2012-11-14T15:24:39-06:00 2011-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2011-01-01 591371752 BayCare Behavioral Health Inc (Harbors) % Harry Combs BAYC 7278414207 PO Box 428 New Port Richey FL 34656 CARL TREMONTI 2012-11-08 4048748300 2011 2016-02-24 21:20:13Z The Harbor Behavioral Healthcare Douglas Leonardo 7809 Massachusetts Avenue New Port Richey FL 34653 26377648 false X N/A X 1971 FL BAYCARE BEHAVIORAL HEALTH, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 7 6 471 8 38 8605841 13337612 5818344 12235210 1308 3418 213202 801408 14638695 26377648 1423240 4023355 0 0 9590865 19029412 0 0 0 5608533 9865478 16622638 32918245 -1983943 -6540597 7766508 7185309 6329915 8266508 1436593 -1081199 X BAYCARE BEHAVIORAL HEALTH, 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 6619173 0 3678863 COMPREHENSIVE COMMUNITY SERVICE TEAM - PROVIDED SERVICES TO APPROX. 6302 UNDUPLICATED ADULTS AND CHILDREN PROVIDING COMPREHENSIVE RECOVERY SERVICES TO RE-ESTABLISH NORMAL ROLES, DEVELOPMENT OF PERSONAL SUPPORT NETWORK, AND INCREASED QUALITY OF LIFE. 3123064 0 1949635 MEDICAL SERVICES - PROVIDED SERVICES TO APPROX. 10,261 UNDUPLICATED ADULTS AND CHILDREN WHO REQUIRE PSYCHIATRIC EVALUATION AND PHARMACOLOGICAL INTERVENTION TO MANAGE ILLNESS AND WORK TOWARD RECOVERY. 2245757 0 263811 OUTPATIENT SERVICES - PROVIDE THERAPEUTIC SERVICES ON A REGULAR BASIS SUPPORTING BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. 16879415 4023355 7144271 28867409 true true 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 false false false false false false true true true false false true 106 0 true 471 true false false false false false false false false false false X 7 6 true true false false true false true true true false false true true true true true true true true false X Harry Combs 7278414207 PO Box 428 New Port Richey FL 34656 X DOUGLAS LEONARDO 45.0 X 173763 0 19431 BEVERLY BARNETT 1.0 X X 0 0 0 PHILIP CHESNUT 1.0 X X 0 0 0 KING HELIE 1.0 X X 0 0 0 ALFRED W TORRENCE Jr 1.0 X X 0 0 0 JOHN FOSTER 1.0 X 0 0 0 BILL BUTLER 1.0 X 0 0 0 GAIL RYDER 45.0 X 0 111490 10576 JEFFREY MCMULLEN 45.0 X 63681 0 10640 SUSAN HANNA 45.0 X 208914 0 17983 EDMUND MONTI 45.0 X 137978 0 10524 SUSAN WRIGHT 45.0 X 134420 0 11263 SUSAN OLDS 1.0 X 0 162873 14936 718756 274363 95353 4 true true false ADVANCED PHARMACEUTICAL CONSULTANTS PO BOX 530365 MIAMI SHORES FL 33153 PHARMACY SERVICES 270516 ADVISORY BOARD COMPANY PO BOX 79461 BALTIMORE MD 21279 PHYS ADVISORY SVCS 219980 GUSTAVO MARTINEZ 814 MYRTLE AVE EL PASO TX 79901 CONSULTING SERVICES 135345 3 13337612 13337612 HOSPITAL PATIENT CARE 621999 10451001 10451001 MEDICARE/MEDICAID NET REVENUE 621999 1784209 1784209 12235210 3418 3418 0 0 0 0 0 0 OTHER REVENUE 900099 801408 801370 38 801408 26377648 13036580 38 3418 4023355 4023355 0 0 0 267514 267514 0 14577221 14234365 342856 439144 428815 10329 2713498 2649677 63821 1032035 1006610 25425 0 9167 9167 12550 12550 0 0 0 2884324 2586578 297746 24100 6700 17400 604844 19591 585253 17604 17070 534 0 978888 916700 62188 355534 33355 322179 0 0 39415 39415 0 769792 760847 8945 223066 223066 MANAGEMENT FEES 1614458 1614458 MEDICAL SUPPLIES 972241 972230 11 VARIOUS EXPENSES 522751 463909 58842 DIETARY 396606 394614 1992 440138 313578 126560 32918245 28867409 4050836 0 4385 4135 0 0 1852873 1818631 1123995 844816 0 0 0 0 156657 166481 104904 77343 41066 87840 15470450 11378186 4323231 4092264 0 0 0 0 54517 52049 0 0 104880 41750 7766508 7185309 1638105 1876585 0 0 378383 377848 68068 0 0 0 0 0 542734 422571 0 0 3702625 5589504 6329915 8266508 X 722955 -1666770 713638 585571 0 0 1436593 -1081199 7766508 7185309 X -6540597 4022805 X false true true X true true X 19036433 19002923 18645116 8605841 13337612 78627925 236392 116756 313720 666868 19036433 19002923 18881508 8722597 13651332 79294793 79294793 12846 4795 12205 1308 3418 34572 502033 213202 801370 1516605 80845970 8770054 0.98081 0.99158 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 313 false true 662 975 false Part II-B, Line 1i Dues were paid to the National Association of Psychiatric Health Systems; the association uses a portion of the dues to conduct lobbying activities. 683787 683787 8905987 6323930 2582057 878343 585021 293322 4999896 4469235 530661 2437 0 2437 4092264 0 DUE TO AFFILIATES 5530848 ASSET RETIREMENT OBLIGATION LT 57059 DEPOSITS 1597 5589504 26377648 32918245 -6540597 4022805 4022805 -2517792 27193670 816022 816022 26377648 26377648 29711462 816022 816022 28895440 4022805 4022805 32918245 Schedule D Supplemental Information Schedule D, Part XI, Line 8 Grants in tax, not on books $4,022,805 Schedule D, Part XIII, Line 4b Grants in tax, not on books $4,022,805 true Morton Plant Hospital Association 300 Pinellas Street Clearwater FL 33756 590624462 501 ( c ) ( 3 ) 4023355 Provide Community based healthcare mental health services for adults and children. 1 0 FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS BAYCARE BEHAVIORAL HEALTH MONITORS GRANTS BY MAINTAINING COMPLIANCE TO REQUIRED AWARD DELIVERABLES AND MAXIMUM UTILIZATION OF STATED PROGRAM ACTIVITIES. TRACKING AND REPORTING OF MEASURABLE OUTCOMES AND FINANCIAL SCHEDULES ARE SUBMITTED TO THE AWARDING AGENCY ON AN ESTABLISHED TIMELINE TO ENSURE PROGRAM SERVICES/ACTIVITIES AND RESPECTIVE BUDGETS ARE IN ADHERENCE WITH THE INTENT OF FUNDING. false false false false false false false true false SUSAN HANNA 207205 0 800 0 909 0 10578 0 7405 0 226897 0 0 0 DOUGLAS LEONARDO 154062 0 17098 0 2603 0 8399 0 11032 0 193194 0 0 0 SUSAN OLDS 0 146363 0 16234 0 276 0 8021 0 6915 0 177809 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, 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 7 80% of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20% would be considered non-fixed and is based on the discretion of the employee's immediate supervisor. Part VI Part VI, Line 2 - Description of Relationships Alfred Torrence and Beverly Barnett are board members of the organization who have a business relationship unrelated to the filing organzation. Part VI, Line 3 - Delegation of control to a management company BayCare Behavioral Health, Inc hired an external consulting company to provide interim management services. During the term of the engagement, the consultant provided day to day operational leadership to the behavioral health group. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of this Corporation shall be BayCare Health System, Inc. Part VI, Question 7b - Description of Classes of Persons, Decisions Requiring Approval & Type of Voting Rights The taxpayer is a participant, as defined in the second restated Joint Operating Agreement dated May 23, 2006, as amended (The "JOA"). Under the JOA, BayCare Health System, Inc. is responsible for the operations of the participants. The JOA participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by Letter dated July 1, 1997. The Member reserves to itself in its capacity as the corporate Member of the Corporation, the following actions: 1. Adoption of strategic plans and the addition, deletion or reconfiguration in programs or services of the Corporation. 2. Establishment of overall capital and operating budgets applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into contracts on behalf of the Corporation. 4. Approval of contracts, affiliation agreements and policies. 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 10. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Member. 11. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 12. Approval of the purchase, sale, transfer or other encumbrance of assets of the Corporation above specified levels established by the Member. 13. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3,000,000 and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). Part VI, Line 11b - Describe the Process Used By Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest BayCare Behavioral Health, 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 VII Part VI, Lines 15a & 15b - Process Used For Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Administrative Officer & CFO, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in 2011 but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 19 - How and If The Governing Documents, Conflict of Interest Policy and Financial Statements Are Made Available to The Public BayCare Behavioral Health, Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and conflict of interest statement are not available for public inspection. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Alfred W Torrence Jr - Behavioral Health Management Services, Inc. - 1 Beverly Barnett - Behavioral Health Management Services, Inc. - 1 Bill Butler - Behavioral Health Management Services, Inc. - 1 Douglas Leonardo - Behavioral Health Management Services, Inc. - 1 Gail Ryder - Behavioral Health Management Services, Inc. - 1 Jeffrey Mcmullen - Behavioral Health Management Services, Inc. - 1 John Foster - Behavioral Health Management Services, Inc. - 1 King Helie - Behavioral Health Management Services, Inc. - 1 Philip Chesnut - Behavioral Health Management Services, Inc. - 1 Susan Olds - Behavioral Health Management Services, Inc. - 1 Susan Olds - St. Anthony's Hospital, Inc. - 45 Susan Olds - St. Anthony's Professional Buildings & Services, Inc. - 1 Part XI, Line 5 Other changes in net assets Grants in tax, not on books $4,022,805 Part III, 4d Other Program Services Remaining Expense Breakout by Program: Crisis Stabilization $1,715,196 Residential 1,669,712 Case Management 1,554,305 Detox 1,092,294 FACT 1,067,100 Crisis Support 685,610 Intervention 545,559 B-Net 243,460 Supportive Employment/Housing 137,167 Aftercare 40,774 Other/Incidentals 8,128,238 Total 16,879,415 BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Supporting FL 501(c)(3) 11A NA false Behavioral Health Management Srvcs Inc 323 Jeffords Street Clearwater FL 33756 593279573 Health SRVCS FL 501(c)(3) 3 BBH true Baycare Emergency Assistance Program Inc 16255 Bay Vista Drive Clearwater FL 33760 592697770 Emerg Assist FL 501(c)(3) 9 BCHS true BayCare Home Care Inc 8452 118th Avenue North Largo FL 33773 593582520 HOME HLTH SRV FL 501(c)(3) 3 BCHS true BAYCARE PURCHASING PARTNERS LLC 8731 Florida Mining Blvd Tampa FL 33634 640950837 GROUP PURCH ORG FL BCHS Related 1581 12546 false 38 false 0.00065 CARE RIDE LLC 4625 EAST BAY DR SUITE 105 CLEARWATER FL 33764 593565490 TRANSPORT SRVCS FL NA N/A BAY VISTA CLAIMS SERVICES INC 16255 BAY VISTA DRIVE CLEARWATER FL 33760 743168200 CLAIMS ADMIN FL NA C CORP BCHS INSURANCE INC 720 W BAY RD BUCKINGHAM SQR GRD CAYMAN CYMN ISL CJ KY1-1102 000000000 INSURANCE CAPTIVE CJ NA C CORP false false false false false false true false false false false true false true false false true true Behavioral Health Management Services N 77324 FMV Behavioral Health Management Services R 2083462 FMV