2012-11-13T16:28:25-06:00 2011-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2011-01-01 590855412 Trustees of Mease Hospital Inc % Carl Tremonti TRUS 7274627697 601 Main Street Dunedin FL 34698 CARL TREMONTI 2012-11-08 4048748300 2011 2016-02-24 21:20:13Z Glenn Waters 601 Main Street Dunedin FL 34698 368457018 false X www.measehospitals.com X 1938 FL Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 22 14 2612 807 10239 2915 2214956 2486532 334421229 361143068 37346 -102871 4857575 4772225 341531106 368298954 45243 184622 0 0 117212498 125228933 0 0 0 188193629 190833546 305451370 316247101 36079736 52051853 400516692 446527449 27960232 36093542 372556460 410433907 Trustees of Mease Hospital, Inc. will improve the health of all we SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 261889409 184622 361366398 Trustees 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. 261889409 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true false false true 288 0 true 2612 true true true false false false false false false false false false X 22 14 true false false false true true true true true false false true true true true true true true true true true X Carl Tremonti 7274627176 1240 S FT HARRISON AVE Clearwater FL 33756 X GLENN WATERS 1.0 X X 0 1010668 155126 MAHESH AMIN 1.0 X X 0 0 0 ED ARMSTRONG 1.0 X X 0 0 0 RICHARD BEKESH 1.0 X 0 0 0 ALAN BOMSTEIN 1.0 X 0 0 0 JAMES CANTONIS 1.0 X 0 0 0 V RAYMOND FERRERA 1.0 X 0 0 0 WILLIAM HORNE 1.0 X X 0 0 0 JIM HUGUET 1.0 X 0 0 0 LONNIE KLEIN 1.0 X 0 0 0 ODALYS LARA 1.0 X 0 0 0 ROBERT MCGIVNEY 1.0 X X 0 0 0 LARRY MORGAN 1.0 X 0 0 0 GARY MOSKOVITZ 1.0 X 0 0 0 THOMAS NASH 1.0 X 0 0 0 GAIL WRIGHT 1.0 X 0 0 0 STEPHEN MASON 1.0 X 0 3128039 25026 MARC BOWMAN 1.0 X 0 0 0 DEWEY MITCHELL 1.0 X 0 0 0 NANCY RIDENOUR 1.0 X 0 0 0 STEPHANIE VANZANDT 1.0 X 0 0 0 THOMAS WHIDDON 1.0 X 0 0 0 CARL TREMONTI 1.0 X 0 368020 39913 CELIA LARIMORE 45.0 X 185427 0 12727 GERALD MASSEY 45.0 X 171754 0 12094 ROBIN LAPHAM 45.0 X 162580 0 15183 LOUIS GALDIERI 1.0 X 0 363605 48227 MOHSEN HABIB 45.0 X 155606 0 18670 DENNIS MCMANUS 45.0 X 151625 0 7696 KELLY TRIOLO 45.0 X 172250 0 11970 GERMAIN SIESS 45.0 X 135122 0 10183 NICOLE HANNA 45.0 X 134495 0 10326 PETER BLUMENCRANZ 1.0 X 0 702984 13683 1268859 5573316 380824 47 true true false SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 DALLAS TX 75312 IT Consulting 1069789 BAY LINEN INC 11525 47TH ST NORTH CLEARWATER FL 33762 LAUNDRY SERVICES 2038009 GRAHAM FLORIDA II MEDICAL BUILDING 505 FIfth AVE STE 200 DES MOINES IA 50309 ARCHITECTURE 994854 TERBO GROUP INC 1410 SANTA ANNA DR DUNEDIN FL 34698 CONSTRUCTION SVCS 761048 WEHR CONSTRUCTORS INC 4425 N LOIS AVE TAMPA FL 33614 CONSTRUCTION SVCS 1936064 36 2377277 109255 2486532 HOSPITAL PATIENT CARE 621999 205182205 205182205 MEDICARE/MEDICAID NET REVENUE 621999 155553257 155553257 RENTAL INCOME FROM AFFILIATES 532000 407606 407606 361143068 21643 21643 0 0 2836531 2836531 2836531 2836531 33550 158064 -124514 -124514 -124514 0 0 0 CAFETERIA 722310 1702125 1702125 MISCELLANEOUS 621999 233569 223330 10239 1935694 368298954 361366398 10239 4435785 184622 184622 0 0 0 559765 375917 183848 0 105650855 105625792 25063 3545933 3545092 841 7983755 7981861 1894 7488625 7477748 10877 0 0 0 0 0 0 7774151 7368158 405993 402797 399797 3000 5478065 3305832 2172233 156530 148701 7829 0 7133586 7072198 61388 78695 15977 62718 0 0 6076647 6076647 0 21855863 21852448 3415 3124368 3124368 MEDICAL SUPPLIES 55537409 55531860 5549 CORPORATE ALLOCATION 47644100 47644100 BAD DEBT EXPENSE 21559374 21559374 ASSESSMENTS 4349177 4349177 9662784 9018208 644576 316247101 261889409 54357692 0 6629 6629 0 0 0 0 38593406 38162798 0 0 0 0 4087634 4260412 5421529 5981732 1166755 1125669 380512037 205151010 178175211 175361027 0 0 0 0 408082 345863 0 6783581 172657446 214499738 400516692 446527449 13171406 14997748 0 0 0 2363659 0 0 0 0 0 0 5532439 5069082 0 0 9256387 13663053 27960232 36093542 X 372556460 410433907 0 0 0 0 372556460 410433907 400516692 446527449 X 52051853 -14174406 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12081408 12081408 218973071 103561553 115411518 75223 1881 73342 131132517 101587576 29544941 18249818 18249818 175361027 DUE FROM AFFILIATES 214499738 214499738 0 ESTIMATED THIRD PARTY SETTLEMENTS 13235176 ASSET RETIREMENT OBLIGATION LT 269829 ASSET RETIREMENT OBLIGATION ST 150000 DEPOSITS 8048 13663053 368298954 316247101 52051853 -11797129 -2377277 -14174406 37877447 353707851 353707851 14591103 14591103 368298954 315830405 315830405 416696 416696 316247101 Sch D Supplemental Information Schedule 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 $416,696 true true X true X 250. false true true false true true 2 10986 10826201 389587 10436614 0.03540 2 19810 30970210 22904716 8065494 0.02740 2 112 236647 43225 193422 0.00070 6 30908 42033058 23337528 18695530 0.06350 22 13023 237757 237757 0.00080 2 65 1282127 1282127 0.00440 2 83397 83397 0.00030 13 134 40619 40619 0.00010 39 13222 1643900 1643900 0.00560 45 44130 43676958 23337528 20339430 0.06910 true 21559374 10316215 88485794 94348080 -5862286 X true true 2 1 MEASE COUNTRYSIDE HOSPITAL

3231 N McMULLEN-BOOTH RD CLEARWATER FL 33761

X X X 2 MEASE DUNEDIN HOSPITAL

601 MAIN STREET DUNEDIN FL 34698

X X X MEASE COUNTRYSIDE HOSPITAL 1 true true 250. false true X X X X X X X true true X X X X true X X true X X X X X X true X false false MEASE DUNEDIN HOSPITAL 2 true true 250. false true X X X X X X X true true X X X X true X X true X X X X X X true X false false 2 TRINITY IMMEDIATE CARE CENTER

1306 SEVEN SPRINGS BLVD TRINITY FL 34655

IMMEDIATE CARE WALSINGHAM IMMEDIATE CARE CENTER

13670 WALSINGHAM ROAD LARGO FL 33774

IMMEDIATE CARE Part I Line 3c Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease, 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 7 Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits. Part I Line 7 Column f Bad Debt expense of $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 4 The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid. Part III Line 8 Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. 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 9b Patients 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 10 An uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days. Part V Section B Line 19d Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease 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 Assessment Trustees of Mease Hospital, Inc. is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. Trustees of Mease Hospital, Inc. addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, Trustees of Mease Hospital, Inc. conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist Trustees of Mease Hospital, Inc. in developing initiatives and programs/services to address identified health care needs in the communities it serves. 3 - Patient Education of Eligibility for Assistance Trustees 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 Information Mease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 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 Health Residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help in 1937. Today, Mease Dunedin is a 143-bed hospital 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 System Trustees 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 Filing N/A true Suncoast Community Health Centers Inc 13110 Elk Mountain Dr Riverview FL 33579 591741303 501(C)(3) 184622 Donation 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants Trustees of Mease Hospital is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Trustees of Mease Hospital's senior management team reviews each cash donation request to determine whether the organization is one we want to donate to, based on the organization's mission, non-profit status, and usage of funds. Once approved, we require proper documentation from the organization of its non-profit status, and as needed, follow-up with the organization to ensure the activity occurred. false true false false false false false true false CELIA LARIMORE 164745 0 19763 0 919 0 8905 0 3822 0 198154 0 0 0 GERALD MASSEY 144685 0 19139 0 7930 0 7843 0 4251 0 183848 0 0 0 ROBIN LAPHAM 145092 0 16982 0 506 0 7924 0 7259 0 177763 0 0 0 MOHSEN HABIB 136137 0 10301 0 9168 0 7648 0 11022 0 174276 0 0 0 DENNIS MCMANUS 145301 0 720 0 5604 0 7405 0 291 0 159321 0 0 0 KELLY TRIOLO 151126 0 20675 0 449 0 8189 0 3781 0 184220 0 0 0 LOUIS GALDIERI 0 255243 0 79727 0 28635 0 43815 0 4412 0 411832 0 0 CARL TREMONTI 0 246677 0 80081 0 41262 0 36021 0 3892 0 407933 0 0 GLENN WATERS 0 691508 0 304640 0 14520 0 142995 0 12131 0 1165794 0 0 PETER BLUMENCRANZ 0 691039 0 0 0 11945 0 12028 0 1655 0 716667 0 0 STEPHEN MASON 0 1054306 0 465686 0 1608047 0 12152 0 12874 0 3153065 0 519405 Supplemental Compensation Information The filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b 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 Committee Part I, line 7 80 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. MFP Inc DBA Financial Credit Serv See Part V 499994 Collection Services false Relationship between interested person and the organization Stephen Mason and Glenn Waters are directors and/or officers of the filing organization as well as board members of MFP, Inc. Part VI Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters and Stephen Mason are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the Member such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Trustees of Mease Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation. Part VI Part VI, Lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief 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 XI Form 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) BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Support srvcs FL 501(c)(3) 11A na false Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 Health srvcs FL 501(c)(3) 3 MPMHC true Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(c)(3) 11A TOMMPH true Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(c)(3) 11B na false Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 Health srvcs FL 501(c)(3) 3 MPMHC true Morton Plant Mease Primary Care Inc 300 S Park Place Blvd Ste 170 Clearwater FL 33759 593140335 Health srvcs FL 501(c)(3) 9 MPMHC true The Pinellas Neuro-Ortho Spine Group 601 Main Street Dunedin FL 34698 830420933 Inactive FL TOM related 0 0 false 0 true 0.51000 Trinity Surgery Center LLC 2102 Trinity Oaks Blvd New Port Richey FL 34655 020656933 Health srvcs FL na n/a Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL na C corp Medspecialists Inc 16255 Bay Vista Drive Clearwater FL 33760 680587533 Health srvcs FL na C corp MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection srvcs FL na C corp Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL na C corp true false true true false true true false true true false true false true false false true true Morton Plant Mease Primary Care Inc a(iv) 247604 FMV Morton Plant Mease Health Care Foundation c 2377277 FMV Morton Plant Hospital Association Inc j 73167 FMV Morton Plant Hospital Association Inc n 1142349 FMV Morton Plant Hospital Association Inc r 367162 FMV