TRUSTEES OF MEASE HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TRUSTEES OF MEASE HOSPITAL INC (EIN 59-0855412)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349304471
Schema version
2011v1.3
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)
Timestamp2012-11-13T16:28:25-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 BOULEVARD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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
CityDunedinCity
StateFLState
ZIP Code34698ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL TREMONTIName
TitleCFOTitle
Date Signed2012-11-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts368457018GrossReceipts
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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2612TotalNbrEmployees
Total Nbr Volunteers807TotalNbrVolunteers
Total Gross UBI10239TotalGrossUBI
Net Unrelated Business Txbl Income2915NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2214956ContributionsGrantsPriorYear
Contributions Grants Current Year2486532ContributionsGrantsCurrentYear
Program Service Revenue Prior Year334421229ProgramServiceRevenuePriorYear
Program Service Revenue CY361143068ProgramServiceRevenueCY
Investment Income Prior Year37346InvestmentIncomePriorYear
Investment Income Current Year-102871InvestmentIncomeCurrentYear
Other Revenue Prior Year4857575OtherRevenuePriorYear
Other Revenue Current Year4772225OtherRevenueCurrentYear
Total Revenue Prior Year341531106TotalRevenuePriorYear
Total Revenue Current Year368298954TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45243GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY184622GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year117212498SalariesEtcPriorYear
Salaries Etc Current Year125228933SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year188193629OtherExpensePriorYear
Other Expenses Current Year190833546OtherExpensesCurrentYear
Total Expenses Prior Year305451370TotalExpensesPriorYear
Total Expenses Current Year316247101TotalExpensesCurrentYear
Revenues Less Expenses Prior Year36079736RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52051853RevenuesLessExpensesCY
Total Assets BOY400516692TotalAssetsBOY
Total Assets EOY446527449TotalAssetsEOY
Total Liabilities BOY27960232TotalLiabilitiesBOY
Total Liabilities EOY36093542TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY372556460NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY410433907NetAssetsOrFundBalancesEOY
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
Expense261889409Expense
Grants184622Grants
Revenue361366398Revenue
DescriptionTrustees of Mease Hospital, Inc. (TOM) is a full-service 443-bed community hospital. During 2011, TOM provided inpatient care to 22,588 patients, treated 75,143 patients in the emergency department, and delivered 2,015 babies. Through efforts of the medical assistance program and the hospital's charity care program TOM saw a net community benefit expense of $18.7 million. The hospital also provided other community services totaling more than $1.6 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 Expense261889409TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 With1096288NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2612NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
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 Line11240 S FT HARRISON AVEAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33756ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GLENN WATERS
DIRECTOR AND PRESIDENT1.0XX01010668155126
MAHESH AMIN
DIRECTOR AND VICE CHAIRMAN1.0XX000
ED ARMSTRONG
DIRECTOR AND CHAIRMAN1.0XX000
RICHARD BEKESH
DIRECTOR1.0X000
ALAN BOMSTEIN
DIRECTOR1.0X000
JAMES CANTONIS
DIRECTOR1.0X000
V RAYMOND FERRERA
DIRECTOR1.0X000
WILLIAM HORNE
DIRECTOR AND SECRETARY1.0XX000
JIM HUGUET
DIRECTOR1.0X000
LONNIE KLEIN
DIRECTOR1.0X000
ODALYS LARA
DIRECTOR1.0X000
ROBERT MCGIVNEY
DIRECTOR AND TREASURER1.0XX000
LARRY MORGAN
DIRECTOR1.0X000
GARY MOSKOVITZ
DIRECTOR1.0X000
THOMAS NASH
DIRECTOR1.0X000
GAIL WRIGHT
DIRECTOR1.0X000
STEPHEN MASON
DIRECTOR1.0X0312803925026
MARC BOWMAN
DIRECTOR1.0X000
DEWEY MITCHELL
DIRECTOR1.0X000
NANCY RIDENOUR
DIRECTOR1.0X000
STEPHANIE VANZANDT
DIRECTOR1.0X000
THOMAS WHIDDON
DIRECTOR1.0X000
CARL TREMONTI
CFO - MPM1.0X036802039913
CELIA LARIMORE
DIR SURGICAL SERVICES - MEASE45.0185427012727X
GERALD MASSEY
DIRECTOR, OPERATIONS - MEASE45.0171754012094X
ROBIN LAPHAM
DIR. PATIENT SERVICES - MCH45.0162580015183X
LOUIS GALDIERI
COO, MEASE HOSPITALS1.0036360548227X
MOHSEN HABIB
MANAGER PHARMACY45.0155606018670X
DENNIS MCMANUS
CLINICAL PHARMACIST45.015162507696X
KELLY TRIOLO
DIR PATIENT SVCS, MDH/ER45.0172250011970X
GERMAIN SIESS
MANAGER PHARMACY45.0135122010183X
NICOLE HANNA
CLINICAL PHARMACIST45.0134495010326X
PETER BLUMENCRANZ
FORMER DIRECTOR/PHYSICIAN1.0070298413683X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1268859TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5573316TotalReportableCompFrmRltdOrgs
Total Other Compensation380824TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
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
SIEMENS MEDICAL SOLUTIONS USA
PO BOX 120001DALLASTX75312IT Consulting1069789
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762LAUNDRY SERVICES2038009
GRAHAM FLORIDA II MEDICAL BUILDING
505 FIfth AVE STE 200DES MOINESIA50309ARCHITECTURE994854
TERBO GROUP INC
1410 SANTA ANNA DRDUNEDINFL34698CONSTRUCTION SVCS761048
WEHR CONSTRUCTORS INC
4425 N LOIS AVETAMPAFL33614CONSTRUCTION SVCS1936064
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
Related Organizations2377277RelatedOrganizations
All Other Contributions109255AllOtherContributions
Total Contributions2486532TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT CARE621999205182205205182205
MEDICARE/MEDICAID NET REVENUE621999155553257155553257
RENTAL INCOME FROM AFFILIATES532000407606407606
FieldValueIRS element (for citing)
Total Program Service Revenue361143068TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21643TotalRevenueColumn
Exclusion$21,643ExclusionAmount

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)
Real2836531Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2836531Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2836531TotalRevenueColumn
Exclusion$2,836,531ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other33550Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other158064Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-124514Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-124514TotalRevenueColumn
Exclusion-$124,514ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA7223101702125$1,702,125
MISCELLANEOUS62199923356922333010239
FieldValueIRS element (for citing)
Total Other Revenue1935694TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column368298954TotalRevenueColumn
Related Or Exempt Function Income361366398RelatedOrExemptFunctionIncome
Unrelated Business Revenue10239UnrelatedBusinessRevenue
Exclusion$4,435,785ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total184622Total
Program Services184622ProgramServices

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)
Total559765Total
Program Services375917ProgramServices
Management And General183848ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total105650855Total
Program Services105625792ProgramServices
Management And General25063ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3545933Total
Program Services3545092ProgramServices
Management And General841ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7983755Total
Program Services7981861ProgramServices
Management And General1894ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7488625Total
Program Services7477748ProgramServices
Management And General10877ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

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)
Total7774151Total
Program Services7368158ProgramServices
Management And General405993ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total402797Total
Program Services399797ProgramServices
Management And General3000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5478065Total
Program Services3305832ProgramServices
Management And General2172233ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total156530Total
Program Services148701ProgramServices
Management And General7829ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7133586Total
Program Services7072198ProgramServices
Management And General61388ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total78695Total
Program Services15977ProgramServices
Management And General62718ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6076647Total
Program Services6076647ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21855863Total
Program Services21852448ProgramServices
Management And General3415ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3124368Total
Management And General3124368ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES55537409555318605549
CORPORATE ALLOCATION4764410047644100
BAD DEBT EXPENSE2155937421559374
ASSESSMENTS43491774349177

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9662784Total
Program Services9018208ProgramServices
Management And General644576ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total316247101Total
Program Services261889409ProgramServices
Management And General54357692ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6629BOY
EOY6629EOY

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)
BOY38593406BOY
EOY38162798EOY

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)
BOY4087634BOY
EOY4260412EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5421529BOY
EOY5981732EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1166755BOY
EOY1125669EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis380512037LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec205151010LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY178175211BOY
EOY175361027EOY

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)
BOY408082BOY
EOY345863EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY6783581EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY172657446BOY
EOY214499738EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY400516692BOY
EOY446527449EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13171406BOY
EOY14997748EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY2363659EOY

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)
BOY5532439BOY
EOY5069082EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9256387BOY
EOY13663053EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27960232BOY
EOY36093542EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY372556460BOY
EOY410433907EOY

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)
BOY372556460BOY
EOY410433907EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY400516692BOY
EOY446527449EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses52051853ReconcilationRevenueExpenses
Reconcilation Other Changes-14174406ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12081408OtherCostOrOtherBasis
Book Value12081408BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis218973071OtherCostOrOtherBasis
Depreciation103561553Depreciation
Book Value115411518BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis75223OtherCostOrOtherBasis
Depreciation1881Depreciation
Book Value73342BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis131132517OtherCostOrOtherBasis
Depreciation101587576Depreciation
Book Value29544941BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18249818OtherCostOrOtherBasis
Book Value18249818BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings175361027TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value214499738BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets214499738TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY SETTLEMENTS$13,235,176
ASSET RETIREMENT OBLIGATION LT$269,829
ASSET RETIREMENT OBLIGATION ST$150,000
DEPOSITS$8,048
FieldValueIRS element (for citing)
Total Of Amounts13663053TotalOfAmounts
Total Revenue368298954TotalRevenue
Total Expenses316247101TotalExpenses
Excess Or Deficit For Year52051853ExcessOrDeficitForYear
Net Unrealized GL On Investments-11797129NetUnrealizedGLOnInvestments
Other-$2,377,277OtherAmount
Total Adjustments-14174406TotalAdjustments
Excess Or Deficit Per FS37877447ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt353707851TotRevenueEtcAuditedFinclStmt
Revenue Subtotal353707851RevenueSubtotal
Other Revenues Not Included14591103OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt14591103RevenueNotRptdOnFinStmt
Total Revenue Per Form990368298954TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt315830405TotExpensesEtcAuditedFinclStmt
Expenses Subtotal315830405ExpensesSubtotal
Other Expenses Not Included416696OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt416696ExpensesNotRptdOnFinStmt
Total Expenses Per Form990316247101TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSch D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 8 Change in foundations ($2,377,277) Schedule D, Part XII, Line 4b Change in foundations $2,377,277 Revenues netted with expenses $416,696 Unrealized loss on swaps $11,797,130 Total $14,591,103 Schedule D, Part XIII, Line 4b Revenues netted with expenses $416,696Explanation

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 Served10986PersonsServed
Total Community Benefit Expense10826201TotalCommunityBenefitExpense
Direct Offsetting Revenue389587DirectOffsettingRevenue
Net Community Benefit Expense10436614NetCommunityBenefitExpense
Percent Of Total Expense0.03540PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served19810PersonsServed
Total Community Benefit Expense30970210TotalCommunityBenefitExpense
Direct Offsetting Revenue22904716DirectOffsettingRevenue
Net Community Benefit Expense8065494NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served112PersonsServed
Total Community Benefit Expense236647TotalCommunityBenefitExpense
Direct Offsetting Revenue43225DirectOffsettingRevenue
Net Community Benefit Expense193422NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served30908PersonsServed
Total Community Benefit Expense42033058TotalCommunityBenefitExpense
Direct Offsetting Revenue23337528DirectOffsettingRevenue
Net Community Benefit Expense18695530NetCommunityBenefitExpense
Percent Of Total Expense0.06350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served13023PersonsServed
Total Community Benefit Expense237757TotalCommunityBenefitExpense
Net Community Benefit Expense237757NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served65PersonsServed
Total Community Benefit Expense1282127TotalCommunityBenefitExpense
Net Community Benefit Expense1282127NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense83397TotalCommunityBenefitExpense
Net Community Benefit Expense83397NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served134PersonsServed
Total Community Benefit Expense40619TotalCommunityBenefitExpense
Net Community Benefit Expense40619NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served13222PersonsServed
Total Community Benefit Expense1643900TotalCommunityBenefitExpense
Net Community Benefit Expense1643900NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served44130PersonsServed
Total Community Benefit Expense43676958TotalCommunityBenefitExpense
Direct Offsetting Revenue23337528DirectOffsettingRevenue
Net Community Benefit Expense20339430NetCommunityBenefitExpense
Percent Of Total Expense0.06910PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$21,559,374BadDebtExpenseAmount
Amount Attributable To10316215AmountAttributableTo
Amount Reimbursed By Medicare88485794AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare94348080CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5862286MedicareSurplusOrShortfall

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/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
MEASE COUNTRYSIDE HOSPITAL
13231 N McMULLEN-BOOTH RDCLEARWATERFL33761XXX
MEASE DUNEDIN HOSPITAL
2601 MAIN STREETDUNEDINFL34698XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit LawsuitPermitLawsuitCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyLawsuitLawsuitNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
MEASE COUNTRYSIDE HOSPITAL
1truetrue250.falsetrueXXXXXXXtruetrueXXXXtrueXXtrueXXXXXXtrueXfalsefalse
MEASE DUNEDIN HOSPITAL
2truetrue250.falsetrueXXXXXXXtruetrueXXXXtrueXXtrueXXXXXXtrueXfalsefalse

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 (15 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, 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 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
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 $21,559,374 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 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. Line 7 Surplus or (Shortfall) ($5,862,286) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($9,593,295) Total Surplus or (Shortfall) ($15,455,581)
Part III Line 9bPatients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, patient billing mailers, 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 would be written off completely to charity and not billed to the patients.
Part V Section B Line 10An 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 19dPatients 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 Hospitals, 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.
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.
3 - Patient Education of Eligibility for AssistanceTrustees of Mease, 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, 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, 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 mailers 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.
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 10% 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 13% 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 4% in the next 5 years. This expected growth is similar to the expected growth rate for the United States. However, the population Age 55+ is expected to grow 22% 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 07/01/10-06/30/11, the payor mix for the geographic area consists of 53.8% Medicare/Medicare HMO, 13.5% Medicaid/Medicaid HMO, 22.0% Commercial Insurance, 7.2% Self-pay, and 3.5% Other.
5 - Promotion of Community HealthResidents 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 still 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 1986 Mease Countryside Hospital opened. Today, Mease Countryside Hospital is a 300-bed facility celebrating its 25th year of service to the community. The 2012 Thomson 100 Top Hospitals National Benchmarks for Success study recognized Mease Countryside for its overall organizational achievement for the eighth time. Services are provided through more than 7,300 employees and 780 board-certified physicians. 2011 Overview Mease Dunedin Hospital Construction of New Operative Suites In 2011, Mease Dunedin worked to construct four new operative suites which will greatly enhance the hospital's surgical services. Opening in June 2012, the new suites are larger and better suited to accommodate today's surgical equipment for orthopedic and minimally invasive procedures. U.S. Environmental Protection Agency's ENERGY STAR For the second time, Mease Dunedin Hospital earned the U.S. Environmental Protection Agency's (EPA's) prestigious ENERGY STAR, the national symbol for protecting the environment through superior energy efficiency. This signifies that the hospital's buildings perform in the top 25 percent of similar facilities nationwide in energy conservation. Mease Dunedin is one of only 86 hospitals in the nation, to initially achieve this recognition. Commercial buildings that earn the ENERGY STAR use an average of 35 percent less energy than typical buildings and also release 35 percent less carbon dioxide into the atmosphere. Mease Dunedin improved its energy performance by managing energy strategically across the entire organization and by making cost-effective improvements to its buildings. Mease Countryside Hospital 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. In 2011, the St. Joseph's Children's Specialty Center opened on the Mease Countryside campus. The clinic provides the north Pinellas and south Pasco communities with more access to physical, occupational, speech, and sensory therapy programs, 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. 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 well-being 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. 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. 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 2011, active support groups included Alert, Well and Keeping Energetic (AWAKE) Support Group, 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. To help motivate people to stay on the right track in managing their diabetes, Morton Plant Mease Diabetes Education Center began offering diabetes support groups in 2011 at Mease Countryside Hospital. Community Lectures In 2011, Mease Countryside and Mease Dunedin held lectures on a variety of topics including asthma, breast cancer, cervical cancer, hearing health, sleep disorders, 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 and faith communities in Pinellas and Pasco 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 2011, 107 nurses in their faith communities helped 13,000 parishioners and conducted 10,815 screenings. 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 40 physician offices with 119 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. In 2011, Morton Plant Mease Primary Care physician offices have been 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 recognition. The concept of the Medical home identifies practices that promote partnerships between individual patients and their personal physicians. Medical home physicians demonstrate the benchmarks of patient-centered care, including open scheduling, expanded hours and appropriate use of proven health information systems. Key program measures include written standards for patient access and enhanced communications, appropriate use of charting tools to track patients and organize clinical information, responsive care management techniques with an emphasis on preventive care, adaptation to patient's cultural and linguistic needs, use of information technology for prescriptions and care management, use of evidence-based guidelines to treat chronic conditions, systematic tracking of referrals and test results and measurement and reporting of clinical and service performance. Immediate Care Urgent medical treatment can't wait. In the evenings and on weekends, it's not always possible to see a family physician or appropriate to go to an emergency room. The Morton Plant Mease immediate care centers work to fill that need in the community. With two locations and a third in planning stages in 2011, the centers are open in the evenings and weekends to treat minor illnesses and injuries. Cancer Care & Support Mease offers many options to identify and treat breast, prostate, lung, brain, gynecologic and other cancers. Our board-certified oncologists, radiologists and surgeons work to make the most advanced diagnostic and clinical procedures available. In addition, Mease helps cancer patients by improving access to ground-breaking treatments and support services. Cancer Patient Support Services -- This innovative program is the first and only of its kind in Pinellas County. Cancer Patient Support Services (CaPSS) helps cancer patients and their families cope more effectively with the emotional and physical changes resulting from a cancer diagnosis. All patients, regardless of where they receive treatment, are welcome. The program offers the following services free of charge -- community education specialist, individualized and family counseling by specialized oncology counselors, support groups for patients, family members and friends, ca
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 19,600 employees, 10 not-for-profit hospitals, 17 outpatient centers, and a complete range of services, such as imaging, lab, behavioral health, and home care. BayCare's hospitals are 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 2011, BayCare's provided $167 million in community benefits, which includes $77.9 million in traditional charity care, $77.6 million in Medicaid and other means-tested programs, and $11.8 million in unbilled community services. In addition to charity care, 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 help meet the needs of their communities. BayCare's hospitals are located in three geographic regions, each with their own Boards of local leadership focused on their community's specific needs. Recognizing the need for mental health services, BayCare 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 is the only organization in the Tampa Bay area that operates dedicated psychiatric emergency rooms at each of its hospital-based, Baker Act facilities. In Hillsborough County, St. Joseph's prepared in 2011 to open a 45,000-square-foot behavioral health facility as the only private, freestanding, inpatient psychiatric Baker Act receiving hospital in the county. Earlier that year, the Tampa Bay Partnership, a regional research and education foundation, published a report that noted the area's suicide rate was statistically higher than state and national rates. St. Joseph's also began admitting mothers and babies to a new 125,000-square-foot, five-story tower with 64 NICU suites, one floor exclusively for new mothers and one floor for medical/surgical patients. The Tampa Bay region has a high infant mortality rate, according to the partnership's report. In north Pinellas County, Morton Plant opened a new, four-story pavilion that expanded cancer, imaging and patient support services. The report noted that the region's mortality rate due to cancer was higher than Florida's rate. In south Pinellas County, St. Anthony's identified a growing need for emergency services in its local community. As a result, the hospital expanded its current facilities with a new, 105,000-square-foot Emergency Center and Patient Care Tower. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region. In 2011, BayCare added 1,000 new employees during a tough economy when unemployment rates in other areas remained high. The community also benefits from BayCare's comprehensive network, which provides increased access to services, such as emergency care, outpatient and home care. In 2011, BayCare HomeCare provided 625,000 home health visits, helping patients leave the hospital sooner and recover at home where they are more comfortable. BayCare also meets the needs of the community by helping its hospitals continue evolving to keep pace with changes in the health care industry and new technologies. In 2011, BayCare continued developing a clinically integrated network in the Tampa Bay area. This new, physician-led organization puts more emphasis on prevention, early detection and disease management by creating a flexible model of care that better aligns physicians with BayCare's resources. In addition, BayCare successfully completed the second phase of its system-wide implementation of an electronic medical record (EMR). With the completion of this phase in 2011, every hospital in BayCare now documents clinical information in a system-wide EMR, providing the entire health team with real-time, electronic access to patient information. In 2011, BayCare hosted its sixth annual and largest Quality Sharing Day event, with more than 500 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects. In 2011, BayCare had 193 Six Sigma and performance improvement projects championed by employees throughout the health system. BayCare currently has 31 certified Six Sigma Black Belts and 57 certified Green Belts. Since BayCare began its Six Sigma program in 2004, more than 5,400 employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout its hospitals and facilities. As part of its commitment to the community, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College and the Pinellas Technical Education Center to help educate future nurses and health care professionals. BayCare also continues to support other organizations committed to improving the health of the community. These organizations include the American Heart Association (Greater Southeast Affiliate), Susan G. Komen for the Cure (Florida Suncoast Affiliate), and the Tampa Bay Partnership: ONE BAY Healthy Communities.
7 - State FilingN/A

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 Grant184622AmountOfCashGrant
Purpose Of GrantDonationPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
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 occurred.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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base 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
164745019763091908905038220198154000
GERALD MASSEY
1446850191390793007843042510183848000
ROBIN LAPHAM
145092016982050607924072590177763000
MOHSEN HABIB
13613701030109168076480110220174276000
DENNIS MCMANUS
1453010720056040740502910159321000
KELLY TRIOLO
151126020675044908189037810184220000
LOUIS GALDIERI
025524307972702863504381504412041183200
CARL TREMONTI
024667708008104126203602103892040793300
GLENN WATERS
0691508030464001452001429950121310116579400
PETER BLUMENCRANZ
06910390001194501202801655071666700
STEPHEN MASON
01054306046568601608047012152012874031530650519405

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationThe 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 Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2011. He had $130,745 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $1,570,412 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $572,415 in 2011. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $22,761 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. He had $24,036 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $8,296 in 2011. Louis Galdieri - Participated in a supplemental nonqualified deferred compensation plan. He had $20,649 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. He had $31,688 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $7,526 in 2011.
Supplemental Compensation Committee80 percent of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20 percent would be considered non-fixed and is based on the discretion of the employee's immediate supervisor.Part I, line 7

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 Transaction499994AmountOfTransaction
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 directors 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 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 Administrative 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, 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 VII and XIForm 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Alan Bomstein - BayCare Health System, Inc. - 1 Alan Bomstein - Morton Plant Hospital Association, Inc. - 1 Alan Bomstein - Morton Plant Mease Health Care, Inc. - 1 Carl Tremonti - Morton Plant Hospital Association, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 Carl Tremonti - Morton Plant Mease Primary Care, Inc. - 1 Carl Tremonti - St. Anthony's Hospital, Inc. - 1 Carl Tremonti - St. Anthony's Professional Buildings & Services, Inc. - 1 Dewey Mitchell - Morton Plant Hospital Association, Inc. - 1 Dewey Mitchell - Morton Plant Mease Health Care, Inc. - 1 Ed Armstrong - BayCare Health System, Inc. - 1 Ed Armstrong - Morton Plant Hospital Association, Inc. - 1 Ed Armstrong - Morton Plant Mease Health Care, Inc. - 1 Gail Wright - Morton Plant Hospital Association, Inc. - 1 Gail Wright - Morton Plant Mease Health Care, Inc. - 1 Gary Moskovitz - Morton Plant Hospital Association, Inc. - 1 Gary Moskovitz - Morton Plant Mease Health Care, Inc. - 1 Glenn Waters - BayCare Alliant Hospital, Inc. - 1 Glenn Waters - BayCare Home Care, Inc. - 1 Glenn Waters - Morton Plant Hospital Association, Inc. - 1 Glenn Waters - Morton Plant Mease Health Care, Inc. - 45 Glenn Waters - Morton Plant Mease Primary Care, Inc. - 1 James Cantonis - Morton Plant Hospital Association, Inc. - 1 James Cantonis - Morton Plant Mease Health Care, Inc. - 1 James Cantonis - Morton Plant Mease Primary Care, Inc. - 1 Jim Huguet - Morton Plant Hospital Association, Inc. - 1 Jim Huguet - Morton Plant Mease Health Care, Inc. - 1 Larry Morgan - BayCare Health System, Inc. - 1 Larry Morgan - Morton Plant Hospital Association, Inc. - 1 Larry Morgan - Morton Plant Mease Health Care, Inc. - 1 Lonnie Klein - Morton Plant Hospital Association, Inc. - 1 Lonnie Klein - Morton Plant Mease Health Care, Inc. - 1 Mahesh Amin - BayCare Health System, Inc. - 1 Mahesh Amin - Morton Plant Hospital Association, Inc. - 1 Mahesh Amin - Morton Plant Mease Health Care, Inc. - 1 Marc Bowman - Morton Plant Hospital Association, Inc. - 1 Marc Bowman - Morton Plant Mease Health Care, Inc. - 1 Nancy Ridenour - Morton Plant Hospital Association, Inc. - 1 Nancy Ridenour - Morton Plant Mease Health Care, Inc. - 1 Odalys Lara - BayCare Health System, Inc. - 1 Odalys Lara - Morton Plant Hospital Association, Inc. - 1 Odalys Lara - Morton Plant Mease Health Care, Inc. - 1 Odalys Lara - Morton Plant Mease Primary Care, Inc. - 1 Peter Blumencranz - Morton Plant Hospital Association, Inc. - 1 Peter Blumencranz - Morton Plant Mease Health Care, Inc. - 45 Raymond Ferrera - BayCare Health System, Inc. - 1 Raymond Ferrera - Morton Plant Hospital Association, Inc. - 1 Raymond Ferrera - Morton Plant Mease Health Care, Inc. - 1 Raymond Ferrera - Morton Plant Mease Health Services, Inc. - 1 Raymond Ferrera - St. Joseph's Enterprises, Inc. - 1 Richard Bekesh - Morton Plant Hospital Association, Inc. - 1 Richard Bekesh - Morton Plant Mease Health Care, Inc. - 1 Robert Mcgivney - BayCare Health System, Inc. - 1 Robert Mcgivney - Morton Plant Hospital Association, Inc. - 1 Robert Mcgivney - Morton Plant Mease Health Care, Inc. - 1 Stephanie Vanzandt - Morton Plant Hospital Association, Inc. - 1 Stephanie Vanzandt - Morton Plant Mease Health Care, Inc. - 1 Stephen Mason - BayCare Health System, Inc. - 45 Stephen Mason - BayCare Home Care, Inc. - 1 Stephen Mason - Morton Plant Hospital Association, Inc. - 1 Stephen Mason - Morton Plant Mease Health Care, Inc. - 1 Stephen Mason - Morton Plant Mease Primary Care, Inc. - 1 Stephen Mason - St. Anthony's Hospital, Inc. - 1 Thomas Nash - Morton Plant Hospital Association, Inc. - 1 Thomas Nash - Morton Plant Mease Health Care, Inc. - 1 Thomas Whiddon - Morton Plant Hospital Association, Inc. - 1 Thomas Whiddon - Morton Plant Mease Health Care, Inc. - 1 William Horne - Morton Plant Hospital Association, Inc. - 1 William Horne - Morton Plant Mease Health Care, Inc. - 1 Form 990, Part XI, Line 5 Other changes in net assets: Unrealized (loss) on swaps ($11,797,129) Change in net assets of foundation ($2,377,277) Total ($14,174,406)

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)3MPMHCtrue
Morton Plant Mease Primary Care Inc
300 S Park Place Blvd Ste 170ClearwaterFL33759593140335Health srvcsFL501(c)(3)9MPMHCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
The Pinellas Neuro-Ortho Spine Group
601 Main StreetDunedinFL34698830420933InactiveFLTOMrelated00false$0true0.51000
Trinity Surgery Center LLC
2102 Trinity Oaks BlvdNew Port RicheyFL34655020656933Health srvcsFLnan/a

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Global Health Care Inc
8452 118th Avenue NorthLargoFL33773591853449Health srvcsFLnaC corp
Medspecialists Inc
16255 Bay Vista DriveClearwaterFL33760680587533Health srvcsFLnaC corp
MFP Inc
628 Bypass RoadClearwaterFL33764592374569Collection srvcsFLnaC corp
Morton Plant Health Ventures Inc
8452 118th Avenue NorthLargoFL33773592728600Health srvcsFLnaC corp
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
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Morton Plant Mease Primary Care Inc
a(iv)247604FMV
Morton Plant Mease Health Care Foundation
c2377277FMV
Morton Plant Hospital Association Inc
j73167FMV
Morton Plant Hospital Association Inc
n1142349FMV
Morton Plant Hospital Association Inc
r367162FMV

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