2013-11-11T17:29:46-06:00 2012-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2012-01-01 592374556 Morton Plant Mease Health Care Inc % Carl Tremonti MORT 7274627878 300 Pinellas St Suite Clearwater FL 33756 CARL TREMONTI 2013-11-07 4048748300 2012 2016-03-07 17:11:31Z Glenn Waters 300 Pinellas St Clearwater FL 33756 776028611 false X www.mpmhealth.com X 1983 FL Morton Plant Mease Health Care, 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 19 916 22 0 480572 412111 64233317 69060301 46600825 34638741 2441395 2242544 113756109 106353697 12937968 11175301 0 0 46028418 47054256 0 0 0 26709704 31919761 85676090 90149318 28080019 16204379 873327709 178246284 804134228 10927186 69193481 167319098 X Morton Plant Mease Health Care, 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 73236940 11175301 71302845 Morton Plant Mease Health Care, Inc.'s primary function is to provide support services to various tax-exempt related entities including Morton Plant Hospital Association, Inc., Trustees of Mease Hopstial, Inc., Morton Plant Mease Health Services, Inc., and Morton Plant Mease Primary Care, Inc. The types of support services provided to these entities include executive management, information services, finance, human resources, benefits, business offices, administration, community affairs, strategic development, medical affairs, transcription, switchboard, clinical research, social services, managed care, etc. In addition to administrative support services, Morton Plant Mease Health Care, Inc. also provides facility space primarily for Morton Plant Mease Health Services, Inc. 73236940 true true false true false false false false false false true false true true false false false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 137 0 true 916 true false false false false false false false false false false X 24 19 true false false false false false 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 45.0 4.0 X X 1066245 0 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 DEBBIE WHITE 1.0 2.0 X MICHAEL WANGER 1.0 47.0 X 0 538856 36825 CARL TREMONTI 45.0 5.0 X 394465 0 42657 DONALD POCOCK 45.0 3.0 X 665137 0 57284 LISA JOHNSON 45.0 X 489331 0 32946 HARREL ZIECHECK 45.0 1.0 X 567142 0 70792 CHRISTOPHER MICKLER DO 45.0 X 984460 0 25209 PETER BLUMENCRANZ 45.0 47.0 X 725614 0 36628 DEAN GOBO 45.0 X 735997 0 28958 HAROLD COLBASSANI 45.0 X 948246 0 26645 6576637 4542214 601313 50 false true false PIMCO 840 Newport Center Drive NEWPORT BEACH CA 92660 investment services 519646 Blackstone 345 PARK AVE 28TH FLOOR NEW YORK NY 10154 INVESTMENT SERVICES 508768 PINELLAS COUNTY EMS PO BOX 31074 TAMPA FL 336313074 medical transport 359629 AVATAR INTL LLC 1000 PRIMERA BLVD STE 3144 LAKE MARY FL 327462194 Quality Imprvmt Svcs 303447 CHARTS IN TIME INC PO BOX 7994 ST PETERSBURG FL 337347994 medical coding 299768 31 324778 87333 412111 HOSPITAL PATIENT CARE 621999 4319560 4319560 MEDICARE/MEDICAID NET REVENUE 621999 5210098 5210098 MANAGEMENT FEES 561100 59530643 59530643 69060301 21810165 21810165 0 0 0 0 0 682503490 669674914 12828576 12828576 12828576 0 0 0 OTHER REVENUE 621999 2186106 2186106 COMMUNITY AFFAIRS 621999 56438 56438 2242544 106353697 71302845 34638741 11175301 11175301 0 0 0 3059070 3059070 0 36185994 35849288 336706 1133008 1122465 10543 4384576 4343778 40798 2291608 2210551 81057 0 291689 291689 615 615 6038 6038 0 2983653 2983653 7155048 7134130 20918 801320 801320 1157654 8006 1149648 476960 476960 0 1230091 1230091 1023670 668439 355231 0 0 0 0 2081856 2081856 318116 22694 295422 MANAGEMENT FEES 8276943 8276943 MISCELLANEOUS EXPENSES 5012975 5002890 10085 BAD DEBT EXPENSE 656909 656909 MEDICAL SUPPLIES 446224 446224 90149318 73236940 16912378 0 9419809 3524 0 0 0 0 528118 523204 0 0 0 0 127221 72542 0 58880 1019409 488053 22334552 16895498 4116034 5439054 414067544 0 356117579 0 87931475 89258120 0 0 520 82402907 873327709 178246284 10931085 10658040 0 0 243528 269146 0 0 0 0 0 0 0 0 0 0 792959615 0 804134228 10927186 X -4435753 94419191 49484246 47820229 24144988 25079678 69193481 167319098 873327709 178246284 X 16204379 62762418 19158820 X false true X true false X X X false false false MORTON PLANT HOSPITAL ASSOCIATION INC 590624462 03 true 37348648 MORTON PLANT MEASE HEALTH SERVICES INC 592600684 03 true 1797353 TRUSTEES OF MEASE HOSPITAL INC 590855412 03 true 22684345 MORTON PLANT MEASE PRIMARY CARE INC 593140335 09 true 11077574 4 72907920 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 5970 false true 68 6038 false false SCHEDULE C PART II-B, Line 1i Description of Other Activities Expense Dues were paid to the Florida Medical Association and the Florida Hospital Association. These associations use a portion of their respective dues to conduct lobbying activities. 2884426 2884246 1082394 324638 757756 105556 55234 50322 18018650 16515626 1503024 243706 243706 5439054 INV IN FNDT NET ASSETS 89239314 F INV IN BPP 18806 F 89258120 DEPOSITS 320 DUE FROM AFFILIATES 82402587 82402907 113774703 62762418 62762418 51012285 55341412 55341412 106353697 15910452 15910452 74238866 74238866 90149318 Schedule D Supplemental Information Schedule D, Part XI, Line 4b Change in foundation net assets ($8,044,223) Revenues netted with expenses $871,339 Investment fees $2,983,653 Management fees $59,530,643 Total $55,341,412 Schedule D, Part XII, Line 4b Grants in net assets $10,853,231 Revenues netted with expenses $871,339 Investment fees $2,983,653 Management fees $59,530,643 Total $74,238,866 true Clearwater Free Clinic 707 N FT HARRISON AVE ROOM 111 CLEARWATER FL 33755 591852871 501(C)(3) 150000 FREE MEDICAL CLINIC FUNDING The Fill A Heart Group Inc 3152 LITTLE RD SUITE 341 TRINITY FL 34655 263493585 501(C)(3) 7600 PROGRAMS FOR THOSE AFFECTED BY BREAST CANCER Good Samaritan Health Clinic 5334 ASPEN ST SUITE 341 NEW PORT RICHEY FL 34652 593072334 501(C)(3) 50000 FREE MEDICAL CLINIC FUNDING La Clinica Guadalupana 1000 LAKEVIEW RD SUITE 4 CLEARWATER FL 33756 593348864 501(C)(3) 50000 MEDICAL CLINIC FUNDING Morton Plant Mease Primary Care Inc 300 S PARK PLACE BLVD CLEARWATER FL 33759 593140335 501(C)(3) 10853231 RESIDENCY PROGRAM Willa Carson Hlth Resource Ctr 1108 N MLK AVE SUITE 4 CLEARWATER FL 33755 650743078 501(C)(3) 50000 FREE MEDICAL CLINIC FUNDING UNITED WAY OF PASCO COUNTY INC 8040 WASHINGTON AVE PORT RICHEY FL 34673 592193178 501(C)(3) 12500 SUPPORT FOR MOBILE MEDICAL UNIT 7 Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, Line 2 Morton Plant Mease Health Care is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Each cash donation request is reviewed by Morton Plant Mease Health Care's Senior Management Team to determine whether the organization is one we want to donate to, based on the organization's mission, non-profit status, and usage of funds. Once approved, we require proper documentation from the organization of its non-profit status, and as needed, follow-up with the organization to ensure the activity occurred. false true false false false false false false false GLENN WATERS 714965 0 336760 0 14520 0 163320 0 30141 0 1259706 0 0 0 DONALD POCOCK 428399 0 140898 0 95840 0 30663 0 26621 0 722421 0 0 0 HARREL ZIECHECK 348202 0 145492 0 73448 0 48623 0 22169 0 637934 0 0 0 LISA JOHNSON 280254 0 97139 0 111938 0 7881 0 25065 0 522277 0 39335 0 NEIL HOCE 370744 0 131415 0 19759 0 58076 0 19024 0 599018 0 0 0 CARL TREMONTI 254694 0 87048 0 52723 0 30752 0 11905 0 437122 0 0 0 CHRISTOPHER MICKLER DO 695804 0 286361 0 2295 0 8750 0 16459 0 1009669 0 0 0 PETER BLUMENCRANZ 592465 0 120484 0 12665 0 19495 0 17133 0 762242 0 0 0 STEPHEN MASON 0 1091361 0 662350 0 2249647 0 24790 0 25118 0 4053266 0 583588 DEAN GOBO 691713 0 43157 0 1127 0 6672 0 22286 0 764955 0 0 0 HAROLD COLBASSANI 743198 0 200334 0 4714 0 5625 0 21020 0 974891 0 0 0 MICHAEL WANGER 0 219165 0 317051 0 2640 0 12500 0 24325 0 575681 0 0 Supplemental Compensation Information Schedule J, Part I, Line 3 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. Supplemental Compensation Information Schedule J, Part I, Line 4b Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in his benefits in 2012. He had $2,212,111 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $806,314 in 2012. Neil Hoce - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2012. He had $47,058 of nonvested benefits accrue during 2012 and earned $1,157 on the plan in 2012. These amounts are included in Part II (C) Retirement and other deferred compensation. Lisa Johnson - Participated in a supplemental nonqualified deferred compensation plan. She became 100% vested in 2012. She had $102,049 in benefits vest in 2012, $14,432 of which represented her earnings on the plan in 2012. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $37,197 in 2012. Donald Pocock - Participated in a supplemental nonqualified deferred compensation plan. He had $72,901 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $12,574. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $26,572 in 2012. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $33,747 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. He had $18,473 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $9,459. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $12,301 in 2012. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2012. He had $145,547 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $14,809. These amounts are included in Part II (C) Retirement and other deferred compensation. Harrel Ziecheck - Participated in a supplemental nonqualified deferred compensation plan. He had $60,395 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $17,295. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $22,014 in 2012. Part VI Part VI, Line 2 - Description of Relationships Glenn Waters, Stephen Mason and Carl Tremonti are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. 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 persons serving from time to time as the members of the Board of Directors of the Corporation shall be the Corporate members of the corporation. The members of the corporation have the authority to grant and have granted BayCare a proxy to exercise the Class I and Class II members reserved rights. The following are reserved powers for both the Class I and Class II Corporate Members: A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 was made available to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Morton Plant Mease Health Care, Inc has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation. Part VI Part VI, Lines 15a & 15b - Process used for Compensation Review and Approval The organization uses an independent compensation committee, appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & CFO, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in 2011 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Morton Plant Mease Health Care, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the public. Part XI, Line 9 FUNDS TRANSFERRED PER JOA AGREEMENT $11,973,000 CHANGE IN NET ASSETS OF FOUNDATION $7,185,820 TOTAL $19,158,820 MPM Specialists LLC 300 S Park Place Blvd Ste 170 Clearwater FL 33759 300305109 Health srvcs FL 9388287 1115457 MPMHC 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 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(c)(3) 11A MPHATOM true 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 Trustees of Mease Hospital Inc 601 Main Street Dunedin FL 34698 590855412 Health srvcs FL 501(c)(3) 3 MPMHC true Trinity Surgery Center LLC 2102 Trinity Oaks Blvd New Port Richey FL 34655 020656933 Health srvcs FL na n/a 0 0 0 Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL MPHV C corp 0 0 1.00000 true Medspecialists Inc 16255 Bay Vista Dr Clearwater FL 33760 680587533 Inactive FL MPMHS C corp 0 0 1.00000 true MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection sr FL MPHV C corp 4005848 0 1.00000 true Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Supporting sr FL MPMHC C corp 0 4176726 1.00000 true false true false true false false true false false false true true false false true false false true true Morton Plant Mease Primary Care Inc b 10853231 FMV Morton Plant Hospital Association Inc k 636920 FMV Morton Plant Hospital Association Inc l 35914315 FMV Morton Plant Mease Health Services Inc l 1728328 FMV Trustees of Mease Hospital Inc l 21813178 FMV Morton Plant Mease Primary Care Inc l 215728 FMV Trustees of Mease Hospital Inc o 635973 FMV Morton Plant Mease Health Services Inc o 241586 FMV Morton Plant Hospital Association Inc o 872068 FMV Morton Plant Hospital Association Inc r 1152978 FMV Morton Plant Mease Health Services Inc s 309415 FMV Trustees of Mease Hospital Inc s 2623372 FMV