expenditures IIB594TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C PART II-B, Line 1 iIdentifier
ExplanationDescription of Other Activities Expense Dues were paid to the Florida Medical Association, the association uses a portion of the dues to conduct lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6794086OtherCostOrOtherBasis
Depreciation5648118Depreciation
Book Value1145968BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13315243OtherCostOrOtherBasis
Depreciation11646423Depreciation
Book Value1668820BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44229OtherCostOrOtherBasis
Book Value44229BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2859017TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINSURANCE INVESTMENTSDescription
Book Value1368215BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1368215TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt45977609TotRevenueEtcAuditedFinclStmt
Revenue Subtotal45977609RevenueSubtotal
Other Revenues Not Included18903411OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt18903411RevenueNotRptdOnFinStmt
Total Revenue Per Form99064881020TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt57915202TotExpensesEtcAuditedFinclStmt
Expenses Subtotal57915202ExpensesSubtotal
Other Expenses Not Included8050071OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8050071ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065965273TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 4b Revenues netted with expenses $8,050,181 Contributions In net assets $10,853,231 rounding ($1) Total $18,903,411 Schedule D, Part XII, Line 4b Revenues netted with expenses $8,050,181 Premier Incentive Payment ($109) Rounding ($1) Total $8,050,071Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Morton Plant Mease Health Care FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 Druid Road SAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33756ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient591751535EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant55200AmountOfCashGrant
Purpose Of GrantCommunity ActivitiesPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceForm 990, Schedule I, Part I, Line 2ReturnReference
ExplanationMPM Primary Care contributes to organizations that are in alignment with our mission. We strive to ensure that contributions are made to organizations that improve the health and well-being of the communities we serve. Typically, members of management are involved with these organizations and monitor the benefits our local community receives from these contributions.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SEAN BRYAN
DIR FAM. PRACTICE RESIDENCY27095103418002640084500229300339151000
STEPHEN JACOBS
Trustee and President4958360189500028640301250002995801014197000
MICHAEL WANGER
STAFF PHYSICIAN2191650317051026400125000243250575681000
VAKESH RAJANI
TRUSTEE AND VICE PRESIDENT300783079849026400185620226890424523000
HOWARD FEINGOLD
STAFF PHYSICIAN177664024758101858037788089500473841000
KEVIN CORRIGAN
CHIEF ADMINI OFFICER - BCMG2469080444450205700147160219400348579000
STEPHEN MASON
TRUSTEE01091361066235002249647024790025118040532660583588
DONALD POCOCK
TRUSTEE04283990140898095840030663026621072242100
CARL TREMONTI
TRUSTEE AND CFO - MPM0254694087048052723030752011905043712200
GLENN WATERS
TRUSTEE0714965033676001452001633200301410125970600
NIVEDITHA REDDY
STAFF PHYSICIAN2452750297017017400134420189990576473000
HRISHI PATEL
STAFF PHYSICIAN2446130369275017160149190169680647491000
GEORGE MUTHALAKUZHY
STAFF PHYSICIAN243379039510501500064900195630666037000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationSchedule J, 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. Schedule J, Part I, Line 4b Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in his benefits in 2012. He had $2,212,111 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $806,314 in 2012. Donald Pocock - Participated in a supplemental nonqualified deferred compensation plan. He had $72,901 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $12,574. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $26,572 in 2012. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $33,747 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. He had $18,473 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $9,459. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $12,301 in 2012. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2012. He had $145,547 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $14,809. These amounts are included in Part II (C) Retirement and other deferred compensation.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part III and Part VIForm 990, Part III-Program Services All Morton Plant Mease Primary Care (MPMPC) offices are community based and located throughout Pinellas and Pasco Counties to enhance patient access to quality medical care. Through our affiliation with BayCare and Morton Plant Mease Healthcare, we provide our patients with access to inpatient and outpatient services at facilities that are nationally recognized for quality of care and services. Our 100+ board certified primary care physicians performed 394,529 visits in 2012. During this period, we provided nearly $323,000 in charity care to the community and donated significant hours of free medical care and education in furtherance of our mission. Our physicians volunteer, without compensation at community based organizations such as Hope International Orphanage, the Sickle Cell Anemia Foundation, the American Cancer Society and the Clearwater Free Clinic and regularly provide free care through community screening events. MPMPC also provides the clinical environment for the Turley Family Practice Residency Program, which in affiliation with the University of South Florida, provides the faculty instruction of new Family Medicine Residents. Given the shortage of primary care physicians nationally, this is critical to improving the community's access to quality care as many of these residents stay in the community or are employed by BayCare / MPMPC upon completion of their residency. In furtherance of our mission to improve the care of all we serve, MPMPC continues to expend significant resources on improvements in patient quality care and safety. The MPMPC Patient Quality and Safety Committee, formed in 2007, comprised of physician volunteers, continue to oversee the group's efforts in clinical protocol development and safety related programs. As a direct result of this Committee's efforts, MPMPC was one of the first practices in Florida to have all office locations receive NCQA Recognition as a Level III Patient Centered Medical Home for the coordinated care that we provide our patients. In addition, MPMPC physicians have received individual recognition by the NCQA for the quality of our Diabetes and Heart / Stroke care. With our clinical protocol chart reviews in the areas of Diabetes, Hypertension, Hyperlipidemia, Mammogram Screening, Depression Screening, Vaccine administration, Colo-Rectal Cancer , Abdominal Aortic Aneurysm screening, Obesity and Smoking Cessation and our group-wide adoption of an electronic medical record, we are confident that our group's clinical outcomes are among the best in the country. The development of a Diabetes Registry has also been instrumental in our group's efforts toward population health and realizing improvement in clinical outcomes measures. Our MPMPC Patient Satisfaction surveys (Avatar) confirm the community's reliance on our physicians with satisfaction scores benchmarked in the highest percentile of all group practices surveyed nationally. Form 990, Part VI, Line 2 - Description of Family or Business Relationship Stephen Mason, Glenn Waters and Carl Tremonti are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Form 990, Part VI, Line 6 - Description of Classes of Members or Stockholders The Morton Plant Mease Primary Care (MPMPC) bylaws state that the member of MPMPC is Morton Plant Mease Health Care, Inc (MPMHC). Form 990, Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Articles of Incorporation state that the Member (MPMHC) shall appoint directors for MPMPC. Form 990, 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 MPMPC's Operating Budget and Capital Budget are approved by its Member, MPMHC. Any major corporate restructures are also approved by its Member. Form 990, 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, a final copy of the Form 990 will be made available to the entire Board via a web portal. Form 990, Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Morton Plant Mease Primary Care, 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 VIForm 990, Part VI, Lines 15a & 15b - Process Used for Compensation Review and Approval The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & CFO, 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 2011, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, 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 Mease Primary Care, Inc does not make its financial statements, governing documents or conflict of interest policy available to the public.
Part XI, Line 9Premier Incentive Payment ($109)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MPM IMMEDIATE CARE CENTERS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place Blvd Ste 170AddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
EIN202928709EIN
Primary ActivitiesHealth SrvcsPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income2352080TotalIncome
EOY Assets715243EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MPMPCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Morton Plant Mease Health Care Inc
300 Pinellas StreetClearwaterFL33756592374556Support srvcsFL501(c)(3)11BNAfalse
Morton Plant Mease Health Care Found Inc
1200 Druid Road SouthClearwaterFL33756591751535FundraisingFL501(c)(3)11AMPHATOMfalse
Morton Plant Hospital Association Inc
300 Pinellas StreetClearwaterFL33756590624462Health srvcsFL501(c)(3)3MPMHCtrue
Morton Plant Mease Health Services Inc
8452 118th Ave NLargoFL33773592600684Health srvcsFL501(c)(3)9MPMHCtrue
Trustees of Mease Hospital Inc
601 Main StreetDunedinFL34698590855412Health srvcsFL501(c)(3)3MPMHCtrue
BayCare Health System Inc
16255 Bay Vista DriveClearwaterFL33760592796965Support SrvcsFL501(c)(3)11Anafalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Trinity Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12102 Trinity Oaks BlvdAddressLine1
CityNew Port RicheyCity
StateFLState
ZIP Code34655ZIPCode
FieldValueIRS element (for citing)
EIN020656933EIN
Primary ActivityHealth srvcsPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income Typen/aPredominantIncomeType

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Global Health Care Inc
8452 118th Avenue NorthLargoFL33773591853449Health srvcsFLnaC corptrue
MFP Inc
628 Bypass RoadClearwaterFL33764592374569Collection srFLnaC corptrue
Morton Plant Health Ventures Inc
8452 118th Avenue NorthLargoFL33773592728600Supporting srFLnaC corptrue
Medspecialists Inc
16255 Bay Vista DriveClearwaterFL33760680587533Health srvcsFLnaC corptrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Morton Plant Hospital Association Inc
C5677178FMV
Morton Plant Mease Health Services Inc
K263604FMV
Trustees of Mease Hospital Inc
K253666FMV
Morton Plant Hospital Association Inc
K99917FMV
Morton Plant Hospital Association Inc
s721802FMV

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