2013-11-11T17:29:57-06:00 2012-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2012-01-01 590855412 Trustees of Mease Hospital Inc % Carl Tremonti TRUS 7274627697 601 Main Street Suite Dunedin FL 34698 CARL TREMONTI 2013-11-07 4048748300 2012 2016-02-24 21:20:13Z Glenn Waters 601 Main Street Dunedin FL 34698 362124625 false X www.measehospitals.com X 1938 FL Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 24 19 2598 767 18187 11958 2486532 1553837 361143068 346663105 -102871 286039 4772225 13490289 368298954 361993270 184622 202825 0 0 125228933 124794608 0 0 0 190833546 193434698 316247101 318432131 52051853 43561139 446527449 474236120 36093542 21658438 410433907 452577682 Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 267273878 202825 355735702 Trustees 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. 267273878 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true 312 0 true 2598 true true true false false false false false false false false false X 24 19 true false false false true true true true true false false true true true true true true true true false X Carl Tremonti 7274627176 300 PINELLAS ST Clearwater FL 33756 GLENN WATERS 1.0 48.0 X X 0 1066245 193461 MAHESH AMIN 1.0 3.0 X X ED ARMSTRONG 1.0 3.0 X ALAN BOMSTEIN 1.0 3.0 X JAMES CANTONIS 1.0 3.0 X V RAYMOND FERRERA 1.0 4.0 X X WILLIAM HORNE 1.0 2.0 X X JIM HUGUET 1.0 2.0 X LONNIE KLEIN 1.0 2.0 X ODALYS LARA 1.0 2.0 X ROBERT MCGIVNEY 1.0 3.0 X X LARRY MORGAN 1.0 3.0 X THOMAS NASH 1.0 2.0 X STEPHEN MASON 1.0 50.0 X 0 4003358 49908 MARC BOWMAN 1.0 2.0 X DEWEY MITCHELL 1.0 2.0 X NANCY RIDENOUR 1.0 2.0 X STEPHANIE VANZANDT 1.0 2.0 X THOMAS WHIDDON 1.0 3.0 X GAY LANCASTER 1.0 2.0 X CHRISTOS PITARYS 1.0 2.0 X TED SMALL 1.0 2.0 X MICHAEL WANGER 1.0 47.0 X 0 538856 36825 DEBBIE WHITE 1.0 2.0 X CARL TREMONTI 1.0 49.0 X 0 394465 42657 CELIA LARIMORE 45.0 X 187617 0 31510 GERALD MASSEY 45.0 X 170718 0 14020 ROBIN LAPHAM 45.0 X 169797 0 23145 LOUIS GALDIERI 1.0 45.0 X 0 391647 51984 MOHSEN HABIB 45.0 X 161119 0 28614 KELLY CULLEN 45.0 X 182850 0 19146 GERMAIN SIESS 45.0 X 138983 0 18319 NICOLE HANNA 45.0 X 139732 0 23091 MAIKEL BOLOS 45.0 X 145497 0 12837 PETER BLUMENCRANZ 45.0 X 0 725614 36628 1296313 7120185 582145 50 true true false WEHR CONSTRUCTORS INC 4425 N LOIS AV TAMPA FL 33614 construction srvs 2239959 BAY LINEN INC 11525 47TH ST NORTH CLEARWATER FL 33762 LAUNDRY SERVICES 2012230 PERKINS WILL 15057 Collections Center Dr CHICAGO IL 60693 construction svcs 1296727 SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 Dept 0733 DALLAS TX 75312 IT Consulting 1258037 GRAHAM FLORIDA II MEDICAL BLDGS 505 FIFTH AVE STE 200 DES MOINES IA 503092449 architectural svcs 939638 31 1537507 16330 1553837 HOSPITAL PATIENT CARE 621999 187870369 187870369 MEDICARE/MEDICAID NET REVENUE 621999 158597021 158597021 RENTAL INCOME FROM AFFILIATES 532000 195715 195715 346663105 36595 18187 18408 0 0 2715559 2715559 0 2715559 2715559 380799 131355 249444 249444 249444 0 0 0 CAFETERIA 722310 1702133 1702133 MISCELLANEOUS 621999 955351 955351 HITECH ELECTRONIC MEDICAL RECORD INCENTIVE 621999 8117246 8117246 10774730 361993270 355735702 18187 4685544 202825 202825 0 0 0 599806 412068 187738 0 106323280 106289587 33693 3552607 3551481 1126 6712102 6709975 2127 7606813 7595235 11578 0 126 126 0 10098 10098 0 0 7477109 6751768 725341 401566 401341 225 5390106 3039999 2350107 228787 226105 2682 0 7305559 7247311 58248 107175 3368 103807 0 0 5821859 5815048 6811 0 20761738 20754418 7320 1695350 424619 1270731 MEDICAL SUPPLIES 51047916 51047916 MANAGEMENT FEES 45653732 45653732 BAD DEBT EXPENSE 19863789 19863789 IMPAIRMENT LOSS 14120453 14120453 13549335 12806474 742861 318432131 267273878 51158253 0 6629 456248 0 0 0 0 38162798 37685422 0 0 0 0 4260412 3040823 5981732 6062502 1125669 1290697 340762178 182585462 175361027 158176716 0 0 0 0 345863 312168 6783581 6050221 214499738 261161323 446527449 474236120 14997748 14019667 0 0 2363659 1166945 0 0 0 0 0 0 5069082 4623095 0 0 13663053 1848731 36093542 21658438 X 410433907 452577682 0 0 0 0 410433907 452577682 446527449 474236120 X 43561139 -1417364 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 10098 10098 SCHEDULE C PART II-B, LINE 1I DUES WERE PAID TO THE FLORIDA HOSPITAL ASSOCIATION. THIS ASSOCIATION USES A PORTION OF ITS DUES FOR LOBBYING ACTIVITIES. 11967167 11967167 176640150 73380618 103259532 75223 9403 65820 135107087 109195441 25911646 16972551 16972551 158176716 DUE FROM AFFILIATES 261161323 261161323 0 EST 3RD PARTY SETTLEMENTS 1565563 ASSET RETIREMENT OBLIGATION LT 108620 ASSET RETIREMENT OBLIGATION ST 164500 DEPOSITS 10048 1848731 360356622 120144 120144 360236478 1756792 1756792 361993270 318212846 318212846 219285 219285 318432131 Sch D Supplemental Information Schedule 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 $219,285 true true X true X 250. false true true false true true 2 11428 11751599 11751599 0.03940 2 21082 33584957 20835877 12749080 0.04270 2 56 94405 20121 74284 0.00020 6 32566 45430961 20855998 24574963 0.08230 7 9662 183168 183168 0.00060 2 7 1188552 1188552 0.00400 2 40777 40777 0.00010 8 12 39144 39144 0.00010 19 9681 1451641 1451641 0.00480 25 42247 46882602 20855998 26026604 0.08710 true 19863789 9394843 82018212 86579849 -4561637 X true true 2 1 Mease Countryside Hospital

3231 McMullen Booth Rd Clearwater FL 33761

www.mpmhealth.com X X X A 2 Mease Dunedin Hospital

601 Main Street Dunedin FL 34698

www.mpmhealth.com X X X A A - Trustees of Mease Hospital Inc true true 250. false true X X X X X X X true true X X X true X false X X X X true X false false 2 TRINITY IMMEDIATE CARE CENTER

1306 SEVEN SPRINGS BLVD TRINITY FL 34655

IMMEDIATE CARE WALSINGHAM IMMEDIATE CARE CENTER

13670 WALSINGHAM ROAD LARGO FL 33774

IMMEDIATE CARE Part I Line 3c Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is automatically given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days. Part I Line 6a N/A - The Community Benefit Report is available to the public. Part I Line 7 Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits. Part I Line 7 Column f Bad Debt expense of $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, & 4 The 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 8 Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as community benefit. Line 7 Surplus or (Shortfall) ($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 9b Patients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, on patient billing statements, brochures or Customer Service phone calls, to submit financial information to the Financial Assistance Department to determine eligibility for programs, such as County, Medicaid, Disability, Victims of Crime, Charity, etc. For those patients who provide all the necessary documentation and qualify for charity according to the Financial Assistance policy, (defined in Part I, line 3c), patients' account balance would be written off completely to charity and not billed to the patients. Part V Section B Line 11 An 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 14 Contact 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 16 Lien action related to collections is limited to patients involving auto liability insurance. Part V Section B Line 20d Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. Once a patient is identified as eligible for financial assistance his/her account balance is written off 100% to charity write-offs and are no longer billed for services provided. Part VI - Line 2 Needs Assessment Trustees of Mease Hospital, Inc is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. Trustees of Mease Hospital, Inc addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, Trustees of Mease Hospital, Inc conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist Trustees of Mease Hospital, Inc in developing initiatives and programs/services to address identified health care needs in the communities it serves. Part VI - Line 3 Patient Education of Eligibility for Assistance Trustees of Mease Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the Trustees of Mease Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, Trustees of Mease Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing statements and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance. Part VI - Line 4 Community Information Mease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 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 Health Mease 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 Continued Through 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 System Trustees 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 Filing N/A: Trustees of Mease Hospital, Inc does not file CBR. Part VI - Line 8 Facility Reporting Group All answers provided in Part VI pertain to Facility Group A which includes Mease Countryside Hospital and Mease Dunedin Hospital. true Suncoast Community Health Centers Inc 13110 Elk Mountain Dr Riverview FL 33579 591741303 501(c)(3) 202825 Donation 1 Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, Line 2 Trustees 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. false true false false false false false false false CELIA LARIMORE 166664 0 20010 0 943 0 21154 0 10356 0 219127 0 0 0 GERALD MASSEY 149135 0 20515 0 1068 0 7952 0 6068 0 184738 0 0 0 ROBIN LAPHAM 149987 0 19273 0 537 0 8215 0 14930 0 192942 0 0 0 MOHSEN HABIB 140754 0 10919 0 9446 0 7884 0 20730 0 189733 0 0 0 KELLY CULLEN 154080 0 21109 0 7661 0 8394 0 10752 0 201996 0 0 0 GERMAIN SIESS 124227 0 8622 0 6134 0 6675 0 11644 0 157302 0 0 0 NICOLE HANNA 138292 0 1075 0 365 0 7076 0 16015 0 162823 0 0 0 LOUIS GALDIERI 0 262618 0 88437 0 40592 0 36617 0 15367 0 443631 0 0 CARL TREMONTI 0 254694 0 87048 0 52723 0 30752 0 11905 0 437122 0 0 GLENN WATERS 0 714965 0 336760 0 14520 0 163320 0 30141 0 1259706 0 0 PETER BLUMENCRANZ 0 592465 0 120484 0 12665 0 19495 0 17133 0 762242 0 0 STEPHEN MASON 0 1091361 0 662350 0 2249647 0 24790 0 25118 0 4053266 0 583588 MICHAEL WANGER 0 219165 0 317051 0 2640 0 12500 0 24325 0 575681 0 0 MAIKEL BOLOS 138154 0 7223 0 120 0 6954 0 5883 0 158334 0 0 0 Supplemental Compensation Information The 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. MFP Inc DBA Financial Credit Serv See Part V 415626 Collection Services false Relationship between interested person and the organization Stephen Mason and Glenn Waters are trustees and/or officers of the filing organization as well as board members of MFP, Inc. Part VI Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters, Carl Tremonti and Stephen Mason are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the Member such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 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 VI Part VI, Lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & 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 9 Form 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) BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Support srvcs FL 501(C)(3) 11A na false Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 Health srvcs FL 501(C)(3) 3 MPMHC true Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(C)(3) 11A TOMMPH true Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(C)(3) 11B na false Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 Health srvcs FL 501(C)(3) 9 MPMHC true Morton Plant Mease Primary Care Inc 300 S Park Place Blvd Ste 170 Clearwater FL 33759 593140335 Health srvcs FL 501(C)(3) 9 MPMHC true Trinity Surgery Center LLC 2102 Trinity Oaks Blvd New Port Richey FL 34655 020656933 Health srvcs FL na n/a Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL na C corp true Medspecialists Inc 16255 Bay Vista Drive Clearwater FL 33760 680587533 Health srvcs FL na C corp true MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection sr FL na C corp true Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL na C corp true true false true true false false true true false true true false true false true false false true true Morton Plant Mease Primary Care Inc a(iv) 253666 FMV Morton Plant Mease Health Care Foundation c 1537507 FMV Morton Plant Hospital Association Inc g 434408 FMV Morton Plant Hospital Association Inc k 101459 FMV Morton Plant Mease Health Services Inc k 84799 FMV Morton Plant Hospital Association Inc o 1374658 FMV Morton Plant Mease Health Services Inc o 81294 FMV Morton Plant Hospital Association Inc s 543293 FMV Morton Plant Mease Health Services Inc s 248912 FMV