Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| Part VI | Part VI, Line 2 - Description of Family or Business Relationship Glenn Waters 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. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of Morton Plant Hospital Association, Inc. is Morton Plant Mease Health Care, Inc. Part VI, Line 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 Morton Plant Mease Health Care, Inc. such that at all times the Board is comprised of all of the members of the Board of Directors of the Member. 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 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. 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 Morton Plant Hospital Association, 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 | 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, the last review occurring in 2011, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 16b - Procedure to evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public Morton Plant Hospital Association Inc. publishes its financial statements with The Agency for Health Care Administration. Governing documents and policies 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: Alan Bomstein - BayCare Health System, Inc. - 1 Alan Bomstein - Morton Plant Mease Health Care, Inc. - 1 Alan Bomstein - Trustees of Mease Hospital, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 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 Carl Tremonti - Trustees of Mease Hospital, Inc. - 1 Dewey Mitchell - Morton Plant Mease Health Care, Inc. - 1 Dewey Mitchell - Trustees of Mease Hospital, Inc. - 1 Ed Armstrong - BayCare Health System, Inc. - 1 Ed Armstrong - Morton Plant Mease Health Care, Inc. - 1 Ed Armstrong - Trustees of Mease Hospital, Inc. - 1 Gail Wright - Morton Plant Mease Health Care, Inc. - 1 Gail Wright - Trustees of Mease Hospital, Inc. - 1 Gary Moskovitz - Morton Plant Mease Health Care, Inc. - 1 Gary Moskovitz - Trustees of Mease Hospital, Inc. - 1 Glenn Waters - BayCare Alliant Hospital, Inc. - 1 Glenn Waters - BayCare Home Care, Inc. - 1 Glenn Waters - Morton Plant Mease Health Care, Inc. - 45 Glenn Waters - Morton Plant Mease Primary Care, Inc. - 1 Glenn Waters - Trustees of Mease Hospital, Inc. - 1 Harrel Ziecheck - Morton Plant Mease Health Care, Inc. - 45 James Cantonis - Morton Plant Mease Health Care, Inc. - 1 James Cantonis - Morton Plant Mease Primary Care, Inc. - 1 James Cantonis - Trustees of Mease Hospital, Inc. - 1 Jim Huguet - Morton Plant Mease Health Care, Inc. - 1 Jim Huguet - Trustees of Mease Hospital, Inc. - 1 Larry Morgan - BayCare Health System, Inc. - 1 Larry Morgan - Morton Plant Mease Health Care, Inc. - 1 Larry Morgan - Trustees of Mease Hospital, Inc. - 1 Lonnie Klein - Morton Plant Mease Health Care, Inc. - 1 Lonnie Klein - Trustees of Mease Hospital, Inc. - 1 Mahesh Amin - BayCare Health System, Inc. - 1 Mahesh Amin - Morton Plant Mease Health Care, Inc. - 1 Mahesh Amin - Trustees of Mease Hospital, Inc. - 1 Marc Bowman - Morton Plant Mease Health Care, Inc. - 1 Marc Bowman - Trustees of Mease Hospital, Inc. - 1 Nancy Ridenour - Morton Plant Mease Health Care, Inc. - 1 Nancy Ridenour - Trustees of Mease Hospital, Inc. - 1 Odalys Lara - BayCare Health System, Inc. - 1 Odalys Lara - Morton Plant Mease Health Care, Inc. - 1 Odalys Lara - Morton Plant Mease Primary Care, Inc. - 1 Odalys Lara - Trustees of Mease Hospital, Inc. - 1 Peter Blumencranz - Morton Plant Mease Health Care, Inc. - 45 Peter Blumencranz - Trustees of Mease Hospital, Inc. - 1 Raymond Ferrera - BayCare Health System, Inc. - 1 Raymond Ferrera - Morton Plant Mease Health Care, Inc. - 1 Raymond Ferrera - Morton Plant Mease Health Services, Inc. - 1 Raymond Ferrera - St. Joseph's Enterprises, Inc. - 1 Raymond Ferrera - Trustees of Mease Hospital, Inc. - 1 Richard Bekesh - Morton Plant Mease Health Care, Inc. - 1 Richard Bekesh - Trustees of Mease Hospital, Inc. - 1 Robert Mcgivney - BayCare Health System, Inc. - 1 Robert Mcgivney - Morton Plant Mease Health Care, Inc. - 1 Robert Mcgivney - Trustees of Mease Hospital, Inc. - 1 Stephanie Vanzandt - Morton Plant Mease Health Care, Inc. - 1 Stephanie Vanzandt - Trustees of Mease Hospital, Inc. - 1 Stephen Mason - BayCare Health System, Inc. - 45 Stephen Mason - BayCare Home Care, Inc. - 1 Stephen Mason - Morton Plant Mease Health Care, Inc. - 1 Stephen Mason - Morton Plant Mease Primary Care, Inc. - 1 Stephen Mason - St. Anthony's Hospital, Inc. - 1 Stephen Mason - Trustees of Mease Hospital, Inc. - 1 Thomas Nash - Morton Plant Mease Health Care, Inc. - 1 Thomas Nash - Trustees of Mease Hospital, Inc. - 1 Thomas Whiddon - Morton Plant Mease Health Care, Inc. - 1 Thomas Whiddon - Trustees of Mease Hospital, Inc. - 1 William Horne - Morton Plant Mease Health Care, Inc. - 1 William Horne - Trustees of Mease Hospital, Inc. - 1 William Horne - Trustees of Mease Hospital, Inc. - 1 | |
| Part XI, Line 5 | UNREALIZED (LOSS) ON SWAPS ($13,231,599) CONTRIBUTIONS IN INCOME, NOT ON BOOKS ($4,877,300) CHANGE IN FOUNDATIONS $523,471 TOTAL ($17,585,428) | |
| Schedule H | For purposes of reporting on Schedule H, Part V, Section A, both Morton Plant Hospital and Morton Plant North Bay Hospital are listed and a separate Section B has been completed for each facility. Morton Plant North Bay Hospital and Morton Plant North Bay Recovery Center share the same license number and follow the same standardized policies and procedures that are administered by the same centralized billing and collections departments; as such Morton Plant North Bay Recovery Center was not listed in Schedule H, Part V, Section A. |
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