2013-11-11T17:29:19-06:00 2012-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2012-01-01 593582520 BayCare Home Care Inc % Thomas Ribble BAYC 7273946461 8452 118th Ave N Suite Largo FL 33773 DENTON CROCKETT JR 2013-11-05 4048748300 2012 2016-03-07 17:11:31Z Denton Crockett Jr President 8452 118th Ave N Largo FL 33773 129322925 false X www.baycarehomecare.com X 1999 FL BayCare Home Care's mission is to improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 6 1 1304 0 2977274 -101252 0 0 114517934 128957013 29286 37468 98612 328444 114645832 129322925 14506 10848 0 0 68258431 69504028 0 0 0 41545949 53424276 109818886 122939152 4826946 6383773 48415278 43098447 27807266 22235201 20608012 20863246 BayCare Home 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 110165426 10848 129285457 BayCare Home Care, Inc. is a not-for-profit corporation that provides a complete range of home health services, under physician order, to persons in need of care who are homebound in their place of residence. The services delivered by the applicant are performed by registered nurses, registered physical therapists, medical social workers, home health aids, and homemakers. 110165426 true false false true false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false false true false false false false false true true true false false true 184 0 true 1304 true false false false false false false false false false false X 6 1 true false false false true true true true true false false true true true true true true true true true true X Thomas Ribble 7273946412 8452 118TH AVE N Largo FL 33773 DANIEL SWEENEY 45.0 X X 339704 0 68404 WILLIAM WOELTJEN 1.0 X DENTON CROCKETT JR 1.0 47.0 X X 0 692177 78860 TOMMY INZINA 1.0 45.0 X 0 2267204 81485 STEPHEN MASON 1.0 50.0 X 0 4003358 49908 THOMAS RIBBLE 1.0 47.0 X X 0 186934 21247 IQBAL BURNEY 45.0 X 208500 0 26900 MADELYN MOSELEY 45.0 X 197639 0 18299 THOMAS GUINAND 45.0 X 176352 0 26246 ELYSE GRECO 45.0 X 139450 0 18645 GREG ELAM 45.0 X 139425 0 23615 JORGE GONZALEZ 45.0 X 139579 0 6955 1340649 7149673 420564 39 false true false CARE TEAM INC 3311 W KENNEDY BLVD TAMPA FL 33609 MEDICAL SERVICES 1212862 THERACOM INC PO BOX 640105 CINCINNATI OH 45264 PHARMACY SERVICES 605016 UNITED PARCEL SERVICE PO BOX 7247 0244 PHILADELPHIA PA 191700001 shipping 265637 STARLING HAMMER INC 11663 GROVE STREET SEMINOLE FL 33776 medical services 241330 NURSECORE MANAGEMENT SVCS LLC PO BOX 201925 ARLINGTON TX 76006 medical staffing 221497 7 0 PATIENT CARE 621610 76598988 73621714 2977274 MEDICARE/MEDICAID NET REVENUE 621610 52358025 52358025 128957013 20620 20620 0 0 0 0 0 16848 16848 16848 16848 0 0 0 MISCELLANEOUS 621610 328444 328444 328444 129322925 126308183 2977274 37468 10848 10848 0 0 0 670441 235399 435042 0 57375591 57375591 1767504 1767504 5884123 5884123 3806369 3806369 0 15153 15153 0 758 758 0 0 1055950 1055950 80871 80871 2773449 318811 2454638 393952 393952 0 1475142 1475142 2158984 2158984 0 0 0 0 4212058 4212058 559194 55532 503662 MEDICAL SUPPLIES 27419400 27419400 MANAGEMENT FEES 7206229 7206229 BAD DEBT EXPENSE 4251692 4251692 MISCELLANEOUS EXPENSES 1821444 1821426 18 122939152 110165426 12773726 0 10928778 5894549 0 0 0 0 21395622 21908217 0 0 0 0 1173505 485 2049904 2018103 23089 22768 30346533 17647983 12372511 12698550 0 0 0 0 462824 519761 0 25000 9045 11014 48415278 43098447 5348899 6059387 0 0 1987567 1946986 0 0 0 0 0 0 0 0 0 0 20470800 14228828 27807266 22235201 X 20608012 20863246 0 0 0 0 20608012 20863246 48415278 43098447 X 6383773 -6128539 X false true X true false X 0 50 0 0 0 50 96300552 109383762 112789351 114517934 128957013 561948612 0 0 0 96300552 109383812 112789351 114517934 128957013 561948662 0 0 0 561948662 24748 35943 87913 24536 20620 193760 0 24748 35943 87913 24536 20620 193760 0 16128085 2513052 263976 98612 328444 19332169 112453385 111932807 113141240 114641082 129306077 581474591 0.96642 0.00000 0.00033 0.00000 X false false false false false false false false true 758 758 false Schedule C Part II-B, Line 1i Dues were paid to the National Association of Home Care. The association uses a portion of their dues to conduct lobbying activities. 1450000 1450000 6790858 1562448 5228410 250354 196048 54306 21855321 15889487 5965834 12698550 0 DUE TO AFFILIATES 14108968 ACRD INCOME TAX PAYABLE 119860 14228828 128842998 128842998 479927 479927 129322925 122459224 122459224 479928 479928 122939152 Schedule D Supplemental Information Schedule D, Part XI, Line 4b Revenues netted with expenses $479,926 Rounding $1 Total $479,927 Schedule D, Part XII, Line 4b Revenues netted with expenses $479,926 Rounding $2 Total $479,928 true American Heart Association 11207 Blue Heron Blvd N St Petersburg FL 33716 135613797 501(c)(3) 7418 Heart Walk donation 1 0 Form 990, Schedule I, Line 2 Description of Organization's Procedures for Monitoring the Use of Grants Each cash donation request is reviewed by the 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 follow up to ensure the activity has occurred. false true false false false false false false false DANIEL SWEENEY 227582 0 67519 0 44603 0 48149 0 20255 0 408108 0 0 0 MADELYN MOSELEY 173938 0 23061 0 640 0 9338 0 8961 0 215938 0 0 0 IQBAL BURNEY 169956 0 23086 0 15458 0 9483 0 17417 0 235400 0 0 0 THOMAS GUINAND 148078 0 19102 0 9172 0 8170 0 18076 0 202598 0 0 0 ELYSE GRECO 70502 0 65210 0 3738 0 2917 0 15728 0 158095 0 0 0 GREG ELAM 80610 0 54643 0 4172 0 7101 0 16514 0 163040 0 0 0 DENTON CROCKETT JR 0 438346 0 162793 0 91038 0 55188 0 23672 0 771037 0 0 TOMMY INZINA 0 676969 0 306806 0 1283429 0 49823 0 31662 0 2348689 0 89197 STEPHEN MASON 0 1091361 0 662350 0 2249647 0 24790 0 25118 0 4053266 0 583588 THOMAS RIBBLE 0 156271 0 18106 0 12557 0 8528 0 12719 0 208181 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, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Supplemental Compensation Information Schedule J, Part I, Line 4b Denton Crockett, Jr - Participated in a supplemental nonqualified deferred compensation plan. He had $74,663 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $12,788. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $27,215 in 2012. Tommy Inzina - Participated in a supplemental nonqualified deferred compensation plan. He had $1,268,909 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $462,517 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. Daniel Sweeney - Participated in a supplemental nonqualified deferred compensation plan. He had $21,695 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. He had $25,920 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $9,429. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $7,908 in 2012. Global Health Care Inc See Part V 147083 Staffing Company false Supplemental Information Schedule L, Part V Denton Crockett Jr., Stephen Mason and Daniel Sweeney serve on the board of a for-profit corporation to which the filing organization made payments, at FMV, for services rendered. Part VI Part VI, Line 2 - Description of Family and Business Relationship Stephen Mason, Denton Crockett Jr., Tommy Inzina, and Daniel Sweeney 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 members of the corporation shall be BayCare Health System, Inc and Community Health Corporation (CHC). Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board of Directors of the Corporation shall consist of Directors appointed by the Members. BayCare shall appoint five Members of the board of Directors and CHC shall appoint one Member of the Board of Directors. Each Director shall serve a term of one year and may serve as many terms as approved by the Member which made the appointment. A vacancy occuring among the Directors may only be filled by appointment by the Member that appointed the Director whose resignation, removal, death or disability reated the vacancy. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Reservation of Powers in the Member. 1. Loan. Any loans shall be authorized by a resolution of the Board of Directors; however, any loan not included in the Corporation's annual budget in excess of $25,000 shall be approved by the Member before the loan is contracted on behalf of the Corporation. 2. Budgets. The Board of Directors shall prepare or have prepared the annual budgets of the Corporation. The annual budgets shall be approved by the Member before the same shall become effective. 3. Asset Transfers. No transfer or pledge of the Corporation's assets not in the ordinary course of business shall be made unless approved by the Member prior to the transfer or pledge. 4. Approval and Removal of Directors and Officers. The Member shall approve all Directors and Officers and may remove any Director or Officer. 5. Contracts. The Board may authorize any officer to enter into a contract or execute any instrument in the name of and on behalf of the Corporation; however, no contract in excess of $25,000 not contained in an approved budget and not in the ordinary course of business may be entered into except with the prior approval of the Member. 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. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors prior to filing with the IRS. Prior to filing with the IRS, a final copy of the Form 990 will be provided to the entire Board. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest BayCare Home 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, Line 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, Line 16b - Procedure to Evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public BayCare Home Care, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the public. Part XI, LINE 9 Capital distribution ($6,128,539) BayCare Health System Inc 16255 Bay Vista Dr Clearwater FL 33760 592796965 Support 501c3 FL 501(C)(3) 11A na false BayCare Emergency Assistance Program Inc 16255 Bay Vista Drive Clearwater FL 33760 592697770 Emerg Fund FL 501(C)(3) 9 BayCare true Behavioral Health Management Srvcs Inc 323 Jeffords Street Clearwater FL 33756 593279573 Health srvcs FL 501(C)(3) 9 BBH true BayCare Behavioral Health Inc 7809 Massachusetts Ave New Port Richey FL 34653 591371752 Health srvcs FL 501(C)(3) 7 BayCare true Care Ride LLC 4625 E Bay D CLWTR FL 33764 593565490 Transport srv FL BC Home Care RELATED 154997 667483 false true 0.51000 BC Purchase Pa LLC 8731 Fl Mining Tampa FL 33634 640950837 Purchasing Organi FL na n/a BC Em Health C LLC 8452 118th A N Largo FL 33773 461533183 HEALTH SERVICES FL NA Bay Vista Claims Service Inc 16255 Bay Vista Dr Clearwater FL 33760 743168200 claims admin FL na C corp true BCHS Insurance Inc 720 W Bay Road Buckingham Sqr Grand Cayman CJ KY1-1102 000000000 Insurance captive CJ na C corp true false true false true false false false false false false false false true false true false false true false Care Ride LLC d 252711 FMV