2012-11-15T14:13:41-06:00 2011-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2011-01-01 593140335 Morton Plant Mease Primary Care Inc % Sandra Chittenden MORT 7275242606 300 S Park Place Clearwater FL 33759 STEPHEN JACOBS 2012-11-07 4048748300 2011 2016-02-24 21:20:13Z X Dr Stephen Jacobs MD Pres 300 S Park Place Blvd Clearwater FL 33759 59630908 false X www.mpmprimarycare.com X 1992 FL Morton 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. 13 7 589 7 0 15656809 17431277 37972890 42178623 6891 6891 -4129 -3706 53632461 59613085 30300 63118 0 0 41140100 46191111 0 0 0 12343798 12746825 53514198 59001054 118263 612031 8053994 8695639 3188715 3218332 4865279 5477307 X Morton 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. false false 51420075 63118 42178623 See Schedule O 51420075 true true false true false false false false false false true true false false true false true true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 97 0 true 589 true false false false false false false false false false false X 13 7 true false false false true true true true true false false true true true true true true true true false X Sandra Chittenden 7275242606 300 S Park Place Ste 170 Clearwater FL 33759 X STEPHEN JACOBS 45.0 X X 645076 0 24027 VAKESH RAJANI 45.0 X X 463760 0 23040 ROBERT BURWELL 1.0 X X 0 0 0 JAMES CANTONIS 1.0 X 0 0 0 JAMES HARPER 1.0 X 0 0 0 ODALYS LARA 1.0 X 0 0 0 PAT PERZEL 1.0 X 0 0 0 WILLIAM PRICE 1.0 X X 0 0 0 JIM WATROUS 1.0 X 0 0 0 STEPHEN MASON 1.0 X 0 3128039 25026 DONALD POCOCK 1.0 X 0 654059 19655 CARL TREMONTI 1.0 X X 0 368020 39913 GLENN WATERS 1.0 X 0 1010668 155126 SEAN BRYAN 45.0 X 305493 0 18634 KEVIN CORRIGAN 45.0 X 295228 0 19081 MICHAEL WANGER 45.0 X 521321 0 23955 RUVAN WICKRAMASINGHE 45.0 X 414890 0 22850 GIACHINO TOMASINO 45.0 X 400130 0 19603 MOEEN KHALIL 45.0 X 397395 0 20918 HOWARD FEINGOLD 45.0 X 375148 0 16464 3818441 5160786 428292 113 false true false MCKESSON PO BOX 98347 CHICAGO IL 60693 Software maintenance 595488 INSIDE OUT CONSTRUCTION INC 812 LOUDEN AVE DUNEDIN FL 34698 CONSTRUCTION SVCS 335103 SAGE SOFTWARE 4627 COLLECTIONS CENTER DR CHICAGO IL 60693 Software maintenance 317325 PURDYNE TECHNOLOGIES INC 1114 FLORIDA AVE STE A PALM HARBOR FL 34683 PRINTER SERVICES 129222 4 17431277 17431277 Patient Care 621999 21837562 21837562 Medicare/Medicaid Payments 621999 17573824 17573824 Management Fees 561110 1785786 1785786 Physician Fees 621999 981451 981451 42178623 6891 6891 0 0 14117 17823 -3706 -3706 -3706 0 0 0 0 0 59613085 42178623 3185 63118 63118 0 0 0 1208683 1208683 0 38290548 34723429 3567119 1316709 1194714 121995 3328119 3024557 303562 2047052 1758177 288875 0 32629 32629 0 0 0 0 701714 503000 198714 569714 554047 15667 1277223 791047 486176 594606 122276 472330 0 3596642 3250026 346616 221873 183984 37889 0 0 0 0 1373353 1373353 817165 817165 MEDICAL SUPPLIES 2193917 2208488 -14571 BAD DEBT EXPENSE 671739 671739 MISCELLANEOUS EXPENSE 408790 131093 277697 CORPORATE ALLOCATION 205785 205785 81675 49862 31813 59001054 51420075 7580979 0 28808 36070 0 0 0 0 1497409 2102635 0 0 0 0 3786 60985 0 0 1443983 1753109 19743680 16510569 3569451 3233111 0 0 1376947 1372581 1000 1000 0 0 132610 136148 8053994 8695639 3112581 3148635 0 0 75927 69488 0 0 0 0 0 0 0 0 0 0 207 209 3188715 3218332 X 4865279 5477307 0 0 0 0 4865279 5477307 8053994 8695639 X 612031 -3 X false true true X false X 10790383 14366222 12028371 15656809 17431277 70273062 33527698 35024654 37698286 37972890 42178623 186402151 44318081 49390876 49726657 53629699 59609900 256675213 0 0 0 0 0 0 0 0 0 0 256675213 17269 105206 47213 23913 21008 214609 17269 105206 47213 23913 21008 214609 4692 4692 44340042 49496082 49773870 53653612 59630908 256894514 0.99915 0.99816 0.00084 0.00059 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1112 1112 false PART II-B, Line 1 i Dues were paid to the Florida Medical Association, the association uses a portion of the dues to conduct lobbying activities. 6545994 5365027 1180967 12784719 11145542 1639177 412967 412967 3233111 Insurance Investments 1372581 C 1372581 0 Abandoned Property 209 209 59613085 59001054 612031 -12465867 -12465867 -11853836 40510844 40510844 19102241 19102241 59613085 52364680 52364680 6636374 6636374 59001054 Schedule D Supplemental Information Schedule 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 $6,636,374 true Morton Plant Mease Health Care Foundation 1200 Druid Road S Clearwater FL 33756 591751535 501(c)(3) 55000 Support 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 N St Petersburg FL 33705 591741303 501(c)(3) 7802 Cost Flu Vaccines Donation of Flu Vaccines 2 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants MPM 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. false true false false false false false true false SEAN BRYAN 267036 0 37292 0 1165 0 8380 0 10254 0 324127 0 0 0 STEPHEN JACOBS 479962 0 154275 0 10839 0 12250 0 11777 0 669103 0 0 0 MICHAEL WANGER 520181 0 0 0 1140 0 12250 0 11705 0 545276 0 0 0 VAKESH RAJANI 462620 0 0 0 1140 0 12250 0 10790 0 486800 0 0 0 RUVAN WICKRAMASINGHE 414012 0 0 0 878 0 12250 0 10600 0 437740 0 0 0 GIACHINO TOMASINO 399660 0 0 0 470 0 12250 0 7353 0 419733 0 0 0 MOEEN KHALIL 397027 0 0 0 368 0 10412 0 10506 0 418313 0 0 0 HOWARD FEINGOLD 374835 0 0 0 313 0 12249 0 4215 0 391612 0 0 0 KEVIN CORRIGAN 233644 0 42633 0 18951 0 11926 0 7155 0 314309 0 0 0 STEPHEN MASON 0 1054306 0 465686 0 1608047 0 12152 0 12874 0 3153065 519405 DONALD POCOCK 0 416653 0 136169 0 101237 0 12250 0 7405 0 673714 0 0 CARL TREMONTI 0 246677 0 80081 0 41262 0 36021 0 3892 0 407933 0 0 GLENN WATERS 0 691508 0 304640 0 14520 0 142995 0 12131 0 1165794 0 0 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. 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 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. Part III and Part VI Form 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 VII Form 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 5 Other changes in net assets (rounding) ($3) MPM Immediate Care Centers LLC 300 S Park Place Blvd Ste 170 Clearwater FL 33759 202928709 Health Srvcs FL 2241824 768525 MPMPC Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(c)(3) 11B NA false Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(c)(3) 11A MPHATOM false Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 Health srvcs FL 501(c)(3) 3 MPMHC true Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 Health srvcs FL 501(c)(3) 3 MPMHC true Trustees of Mease Hospital Inc 601 Main Street Dunedin FL 34698 590855412 Health srvcs FL 501(c)(3) 3 MPMHC true BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Support Srvcs FL 501(c)(3) 11A na false The Pinellas Neuro-Ortho Spine Group LLC 601 Main Street Dunedin FL 34698 830420933 Neuro/Ortho Srvcs FL na n/a Trinity Surgery Center LLC 2102 Trinity Oaks Blvd New Port Richey FL 34655 020656933 Health srvcs FL na n/a Global Health Care Inc 8452 118th Avenue North Largo FL 33773 591853449 Health srvcs FL na C corp MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection srvcs FL na C corp Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Supporting srvcs FL na C corp Medspecialists Inc 16255 Bay Vista Drive Clearwater FL 33760 680587533 Health srvcs FL na C corp false true true false false false false false true true true true false true false false false true Morton Plant Hospital Association Inc c 4868409 FMV Morton Plant Hospital Association Inc j 112237 FMV Morton Plant Mease Health Services Inc j 257868 FMV Trustees of Mease Hospital Inc j 247604 FMV Morton Plant Hospital Association Inc r 718862 FMV