TRUSTEES OF MEASE HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TRUSTEES OF MEASE HOSPITAL INC (EIN 59-0855412)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349300646
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)
Timestamp2013-11-11T17:29:57-06:00Timestamp
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)
EIN590855412EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Trustees of Mease Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Carl TremontiInCareOfName
Name ControlTRUSNameControl
Phone7274627697Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1
Address Line2SuiteAddressLine2
CityDunedinCity
StateFLState
ZIP Code34698ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL TREMONTIName
TitleCFOTitle
Date Signed2013-11-07DateSigned

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 PersonGlenn WatersNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1601 Main StreetAddressLine1
CityDunedinCity
StateFLState
ZIP Code34698ZIPCode
FieldValueIRS element (for citing)
Gross Receipts362124625GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.measehospitals.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1938YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTrustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees2598TotalNbrEmployees
Total Nbr Volunteers767TotalNbrVolunteers
Total Gross UBI18187TotalGrossUBI
Net Unrelated Business Txbl Income11958NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2486532ContributionsGrantsPriorYear
Contributions Grants Current Year1553837ContributionsGrantsCurrentYear
Program Service Revenue Prior Year361143068ProgramServiceRevenuePriorYear
Program Service Revenue CY346663105ProgramServiceRevenueCY
Investment Income Prior Year-102871InvestmentIncomePriorYear
Investment Income Current Year286039InvestmentIncomeCurrentYear
Other Revenue Prior Year4772225OtherRevenuePriorYear
Other Revenue Current Year13490289OtherRevenueCurrentYear
Total Revenue Prior Year368298954TotalRevenuePriorYear
Total Revenue Current Year361993270TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year184622GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY202825GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year125228933SalariesEtcPriorYear
Salaries Etc Current Year124794608SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year190833546OtherExpensePriorYear
Other Expenses Current Year193434698OtherExpensesCurrentYear
Total Expenses Prior Year316247101TotalExpensesPriorYear
Total Expenses Current Year318432131TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52051853RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43561139RevenuesLessExpensesCY
Total Assets BOY446527449TotalAssetsBOY
Total Assets EOY474236120TotalAssetsEOY
Total Liabilities BOY36093542TotalLiabilitiesBOY
Total Liabilities EOY21658438TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY410433907NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY452577682NetAssetsOrFundBalancesEOY
Mission DescriptionTrustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense267273878Expense
Grants202825Grants
Revenue355735702Revenue
DescriptionTrustees of Mease Hospital, Inc. (TOM) is a full-service 443-bed community hospital. During 2012, TOM provided inpatient care to 21,428 patients, treated 77,301 patients in the emergency department, and delivered 2,075 babies. Through efforts of the medical assistance program and the hospital's charity care program TOM saw a net community benefit expense of $26.0 million. The hospital also provided other community services totaling more than $1.5 million. Some of the programs included Faith Community Nursing, Health Fairs, and Support groups. Refer to Schedule H for additional information.Description
Total Program Service Expense267273878TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096312NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2598NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 PersonCarl TremontiNamePerson
Telephone Number7274627176TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 PINELLAS STAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33756ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GLENN WATERS
TRUSTEE AND PRESIDENT1.048.0XX01066245193461
MAHESH AMIN
TRUSTEE AND CHAIRMAN1.03.0XX
ED ARMSTRONG
TRUSTEE1.03.0X
ALAN BOMSTEIN
TRUSTEE1.03.0X
JAMES CANTONIS
TRUSTEE1.03.0X
V RAYMOND FERRERA
Trustee and VICE CHAIRMAN1.04.0XX
WILLIAM HORNE
TRUSTEE AND SECRETARY1.02.0XX
JIM HUGUET
TRUSTEE1.02.0X
LONNIE KLEIN
TRUSTEE1.02.0X
ODALYS LARA
TRUSTEE1.02.0X
ROBERT MCGIVNEY
TRUSTEE AND TREASURER1.03.0XX
LARRY MORGAN
TRUSTEE1.03.0X
THOMAS NASH
TRUSTEE1.02.0X
STEPHEN MASON
TRUSTEE1.050.0X0400335849908
MARC BOWMAN
TRUSTEE1.02.0X
DEWEY MITCHELL
TRUSTEE1.02.0X
NANCY RIDENOUR
TRUSTEE1.02.0X
STEPHANIE VANZANDT
TRUSTEE1.02.0X
THOMAS WHIDDON
TRUSTEE1.03.0X
GAY LANCASTER
TRUSTEE1.02.0X
CHRISTOS PITARYS
TRUSTEE1.02.0X
TED SMALL
TRUSTEE1.02.0X
MICHAEL WANGER
TRUSTEE1.047.0X053885636825
DEBBIE WHITE
TRUSTEE1.02.0X
CARL TREMONTI
CFO - MPM1.049.0X039446542657
CELIA LARIMORE
DIR SURGICAL SERVICES - MEASE45.0187617031510X
GERALD MASSEY
DIRECTOR, OPERATIONS - MEASE45.0170718014020X
ROBIN LAPHAM
DIR. PATIENT SERVICES - MCH45.0169797023145X
LOUIS GALDIERI
COO, MEASE HOSPITALS1.045.0039164751984X
MOHSEN HABIB
MANAGER PHARMACY45.0161119028614X
KELLY CULLEN
DIR PATIENT SVCS, MDH/ER45.0182850019146X
GERMAIN SIESS
MANAGER PHARMACY45.0138983018319X
NICOLE HANNA
CLINICAL PHARMACIST45.0139732023091X
MAIKEL BOLOS
CLINICAL PHARMACIST45.0145497012837X
PETER BLUMENCRANZ
FORMER DIRECTOR45.0072561436628X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1296313TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7120185TotalReportableCompFrmRltdOrgs
Total Other Compensation582145TotalOtherCompensation
Number Individuals GT100 K50NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEHR CONSTRUCTORS INC
4425 N LOIS AVTAMPAFL33614construction srvs2239959
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762LAUNDRY SERVICES2012230
PERKINS WILL
15057 Collections Center DrCHICAGOIL60693construction svcs1296727
SIEMENS MEDICAL SOLUTIONS USA
PO BOX 120001 Dept 0733DALLASTX75312IT Consulting1258037
GRAHAM FLORIDA II MEDICAL BLDGS
505 FIFTH AVE STE 200DES MOINESIA503092449architectural svcs939638
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K
Related Organizations1537507RelatedOrganizations
All Other Contributions16330AllOtherContributions
Total Contributions1553837TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT CARE621999187870369187870369
MEDICARE/MEDICAID NET REVENUE621999158597021158597021
RENTAL INCOME FROM AFFILIATES532000195715195715
FieldValueIRS element (for citing)
Total Program Service Revenue346663105TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column36595TotalRevenueColumn
Unrelated Business Revenue18187UnrelatedBusinessRevenue
Exclusion$18,408ExclusionAmount

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)
Real2715559Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2715559Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2715559TotalRevenueColumn
Exclusion$2,715,559ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other380799Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other131355Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other249444Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column249444TotalRevenueColumn
Exclusion$249,444ExclusionAmount

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA7223101702133$1,702,133
MISCELLANEOUS621999955351955351
HITECH ELECTRONIC MEDICAL RECORD INCENTIVE62199981172468117246
FieldValueIRS element (for citing)
Total Other Revenue10774730TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column361993270TotalRevenueColumn
Related Or Exempt Function Income355735702RelatedOrExemptFunctionIncome
Unrelated Business Revenue18187UnrelatedBusinessRevenue
Exclusion$4,685,544ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total202825Total
Program Services202825ProgramServices

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)
Total599806Total
Program Services412068ProgramServices
Management And General187738ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total106323280Total
Program Services106289587ProgramServices
Management And General33693ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3552607Total
Program Services3551481ProgramServices
Management And General1126ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6712102Total
Program Services6709975ProgramServices
Management And General2127ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7606813Total
Program Services7595235ProgramServices
Management And General11578ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total126Total
Management And General126ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total10098Total
Program Services10098ProgramServices

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)
Total7477109Total
Program Services6751768ProgramServices
Management And General725341ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total401566Total
Program Services401341ProgramServices
Management And General225ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5390106Total
Program Services3039999ProgramServices
Management And General2350107ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total228787Total
Program Services226105ProgramServices
Management And General2682ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7305559Total
Program Services7247311ProgramServices
Management And General58248ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total107175Total
Program Services3368ProgramServices
Management And General103807ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5821859Total
Program Services5815048ProgramServices
Management And General6811ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20761738Total
Program Services20754418ProgramServices
Management And General7320ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1695350Total
Program Services424619ProgramServices
Management And General1270731ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES5104791651047916
MANAGEMENT FEES4565373245653732
BAD DEBT EXPENSE1986378919863789
IMPAIRMENT LOSS1412045314120453

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13549335Total
Program Services12806474ProgramServices
Management And General742861ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total318432131Total
Program Services267273878ProgramServices
Management And General51158253ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6629BOY
EOY456248EOY

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)
BOY38162798BOY
EOY37685422EOY

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)
BOY4260412BOY
EOY3040823EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5981732BOY
EOY6062502EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1125669BOY
EOY1290697EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis340762178LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec182585462LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY175361027BOY
EOY158176716EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY345863BOY
EOY312168EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6783581BOY
EOY6050221EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY214499738BOY
EOY261161323EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY446527449BOY
EOY474236120EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14997748BOY
EOY14019667EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2363659BOY
EOY1166945EOY

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)
BOY5069082BOY
EOY4623095EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13663053BOY
EOY1848731EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36093542BOY
EOY21658438EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY410433907BOY
EOY452577682EOY

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)
BOY410433907BOY
EOY452577682EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY446527449BOY
EOY474236120EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses43561139ReconcilationRevenueExpenses
Reconcilation Other Changes-1417364ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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
Other ActivitiestrueOtherActivities
Other Activities$10,098OtherActivitiesAmount
Total Lobbying Expenditures IIB10098TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C PART II-B, LINE 1IIdentifier
ExplanationDUES WERE PAID TO THE FLORIDA HOSPITAL ASSOCIATION. THIS ASSOCIATION USES A PORTION OF ITS DUES FOR 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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11967167OtherCostOrOtherBasis
Book Value11967167BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis176640150OtherCostOrOtherBasis
Depreciation73380618Depreciation
Book Value103259532BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis75223OtherCostOrOtherBasis
Depreciation9403Depreciation
Book Value65820BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis135107087OtherCostOrOtherBasis
Depreciation109195441Depreciation
Book Value25911646BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16972551OtherCostOrOtherBasis
Book Value16972551BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings158176716TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value261161323BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets261161323TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
EST 3RD PARTY SETTLEMENTS$1,565,563
ASSET RETIREMENT OBLIGATION LT$108,620
ASSET RETIREMENT OBLIGATION ST$164,500
DEPOSITS$10,048
FieldValueIRS element (for citing)
Total Of Amounts1848731TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt360356622TotRevenueEtcAuditedFinclStmt
Other Revenues120144OtherRevenues
Revenue Not Rptd F990120144RevenueNotRptdF990
Revenue Subtotal360236478RevenueSubtotal
Other Revenues Not Included1756792OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1756792RevenueNotRptdOnFinStmt
Total Revenue Per Form990361993270TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt318212846TotExpensesEtcAuditedFinclStmt
Expenses Subtotal318212846ExpensesSubtotal
Other Expenses Not Included219285OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt219285ExpensesNotRptdOnFinStmt
Total Expenses Per Form990318432131TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSch D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 2d Unrealized gain on swaps $120,144 Schedule D, Part XI, Line 4b Change in net assets of foundation $1,537,507 Revenues netted against expenses $219,287 Rounding ($2) Total $1,756,792 Schedule D, Part XII, Line 4b Revenues netted against expenses $219,287 Rounding ($2) Total $219,285Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served11428PersonsServed
Total Community Benefit Expense11751599TotalCommunityBenefitExpense
Net Community Benefit Expense11751599NetCommunityBenefitExpense
Percent Of Total Expense0.03940PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served21082PersonsServed
Total Community Benefit Expense33584957TotalCommunityBenefitExpense
Direct Offsetting Revenue20835877DirectOffsettingRevenue
Net Community Benefit Expense12749080NetCommunityBenefitExpense
Percent Of Total Expense0.04270PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served56PersonsServed
Total Community Benefit Expense94405TotalCommunityBenefitExpense
Direct Offsetting Revenue20121DirectOffsettingRevenue
Net Community Benefit Expense74284NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served32566PersonsServed
Total Community Benefit Expense45430961TotalCommunityBenefitExpense
Direct Offsetting Revenue20855998DirectOffsettingRevenue
Net Community Benefit Expense24574963NetCommunityBenefitExpense
Percent Of Total Expense0.08230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served9662PersonsServed
Total Community Benefit Expense183168TotalCommunityBenefitExpense
Net Community Benefit Expense183168NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served7PersonsServed
Total Community Benefit Expense1188552TotalCommunityBenefitExpense
Net Community Benefit Expense1188552NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense40777TotalCommunityBenefitExpense
Net Community Benefit Expense40777NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served12PersonsServed
Total Community Benefit Expense39144TotalCommunityBenefitExpense
Net Community Benefit Expense39144NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs19NumberOfActivitiesOrPrograms
Persons Served9681PersonsServed
Total Community Benefit Expense1451641TotalCommunityBenefitExpense
Net Community Benefit Expense1451641NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served42247PersonsServed
Total Community Benefit Expense46882602TotalCommunityBenefitExpense
Direct Offsetting Revenue20855998DirectOffsettingRevenue
Net Community Benefit Expense26026604NetCommunityBenefitExpense
Percent Of Total Expense0.08710PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$19,863,789BadDebtExpenseAmount
Amount Attributable To9394843AmountAttributableTo
Amount Reimbursed By Medicare82018212AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare86579849CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4561637MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
Mease Countryside Hospital
13231 McMullen Booth RdClearwaterFL33761www.mpmhealth.comXXXA
Mease Dunedin Hospital
2601 Main StreetDunedinFL34698www.mpmhealth.comXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1A - Trustees of Mease Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
TRINITY IMMEDIATE CARE CENTER
1306 SEVEN SPRINGS BLVDTRINITYFL34655IMMEDIATE CARE
WALSINGHAM IMMEDIATE CARE CENTER
13670 WALSINGHAM ROADLARGOFL33774IMMEDIATE CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierExplanationExplanation
Part I Line 3cPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is automatically given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
Part I Line 6aN/A - The Community Benefit Report is available to the public.
Part I Line 7Financial 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 fBad Debt expense of $19,863,789 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.
Part III Line 2,3, & 4The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid.
Part III Line 8Cost 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) ($4,561,637) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($10,649,767) Total Surplus or (Shortfall) ($15,211,404)
Part III Line 9bPatients 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 V Section B Line 11An uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
Part V Section B Line 14Contact information related to financial assistance is posted in the emergency room waiting area, admissions office, and printed on all patient billing.
Part V Section B Line 16Lien action related to collections is limited to patients involving auto liability insurance.
Part V Section B Line 20dPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. Once a patient is identified as eligible for financial assistance his/her account balance is written off 100% to charity write-offs and are no longer billed for services provided.
Part VI - Line 2 Needs AssessmentTrustees of Mease Hospital, Inc is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. Trustees of Mease Hospital, Inc addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, Trustees of Mease Hospital, Inc conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist Trustees of Mease Hospital, Inc in developing initiatives and programs/services to address identified health care needs in the communities it serves.
Part VI - Line 3 Patient Education of Eligibility for AssistanceTrustees of Mease Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the Trustees of Mease Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, Trustees of Mease Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing statements and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance.
Part VI - Line 4 Community InformationMease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 11% of the population and 13% of households are at poverty level. Mease Hospitals are part of BayCare Health System that serves west central Florida. The area served by Mease Hospitals has 8 hospitals with 5 being Not-For-Profit. There are 4 federally designated medically underserved areas in Mease Hospitals' service area. With the over 65 population expected to grow 11% in the next five years, the health care needs of our service area are expanding and changing. The population served by Mease Hospitals is expected to grow 2.7% in the next 5 years. This expected growth is lower than the expected growth rate for the United States. However, the population Age 55+ is expected to grow 10% in the next 5 years. The community experiences higher incidence rates compared to the state of Florida in the following areas: adults with asthma, HIV cases, AIDs cases, adults with high blood cholesterol, melanoma, asthma hospitalization, adult smokers, domestic violence, fully immunized kindergarteners and sexually transmitted diseases. Based on Florida inpatient discharge data for the period of 10/01/11-09/30/12, the payor mix for the geographic area consists of 54.9% Medicare/Medicare HMO, 13.6% Medicaid/Medicaid HMO, 20.8% Commercial Insurance, 7.5% Self-pay, and 3.2% Other.
Part VI - Line 5 Promotion of Community HealthMease Countryside and Mease Dunedin Hospitals Residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help in 1937. Today Mease Dunedin is a 143-bed hospital celebrating more than 75 years of meeting the needs of the community it serves. Mease Countryside Hospital originally began as a satellite clinic to Mease Dunedin Hospital. The needs of the community grew along with a housing boom and in 1985 Mease Countryside Hospital opened. Today, Mease Countryside Hospital is a 300-bed facility. Mease Countryside Hospital has been nationally recognized by Truven in a study identifying the 100 top U.S. hospitals based on their overall organizational performance. This marks the ninth time Mease Countryside has been recognized among the 100 Top Hospitals. Mease Countryside also was among 16 hospitals in the nation to receive an Everest Award from Truven, which recognizes hospitals that have achieved both the highest current performance and the fastest long-term improvement over five years. The Truven Health 100 Top Hospitals study evaluates performance in 10 areas: mortality; medical complications; patient safety; average patient stay; expenses; profitability; patient satisfaction; adherence to clinical standards of care; core measures score; and post-discharge mortality and readmission rates for acute myocardial infarction (heart attack), heart failure, and pneumonia. 2012 Overview Mease Dunedin Hospital Construction of New Operative Suites In June, the hospital opened its new surgical center featuring three integrated technology operating suites, better suited to accommodate today's surgical equipment. Averaging approximately 600-square-feet, the new operating suites are more than double the size of previous operating rooms. 75th Anniversary On April 18, 1937, Mease Dunedin opened as a 19-bed hospital with a staff of three physicians and two nurses. In 2012, Mease Dunedin celebrated its 75th year of improving the health of the community. Celebrations included team member events and a proclamation by the City of Dunedin. Weight Loss Surgery Program Mease Dunedin Hospital is the center for the Surgical Bariatric Program within Morton Plant Mease. It is the only hospital in the BayCare Health System that currently performs all three surgical weight loss procedures; Gastric Band, Sleeve Gastrectomy, and Gastric Bypass. The goal is to become a Bariatric Center of Excellence. Mease Countryside Hospital In January, the new Mease Countryside Wound Care Center at East Lake Outpatient Center opened, offering patients needing care for chronic wounds another location option in the north Pinellas and Trinity areas. Work started on a new Central Utility Plant (CUP), the first phase of the hospital's master facility plan. The new CUP building is scheduled for completion in 2014. Commitment to Children's Care Mease Countryside Hospital continued its commitment to strengthen and advance children's care in north Pinellas and south Pasco counties through its partnership with St. Joseph's Children's Hospital. Called St. Joseph's Children's at Morton Plant Mease, the goal of the partnership is to bring more access to innovative and high-tech care in a family-centered setting to the community. A child life specialist works with children and their parents to bring a sense of normalcy to the experience of hospitalization. Through Children's Advocacy, Mease Countryside Hospital is committed to providing leadership, experience and expertise as a community and state resource to advocate for the health and wellbeing of children and their families. Educational classes and community activities include home safety assessments and education on prevention of falls, airway obstruction, drowning, fire/burn and poisoning; asthma assessments and education; child passenger safety education; bicycle and pedestrian safety education and Florida KidCare insurance outreach. The St. Joseph's Children's Specialty Center on the Mease Countryside campus provides the north Pinellas and south Pasco communities with more access to physical, occupational, speech, and sensory therapy programs and educational programs, as well as pediatric physician specialty services for neurology, gastroenterology, endocrinology and cardiology and convenient, on-site pediatric laboratory services and a community education room for parent information and education. As part of its goal of meeting its patients and visitors needs, Mease Countryside welcomed the opening of the Baby & Me Boutique. The Boutique was made possible by the hospital's Volunteer Resources, in partnership with Morton Plant Mease Foundation. It specializes in providing a welcoming, personal shopping experience for new moms and their families and friends. Community Screenings Morton Plant Mease screened community members on such diseases and conditions as high blood pressure, prostate cancer, skin cancer and cardiovascular disease. The health screenings were conducted at many venues, such as recreation centers, senior expos and hospital-sponsored events. In addition, Morton Plant Mease gave free athletic physicals to 275 Pinellas County high school students. Our comprehensive physicals included checks of height, weight, blood pressure, vision and lungs, a musculoskeletal exam and cardiovascular screenings. Physicians and other health care practitioners from Morton Plant Mease conducted free skin cancer screenings in support of the 17th Annual Melanoma Monday, a nationwide campaign to raise awareness and encourage early detection of skin cancers. Support Groups Mease Dunedin and Mease Countryside hospitals provide free community support groups on a wide variety of topics ranging from Alzheimer's to women's cancers. In 2012, active support groups included Grief Support Group, Alzheimer's Support Group, Breastfeeding Support Groups, Diabetes Support Groups, Support Groups for Bariatric Surgery Patients, Cancer Patients' Hope and Support Group, Men's Cancer Discussion Group and Women's Cancer Support Group. In addition, Morton Plant Mease provides free meeting room space on its campuses for such community organizations as Al-Anon, Boy Scouts of America, Clearwater Women's Open, Crohns and Colitis Support Group, Eating Disorders Support Group, Girl Scouts of America, Hepatitis/Liver Disease Support Group, Junior League of Clearwater-Dunedin, Keep it Simple, and the Suncoast Epilepsy Association. Community Organization Support Morton Plant Mease believes in providing financial support to not-for-profit organizations whose missions are to improve the health and well-being of our community. In 2012, we donated $39,750 to 11 organizations, including the following: American Cancer Society Clearwater Free Clinic Upper Pinellas Association for Retarded Citizens Youth and Family Alternatives, Inc. Community Lectures In 2012, Mease Countryside and Mease Dunedin held lectures on a variety of topics including asthma, breast cancer, cervical cancer, diabetes, hearing health, sleep disorders, youth sports safety, skin cancer, women's health and wellness, heart health, back pain and spinal health, joint health and vascular disease. Faith Community Nursing Faith Community Nursing offers a unique partnership between two healing groups - Morton Plant Mease Health Care and faith communities in Pinellas, Pasco, Hernando and Citrus counties. This nursing specialty takes a "whole person" approach to health care, promoting wellness of body, mind and spirit within the context of the values, beliefs and practices of a faith community. Our faith community nurses work to improve congregational health by encouraging preventative care and referring parishioners to appropriate health resources. Members of faith communities learn ways to take control of their own well-being and better manage their family's health. In 2012, 88 Registered Nurses in 45 various faith communities had one to one contact with 14,000 individuals in and around their faith communities and conducted more than 2,500 screenings. Morton Plant Mease Faith Community Nurses referred 1,974 people to seek further evaluation for health concerns and donated 12,539 hours of care as unpaid professionals. Primary Care Recognizing that access to primary care physicians is central to the health and wellness of the community, Morton Plant Mease has developed a group of approximately 38 physician offices with 110 board-certified or board-eligible physicians specializing in family medicine, internal medicine, pediatrics, geriatrics and gastroenterology. Patients are encouraged to select a personal long-term care physician for preventive, acute and chronic problems. Morton Plant Mease Primary Care physician offices are nationally recognized as Level 3 Patient-Centered Medical Homes from the Physician Practice Connections-Patient-Centered Medical Home (PPC-PCMH) and the National Committee for Quality Assurance (NCQA). Level 3 is the highest attainable level of recognit
Part VI - Line 5 Promotion of Community Health ContinuedThrough the its Team Member Loyalty Task Force, Morton Plant Mease helped those serving overseas with A Support the Troops Drive was also held to gather toiletries, snacks and other items for overseas troops.
Part VI - Line 6 Affiliated Health Care SystemTrustees of Mease Hospital, Inc is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 20,100 employees, 10 not-for-profit hospitals, 14 outpatient centers, and a complete range of services, such as imaging, laboratory, behavioral health, and home care. BayCare hospitals include 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, and St. Joseph's Hospital-North. St. Joseph's hospitals operate as one entity and file one Form 990. BayCare was founded in 1997 when the area's top not-for-profit hospitals came together, united by a common mission to improve the health of their communities and continue caring for all patients regardless of their ability to pay. In 2012, BayCare provided $188.6 million in community benefits, which includes $86.2 million in traditional charity care, $91.5 million in Medicaid and other means-tested programs, and $10.9 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare's financial stability and centralization of shared services in finance, information technology and human resources strengthens each hospital's ability to allocate resources to meet the needs of their communities. BayCare's hospitals are located in three geographic regions, each with its own Board of local leadership focused on its community's specific needs. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region, spending $1.2 billion on payroll and benefits for 20,100 employees. In 2012, BayCare added 500 new employees during a tough economy when unemployment rates in other areas remained high. To meet the health care needs of the community, BayCare provides expert medical care through a network with more than 200 access points connecting patients to a complete range of preventive, diagnostic and treatment services for any health care need. BayCare's network includes primary care and specialist physicians, urgent/immediate care centers, imaging, wellness centers, and 21 laboratory locations providing general, specialized and molecular testing. In addition, BayCare's home care division is one of the largest in Florida, providing 622,000 home health visits in 2012, helping patients leave the hospital sooner and recover at home where they are more comfortable. Recognizing the community's need for mental health services, BayCare also continues to be the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home treatment, support group and case management services. BayCare's designated Baker Act-receiving facilities in Hillsborough, Pinellas, and Pasco counties provide inpatient crisis stabilization and partial hospitalization programs as part of the continuum of mental health care. BayCare also operates the only private, freestanding Baker Act-receiving hospitals in Hillsborough and Pasco counties. In 2012, BayCare began the process of assisting each hospital with a Community Health Needs Assessment (CHNA) as required by the Patient Protection and Affordable Care Act. As part of the process, BayCare conducted primary research with community stakeholders and focus groups, and secondary research to analyze the area's health status indicators, morbidity, mortality prevalence rates, socio-economic factors, behavioral risk factors, community needs scores, and prevention quality indicators. BayCare will use this information to develop reports for each hospital, implementation plans to address identified community needs, and specific measures to monitor progress. BayCare also continued developing its clinically integrated network, known as BayCare Physician Partners. This is a new model of care designed to improve the clinical coordination between employed physicians, independent physicians and health system resources. The goal of BayCare Physician Partners is to improve the overall health and patient experience of populations served by the network. More than 1,100 physicians joined BayCare Physician Partners in 2012. The network also approved 17 clinical performance measures for all of its member physicians and attained contractual agreements with three major health plans, affecting about 50,000 patient lives in the area. In addition to the strong growth of physician membership in 2012, BayCare Physician Partners continued developing the administrative and technology infrastructure needed to deliver the network's improved care coordination and overall population health in 2013. To meet the health care needs of a growing but medically underserved area in southern Hillsborough, BayCare has started construction on St. Joseph's Hospital South, a 352,000-square-foot, 90-bed, acute-care community hospital. The $237-million facility, which includes an 86,000-square-foot medical office building, is scheduled to open in 2015. In 2012, BayCare also successfully completed its seven-year implementation of a system-wide, electronic medical record at its 10 hospitals. With the completion of the project, all ancillary, nursing and physician staff members now document clinical information electronically, providing the entire care team with a more complete and more accurate care record, available in real time. BayCare hosted its largest annual Quality Sharing Day event in 2012, with more than 600 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects throughout the health system. The event featured 13 teams presenting summaries of successful process improvements and 80 storyboard exhibits on projects recognized for quality contributions. Since BayCare began its Six Sigma program in 2004, thousands of employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout the organization. To help educate future nurses and health care professionals, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College, and the Pinellas Technical Education Center. In 2012, BayCare also supported more than 90 community organizations and charities, big and small, through event sponsorships as part of the health system's commitment to the community. These organizations include the American Heart Association, Susan G. Komen for the Cure, American Cancer Society, the Tampa Bay Partnership: ONE BAY Healthy Communities, and local economic development councils and chambers of commerce.
Part VI - Line 7 State FilingN/A: Trustees of Mease Hospital, Inc does not file CBR.
Part VI - Line 8 Facility Reporting GroupAll answers provided in Part VI pertain to Facility Group A which includes Mease Countryside Hospital and Mease Dunedin Hospital.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Suncoast Community Health Centers IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line113110 Elk Mountain DrAddressLine1
CityRiverviewCity
StateFLState
ZIP Code33579ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient591741303EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant202825AmountOfCashGrant
Purpose Of GrantDonationPurposeOfGrant
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
ExplanationTrustees of Mease Hospital is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Trustees of Mease Hospital's senior management team reviews each cash donation request 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 occured.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 (14 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
CELIA LARIMORE
DIR SURGICAL SERVICES - MEASE16666402001009430211540103560219127000
GERALD MASSEY
DIRECTOR, OPERATIONS - MEASE1491350205150106807952060680184738000
ROBIN LAPHAM
DIR. PATIENT SERVICES - MCH1499870192730537082150149300192942000
MOHSEN HABIB
MANAGER PHARMACY14075401091909446078840207300189733000
KELLY CULLEN
DIR PATIENT SVCS, MDH/ER15408002110907661083940107520201996000
GERMAIN SIESS
MANAGER PHARMACY1242270862206134066750116440157302000
NICOLE HANNA
CLINICAL PHARMACIST138292010750365070760160150162823000
LOUIS GALDIERI
COO, MEASE HOSPITALS0262618088437040592036617015367044363100
CARL TREMONTI
CFO - MPM0254694087048052723030752011905043712200
GLENN WATERS
TRUSTEE AND PRESIDENT0714965033676001452001633200301410125970600
PETER BLUMENCRANZ
FORMER DIRECTOR05924650120484012665019495017133076224200
STEPHEN MASON
TRUSTEE01091361066235002249647024790025118040532660583588
MICHAEL WANGER
TRUSTEE0219165031705102640012500024325057568100
MAIKEL BOLOS
CLINICAL PHARMACIST13815407223012006954058830158334000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationThe filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b Louis Galdieri - Participated in a supplemental nonqualified deferred compensation plan. He had $31,699 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. He had $23,552 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $11,062. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $11,554 in 2012. 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. 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMFP Inc DBA Financial Credit ServNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction415626AmountOfTransaction
Description Of TransactionCollection ServicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRelationship between interested person and the organizationIdentifier
ExplanationStephen Mason and Glenn Waters are trustees and/or officers of the filing organization as well as board members of MFP, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family or Business Relationship Glenn Waters, Carl Tremonti and Stephen Mason are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the Member such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Trustees of Mease Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation.
Part VIPart 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 & 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. Part VI, Question 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Trustees of Mease Hospital Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and policies are not available for public inspection.
Part XI Line 9Form 990, Part XI, Line 9 Other changes in net assets: Unrealized gains on swaps $120,144 Change in net assets of foundation ($1,537,507) Rounding ($1) Total ($1,417,364)

Schedule R IRS990ScheduleR

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
BayCare Health System Inc
16255 Bay Vista DriveClearwaterFL33760592796965Support srvcsFL501(C)(3)11Anafalse
Morton Plant Hospital Association Inc
300 Pinellas StreetClearwaterFL33756590624462Health srvcsFL501(C)(3)3MPMHCtrue
Morton Plant Mease Health Care Found Inc
1200 Druid Road SouthClearwaterFL33756591751535FundraisingFL501(C)(3)11ATOMMPHtrue
Morton Plant Mease Health Care Inc
300 Pinellas StreetClearwaterFL33756592374556Support srvcsFL501(C)(3)11Bnafalse
Morton Plant Mease Health Services Inc
8452 118th Ave NLargoFL33773592600684Health srvcsFL501(C)(3)9MPMHCtrue
Morton Plant Mease Primary Care Inc
300 S Park Place Blvd Ste 170ClearwaterFL33759593140335Health srvcsFL501(C)(3)9MPMHCtrue

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
Medspecialists Inc
16255 Bay Vista DriveClearwaterFL33760680587533Health srvcsFLnaC corptrue
MFP Inc
628 Bypass RoadClearwaterFL33764592374569Collection srFLnaC corptrue
Morton Plant Health Ventures Inc
8452 118th Avenue NorthLargoFL33773592728600Health srvcsFLnaC corptrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
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 OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Morton Plant Mease Primary Care Inc
a(iv)253666FMV
Morton Plant Mease Health Care Foundation
c1537507FMV
Morton Plant Hospital Association Inc
g434408FMV
Morton Plant Hospital Association Inc
k101459FMV
Morton Plant Mease Health Services Inc
k84799FMV
Morton Plant Hospital Association Inc
o1374658FMV
Morton Plant Mease Health Services Inc
o81294FMV
Morton Plant Hospital Association Inc
s543293FMV
Morton Plant Mease Health Services Inc
s248912FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.