BAYCARE HOME CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BAYCARE HOME CARE INC (EIN 59-3582520)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349302966
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)
Timestamp2012-11-14T11:26:01-06:00Timestamp
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)
EIN593582520EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BayCare Home Care IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Thomas RibbleInCareOfName
Name ControlBAYCNameControl
Phone7273946461Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18452 118th Ave NAddressLine1
CityLargoCity
StateFLState
ZIP Code33773ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENTON CROCKETTName
TitleSR Vice PresidentTitle
Date Signed2012-10-24DateSigned

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 PersonDenton Crockett Jr PresidentNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18452 118th Ave NAddressLine1
CityLargoCity
StateFLState
ZIP Code33773ZIPCode
FieldValueIRS element (for citing)
Gross Receipts114645832GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.baycarehomecare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionBayCare Home Care's mission is to improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees1321TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI2737073TotalGrossUBI
Net Unrelated Business Txbl Income148909NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year112789351ProgramServiceRevenuePriorYear
Program Service Revenue CY114517934ProgramServiceRevenueCY
Investment Income Prior Year82389InvestmentIncomePriorYear
Investment Income Current Year29286InvestmentIncomeCurrentYear
Other Revenue Prior Year263976OtherRevenuePriorYear
Other Revenue Current Year98612OtherRevenueCurrentYear
Total Revenue Prior Year113135716TotalRevenuePriorYear
Total Revenue Current Year114645832TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11700GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14506GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66685534SalariesEtcPriorYear
Salaries Etc Current Year68258431SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39037916OtherExpensePriorYear
Other Expenses Current Year41545949OtherExpensesCurrentYear
Total Expenses Prior Year105735150TotalExpensesPriorYear
Total Expenses Current Year109818886TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7400566RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4826946RevenuesLessExpensesCY
Total Assets BOY76918571TotalAssetsBOY
Total Assets EOY48415278TotalAssetsEOY
Total Liabilities BOY6812783TotalLiabilitiesBOY
Total Liabilities EOY27807266TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY70105788NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20608012NetAssetsOrFundBalancesEOY
Mission DescriptionBayCare Home Care, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense96780152Expense
Grants14506Grants
Revenue114616546Revenue
DescriptionBayCare Home Care, Inc. is a not-for-profit corporation that provides a complete range of home health services, under physician order, to persons in need of care who are homebound in their place of residence. The services delivered by the applicant are performed by registered nurses, registered physical therapists, medical social workers, home health aids, and homemakers.Description
Total Program Service Expense96780152TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetsfalseReportOtherAssets
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
HospitalfalseHospital
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 With1096333NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1321NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 PersonThomas RibbleNamePerson
Telephone Number7273946412TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18452 118TH AVE NAddressLine1
CityLargoCity
StateFLState
ZIP Code33773ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL SWEENEY
DIRECTOR/VP HOME HEALTH45.0X310565064396
WILLIAM WOELTJEN
DIRECTOR1.0X000
DENTON CROCKETT JR
DIRECTOR AND PRESIDENT1.0X069238420489X
TOMMY INZINA
DIRECTOR1.0X0170387329198
STEPHEN MASON
DIRECTOR AND VICE PRESIDENT1.0X0312803925026X
THOMAS RIBBLE
DIRECTOR1.0X016619514315X
GLENN WATERS
DIRECTOR AND SECRETARY/TRSR1.0X01010668155126X
MADELYN MOSELEY
EXECUTIVE DIRECTOR HOME CARE45.0190994016544X
IQBAL BURNEY
DIRECTOR PHARMACY45.0187067018137X
THOMAS GUINAND
DIR EXT CARE SVCS/MED SUPPLY45.0171150017061X
ELYSE GRECO
SPEECH THERAPIST45.0146030012221X
BRYAN BAUTISTA
PHYSICAL THERAPIST45.0138142011803X
MARK REALINI
INFUSION PHARMACIST45.0133367010481X
GREG ELAM
PHYSICAL THERAPIST45.0132720017626X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1410035TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6701159TotalReportableCompFrmRltdOrgs
Total Other Compensation412423TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
CARE TEAM INC
3311 W KENNEDY BLVDTAMPAFL33609MEDICAL SERVICES1042862
THERACOM INC
PO BOX 640105CINCINNATIOH45264PHARMACY SERVICES508032
HARBORSIDE REHABILITATION LP
PO BOX 200528HOUSTONTX77216MEDICAL STAFFING247845
UNITED PARCEL SERVICE
PO BOX 7247 0244PHILADELPHIAPA19170SHIPPING SERVICES238782
RONALD J COPE
1911 W NORTH STTAMPAFL33604COURIER SERVICES121570
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT CARE62161064938378622013052737073
MEDICARE/MEDICAID NET REVENUE6216104957955649579556
FieldValueIRS element (for citing)
Total Program Service Revenue114517934TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24536TotalRevenueColumn
Exclusion$24,536ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4750Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4750TotalRevenueColumn
Exclusion$4,750ExclusionAmount

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

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621610BusinessCode
Total Revenue Column98612TotalRevenueColumn
Related Or Exempt Function Income98612RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue98612TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column114645832TotalRevenueColumn
Related Or Exempt Function Income111879473RelatedOrExemptFunctionIncome
Unrelated Business Revenue2737073UnrelatedBusinessRevenue
Exclusion$29,286ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total14506Total
Program Services14506ProgramServices

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)
Total961775Total
Program Services205206ProgramServices
Management And General756569ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total55093031Total
Program Services54934940ProgramServices
Management And General158091ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1583235Total
Program Services1578692ProgramServices
Management And General4543ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6894409Total
Program Services6874625ProgramServices
Management And General19784ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3725981Total
Program Services3675715ProgramServices
Management And General50266ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41876Total
Management And General41876ManagementAndGeneral

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)
Total682196Total
Program Services641905ProgramServices
Management And General40291ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total81523Total
Program Services74661ProgramServices
Management And General6862ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1988129Total
Program Services341099ProgramServices
Management And General1647030ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total326147Total
Program Services226098ProgramServices
Management And General100049ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1574577Total
Program Services1535779ProgramServices
Management And General38798ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1945465Total
Management And General1945465ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4167556Total
Program Services3496972ProgramServices
Management And General670584ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total469281Total
Management And General469281ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1845684218456842
CORPORATE ALLOCATION70463677046367
BAD DEBT EXPENSE37199793719979
MISCELLANEOUS EXPENSES1046011100313342878

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total109818886Total
Program Services96780152ProgramServices
Management And General13038734ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6937BOY
EOY10928778EOY

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)
BOY20043270BOY
EOY21395622EOY

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)
BOY41231BOY
EOY1173505EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1705262BOY
EOY2049904EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14950BOY
EOY23089EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27635904LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15263393LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13189335BOY
EOY12372511EOY

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)
BOY477450BOY
EOY462824EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY41440136BOY
EOY9045EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76918571BOY
EOY48415278EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4928006BOY
EOY5348899EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1883774BOY
EOY1987567EOY

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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1003BOY
EOY20470800EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6812783BOY
EOY27807266EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY70105788BOY
EOY20608012EOY

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)
BOY70105788BOY
EOY20608012EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76918571BOY
EOY48415278EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4826946ReconcilationRevenueExpenses
Reconcilation Other Changes-54324722ReconcilationOtherChanges
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
General ExplanationAlthough the organization is exempt as a hospital, it is not required to be licensed as a hospital under the state law; therefore, Schedule H is not filed for the organization.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$117OtherActivitiesAmount
Total Lobbying Expenditures IIB117TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
ExplanationDues were paid to the Home Care Association of Florida; the association uses a portion of the dues to conduct lobbying activities.Explanation

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 Basis1450000OtherCostOrOtherBasis
Book Value1450000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6790858OtherCostOrOtherBasis
Depreciation1339057Depreciation
Book Value5451801BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis250354OtherCostOrOtherBasis
Depreciation180551Depreciation
Book Value69803BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19069067OtherCostOrOtherBasis
Depreciation13743785Depreciation
Book Value5325282BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75625OtherCostOrOtherBasis
Book Value75625BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12372511TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$20,470,800Amount
FieldValueIRS element (for citing)
Total Of Amounts20470800TotalOfAmounts
Total Revenue114645832TotalRevenue
Total Expenses109818886TotalExpenses
Excess Or Deficit For Year4826946ExcessOrDeficitForYear
Excess Or Deficit Per FS4826946ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt114645957TotRevenueEtcAuditedFinclStmt
Revenue Subtotal114645957RevenueSubtotal
Other Revenues Not Included-125OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-125RevenueNotRptdOnFinStmt
Total Revenue Per Form990114645832TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt109819011TotExpensesEtcAuditedFinclStmt
Expenses Subtotal109819011ExpensesSubtotal
Other Expenses Not Included-125OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-125ExpensesNotRptdOnFinStmt
Total Expenses Per Form990109818886TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XII, Line 4b Revenues netted with expenses ($125) Schedule D, Part XIII, Line 4b Revenues netted with expenses ($125)Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1American Heart AssociationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111207 Blue Heron Blvd NAddressLine1
CitySt PetersburgCity
StateFLState
ZIP Code33716ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient135613797EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant9006AmountOfCashGrant
Purpose Of GrantHeart Walk DonationPurposeOfGrant
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
ExplanationForm 990, Schedule I Description of organization's procedures for monitoring the Use of Grants Each cash donation request is reviewed by the senior management team to determine whether the organization is one we want to donate to based on the organization's mission, non-profit status, and usage of funds. Once approved, we require proper documentation from the organization of its non-profit status and follow up to ensure the activity has occurred.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
DANIEL SWEENEY
221309066968022288056587078090374961000
MADELYN MOSELEY
168917021473060409029075150207538000
IQBAL BURNEY
1577000211140825308716094210205204000
THOMAS GUINAND
1432950188730898207922091390188211000
ELYSE GRECO
14232108000290903040091810158251000
GREG ELAM
127879080004041067680108580150346000
DENTON CROCKETT JR
042455301421100125721012250082390712873025943
TOMMY INZINA
06586870266672077851402161007588017330710183433
STEPHEN MASON
01054306046568601608047012152012874031530650519405
THOMAS RIBBLE
0142671015958075660778106534018051000
GLENN WATERS
0691508030464001452001429950121310116579400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationSchedule J, Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Supplemental Compensation Information Schedule J, Part I, Line 4b 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. Tommy Inzina - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in his benefits in 2011. He had $763,994 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $278,476 in 2011. Denton Crockett, Jr - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in his benefits in 2011. He had $109,725 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $39,995 in 2011. Daniel Sweeney - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2011. He had $44,905 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. 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. Part II Column C.
Supplemental Compensation Information80 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.Schedule J, Part I, Line 7

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGlobal Health Care IncNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction294524AmountOfTransaction
Description Of TransactionStaffing CompanyDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferenceSchedule L, Part IVReturnReference
ExplanationDenton Crockett, Stephen Mason, Glenn Waters and Daniel Sweeney serve on the board of a related, for-profit corporation to which the filing organization made payments, at FMV, for services rendered.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family and Business Relationship Stephen Mason and Tommy Inzina are both 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 4 - Significant Changes to Organizing Documents The Articles of Incorporation were restated to add Community Health Corporation as a member of the organization as well as to change the composition of the board. Part VI, Line 6 - Description of Classes of Members or Stockholders The members of the corporation shall be BayCare Health System, Inc and Community Health Corporation (CHC). Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Board of Directors of the Corporation shall consist of Directors appointed by the Members. BayCare shall appoint five Members of the board of Directors and CHC shall appoint one Member of the Board of Directors. Each Director shall serve a term of one year and may serve as many terms as approved by the Member which made the appointment. A vacancy occuring among the Directors may only be filled by appointment by the Member that appointed the Director whose resignation, removal, death or disability reated the vacancy. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights Reservation of Powers in the Member. 1. Loan. Any loans shall be authorized by a resolution of the Board of Directors; however, any loan not included in the Corporation's annual budget in excess of $25,000 shall be approved by the Member before the loan is contracted on behalf of the Corporation. 2. Budgets. The Board of Directors shall prepare or have prepared the annual budgets of the Corporation. The annual budgets shall be approved by the Member before the same shall become effective. 3. Asset Transfers. No transfer or pledge of the Corporation's assets not in the ordinary course of business shall be made unless approved by the Member prior to the transfer or pledge. 4. Approval and Removal of Directors and Officers. The Member shall approve all Directors and Officers and may remove any Director or Officer. 5. Contracts. The Board may authorize any officer to enter into a contract or execute any instrument in the name of and on behalf of the Corporation; however, no contract in excess of $25,000 not contained in an approved budget and not in the ordinary course of business may be entered into except with the prior approval of the Member. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors prior to filing with the IRS. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest BayCare Home Care, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation.
Part VIPart VI, Line 15a & 15b - Process used for compensation review and approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief 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, Line 19 - Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public BayCare Home Care, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the public.
Part VII, CompensationForm 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Denton Crockett - BayCare Health System, Inc. - 45 Denton Crockett - Morton Plant Mease Health Services, Inc. - 1 Denton Crockett - St. Joseph's Enterprises, Inc. - 1 Glenn Waters - BayCare Alliant Hospital, 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 Glenn Waters - Trustees of Mease Hospital, Inc. - 1 Stephen Mason - BayCare Health System, Inc. - 45 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 Stephen Mason - Trustees of Mease Hospital, Inc. - 1 Tommy Inzina - BayCare Alliant Hospital, Inc. - 1 Tommy Inzina - BayCare Health System, Inc. - 45 Thomas Ribble - Morton Plant Mease Health Services, Inc - 1 Thomas Ribble - St. Joseph's Enterprises, Inc - 1
Part XI, LINE 5Capital distribution ($55,001,932) Contributed capital $677,210 Total ($54,324,722)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 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 DrClearwaterFL33760592796965Support 501c3FL501(c)(3)11Anafalse
BayCare Emergency Assistance Program Inc
16255 Bay Vista DriveClearwaterFL33760592697770Emerg FundFL501(c)(3)9BayCaretrue
Behavioral Health Management Srvcs Inc
323 Jeffords StreetClearwaterFL33756593279573Health srvcsFL501(c)(3)3BBHtrue
BayCare Behavioral Health Inc
7809 Massachusetts AveNew Port RicheyFL34653591371752Health srvcsFL501(c)(3)7BayCaretrue

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
Care Ride LLC
4625 East Bay DrClearwaterFL33764593565490Transport srvcsFLBC Home CareRelated44621690301false$0true0.51000
BayCare Purchasing Partners LLC
8731 Florida Mining BlvdTampaFL33634640950837Group purch orgFLna

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
Bay Vista Claims Service Inc
16255 Bay Vista DrClearwaterFL33760743168200claims adminFLnaC corp
BCHS Insurance Inc
000000000Insurance captivenaC corp720 W Bay Road Buckingham SqrGrand CaymanCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Care Ride LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypedTransactionType
Amount Involved466302AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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