BAYCARE MEDICAL GROUP INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BAYCARE MEDICAL GROUP INC (EIN 59-3140335)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201223209349300002
Schema version
2011v1.3
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-11-14T23:17:44-06:00Timestamp
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)
EIN593140335EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Morton Plant Mease Primary Care IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Sandra ChittendenInCareOfName
Name ControlMORTNameControl
Phone7275242606Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 S Park PlaceAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN JACOBSName
TitlePRESIDENTTitle
Date Signed2012-11-07DateSigned

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 PersonDr Stephen Jacobs MD PresNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place BlvdAddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59630908GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mpmprimarycare.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionMorton Plant Mease Primary Care will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees589TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year15656809ContributionsGrantsPriorYear
Contributions Grants Current Year17431277ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37972890ProgramServiceRevenuePriorYear
Program Service Revenue CY42178623ProgramServiceRevenueCY
Investment Income Prior Year6891InvestmentIncomePriorYear
Investment Income Current Year6891InvestmentIncomeCurrentYear
Other Revenue Prior Year-4129OtherRevenuePriorYear
Other Revenue Current Year-3706OtherRevenueCurrentYear
Total Revenue Prior Year53632461TotalRevenuePriorYear
Total Revenue Current Year59613085TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year30300GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY63118GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year41140100SalariesEtcPriorYear
Salaries Etc Current Year46191111SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12343798OtherExpensePriorYear
Other Expenses Current Year12746825OtherExpensesCurrentYear
Total Expenses Prior Year53514198TotalExpensesPriorYear
Total Expenses Current Year59001054TotalExpensesCurrentYear
Revenues Less Expenses Prior Year118263RevenuesLessExpensesPriorYear
Revenues Less Expenses CY612031RevenuesLessExpensesCY
Total Assets BOY8053994TotalAssetsBOY
Total Assets EOY8695639TotalAssetsEOY
Total Liabilities BOY3188715TotalLiabilitiesBOY
Total Liabilities EOY3218332TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4865279NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5477307NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMorton Plant Mease Primary Care 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
Expense51420075Expense
Grants63118Grants
Revenue42178623Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense51420075TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109697NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees589NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSandra ChittendenNamePerson
Telephone Number7275242606TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place Ste 170AddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN JACOBS
DIRECTOR AND PRESIDENT45.0XX645076024027
VAKESH RAJANI
DIRECTOR AND VICE PRESIDENT45.0XX463760023040
ROBERT BURWELL
DIRECTOR AND SECRETARY1.0XX000
JAMES CANTONIS
DIRECTOR1.0X000
JAMES HARPER
DIRECTOR1.0X000
ODALYS LARA
DIRECTOR1.0X000
PAT PERZEL
DIRECTOR1.0X000
WILLIAM PRICE
DIRECTOR AND CHAIRMAN1.0XX000
JIM WATROUS
DIRECTOR1.0X000
STEPHEN MASON
DIRECTOR1.0X0312803925026
DONALD POCOCK
DIRECTOR1.0X065405919655
CARL TREMONTI
DIRECTOR AND CFO - MPM1.0XX036802039913
GLENN WATERS
DIRECTOR1.0X01010668155126
SEAN BRYAN
DIR FAMILY PRACTICE RESIDENCY45.0305493018634X
KEVIN CORRIGAN
CHIEF OPERATING OFF, PRIM CARE45.0295228019081X
MICHAEL WANGER
STAFF PHYSICIAN45.0521321023955X
RUVAN WICKRAMASINGHE
STAFF PHYSICIAN45.0414890022850X
GIACHINO TOMASINO
STAFF PHYSICIAN45.0400130019603X
MOEEN KHALIL
STAFF PHYSICIAN45.0397395020918X
HOWARD FEINGOLD
STAFF PHYSICIAN45.0375148016464X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3818441TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5160786TotalReportableCompFrmRltdOrgs
Total Other Compensation428292TotalOtherCompensation
Number Individuals GT100 K113NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON
PO BOX 98347CHICAGOIL60693Software maintenance595488
INSIDE OUT CONSTRUCTION INC
812 LOUDEN AVEDUNEDINFL34698CONSTRUCTION SVCS335103
SAGE SOFTWARE
4627 COLLECTIONS CENTER DRCHICAGOIL60693Software maintenance317325
PURDYNE TECHNOLOGIES INC
1114 FLORIDA AVE STE APALM HARBORFL34683PRINTER SERVICES129222
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations17431277RelatedOrganizations
Total Contributions17431277TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Care6219992183756221837562
Medicare/Medicaid Payments6219991757382417573824
Management Fees56111017857861785786
Physician Fees621999981451981451
FieldValueIRS element (for citing)
Total Program Service Revenue42178623TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6891TotalRevenueColumn
Exclusion$6,891ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14117Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real17823Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3706Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3706TotalRevenueColumn
Exclusion-$3,706ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column59613085TotalRevenueColumn
Related Or Exempt Function Income42178623RelatedOrExemptFunctionIncome
Exclusion$3,185ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total63118Total
Program Services63118ProgramServices

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)
Total1208683Total
Management And General1208683ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total38290548Total
Program Services34723429ProgramServices
Management And General3567119ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1316709Total
Program Services1194714ProgramServices
Management And General121995ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3328119Total
Program Services3024557ProgramServices
Management And General303562ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2047052Total
Program Services1758177ProgramServices
Management And General288875ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total32629Total
Management And General32629ManagementAndGeneral

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)
Total701714Total
Program Services503000ProgramServices
Management And General198714ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total569714Total
Program Services554047ProgramServices
Management And General15667ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1277223Total
Program Services791047ProgramServices
Management And General486176ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total594606Total
Program Services122276ProgramServices
Management And General472330ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3596642Total
Program Services3250026ProgramServices
Management And General346616ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total221873Total
Program Services183984ProgramServices
Management And General37889ManagementAndGeneral

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)
Total1373353Total
Program Services1373353ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total817165Total
Program Services817165ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES21939172208488-14571
BAD DEBT EXPENSE671739671739
MISCELLANEOUS EXPENSE408790131093277697
CORPORATE ALLOCATION205785205785

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total81675Total
Program Services49862ProgramServices
Management And General31813ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59001054Total
Program Services51420075ProgramServices
Management And General7580979ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY28808BOY
EOY36070EOY

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)
BOY1497409BOY
EOY2102635EOY

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)
BOY3786BOY
EOY60985EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1443983BOY
EOY1753109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19743680LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16510569LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3569451BOY
EOY3233111EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1376947BOY
EOY1372581EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY132610BOY
EOY136148EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8053994BOY
EOY8695639EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3112581BOY
EOY3148635EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY75927BOY
EOY69488EOY

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)
BOY207BOY
EOY209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3188715BOY
EOY3218332EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4865279BOY
EOY5477307EOY

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)
BOY4865279BOY
EOY5477307EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8053994BOY
EOY8695639EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses612031ReconcilationRevenueExpenses
Reconcilation Other Changes-3ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10790383CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14366222CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12028371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15656809CurrentTaxYearMinus1Year
Current Tax Year17431277CurrentTaxYear
Total70273062Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33527698CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35024654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37698286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37972890CurrentTaxYearMinus1Year
Current Tax Year42178623CurrentTaxYear
Total186402151Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44318081CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49390876CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49726657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53629699CurrentTaxYearMinus1Year
Current Tax Year59609900CurrentTaxYear
Total256675213Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total
FieldValueIRS element (for citing)
Public Support Total509256675213PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23913CurrentTaxYearMinus1Year
Current Tax Year21008CurrentTaxYear
Total214609Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17269CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105206CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23913CurrentTaxYearMinus1Year
Current Tax Year21008CurrentTaxYear
Total214609Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4692CurrentTaxYearMinus4Years
Total4692Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44340042CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49496082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49773870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53653612CurrentTaxYearMinus1Year
Current Tax Year59630908CurrentTaxYear
Total256894514Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99915PublicSupportPercentage509
Prior Year Support Percentage0.99816PriorYearSupportPercentage
Investment Income Percentage0.00084InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00059PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule 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$1,112OtherActivitiesAmount
Total Lobbying Expenditures IIB1112TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, Line 1 iIdentifier
ExplanationDues were paid to the Florida Medical Association, 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
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6545994OtherCostOrOtherBasis
Depreciation5365027Depreciation
Book Value1180967BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12784719OtherCostOrOtherBasis
Depreciation11145542Depreciation
Book Value1639177BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis412967OtherCostOrOtherBasis
Book Value412967BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3233111TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionInsurance InvestmentsDescription
Book Value1372581BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1372581TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAbandoned PropertyDescription
Amount$209Amount
FieldValueIRS element (for citing)
Total Of Amounts209TotalOfAmounts
Total Revenue59613085TotalRevenue
Total Expenses59001054TotalExpenses
Excess Or Deficit For Year612031ExcessOrDeficitForYear
Other-$12,465,867OtherAmount
Total Adjustments-12465867TotalAdjustments
Excess Or Deficit Per FS-11853836ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt40510844TotRevenueEtcAuditedFinclStmt
Revenue Subtotal40510844RevenueSubtotal
Other Revenues Not Included19102241OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt19102241RevenueNotRptdOnFinStmt
Total Revenue Per Form99059613085TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt52364680TotExpensesEtcAuditedFinclStmt
Expenses Subtotal52364680ExpensesSubtotal
Other Expenses Not Included6636374OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6636374ExpensesNotRptdOnFinStmt
Total Expenses Per Form99059001054TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 8 Contributions in net assets ($12,465,867) Schedule D, Part XII, Line 4b Revenues netted with expenses $6,636,374 Contributions in net assets $12,465,867 Total $19,102,241 Schedule D, Part XIII, Line 4b Revenues netted with expenses $6,636,374Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Morton Plant Mease Health Care Foundation
1200 Druid Road SClearwaterFL33756591751535501(c)(3)55000Support Foundation's community accitivities support the MPM Healthcare Foundation, a related organization in the charitable activites they undertake in the community
Catholic Charities Inc
1213 16th St NSt PetersburgFL33705591741303501(c)(3)Donation of Flu Vaccines7802CostFlu Vaccines
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

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
ExplanationMPM Primary Care contributes to organizations that are in alignment with our mission. We strive to ensure that contributions are made to organizations that improve the health and well-being of the communities we serve. Typically, members of management are involved with these organizations and monitor the benefits our local community receives from these contributions.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 (13 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
SEAN BRYAN
26703603729201165083800102540324127000
STEPHEN JACOBS
47996201542750108390122500117770669103000
MICHAEL WANGER
52018100011400122500117050545276000
VAKESH RAJANI
46262000011400122500107900486800000
RUVAN WICKRAMASINGHE
4140120008780122500106000437740000
GIACHINO TOMASINO
399660000470012250073530419733000
MOEEN KHALIL
3970270003680104120105060418313000
HOWARD FEINGOLD
374835000313012249042150391612000
KEVIN CORRIGAN
233644042633018951011926071550314309000
STEPHEN MASON
0105430604656860160804701215201287403153065519405
DONALD POCOCK
04166530136169010123701225007405067371400
CARL TREMONTI
024667708008104126203602103892040793300
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. 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. Donald Pocock - Participated in a supplemental nonqualified deferred compensation plan. He had $69,469 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $25,322 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. 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 O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part III and Part VIForm 990, Part III-Program Services All Morton Plant Mease Primary Care (MPMPC) offices are community based and located throughout Pinellas and Pasco Counties to enhance patient access to quality medical care. Through our affiliation with BayCare and Morton Plant Mease Healthcare, we provide our patients with access to inpatient and outpatient services at facilities that are nationally recognized for quality of care and services. Our 100+ board certified primary care physicians performed 371,165 visits in 2011. During this period, we provided nearly $425,000 in charity care to the community and donated significant hours of free medical care and education in furtherance of our mission. Our physicians volunteer, without compensation at community based organizations such as Hope International Orphanage, the Sickle Cell Anemia Foundation, the American Cancer Society and the Clearwater Free Clinic and regularly provide free care through community screening events. MPMPC also provides the clinical environment for the Turley Family Practice Residency Program, which in affiliation with the University of South Florida, provides the faculty instruction of new Family Medicine Residents. Given the shortage of primary care physicians nationally, this is critical to improving the community's access to quality care as many of these residents stay in the community or are employed by BayCare / MPMPC upon completion of their residency. In furtherance of our mission to improve the care of all we serve, MPMPC continues to expend significant resources on improvements in patient quality care and safety. The MPMPC Patient Quality and Safety Committee, formed in 2007, comprised of physician volunteers, continue to oversee the group's efforts in clinical protocol development and safety related programs. As a direct result of this Committee's efforts, MPMPC was one of the first practices in Florida to have all office locations receive NCQA Recognition as a Level III Patient Centered Medical Home for the coordinated care that we provide our patients. In addition, MPMPC physicians have received individual recognition by the NCQA for the quality of our Diabetes and Heart / Stroke care. With our clinical protocol chart reviews in the areas of Diabetes, Hypertension, Hyperlipidemia, Mammogram Screening, Depression Screening, Vaccine administration, Colo-Rectal Cancer , Abdominal Aortic Aneurysm screening, Obesity and Smoking Cessation and our group-wide adoption of an electronic medical record, we are confident that our group's clinical outcomes are among the best in the country. Our MPMPC Patient Satisfaction surveys (Avatar) confirm the community's reliance on our physicians with satisfaction scores benchmarked in the highest percentile of all group practices surveyed nationally. Form 990, Part VI, Line 2 - Description of Family or Business Relationship Stephen Mason and Glenn Waters are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Form 990, Part VI, Line 6 - Description of Classes of Members or Stockholders The Morton Plant Mease Primary Care (MPMPC) bylaws state that the member of MPMPC is Morton Plant Mease Health Care, Inc (MPMHC). Form 990, Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The Articles of Incorporation state that the Member (MPMHC) shall appoint directors for MPMPC. Form 990, 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 MPMPC's Operating Budget and Capital Budget are approved by its Member, MPMHC. Any major corporate restructures are also approved by its Member. Form 990, 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, a final copy of the Form 990 will be made available to the entire Board via a web portal. Form 990, Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest Morton Plant Mease Primary 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 and Part VIIForm 990, Part VI, Lines 15a & 15b - Process Used for Compensation Review and Approval The organization uses an independent compensation committee, 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. Form 990, Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Morton Plant Mease Primary Care, Inc does not make its financial statements, governing documents or conflict of interest policy available to the public. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Carl Tremonti - Morton Plant Hospital Association, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 Carl Tremonti - St. Anthony's Hospital, Inc. - 1 Carl Tremonti - St. Anthony's Professional Buildings & Services, Inc. - 1 Carl Tremonti - Trustees of Mease Hospital, Inc. - 1 Donald Pocock - Morton Plant Mease Health Care, Inc. - 45 Donald Pocock - Morton Plant Mease Health Services, Inc. - 1 Donald Pocock - St. Joseph's Enterprises, 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 - Trustees of Mease Hospital, Inc. - 1 James Cantonis - Morton Plant Hospital Association, Inc. - 1 James Cantonis - Morton Plant Mease Health Care, Inc. - 1 James Cantonis - Trustees of Mease Hospital, 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 - Trustees of Mease Hospital, 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 - St. Anthony's Hospital, Inc. - 1 Stephen Mason - Trustees of Mease Hospital, Inc. - 1
Part XI, Line 5Other changes in net assets (rounding) ($3)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MPM Immediate Care Centers LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 S Park Place Blvd Ste 170AddressLine1
CityClearwaterCity
StateFLState
ZIP Code33759ZIPCode
FieldValueIRS element (for citing)
EIN202928709EIN
Primary ActivitiesHealth SrvcsPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income2241824TotalIncome
EOY Assets768525EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MPMPCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Morton Plant Mease Health Care Inc
300 Pinellas StreetClearwaterFL33756592374556Support srvcsFL501(c)(3)11BNAfalse
Morton Plant Mease Health Care Found Inc
1200 Druid Road SouthClearwaterFL33756591751535FundraisingFL501(c)(3)11AMPHATOMfalse
Morton Plant Hospital Association Inc
300 Pinellas StreetClearwaterFL33756590624462Health srvcsFL501(c)(3)3MPMHCtrue
Morton Plant Mease Health Services Inc
8452 118th Ave NLargoFL33773592600684Health srvcsFL501(c)(3)3MPMHCtrue
Trustees of Mease Hospital Inc
601 Main StreetDunedinFL34698590855412Health srvcsFL501(c)(3)3MPMHCtrue
BayCare Health System Inc
16255 Bay Vista DriveClearwaterFL33760592796965Support SrvcsFL501(c)(3)11Anafalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
The Pinellas Neuro-Ortho Spine Group LLC
601 Main StreetDunedinFL34698830420933Neuro/Ortho SrvcsFLnan/a
Trinity Surgery Center LLC
2102 Trinity Oaks BlvdNew Port RicheyFL34655020656933Health srvcsFLnan/a

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Global Health Care Inc
8452 118th Avenue NorthLargoFL33773591853449Health srvcsFLnaC corp
MFP Inc
628 Bypass RoadClearwaterFL33764592374569Collection srvcsFLnaC corp
Morton Plant Health Ventures Inc
8452 118th Avenue NorthLargoFL33773592728600Supporting srvcsFLnaC corp
Medspecialists Inc
16255 Bay Vista DriveClearwaterFL33760680587533Health srvcsFLnaC corp
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Morton Plant Hospital Association Inc
c4868409FMV
Morton Plant Hospital Association Inc
j112237FMV
Morton Plant Mease Health Services Inc
j257868FMV
Trustees of Mease Hospital Inc
j247604FMV
Morton Plant Hospital Association Inc
r718862FMV

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