2012-11-14T11:26:01-06:00 2011-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2011-01-01 593582520 BayCare Home Care Inc % Thomas Ribble BAYC 7273946461 8452 118th Ave N Largo FL 33773 DENTON CROCKETT 2012-10-24 4048748300 2011 2016-02-24 21:20:13Z Denton Crockett Jr President 8452 118th Ave N Largo FL 33773 114645832 false X www.baycarehomecare.com X 1999 FL BayCare Home Care's mission is to improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 7 1 1321 0 2737073 148909 0 0 112789351 114517934 82389 29286 263976 98612 113135716 114645832 11700 14506 0 0 66685534 68258431 0 0 0 39037916 41545949 105735150 109818886 7400566 4826946 76918571 48415278 6812783 27807266 70105788 20608012 BayCare Home Care, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 96780152 14506 114616546 BayCare Home Care, Inc. is a not-for-profit corporation that provides a complete range of home health services, under physician order, to persons in need of care who are homebound in their place of residence. The services delivered by the applicant are performed by registered nurses, registered physical therapists, medical social workers, home health aids, and homemakers. 96780152 true false false true false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false false true false false false false false true true true false false true 333 0 true 1321 true false false false false false false false false false false X 7 1 true false true false true true true true true false false true true true true true true true true true true X Thomas Ribble 7273946412 8452 118TH AVE N Largo FL 33773 X DANIEL SWEENEY 45.0 X 310565 0 64396 WILLIAM WOELTJEN 1.0 X 0 0 0 DENTON CROCKETT JR 1.0 X X 0 692384 20489 TOMMY INZINA 1.0 X 0 1703873 29198 STEPHEN MASON 1.0 X X 0 3128039 25026 THOMAS RIBBLE 1.0 X X 0 166195 14315 GLENN WATERS 1.0 X X 0 1010668 155126 MADELYN MOSELEY 45.0 X 190994 0 16544 IQBAL BURNEY 45.0 X 187067 0 18137 THOMAS GUINAND 45.0 X 171150 0 17061 ELYSE GRECO 45.0 X 146030 0 12221 BRYAN BAUTISTA 45.0 X 138142 0 11803 MARK REALINI 45.0 X 133367 0 10481 GREG ELAM 45.0 X 132720 0 17626 1410035 6701159 412423 41 false true false CARE TEAM INC 3311 W KENNEDY BLVD TAMPA FL 33609 MEDICAL SERVICES 1042862 THERACOM INC PO BOX 640105 CINCINNATI OH 45264 PHARMACY SERVICES 508032 HARBORSIDE REHABILITATION LP PO BOX 200528 HOUSTON TX 77216 MEDICAL STAFFING 247845 UNITED PARCEL SERVICE PO BOX 7247 0244 PHILADELPHIA PA 19170 SHIPPING SERVICES 238782 RONALD J COPE 1911 W NORTH ST TAMPA FL 33604 COURIER SERVICES 121570 7 0 PATIENT CARE 621610 64938378 62201305 2737073 MEDICARE/MEDICAID NET REVENUE 621610 49579556 49579556 114517934 24536 24536 0 0 4750 4750 4750 4750 0 0 0 MISCELLANEOUS 621610 98612 98612 98612 114645832 111879473 2737073 29286 14506 14506 0 0 0 961775 205206 756569 0 55093031 54934940 158091 1583235 1578692 4543 6894409 6874625 19784 3725981 3675715 50266 0 41876 41876 0 0 0 0 682196 641905 40291 81523 74661 6862 1988129 341099 1647030 326147 226098 100049 0 1574577 1535779 38798 1945465 1945465 0 0 0 0 4167556 3496972 670584 469281 469281 MEDICAL SUPPLIES 18456842 18456842 CORPORATE ALLOCATION 7046367 7046367 BAD DEBT EXPENSE 3719979 3719979 MISCELLANEOUS EXPENSES 1046011 1003133 42878 109818886 96780152 13038734 0 6937 10928778 0 0 0 0 20043270 21395622 0 0 0 0 41231 1173505 1705262 2049904 14950 23089 27635904 15263393 13189335 12372511 0 0 0 0 477450 462824 0 0 41440136 9045 76918571 48415278 4928006 5348899 0 0 1883774 1987567 0 0 0 0 0 0 0 0 0 0 1003 20470800 6812783 27807266 X 70105788 20608012 0 0 0 0 70105788 20608012 76918571 48415278 X 4826946 -54324722 X false true true X false X Although 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. false false false false false false false false true 117 117 false Part II-B, Line 1i Dues were paid to the Home Care Association of Florida; the association uses a portion of the dues to conduct lobbying activities. 1450000 1450000 6790858 1339057 5451801 250354 180551 69803 19069067 13743785 5325282 75625 75625 12372511 0 DUE TO AFFILIATES 20470800 20470800 114645832 109818886 4826946 4826946 114645957 114645957 -125 -125 114645832 109819011 109819011 -125 -125 109818886 Schedule D Supplemental Information Schedule D, Part XII, Line 4b Revenues netted with expenses ($125) Schedule D, Part XIII, Line 4b Revenues netted with expenses ($125) true American Heart Association 11207 Blue Heron Blvd N St Petersburg FL 33716 135613797 501(c)(3) 9006 Heart Walk Donation 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants Form 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. false true false false false false false true false DANIEL SWEENEY 221309 0 66968 0 22288 0 56587 0 7809 0 374961 0 0 0 MADELYN MOSELEY 168917 0 21473 0 604 0 9029 0 7515 0 207538 0 0 0 IQBAL BURNEY 157700 0 21114 0 8253 0 8716 0 9421 0 205204 0 0 0 THOMAS GUINAND 143295 0 18873 0 8982 0 7922 0 9139 0 188211 0 0 0 ELYSE GRECO 142321 0 800 0 2909 0 3040 0 9181 0 158251 0 0 0 GREG ELAM 127879 0 800 0 4041 0 6768 0 10858 0 150346 0 0 0 DENTON CROCKETT JR 0 424553 0 142110 0 125721 0 12250 0 8239 0 712873 0 25943 TOMMY INZINA 0 658687 0 266672 0 778514 0 21610 0 7588 0 1733071 0 183433 STEPHEN MASON 0 1054306 0 465686 0 1608047 0 12152 0 12874 0 3153065 0 519405 THOMAS RIBBLE 0 142671 0 15958 0 7566 0 7781 0 6534 0 180510 0 0 GLENN WATERS 0 691508 0 304640 0 14520 0 142995 0 12131 0 1165794 0 0 Supplemental Compensation Information Schedule J, Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Supplemental Compensation Information Schedule J, Part I, Line 4b 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 Information Schedule J, 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. Global Health Care Inc See Part V 294524 Staffing Company false Supplemental Information Schedule L, Part IV Denton 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. Part VI Part 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 VI Part VI, Line 15a & 15b - Process used for compensation review and approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief 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, Compensation Form 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 5 Capital distribution ($55,001,932) Contributed capital $677,210 Total ($54,324,722) BayCare Health System Inc 16255 Bay Vista Dr Clearwater FL 33760 592796965 Support 501c3 FL 501(c)(3) 11A na false BayCare Emergency Assistance Program Inc 16255 Bay Vista Drive Clearwater FL 33760 592697770 Emerg Fund FL 501(c)(3) 9 BayCare true Behavioral Health Management Srvcs Inc 323 Jeffords Street Clearwater FL 33756 593279573 Health srvcs FL 501(c)(3) 3 BBH true BayCare Behavioral Health Inc 7809 Massachusetts Ave New Port Richey FL 34653 591371752 Health srvcs FL 501(c)(3) 7 BayCare true Care Ride LLC 4625 East Bay Dr Clearwater FL 33764 593565490 Transport srvcs FL BC Home Care Related 44621 690301 false 0 true 0.51000 BayCare Purchasing Partners LLC 8731 Florida Mining Blvd Tampa FL 33634 640950837 Group purch org FL na Bay Vista Claims Service Inc 16255 Bay Vista Dr Clearwater FL 33760 743168200 claims admin FL na C corp BCHS Insurance Inc 720 W Bay Road Buckingham Sqr Grand Cayman CJ KY1-1102 000000000 Insurance captive CJ na C corp false true false true false false false false false false false true false true false false true true Care Ride LLC d 466302 FMV