2011-11-11T16:28:44-06:00 2010-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2010-01-01 590855412 Trustees of Mease Hospital Inc TRUS 7274627697 601 Main Street Dunedin FL 34698 CARL TREMONTI 9839838903 2011-11-11 4048748300 2010 2016-03-07 17:11:31Z Glenn Waters 601 Main Street Dunedin FL 34698 341531106 false X www.measehospitals.com X 1938 FL Trustees of Mease Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 24 15 2598 1283 4648 3183 1788332 2214956 329787851 334421229 30655 37346 4608570 4857575 336215408 341531106 0 45243 0 0 113233858 117212498 0 0 0 191527032 188193629 304760890 305451370 31454518 36079736 370649074 400516692 31029518 27960232 339619556 372556460 Trustees of Mease Hospital, 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 251118896 45243 334616269 Trustees of Mease Hospital, Inc. (TOM) (hospitals included: Mease Countryside Hospital and Mease Dunedin Hospital) is a full-service 443-bed community hospital. During 2010, TOM provided inpatient care to 21,497 patients, treated 74,262 patients in the emergency department, and delivered 1,761 babies. Through efforts of the medical assistance program and the hospital's charity care program TOM saw a net community benefit expense of $29 million. The hospital also provided other community services totaling more than $1.6 million. Refer to Schedule H for additional information. 251118896 true true false false false false false false false true false false true true false false true false false false false false false false false true false true false true false false false false false false false true false false false false false true true true false false true 301 0 2598 true false false false false false false false false false false X 24 15 true false false false true true true true true false false true true true true true true true true true true X Carl Tremonti 7274627176 1240 S FT HARRISON AVE Clearwater FL 33756 X Glenn Waters 1.0 X X 0 994353 108699 Mahesh Amin 1.0 X X 0 0 0 Ed Armstrong 1.0 X X 0 0 0 Richard Bekesh 1.0 X 0 0 0 Alan Bomstein 1.0 X 0 0 0 Jim Cantonis 1.0 X 0 0 0 V Raymond Ferrera 1.0 X 0 0 0 William Horne 1.0 X X 0 0 0 Jim Huguet 1.0 X 0 0 0 Lonnie Klein 1.0 X 0 0 0 Odalys Lara 1.0 X 0 0 0 Robert Mcgivney 1.0 X X 0 0 0 Larry Morgan 1.0 X 0 0 0 Gary Moskovitz 1.0 X 0 0 0 Thomas Nash 1.0 X 0 0 0 Mel Ora 1.0 X 0 0 0 Sandip Patel 1.0 X 0 0 0 William Price 1.0 X 0 0 0 Chuck Riggs 1.0 X 0 0 0 Patricia Ryan 1.0 X 0 0 0 Michael Williamson MD 1.0 X 0 0 0 Gail Wright 1.0 X 0 0 0 Peter Blumencranz 1.0 X 0 715896 13672 Stephen Mason 1.0 X 0 2500313 31717 Carl Tremonti 1.0 X 0 331163 43859 Louis Galdieri 1.0 X 0 337394 65411 Robin Lapham 45.0 X 158817 0 13968 Celia Larimore 45.0 X 182415 0 12201 Gerald Massey 45.0 X 165352 0 11456 Kimberly Stuart 45.0 X 134076 0 10364 Dennis Mcmanus 45.0 X 139320 0 6846 Mohsen Habib 45.0 X 148998 0 18398 Kelly Triolo 45.0 X 172308 0 12052 Bernard Renshaw Jr 45.0 X 173818 0 15199 Glenn Graziose 1.0 X 0 205133 23070 1275104 5084252 386912 42 true true false BAY LINEN INC 11525 47TH ST NORTH CLEARWATER FL 33762 Laundry Services 1954654 GRAHAM FLORIDA II MEDICAL BUIL 505 FIFTH AVE STE 200 DES MOINES IA 503092449 ARCHITECTURE 913002 SAYYAHS CLEANING INC 7703 ANN BALLARD RD TAMPA FL 33634 Cleaning Services 816016 TRANSCRIPTION SOUTH INC 13555 AUTOMOBILE BLVD STE 530 CLEARWATER FL 33762 TRANSCRIPTION SRVCS 498310 SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 DALLAS TX 753120733 IT CONSULTING 1005751 34 2214956 2214956 HOSPITAL PATIENT CARE 621999 187074093 187074093 MEDICARE/MEDICAID NET REVENUE 621999 146877854 146877854 RENTAL INCOME FROM AFFILIATES 532000 469282 469282 334421229 32426 32426 0 0 2940774 2940774 2940774 2940774 4920 4920 4920 4920 0 0 0 CAFETERIA 722310 1717113 1717113 MISCELLANEOUS 621999 199688 195040 4648 1916801 341531106 334616269 4648 4695233 45243 45243 0 0 0 544208 367401 176807 0 98912101 98861908 50193 3340937 3339242 1695 0 7344634 7340907 3727 7070618 7058114 12504 0 1289 1289 9427 9427 0 0 0 8285920 7983516 302404 351525 351072 453 62584652 60640976 1943676 172025 164473 7552 0 7328773 7274304 54469 80279 31784 48495 0 0 6282339 6282339 0 21057063 21052536 4527 5564712 5564712 CORPORATE ALLOCATION 45956045 45956045 BAD DEBT EXPENSE 18234453 18234453 MISCELLANEOUS 5836810 5720545 116265 ASSESSMENTS 3996785 3996785 DIETARY 2451532 2373298 78234 305451370 251118896 54332474 0 9363 6629 37913150 38593406 6693162 4087634 5679662 5421529 1299444 1166755 367017473 188842262 184851387 178175211 275660 408082 2993330 0 130933916 172657446 370649074 400516692 17734489 13171406 6094916 5532439 7200113 9256387 31029518 27960232 X 339619556 372556460 339619556 372556460 370649074 400516692 X 36079736 -3142832 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12081408 12081408 216674531 95600395 121074136 127106868 93241867 33865002 11154666 11154665 178175211 PHYSICIAN RECRUITMENT 30735 DUE FROM AFFILIATES 172626711 172657446 0 Estimated third party settlements 8683320 Deposits 15198 ASSET RETIREMENT OBLIGATIONS 557869 9256387 341531106 305451370 36079736 -3034914 -2214955 -5249869 30829867 335812636 -3034914 -3034914 338847550 2683556 2683556 341531106 304982769 304982769 468601 468601 305451370 Part XII, Line 4b Contributions in net assets $2,214,955 Revenues netted with Expenses $468,601 Total $2,683,556 Part XIII, Line 4b Revenues netted with Expenses $468,601 Part XI, Line 8 Contributions in Net Assets $2,214,955 true true X true X 250. false true true true false true true 2 11587 14812743 1323301 13489442 0.04720 2 19055 28317006 12881574 15435432 0.05400 2 131 118850 11584 107266 0.00040 6 30773 43248599 14216459 29032140 0.10160 26 11249 191505 191505 0.00070 2 509 1282664 1282664 0.00450 2 94 63491 63491 0.00020 17 730 60248 60248 0.00020 47 12582 1597908 1597908 0.00560 53 43355 44846507 14216459 30630048 0.10720 true 3525860 1479156 88660024 92694445 -4034421 X true true 2 1 MEASE COUNTRYSIDE HOSPITAL

3231 N McMULLEN-BOOTH RD CLEARWATER FL 33761

X X X 2 MEASE DUNEDIN HOSPITAL

601 MAIN STREET DUNEDIN FL 34698

X X X MEASE COUNTRYSIDE HOSPITAL 1 true true 250. false true X X X X X X X true true X X X X true X X true X X X X X X true X false false MEASE DUNEDIN HOSPITAL 2 true true 250. false true X X X X X X X true true X X X X true X X true X X X X X X true X false false 2 TRINITY IMMEDIATE CARE CENTER

1306 SEVEN SPRINGS BLVD TRINITY FL 34655

IMMEDIATE CARE WALSINGHAM IMMEDIATE CARE CENTER

13670 WALSINGHAM ROAD LARGO FL 33774

IMMEDIATE CARE Part I Line 3c Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Medical Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. Trustees of Mease Hospital, Inc. goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days. Part I Line 6a N/A - The Community Benefit Report is available to the public. Part I Line 7 Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits. Part I Line 7 Column f Bad Debt expense of $18,234,453 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column. Part III Line 4 The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense at cost was calculated by the ratio of cost to charge method, using data from Schedule H. Total expense of the organization is reduced by the community benefit expenses reported on Part I, Line 7 (column C), and gross patient revenue is reduced by the direct offsetting revenue reported on Part I, Line 7 (column D). The resulting ratio of cost to charges is then applied to total bad debt expense of the organization, which calculates the bad debt expense at cost. We believe the method described above understates the true cost of bad debt. In many instances, bad debt results from non-payment of co-pays and deductibles, which would not be at charges but at a lesser amount. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid. Part III Line 8 Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Line 7 Surplus or (Shortfall) ($4,034,421) Additional non-allowable costs and unpaid/non-reimbursed coninsurance/deductibles $9,344,533 Total Surplus or (Shortfall) ($13,378,954) Part III Line 9b Patients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, patient billing mailers, brochures or Customer Service phone calls, to submit financial information to the Medical Assistance Department to determine eligibility for programs, such as County, Medicaid, Disability, Victims of Crime, Charity, etc. For those patients who provide all the necessary documentation and qualify for charity according to the charity care policy, (defined in Part I, line 3c), patients' account would be written off completely to charity and not billed to the patients. Part V Section B Line 19d Trustees of Mease Hospital, Inc. applies a discount of 40% and offers up to a 50% discount of charges for individuals who do not have insurance covering emergency or other medically necessary care. This discount or allowance is consistent with the average blended inpatient/outpatient rate of BayCare's commercial payer's contractual allowance rate. 2 - Needs Assessment Trustees of Mease Hospital, Inc. is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. Trustees of Mease Hospital, Inc. develops community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, Trustees of Mease Hospital, Inc. conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist Trustees of Mease Hospital, Inc. in developing initiatives and programs/services to address identified health care need in the communities it serves. 3 - Patient education of eligibility for assistance Trustees of Mease Hospital, Inc. Medical Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the Trustees of Mease Hospital, Inc. charity care policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Medical Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, Trustees of Mease Hospital, Inc. also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing mailers and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance. 4 - Community Information Mease Hospitals are in a suburban setting serving parts of Hillsborough, Pasco and Pinellas counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 9% of the population and 11% of households are at poverty level. Mease Hospitals are part of BayCare Health System that serves west central Florida. The area served by Mease Hospitals has 8 hospitals with 5 being Not-For-Profit. There are 4 federally designated medically underserved areas in Mease Hospitals' service area. With the over 65 population expected to grow 14% in the next five years, the health care needs of our service area are expanding and changing. The population served by Mease Hospitals is expected to grow 6% in the next 5 years. This expected growth is similar to the expected growth rate for the United States. However, the population Age 55+ is expected to grow 12% in the next 5 years. The community experiences higher incidence rates compared to the state of Florida in the following areas: adults with asthma, HIV cases, AIDs cases, adults with high blood cholesterol, melanoma, asthma hospitalization, adult smokers, domestic violence, fully immunized kindergarteners and sexually transmitted diseases. Based on Florida inpatient discharge data for the period of 07/01/09-06/30/10, the payor mix for the geographic area consists of 55.2% Medicare/Medicare HMO, 12.5% Medicaid/Medicaid HMO, 11.8% Commercial Insurance, 10.4% HMO/PPO, 5.5% Self-pay, and 4.6% Other. 5 - Promotion of community health Mease Countryside and Mease Dunedin Hospitals Residents of the small city of Dunedin encouraged Dr. Jack Mease to build a hospital with the community's help in 1937. Today Mease Dunedin is a 143-bed hospital still meeting the needs of the community it serves. Mease Countryside Hospital originally began as a satellite clinic to Mease Dunedin Hospital. The needs of the community grew along with a housing boom and in 1986 Mease Countryside Hospital opened. Today, Mease Countryside Hospital is a 300-bed facility celebrating its 25th year of service to the community. The 2007 Thomson 100 Top Hospitals National Benchmarks for Success study recognized Mease Countryside for its overall organizational achievement for the seventh time. Services are provided through more than 7,300 employees and 1,220 board-certified physicians. 2010 Overview Mease Dunedin Hospital New Ambulatory Care Unit As part of its ongoing expansion project, Mease Dunedin Hospital opened a new ambulatory care unit in 2010. With a more family-centered care design, the new ambulatory care unit includes 14 new private patient recovery rooms, three exam rooms, patient lockers, two centralized nurse's stations, and a new surgery family waiting area with a calming water feature to greet visitors. The unit was built in response to the skyrocketing increase in demand for ambulatory care services. The new space uses family-centered design and allows for a more tranquil and private setting for the patient and also increases efficiency for our nurses, physicians and hospital team to better offer an optimal level of quality care. Adjacent to the new ambulatory care unit is the new sterile processing department equipped with the latest technology for medical equipment sterilization. U.S. Environmental Protection Agency's ENERGY STAR Mease Dunedin Hospital has earned the U.S. Environmental Protection Agency's (EPA's) prestigious ENERGY STAR, the national symbol for protecting the environment through superior energy efficiency. This signifies that the hospital's buildings perform in the top 25 percent of similar facilities nationwide in energy conservation. Mease Dunedin is one of only 86 hospitals in the nation, to initially achieve this recognition. Commercial buildings that earn the ENERGY STAR use an average of 35 percent less energy than typical buildings and also release 35 percent less carbon dioxide into the atmosphere. Mease Dunedin improved its energy performance by managing energy strategically across the entire organization and by making cost-effective improvements to its buildings. Mease Countryside Hospital Duncan Chapel Opens In 2010, the Duncan Chapel opened at Mease Countryside Hospital providing a new, larger and more accessible area for reflection for patient families and staff members. The chapel was made possible by the Morton Plant Mease Foundation through a gift from the Ray and Nancy Murray family. The family wanted to name the chapel in memory of the late Richard Duncan, a 30-year educator in the community. The chapel is open to visitors, patients, employees and volunteers with the goal of helping to meet their spiritual needs. Aquatic Murals Help Create Soothing Environment for Children in the Emergency Room Aquatic-themed mural-sized paintings were added to the Mease Countryside Hospital emergency department to help alleviate what can be a stressful environment for children. The murals are located in four emergency department rooms at the hospital, rooms designated for young patients. They were painted with the goal of being a soothing and calming influence on children and their families while being treated at the hospital. The project was initiated because Mease Countryside has seen a growth in pediatric emergency room visits, with pediatric patients making up nearly 20 percent of ER visits to the hospital. The murals were painted by local artist Steve Spathelf. The funds for the murals came from the Morton Plant Mease Foundation. Commitment to Children's Care Mease Countryside Hospital continued its commitment to strengthen and advance children's care in north Pinellas and south Pasco counties through its partnership with St. Joseph's Children's Hospital. Called St. Joseph's Children's at Morton Plant Mease, the goal of the partnership is to bring more access to innovative and high-tech care in a family-centered setting to the community. In 2010, plans and construction began on the St. Joseph's Children's Specialty Center, intended to provide physical, occupational, speech, and sensory therapy programs, educational programs, as well as pediatric physician specialty services for neurology, gastroenterology, endocrinology and cardiology and convenient, on-site pediatric laboratory services for the smallest of patients. Mease Countryside and Mease Dunedin Mease Countryside and Mease Dunedin hospitals received the Gold Seal of Approval from the Joint Commission for lumbar and cervical spine certification. Mease Dunedin and Mease Countryside earned Blue Cross Blue Shield Distinction in Spine, Hip & Knee. Community Screenings Morton Plant Mease screened community members on many diseases and conditions, including balance disorders, high blood pressure, hearing health, skin cancer, cardiovascular disease and speech-language development. The health screenings were conducted at many venues, such as recreation centers, senior expos and hospital-sponsored events In addition, Morton Plant Mease gave free athletic physicals to more than 400 Pinellas high school students. Our comprehensive physicals included checks of height, weight, blood pressure, vision and lungs and a musculoskeletal exam. Support Groups Mease Countryside and Mease Dunedin provided free community support groups on a wide variety of topics ranging from provide free community support groups on a wide variety of topics ranging from Alzheimer's to women's cancers. In 2010, more than a dozen active support groups met throughout Pasco and Pinellas counties including Alert, Well and Keeping Energetic (AWAKE) Support Group, Grief Support Group, Alzheimer's Support Group, Breastfeeding Support Groups, Cancer Patients' Hope and Support Group, Early Alzheimer's Support Group, Grief Support Group, Men's Cancer Discussion Group and Women's Cancer Support Group. Community Lectures In 2010, Mease Countryside and Mease Dunedin held lectures on a variety of topics including asthma, breast cancer, cervical cancer, hearing health, sleep disorders, skin cancer, smoking prevention, speech-language development and sports safety. Faith Community Nursing Faith Community Nursing offers a unique partnership between the two hospitals and faith communities in Pinellas County. This nursing specialty takes a "whole person" approach to health care, promoting wellness of body, mind and spirit within the context of the values, beliefs and practices of a faith community. Our faith community nurses work to improve congregational health by encouraging preventative care and referring parishioners to appropriate health resources. Members of faith communities learn ways to take control of their own well-being and better manage their family's health. In 2010, 107 nurses in their faith communities helped 18,000 parishioners, conducted 10,815 screenings. Primary Care Recognizing that access to primary care physicians is central to the health and wellness of the community, Morton Plant Mease has developed a group of approximately 40 physician offices with 100 board-certified or board-eligible physicians specializing in family medicine, internal medicine, pediatrics, geriatrics and gastroenterology. Patients are encouraged to select a personal long-term care physician for preventive, acute and chronic problems. Immediate Care Urgent medical treatment can't wait. In the evenings and on weekends, it's not always possible to see a family physician or appropriate to go to an emergency room. That's where the Morton Plant Mease immediate care centers fit in to the overall care of the community. With two locations, the centers are open in the evenings and weekends to treat minor illnesses and injuries. Cancer Care & Support Mease offers many options to identify and treat breast, prostate, lung, brain, gynecologic and other cancers. Our board-certified oncologists, radiologists and surgeons work to make the most advanced diagnostic and clinical procedures available. In addition, Mease helps cancer patients by improving access to ground-breaking treatments and support services. Cancer Patient Support Services -- This innovative program is the first and only of its kind in Pinellas County. Cancer Patient Support Services (CaPSS) helps cancer patients and their families cope more effectively with the emotional and physical changes resulting from a cancer diagnosis. All patients, regardless of where they receive treatment are welcome. The program offers the following services free of charge -- community education specialist, individualized and family 6 - Affiliated health care system Trustees of Mease Hospital, Inc. is part of BayCare Health System, a leading community-based health care system in the Tampa Bay area with 10 not-for-profit hospitals, 70 outpatient facilities, more than 200 access sites and 18,500 employees. Together, BayCare organizations provide a lifetime of expert medical care by connecting patients to a complete range of services, such as primary care, imaging, lab, behavioral health and home health care. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist and St. Joseph's Hospitals. St. Joseph's Hospitals operate as one entity and files one Form 990, however it includes several distinct hospitals: St. Joseph's, St. Joseph's Children's, St. Joseph's Women's and St. Joseph's Hospital-North. BayCare was founded in 1997 when several of the area's not-for-profit hospitals came together united by a common Mission to improve the health of their communities through high-quality, community-based health care. With BayCare, these hospitals created a unique model for a successful organization. Since those ingrained in the community can best determine their population's needs, BayCare's hospitals are in three geographic regions with their own local boards. BayCare provides organizational and financial strength for the hospitals and has centralized certain services regionally such as finance, human resources, home care and behavioral health. This enables each hospital to remain focused on their shared Mission of serving the health care needs of the entire community, regardless of their ability to pay. Each BayCare hospital provides charity care and unbilled community benefit services too. This is an essential expression of BayCare's shared Mission. In 2010, BayCare provided $184.5 million in community benefits, which includes $80 million in traditional charity care, $11 million in unbilled community services and $93 million in unreimbursed costs of Medicaid and county welfare programs. As one of the largest employers in the Tampa Bay area, BayCare has also played a significant role in the creation of jobs in the Tampa Bay community. Even though unemployment has increased, BayCare has brought on more than 1,650 employees since the end of 2006. BayCare's comprehensive network provides patients with increased access to services, such as emergency care, inpatient, outpatient and home health. For example, BayCare HomeCare helps patients leave the hospital sooner and recover at home where they are more comfortable. In 2010, HomeCare provided approximately 599,000 home health visits to more than 50,000 patients through 11 offices located throughout Florida. Recognizing the need for mental health services, BayCare is the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home, residential treatment, support group and case management services. BayCare's designated Baker Act-receiving facilities in Hillsborough, Pinellas and Pasco counties provide inpatient crisis stabilization and partial hospitalization programs as part of the continuum of mental health care. BayCare also is the only organization in the Tampa Bay area that operates dedicated psychiatric emergency rooms at each of its hospital-based, Baker Act facilities. In 2010, BayCare Behavioral Health opened the Morton Plant North Bay Recovery Center, a 72-bed acute care, behavioral health facility to treat adults, children and adolescents. It is the only hospital-based children's mental health facility in Pasco County. BayCare hospitals also benefit from faster technological advancements like the system-wide introduction of an electronic medical record (EMR) and a biometric patient identity program that uses cutting-edge, palm scanning technology. Both of these projects provide more comprehensive access to patient records with the goal of improving patient safety. BayCare has registered more than 1.5 million patients through its biometric, palm-scanning registration and added more than 2 million patient charts to its EMR repository. Because of these two systems, a patient's medical record is now available at any BayCare hospital or facility. With the scan of a palm, BayCare's facilities will be able access the patient's data and avoid duplicate information requests at different times in the care process. An EMR also provides real-time communication and care-team coordination that can lead to a more complete picture of the patient's needs and better outcomes. In an effort to offer greater communications, increased patient safety and continuous care, BayCare is also working to electronically connect our hospitals with physicians' offices through an electronic medical record. In addition, each facility can gain knowledge from best practices shared by other BayCare hospitals through a system-wide Quality program that helps drive higher performance to improve patient care, processes and technology. In 2010, every BayCare hospital participated in the Fifth Annual Quality Sharing Day, an event designed to help employees share and learn best practices that were implemented elsewhere in the health system. As part of the organization's commitment to the community, BayCare partners with Hillsborough Community College, University of Tampa, University of South Florida, Erwin Technical Center and St. Petersburg College to help educate future nurses and health care professions. In addition, BayCare is an organizational sponsor for the United Way of Tampa Bay's Hands on Tampa Bay. The program provides volunteer support in a variety of service areas such as homelessness and hunger; education and literacy; children, youth, and family; seniors; animals and environment; and persons with disabilities. BayCare also supports organizations that work to foster economic development in the Tampa Bay area. These organizations include the Tampa Bay Partnership and the Pasco Economic Development Council. 7 - State filing of community benefit report N/A: only provided benefit in the State of Florida. true SUNCOAST COMMUNITY HEALTH CENTERS INC 13110 Elk Mountain Dr Riverview FL 33579 591741303 501(c)(3) 32704 General Support 1 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants Trustees of Mease Hospital is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Trustees of Mease Hospital's senior management team reviews each cash donation request to determine whether the organization is one we want to donate to, based on the organization's mission, non-profit status, and usage of funds. Once approved, we require proper documentation from the organization of its non-profit status, and as needed, follow-up with the organization to ensure the activity occurred. false true false false false false false true false Carl Tremonti 0 232804 0 68315 0 30044 0 35213 0 8646 0 375022 0 0 Glenn Waters 0 654001 0 325832 0 14520 0 91798 0 16901 0 1103052 0 0 Peter Blumencranz 0 708022 0 0 0 7874 0 12028 0 1644 0 729568 0 0 Stephen Mason 0 967987 0 467277 0 1065049 0 12152 0 19565 0 2532030 0 261951 Louis Galdieri 0 247306 0 82321 0 7767 0 56640 0 8771 0 402805 0 0 Robin Lapham 139781 0 18556 0 480 0 7672 0 6296 0 172785 0 0 0 Celia Larimore 161371 0 20461 0 583 0 8773 0 3428 0 194616 0 0 0 Gerald Massey 139901 0 17827 0 7624 0 7586 0 3870 0 176808 0 0 0 Glenn Graziose 0 179051 0 22348 0 3734 0 11970 0 11100 0 228203 0 0 Mohsen Habib 129323 0 10864 0 8811 0 7419 0 10979 0 167396 0 0 0 Kelly Triolo 151128 0 20880 0 300 0 8152 0 3900 0 184360 0 0 0 Bernard Renshaw Jr 172678 0 830 0 310 0 8859 0 6340 0 189017 0 0 0 Supplemental Compensation Information 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. Part I, Line 4b Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $13,401 in benefits vest in 2010. He had $23,856 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. The plan made cash distribution of $4,885 in 2010. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2010. He had $81,385 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $987,062 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $359,784 in 2010. Louis Galdieri- Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2010. He had $44,605 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. Supplemental Compensation Committee 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. MFP Inc See Part V 357032 Collection Services false Relationship between interested person and the organization Stephen Mason and Glenn Waters are directors and/or officers of the filing organization as well as board members of MFP, Inc. Part VI Form 990, Part VI, Question 2 - Description of Family or Business Relationship Glenn Waters, Denton Crockett and Stephen Mason 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, Question 6 - Description of Classes of Members or Stockholders The sole member of Trustees of Mease Hospital, Inc. is Morton Plant Mease Health Care, Inc. Form 990, Part VI, Question 7a - Description of Classes of Persons and the Nature of Their Rights The Board shall consist of no more than twenty-six (26) members (each, a "Trustee"), all of whom shall be appointed by the Member such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. Form 990, Part VI, Question 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. Member Reserved Rights The Member reserves to itself the following two categories of actions: Class I Member Reserved Rights and Class II Member Reserved Rights. A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation and its subsidiaries and affiliates. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 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 changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. 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. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. 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. 3. 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 million, 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 the 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). 4. Approval of the closure of a hospital facility of the Corporation. 5. Change in the name of a hospital facility of the Corporation. 6. Approval of substantive changes in the Bylaws of the Articles of Incorporation of the Corporation. Form 990, Part VI, Question 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Form 990, Part VI, Question 12c - Description of Process to Monitor Transactions for Conflicts of Interest Trustees of Mease Hospital, 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 Form 990, Part VI, Question 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, the last review occurring in 2009, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, Question 16b - Procedure to evaluate Joint Venture Arrangements The organization has a Joint Venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in their review is a review for compliance with relevant tax laws. Form 990, Part VI, Question 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Trustees of Mease Hospital Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and policies are not available for public inspection. Part VII and XI Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Alan Bomstein - BayCare Health System, Inc. - 1 Alan Bomstein - Morton Plant Hospital Association, Inc. - 1 Alan Bomstein - Morton Plant Mease Health Care, Inc. - 1 Carl Tremonti - Morton Plant Hospital Association, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 Carl Tremonti - Morton Plant Mease Health Services, Inc. - 1 Carl Tremonti - Morton Plant Mease Primary Care, Inc. - 1 Carl Tremonti - St. Anthony's Hospital, Inc. - 1 Carl Tremonti - St. Anthony's Professional Buildings & Services, Inc. - 1 Chuck Riggs - Morton Plant Hospital Association, Inc. - 1 Chuck Riggs - Morton Plant Mease Health Care, Inc. - 1 Chuck Riggs - Morton Plant Mease Health Services, Inc. - 1 Ed Armstrong - BayCare Health System, Inc. - 1 Ed Armstrong - Morton Plant Hospital Association, Inc. - 1 Ed Armstrong - Morton Plant Mease Health Care, Inc. - 1 Gail Wright - Morton Plant Hospital Association, Inc. - 1 Gail Wright - Morton Plant Mease Health Care, Inc. - 1 Gary Moskovitz - Morton Plant Hospital Association, Inc. - 1 Gary Moskovitz - Morton Plant Mease Health Care, Inc. - 1 Glenn Waters - BayCare Alliant Hospital, Inc. - 0 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 - Morton Plant Mease Health Services, Inc. - 1 Glenn Waters - Morton Plant Mease Primary Care, Inc. - 1 Jim Cantonis - Morton Plant Hospital Association, Inc. - 1 Jim Cantonis - Morton Plant Mease Health Care, Inc. - 1 John Huguet - Morton Plant Hospital Association, Inc. - 1 John Huguet - Morton Plant Mease Health Care, Inc. - 1 Larry Morgan - BayCare Health System, Inc. - 1 Larry Morgan - Morton Plant Hospital Association, Inc. - 1 Larry Morgan - Morton Plant Mease Health Care, Inc. - 1 Lonnie Klein - Morton Plant Hospital Association, Inc. - 1 Lonnie Klein - Morton Plant Mease Health Care, Inc. - 1 Mahesh Amin - BayCare Health System, Inc. - 1 Mahesh Amin - Morton Plant Hospital Association, Inc. - 1 Mahesh Amin - Morton Plant Mease Health Care, Inc. - 1 Mel Ora - Morton Plant Hospital Association, Inc. - 1 Mel Ora - Morton Plant Mease Health Care, Inc. - 1 Mel Ora - Morton Plant Mease Health Services, Inc. - 1 Michael Williamson, MD - BayCare Health System, Inc. - 1 Michael Williamson, MD - Morton Plant Hospital Association, Inc. - 1 Michael Williamson, MD - Morton Plant Mease Health Care, 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 - Morton Plant Mease Primary Care, Inc. - 1 Patricia Ryan - Morton Plant Hospital Association, Inc. - 1 Patricia Ryan - Morton Plant Mease Health Care, Inc. - 1 Patricia Ryan - Morton Plant Mease Health Services, Inc. - 1 Patricia Ryan - Morton Plant Mease Primary Care, Inc. - 1 Peter Blumencranz - Morton Plant Hospital Association, Inc. - 1 Peter Blumencranz - Morton Plant Mease Health Care, Inc. - 45 Peter Blumencranz - Trustees of Mease Hospital, Inc. - 1 V. Raymond Ferrera - Morton Plant Hospital Association, Inc. - 1 V. Raymond Ferrera - Morton Plant Mease Health Care, Inc. - 1 V. Raymond Ferrera - Morton Plant Mease Health Services, Inc. - 1 Richard Bekesh - Morton Plant Hospital Association, Inc. - 1 Richard Bekesh - Morton Plant Mease Health Care, Inc. - 1 Robert Mcgivney - BayCare Health System, Inc. - 1 Robert Mcgivney - Morton Plant Hospital Association, Inc. - 1 Robert Mcgivney - Morton Plant Mease Health Care, Inc. - 1 Sandip Patel - Morton Plant Hospital Association, Inc. - 1 Sandip Patel - Morton Plant Mease Health Care, 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 - Morton Plant Mease Primary Care, Inc. - 1 Stephen Mason - St. Anthony's Hospital, Inc. - 1 Stephen Mason - St. Joseph's Health Care Center, Inc. - 1 Thomas Nash - Morton Plant Hospital Association, Inc. - 1 Thomas Nash - Morton Plant Mease Health Care, Inc. - 1 William Horne - Morton Plant Hospital Association, Inc. - 1 William Horne - Morton Plant Mease Health Care, Inc. - 1 William Price - Morton Plant Hospital Association, Inc. - 1 William Price - Morton Plant Mease Health Care, Inc. - 1 William Price - Morton Plant Mease Primary Care, Inc. - 1 Form 990, Part XI, Line 5 Other changes in net assets: Unrealized (loss) on swaps ($3,034,914) Contributions in income, not on books (2,214,955) Swap net asset balance transfer $2,107,037 Total ($3,142,832) BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Support srvcs FL 501(C)(3) 11A N/A Morton Plant Hospital Association Inc 300 Pinellas Street Clearwater FL 33756 590624462 Health srvcs FL 501(C)(3) 3 MPMHC Morton Plant Mease Health Care Found Inc 1200 Druid Road South Clearwater FL 33756 591751535 Fundraising FL 501(C)(3) 11A TOMMPH Morton Plant Mease Health Care Inc 300 Pinellas Street Clearwater FL 33756 592374556 Support srvcs FL 501(C)(3) 11B N/A Morton Plant Mease Health Services Inc 8452 118th Ave N Largo FL 33773 592600684 Health srvcs FL 501(C)(3) 3 MPMHC Morton Plant Mease Primary Care Inc 300 S Park Place Blvd Ste 170 Clearwater FL 33759 593140335 Health srvcs FL 501(C)(3) 9 MPMHC The Pinellas Neuro-Ortho Spine Group 601 Main Street Dunedin FL 34698 830420933 Inactive FL na related 0 0 false 0 true 0.51000 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 Inactive FL na C corp Medspecialists Inc 16255 Bay Vista Drive Clearwater FL 33760 680587533 Health srvcs FL na C corp MFP Inc 628 Bypass Road Clearwater FL 33764 592374569 Collection sr FL na C corp Morton Plant Health Ventures Inc 8452 118th Avenue North Largo FL 33773 592728600 Health srvcs FL na C corp false false true false false false false false true true false true false true false false true true MORTON PLANT MEASE HEALTH CARE FOUNDATION C 2214956