TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) NANCY RIDENOUR........................................................................ DIRECTOR	3.00 .......................	X
(2) ROZ DOYLE........................................................................ SECRETARY	6.00 .......................	X	X
(3) BRUCE E FYFE........................................................................ DIRECTOR	3.00 .......................	X
(4) JAMES WATROUS........................................................................ CHAIRMAN	6.00 .......................	X	X
(5) MICHAEL CONNOR........................................................................ DIRECTOR	6.00 .......................	X
(6) STEVE HAIRE MD........................................................................ DIRECTOR	2.00 .......................	X
(7) DOUGLAS R BIRCH CPA........................................................................ TREASURER	6.00 .......................	X	X
(8) EARLE COOPER........................................................................ DIRECTOR	1.00 .......................	X
(9) SANDY MILLER........................................................................ DIRECTOR	1.00 .......................	X
(10) JUDY MITCHELL........................................................................ DIRECTOR	1.00 .......................	X
(11) PAUL PHILLIPS MD........................................................................ DIRECTOR	2.00 .......................	X
(12) MARY ANN MCARTHUR........................................................................ DIRECTOR	2.00 .......................	X
(13) PARKER STAFFORD........................................................................ DIRECTOR	3.00 .......................	X
(14) LEAH BERGOFFEN........................................................................ DIRECTOR	1.00 .......................	X
(15) BILL CLARKE........................................................................ DIRECTOR	1.00 .......................	X
(16) ROBERT ENTEL MD........................................................................ DIRECTOR	1.00 .......................	X
(17) MOLLY LEA........................................................................ DIRECTOR	3.00 .......................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) KATE TIEDEMANN........................................................................ DIRECTOR	2.00 .......................	X				0	0	0
(19) JENNIFER BUCK MD........................................................................ DIRECTOR	1.00 .......................	X				0	56,401	7,526
(20) STEVEN CASS........................................................................ VICE CHAIR	6.00 .......................	X	X			0	0	0
(21) RICHARD DIMMITT........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(22) RUTHY DUPONT........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(23) KRIS HOCE........................................................................ DIRECTOR	1.00 .......................	X				0	518,355	85,659
(24) ANDREW LYNN........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(25) JAMES A MARTIN JR........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(26) BRUCE LAUER........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(27) HOLLY H DUNCAN MA CFRE........................................................................ PRESIDENT EMERITUS	60.00 .......................		X			336,822	0	59,974
(28) LARRY F HARMON CPA........................................................................ V.P./CFO	48.00 .......................		X			176,007	0	17,124
(29) ERNESTINE SOETERIK-BEAN CFRE........................................................................ PRESIDENT AND CEO	60.00 .......................		X			172,279	0	13,550
(30) AMANDA FISHERCFRE........................................................................ VICE PRESIDENT DEVELOPMENT	60.00 .......................			X		115,367	0	10,380
(31) GLENN WATERS........................................................................ FORMER DIRECTOR	0.00 .......................				X	0	1,073,723	223,207
(32) MARK SMITHERMAN MD........................................................................ STAFF PHYSICIAN	0.00 .......................45.00				X	0	288,916	18,854

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	5,829,628	5,829,628
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	612,476	192,859	226,758	192,859
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	90,648	31,122	28,404	31,122
7	Other salaries and wages	843,286	240,958	317,697	284,631
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	55,458	12,121	27,496	15,841
9	Other employee benefits .......	120,895	36,323	43,959	40,613
10	Payroll taxes ...........	95,922	28,585	35,875	31,462
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	7,634		3,817	3,817
c	Accounting ...........	39,000		39,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	392,697		392,697
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	238,791	74,009	21,834	142,948
12	Advertising and promotion ....	32,410	5,164	9,838	17,408
13	Office expenses .......	72,383	11,712	39,416	21,255
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	154,823	45,849	62,822	46,152
17	Travel ............	28,830	8,494	11,842	8,494
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	8,534	2,427	3,680	2,427
20	Interest ...........	447		447
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	19,950	3,990	7,980	7,980
23	Insurance ..............
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MISCELLANEOUS	28,797	4,063	8,211	16,523
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	8,672,609	6,527,304	1,281,773	863,532
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	547	1	550
2	Savings and temporary cash investments .........	792,312	2	312,219
3	Pledges and grants receivable, net ...........	9,194,779	3	10,326,544
4	Accounts receivable, net .............		4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........	77,749	9	151,936
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,717,216
b	Less: accumulated depreciation .....	10b	1,271,342	460,700	10c	445,874
11	Investments—publicly traded securities ..........	57,382,886	11	67,431,565
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	28,856,937	15	30,729,565
16	Total assets. Add lines 1 through 15 (must equal line 34)......	96,765,910	16	109,398,253
	17	Accounts payable and accrued expenses .........	336,366	17	361,182
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	7,190,231	25	8,404,644
26	Total liabilities. Add lines 17 through 25.........	7,526,597	26	8,765,826
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	16,657,279	27	19,647,650
28	Temporarily restricted net assets ...........	47,502,356	28	54,364,737
29	Permanently restricted net assets ...........	25,079,678	29	26,620,040
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	89,239,313	33	100,632,427
34	Total liabilities and net assets/fund balances ........	96,765,910	34	109,398,253

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(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 monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) MORTON PLANT HOSPITAL ASSOCIATION INC	590624462	3	Yes		Yes		Yes		3,699,215
(B) TRUSTEES OF MEASE HOSPITAL INC	590855412	3	Yes		Yes		Yes		1,841,413
(C) MORTON PLANT MEASE PRIMARY CARE INC	593140335	3	Yes		Yes		Yes		289,000
Total									5,829,628

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	25,088,587	24,144,938	23,078,968	21,999,951	21,081,018
b	Contributions ........	224,083	123,981	302,553	11,920	16,465
c	Net investment earnings, gains, and losses	1,315,779	819,668	763,417	1,067,097	902,468
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	26,628,449	25,088,587	24,144,938	23,078,968	21,999,951

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	272,045		272,045
b	Buildings ................	1,068,051	894,222	173,829
c	Leasehold improvements ............
d	Equipment ................	346,951	346,951	0
e	Other .................	30,169	30,169	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				445,874

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) CASH SURRENDER VALUE LIFE INSURANCE				3,621,021
(2) EXTERNALLY CONTROLLED ENDOWMENTS				14,993,185
(3) INTEREST RECEIVABLE				101,601
(4) OTHER ASSETS				59,780
(5) REMAINDER INTEREST IN TRUST AND ESTATES				11,953,978




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				30,729,565

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
GIFT ANNUITY OBLIGATIONS		7,178,201
LIABILITY UNDER TRUST AGREEMENTS		1,226,443







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		8,404,644
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	20,380,386
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	2,607,141
b	Donated services and use of facilities .........	2b	26,000
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	2,022,410
e	Add lines 2a through 2d .....................			2e	4,655,551
3	Subtract line 2e from line 1.....................			3	15,724,835
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	392,697
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	392,697
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	16,117,532

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	8,987,271
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	25,500
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	681,859
e	Add lines 2a through 2d......................			2e	707,359
3	Subtract line 2e from line 1.....................			3	8,279,912
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	392,697
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................			4c	392,697
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	8,672,609

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	FOR SCHEDULE D, PART V. ENDOWMENTS ARE PERMANENTLY RESTICTED FUNDS. THE EARNINGS ARE USED BASED ON THE DONOR'S RESTRICTIONS. GENERALLY, THE ENDOWMENTS ARE MADE TO PROVIDE A CONTINUIOUS SOURCE OF FUNDING FOR SPECIFIC HOSPITAL PROGRAMS.
PART X, LINE 2:	IN ACCORDANCE WITH ASC 740, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES", THE FOUNDATION HAS NOT RECOGNIZED ANY RESPECTIVE LIABILITY FOR UNRECOGNIZED TAX BENEFITS AS IT HAS NO KNOWN TAX POSITIONS THAT WOULD SUBJECT THE FOUNDATION TO ANY MATERIAL INCOME TAX EXPOSURE. A RECONCILIATION OF THE BEGINNING AND ENDING AMOUNT OF UNRECOGNIZED TAX BENEFITS IS NOT INCLUDED, NOR IS THERE ANY INTEREST ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES AS THERE ARE NO UNRECOGNIZED TAX BENEFITS. THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION ARE 2010, 2011, AND 2012 FOR ALL MAJOR TAX JURISDICTIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN SPLIT-INTEREST AGREEMENTS
PART XII, LINE 2D - OTHER ADJUSTMENTS:	UNCOLLECTIBLE PLEDGES

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 CORPORATE SPEAKER (event type)	(b) Event #2 GOLF TOURNEY (event type)	(c) Other events 6 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	215,070	155,943	236,008	607,021
2	Less: Contributions . .	171,145	86,569	149,782	407,496
3	Gross income (line 1 minus line 2) . . .	43,925	69,374	86,226	199,525
4	Cash prizes . . .			2,500	2,500
5	Noncash prizes . .			965	965
6	Rent/facility costs . .	7,671	11,165	3,847	22,683
7	Food and beverages .	39,741	21,642	61,235	122,618
8	Entertainment . . .	3,000		14,002	17,002
9	Other direct expenses .	18,971	27,605	49,218	95,794
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				261,562
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-62,037

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number
59-1751535

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MORTON PLANT HOSPITAL ASSOCIATION INC 300 PINELLAS STREET CLEARWATER,FL33756	59-0624462	501(C)(3)	3,699,215	SUPPORT OF ORGANIZATION
(2) TRUSTEES OF MEASE HOSPITAL INC 300 PINELLAS STREET CLEARWATER,FL33756	59-0855412	501(C)(3)	1,841,413	SUPPORT OF ORGANIZATION
(3) MORTON PLANT MEASE PRIMARY CARE INC 300 PINELLAS STREET CLEARWATER,FL33756	59-3140335	501(C)(3)	289,000	SUPPORT OF ORGANIZATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

THE PURPOSE OF THE MORTON PLANT MEASE HEALTH CARE FOUNDATION IS TO SUPPORT THE HEALTH CARE NEEDS OF MORTON PLANT HOSPITAL ASSOCIATION, INC. D/B/A MORTON PLANT HOSPITAL AND MORTON PLANT NORTH BAY HOSPITAL, AND TRUSTEES OF MEASE HOSPITAL, INC. D/B/A MEASE DUNEDIN HOSPITAL AND MEASE COUNTRYSIDE HOSPITAL AND MORTON PLANT MEASE PRIMARY CARE, INC. GRANTS ARE ONLY MADE TO THESE ORGANIZATIONS TO SUPPORT THEIR EXEMPT PURPOSES.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)KRIS HOCEDIRECTOR	(i) (ii)	0 518,355	0 0	0 0	0 78,905	0 6,754	0 604,014	0 0
(2)HOLLY H DUNCAN MA CFREPRESIDENT EMERITUS	(i) (ii)	303,952 0	0 0	32,870 0	51,518 0	8,456 0	396,796 0	0 0
(3)LARRY F HARMON CPAV.P./CFO	(i) (ii)	176,007 0	0 0	0 0	8,618 0	8,506 0	193,131 0	0 0
(4)ERNESTINE SOETERIK-BEAN CFREPRESIDENT AND CEO	(i) (ii)	172,279 0	0 0	0 0	8,397 0	5,153 0	185,829 0	0 0
(5)GLENN WATERSFORMER DIRECTOR	(i) (ii)	0 1,073,723	0 0	0 0	0 201,511	0 21,696	0 1,296,930	0 0
(6)MARK SMITHERMAN MDSTAFF PHYSICIAN	(i) (ii)	0 288,916	0 0	0 0	0 9,755	0 9,099	0 307,770	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 3

SALARIES OF ALL OFFICERS AND KEY EMPLOYEES WERE ALIGNED WITH INDEPENDENT MARKET STUDIES THROUGH SULLIVAN, CITTER AND ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTANT, AND DEEMED REASONABLE BASED ON EXPERTISE AND EXPERIENCE OF INDIVIDUALS. THE SALARY FOR THE PRESIDENT & CEO IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE FOUNDATION AND APPROVED BY THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEE SALARIES ARE ESTABLISHED BY THE PRESIDENT AND CEO IN CONJUNCTION WITH THE INDEPENDENT SALARY SURVEY.

SCHEDULE J, PART I, LINE 3

QUALIFICATIONS OF KEY MEMBERS OF MANAGEMENT RECEIVING COMPENSATION: PRESIDENT EMERITUS - HOLLY H. DUNCAN, MA, CFRE, HAS MORE THAN 30 YEARS PROFESSIONAL FUNDRAISING EXPERIENCE IN THE TAMPA BAY MARKET. HOLLY RETIRED IN 2013 BUT IN HER 17 YEAR TENURE AT MORTON PLANT MEASE FOUNDATION, TOTAL ASSETS DOUBLED WHILE THE FOUNDATION MADE OVER $120 MILLION IN GRANTS TO MORTON PLANT AND MEASE HOSPITALS. CURRENT PRESIDENT AND CEO - ERNESTINE SOETERIK-BEAN, CFRE HAS 13 YEARS OF PROFESSIONAL FUNDRAISING EXPERIENCE, ALL AT MORTON PLANT MEASE FOUNDATION, WITH EXPERTISE IN MAJOR GIFTS, CORPORATE GIVING, SPECIAL EVENTS MANAGEMENT, STRATEGIC PLANNING AND PROFESSIONAL DEVELOPMENT. VICE PRESIDENT & CFO - LARRY F. HARMON, CPA, HAS MORE THAN 40 YEARS PROFESSIONAL ACCOUNTING EXPERIENCE IN BOTH FOR PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. HE HAS BEEN WITH MORTON PLANT MEASE FOUNDATION FOR 17 YEARS AND IS RESPONSIBLE FOR NEARLY $100 MILLION IN ASSETS. VICE PRESIDENT OF DEVELOPMENT - AMANDA E. FISHER, CFRE, HAS 20 YEARS OF PROFESSIONAL FUNDRAISING EXPERIENCE IN ANNUAL, MAJOR AND PLANNED GIVING, OF WHICH 10 YEARS HAVE BEEN WITH MORTON PLANT MEASE FOUNDATION.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	5	107,927	FAIR MARKET VALUE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...	X	1	18,905	FAIR MARKET VALUE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( NOTIFICATION )	X	1	9,813	PRESENT VALUE OF FUT
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2013)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Return Reference	Explanation
FORM 990, PART III, LINE 2	NEW PROGRAMS FOR 2013 PATHWAYS: BEHAVIORAL HEALTH ($750,000) PATHWAYS IS A INNOVATIVE PILOT PROGRAM BASED AT MORTON PLANT MEASE PROVIDING COACHING AND NAVIGATION TO PATIENTS AND FAMILIES WHO ARE SEEKING HELP FOR MENTAL HEALTH ILLNESSES. THIS PROGRAM WILL ASSIST PATIENTS AND THEIR FAMILIES ON THEIR JOURNEY THROUGH THE MAZE OF MENTAL ILLNESS AND ADDICTION, COACHING, AND CONNECTING THEM WITH URGENT AND ROUTINE CLINICAL RESOURCES IN TAMPA BAY AND BEYOND. THE COACHING PROCESS HELPS FAMILIES CONVINCE THEIR LOVED ONE THAT THEY NEED MEDICAL ATTENTION, SUCH AS THOSE SUFFERING FROM CLINICAL DEPRESSION, BI-POLARITY, SCHIZOPHRENIA, EATING DISORDERS, AND DRUG AND ALCOHOL ADDICTION. CONGESTIVE HEART FAILURE CLINIC ($150,000) HEART FAILURE IS OUR #1 DIAGNOSED DISCHARGE AND MORTALITY RATES ARE NEARLY 50% WITHIN FIVE YEARS. CLINIC FOCUSES ON PREVENTING READMISSIONS AND PROVIDING THE RESOURCES FOR UNFUNDED PATIENTS TO HAVE ACCESS TO NEEDED MEDICATIONS, HOMECARE AND EDUCATION. PALLIATIVE CARE EXPANSION TO MORTON PLANT NORTH BAY HOSPITAL ($100,000) BEFORE LAST YEAR, MORTON PLANT MEASE HEALTH CARE ONLY HAD A PALLIATIVE CARE PROGRAM AT MORTON PLANT, MEASE DUNEDIN AND MEASE COUNTRYSIDE. THE PROGRAM WAS CREATED AT MORTON PLANT HOSPITAL IN 2004 AND EXPANDED TO THE MEASES IN 2008. PALLIATIVE CARE IS MEDICAL AND SPIRITUAL CARE FOCUSED ON RELIEF OF THE PAIN, SUFFERING AND STRESS OF ADVANCED OR CHRONIC ILLNESS THAT CANNOT BE CURED. GLADYS DOUGLAS FOREVER FIT ($36,000) AS A "BRIDGE TO WELLNESS" GROUP, THE PROGRAM CONNECTS CARDIAC REHAB WITH INDEPENDENT WORKOUTS WITHOUT SUPERVISION. THE PROGRAM ALLOWS INDIVIDUALS TO CONTINUE A MONITORED EXERCISE PROGRAM THAT IS NOT COVERED BY INSURANCE. OUR AIM FOUNDATION ($28,350) GRANDKIDS IS A PROGRAM THAT BRINGS YOUTH (AGES 14-18) TOGETHER WITH RESIDENTS OF ASSISTED LIVING FACILITIES, NURSING HOMES AND HOSPICE. OPERATED THROUGH GRANDKIDS CLUBS AT PINELLAS HIGH SCHOOLS, EACH CLUB HAS A SPONSOR TEACHER AND STUDENT CLUB OFFICERS. STUDENTS IN THE PROGRAM MUST COMPLETE TRAINING DESIGNED TO TEACH SENSITIVITY TO AND RESPECT FOR ELDERLY PEOPLE. STUDENTS ARE MATCHED WITH SENIORS WHO SHARE SIMILAR INTERESTS, AND STUDENTS VISIT SENIORS FOR A 7 WEEK PERIOD, WITH TWO STUDENTS PAYING VISITS TO EACH SENIOR. MEDICAL RESPITE PROGRAM AT PINELLAS HOPE ($20,000) THE PROGRAM PROVIDES A SAFE, STABLE PLACE FOR HOMELESS PERSONS DISCHARGED FROM THE HOSPITAL OR EMERGENCY ROOM TO ACCESS NECESSARY MEDICAL CARE FOR CONTINUED HEALING AND RECUPERATION. IT PROVIDES FOR MEDICAL OVERSIGHT BY A HOME HEALTH CARE NURSE AND CASE MANAGER IN A COST REDUCED ENVIRONMENT. CLIENTS ARE ASSISTED WITH ACCESSING MEDICAL HOMES TO REDUCE INCIDENCE OF HOSPITAL AND ER VISITS. SPORTS CONCUSSION ASSESSMENT: IMPACT PROGRAM ($19,500) IMPACT (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING) IS THE FIRST, MOST-WIDELY USED, AND MOST SCIENTIFICALLY VALIDATED COMPUTERIZED CONCUSSION EVALUATION SYSTEM AVAILABLE ON THE MARKET. IMPACT IS A 20 TO 30 MINUTE COMPUTER-BASED BATTERY OF NEUROCOGNITIVE TESTS THAT HAS BECOME A STANDARD TOOL USED IN COMPREHENSIVE COGNITIVE ASSESSMENT AND CLINICAL MANAGEMENT OF PRE-ADOLESCENT, ADOLESCENT AND ADULT ATHLETES. PETER LLOYD PERINATAL LOSS PROGRAM ($2,500) MORTON PLANT AND MEASE COUNTRYSIDE HOSPITALS BOTH OFFER COUNSELING SERVICES TO OUR PATIENTS WHO EXPERIENCE PERINATAL LOSSES. THE PERINATAL LOSS PROGRAM PROVIDES SUPPORT FOR ANY PATIENT THAT HAS LOST A BABY EITHER THROUGH MISCARRIAGE, PREMATURNITY, POOR FETAL OUTCOMES, STILLBIRTHS, OR NEONATAL DEATH.
FORM 990, PART III, LINE 3	DISCONTINUED PROGRAMS FOR 2013: CARDIAC VALVE CLINIC NURSE NAVIGATOR ($100,000) SUPPORTS CARDIAC VALVE CLINIC RN-NAVIGATOR COACH TO FACILITATE THE MULTIDIMENSIONAL ROLES FROM EARLY DIAGNOSIS TO TREATMENT OPTIONS AND CARDIAC REHAB. AN INNOVATOR IN HEART CARE, MORTON PLANT HOSPITAL IS THE FIRST HOSPITAL IN TAMPA BAY APPROVED TO OFFER THE NEWLY AVAILABLE TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) PROCEDURE TO PATIENTS WITH SEVERE AORTIC STENOSIS. THIS NEW APPROACH ALLOWS FOR A FASTER PROCEDURE WITH A SHORTER RECOVERY TIME THAN THE STANDARD AORTIC VALVE REPLACEMENT. THIS NURSE NAVIGATOR POSITION IS NOW BEING FUNDED THROUGH MORTON PLANT HOSPITAL'S OPERATIONS. FAITH COMMUNITY NURSING ($90,000) THE INTENTIONAL INTEGRATION OF THE PRACTICE OF FAITH WITH THE PRACTICE OF NURSING THROUGH THE FAITH COMMUNITY NURSE IN OUR NEARLY 100 PARISHES. THIS NURSING SPECIALTY TAKES A "WHOLISTIC" APPROACH TO HEALTH CARE, PROMOTING WELLNESS OF BODY, MIND AND SPIRIT WITHIN THE CONTEXT OF THE VALUES, BELIEFS AND PRACTICES OF A FAITH COMMUNITY. THIS PROGRAM IS NOW BEING FUNDED THROUGH THE HOSPITALS OF MORTON PLANT MEASE'S OPERATIONS. PHYSICIAN ENGAGEMENT LEADERSHIP ACADEMY ($50,000) PROVIDES EDUCATIONAL AND TRAINING OPPORTUNITIES FOR FUTURE PHYSICIAN LEADERS TO BECOME INVOLVED IN THE STRATEGIC PLANNING OF THE HEALTH SYSTEM THROUGH STRUCTURED ADVISORY BOARD ENGAGEMENT PROGRAM. HEALTH SYSTEM LEADERSHIP HAS DETERMINED THAT THIS PROGRAM NO LONGER NEEDS FUNDING AS MOST OF OUR PHYSICIAN LEADERS HAVE ALREADY GONE THROUGH THE PROGRAM. CAREER LEARNING CENTERS RN PROGRAM ($25,000) PROVIDES 20 LPN STUDENTS WITH TUTORING SESSIONS TO HELP SUPPORT AND ACCELERATE THEIR RN COURSEWORK. THIS PROGRAM IS NOW BEING FUNDED THROUGH THE HOSPITALS OF MORTON PLANT MEASE'S OPERATIONS FOR NURSING EDUCATION. PATIENT EXPERIENCE GRANT FOR TEAM MEMBER IDEAS ($25,000) PROVIDES A VENUE FOR TEAM MEMBERS TO IMPROVE THE PATIENT AND FAMILY EXPERIENCE AT MPM BY IMPLEMENTING CREATIVE IDEAS FROM FRONT LINE TEAM MEMBERS. A KEY COMPONENT OF OUR MISSION AT MPM IS MEETING THE NEEDS OF OUR PATIENTS AND THEIR FAMILIES, AS EVIDENCED THROUGH THEIR EXPERIENCES WITHIN OUR HOSPITALS AND OUTPATIENT FACILITIES. IDEAS FUNDED LAST YEAR INCLUDED PERSONAL DVD PLAYERS FOR PATIENTS IN SURGICAL WAITING AREAS AND MUSICIANS ON ONCOLOGY AND PEDS UNITS. THIS PROGRAM IS NOW BEING FUNDED THROUGH THE HOSPITALS OF MORTON PLANT MEASE'S OPERATIONS. NURSING CERTIFICATION SPEAKER PRESENTATIONS ($15,000) NURSING SPEAKERS ARE BROUGHT IN TO BETTER PREPARE OUR TEAM MEMBERS TO BE CERTIFIED IN CCRN, MED-SURG CERTIFICATION, PCCN AND CEN. THIS PROGRAM IS NOW BEING FUNDED THROUGH THE HOSPITALS OF MORTON PLANT MEASE'S OPERATIONS FOR NURSING EDUCATION. FILL A HEART GROUP ($7,600) THE PROGRAM PROVIDES A SOFT HANDMADE HEART-SHAPED PILLOW, WHICH IS PLACED UNDER THE ARM OF A PATIENT IMMEDIATELY FOLLOWING BREAST OR UNDERARM SURGERY. THIS PROGRAM IS NOW BEING FUNDED THROUGH THE HOSPITALS OF MORTON PLANT MEASE'S OPERATIONS.
PART V, LINE 2A	ALTHOUGH MORTON PLANT MEASE DOES HAVE EMPLOYEES WHO RECEIVE SALARIES, THEY ARE PAID BY BAYCARE HEALTH AND RECEIVE A W-2 FROM BAYCARE HEALTH. THEREFORE, THERE ARE NO W-2'S ISSUED BY MORTON PLANT MEASE HEALTH CARE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 4	THE ORGANIZATION AMENDED ARTICLE 3, SECTION 3 OF THE BY-LAWS TO STATE THE FOLLOWING: THE BOARD MAY EXTEND THE TERM OF ANY BOARD MEMBER WHO HAS SERVED FOR SIX CONSECUTIVE YEARS BY UP TO AN ADDITIONAL THREE YEARS BASED ON THE NEEDS OF THE BOARD, THE INVOLVEMENT AND SKILL SET OF THE BOARD MEMBER AND SUCH OTHER FACTORS AS DETERMINED AT THE DISCRETION OF THE COMMITTEE ON DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS MEMBERS THAT PARTICIPATE IN THE ELECTION OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTION OF THE GOVERNING BODY IS DONE DURING AN ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. A COPY OF THE APPROVED FORM 990 IS THEN SENT TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. THE TREASURER, WHO IS ALSO CHAIR OF THE FINANCE COMMITTEE, THEN REVIEWS THE RETURN WITH THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. AT MONTHLY BOARD MEETINGS, THE CHAIRPERSON WILL ASK IF THERE ARE ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	SALARIES OF ALL OFFICERS AND KEY EMPLOYEES WERE ALIGNED WITH INDEPENDENT MARKET STUDIES THROUGH SULLIVAN,COTTER AND ASSOCIATES, INC., AN INDEPENDENT COMPENSATION CONSULTANT, AND DEEMED REASONABLE BASED ON EXPERTISE AND EXPERIENCE OF INDIVIDUALS. THE SALARY FOR THE PRESIDENT & CEO IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE FOUNDATION AND APPROVED BY THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEE SALARIES ARE ESTABLISHED BY THE PRESIDENT AND CEO IN CONJUNCTION WITH THE INDEPENDENT SALARY SURVEY.
FORM 990, PART VI, SECTION C, LINE 19	THE DOCUMENTATION IS AVAILABLE THROUGH A REQUEST VIA MAIL OR E-MAIL, OR UPON VERBAL OR WRITTEN REQUEST AT THE FOUNDATION'S OFFICE. IN ADDITION, THE FORM 990 AND THE AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART XI, LINE 9:	CHANGE IN SPLIT INTEREST AGREEMENTS 2,022,410. UNCOLLECTIBLE PLEDGES -681,858.
PART XII, LINE 2C	THE AUDIT REPORT IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE. THE AUDITORS THEN PRESENT THE AUDIT REPORT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING WHERE IT IS REVIEWED. A COMPLETE COPY IS THEN MADE AVAILABLE TO EACH BOARD MEMBER.
FORM 990, PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	MORTON PLANT MEASE HEALTH CARE FOUNDATION, INC. PROVIDES PHILANTHROPIC SUPPORT TO THE NOT-FOR-PROFIT HOSPITALS OF MORTON PLANT MEASE HEALTH CARE, INCLUDING MORTON PLANT (CLEARWATER); MEASE DUNEDIN (DUNEDIN); MEASE COUNTRYSIDE (SAFETY HARBOR) AND MORTON PLANT NORTH BAY (NEW PORT RICHEY). OVER THE PAST 16 YEARS, MORTON PLANT MEASE FOUNDATION HAS GRANTED MORE THAN $125 MILLION TO THE HOSPITALS OF MORTON PLANT MEASE FOR THE PURCHASE OF CUTTING-EDGE, LIFESAVING EQUIPMENT, STATE-OF-THE-ART FACILITIES, AND THE FUNDING OF INNOVATIVE PROGRAMS AND SERVICES. OUR HOSPITALS WOULD HAVE TO EARN AN ADDITIONAL $2 BILLION IN INCREMENTAL INCOME ON A FIVE PERCENT MARGIN TO NET THE AMOUNT OUR COMMUNITY HAS COLLECTIVELY CONTRIBUTED. THANKS TO OUR PHILANTHROPIC COMMUNITY, IN 2013 THE FOUNDATION GRANTED NEARLY $6 MILLION IN CASH FOR 41 PROGRAM GRANTS AND SEVEN CAPITAL GRANTS TO OUR HOSPITALS FOR THE FOLLOWING PROJECTS:
FORM 990, PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	EXPANDED DESCRIPTION OF GRANTS FROM 4A (ENHANCING CLINICAL CARE): PATHWAYS: BEHAVIORAL HEALTH ($750,000) PATHWAYS IS AN INNOVATIVE PILOT PROGRAM BASED AT MORTON PLANT MEASE PROVIDING COACHING AND NAVIGATION TO PATIENTS AND FAMILIES WHO ARE SEEKING HELP FOR MENTAL HEALTH ILLNESSES. THIS PROGRAM WILL ASSIST PATIENTS AND THEIR FAMILIES ON THEIR JOURNEY THROUGH THE MAZE OF MENTAL ILLNESS AND ADDICTION, COACHING, AND CONNECTING THEM WITH URGENT AND ROUTINE CLINICAL RESOURCES IN TAMPA BAY AND BEYOND. THE COACHING PROCESS HELPS FAMILIES CONVINCE THEIR LOVED ONE THAT THEY NEED MEDICAL ATTENTION, SUCH AS THOSE SUFFERING FROM CLINICAL DEPRESSION, BI-POLARITY, SCHIZOPHRENIA, EATING DISORDERS, AND DRUG AND ALCOHOL ADDICTION. DR. GEORGE MORRIS EARN AS YOU LEARN NURSING PROGRAMS ($600,000) THE EARN AS YOU LEARN NURSING PROGRAMS PROVIDE OUR OWN MORTON PLANT MEASE NURSING STUDENTS WITH TUITION, BOOKS AND A STIPEND TO HELP RELIEVE THE FINANCIAL PRESSURES RELATED TO WORKING, GOING TO SCHOOL AND PROVIDING FOR THEIR FAMILIES. MANY ARE SINGLE PARENTS WHOSE LIFE SITUATIONS PRECLUDE THEM FROM MAKING THEIR DREAM OF BECOMING A NURSE A REALITY. THE PROGRAM HAS HELPED OUR HOSPITALS SUCCESSFULLY GRADUATED: 378 PATIENT CARE TECHS, 210 RN'S, 170 LPN'S, 60 UNIT SECRETARIES, 11 CLINICAL NURSE LEADERS AND 3 MSN NURSING INSTRUCTORS OVER THE PAST DECADE. FAMILY MEDICINE RESIDENCY PROGRAM ($525,000) THE FAMILY MEDICINE RESIDENCY PROGRAM PROVIDES PHYSICIAN EDUCATION AND CLINICAL TRAINING FOR 25 RESIDENTS OF THE USF COLLEGE OF MEDICINE BASED AT MORTON PLANT MEASE. ADDITIONALLY, THE RESIDENCY, IN CONJUNCTION WITH OPERATIONS OF OUR TURLEY FAMILY HEALTH CENTER, SUPPORT 32,000 PATIENT VISITS PER YEAR, AS WELL AS LABORATORY, IMAGING, SOCIAL SERVICES AND OBGYN CARE FOR OUR COMMUNITY'S UNDERSERVED. FURTHER, FAMILY MEDICINE AND OBGYN FACULTY PHYSICIANS PROVIDE MPH INPATIENT SERVICES 24/7 FOR 1,300 CASES PER YEAR. ELEANOR THOMPSON NURSING SCHOOL ($200,000) IN AN EFFORT TO PROMOTE PROFESSIONAL DEVELOPMENT, ADVANCE NURSING PRACTICE, AND GROW A HIGHLY QUALIFIED NURSING WORKFORCE, THE HOSPITALS OF MORTON PLANT MEASE HAVE DEVELOPED AND NURTURED MULTIPLE PARTNERSHIPS WITH LOCAL SCHOOLS. WITH A STRONG NEED FOR QUALITY NURSING ASSISTANTS, MPM HOPES TO EXPAND A SCHOOL TO RECRUIT THE BEST AND NURTURE STUDENTS TO THE DR. GEORGE MORRIS EARN AS YOU LEARN RN AND LPN PROGRAMS. EXCELLENCE IN SPIRITUALITY ($159,000) CLINICAL PASTORAL EDUCATION IS THE LEADING INTERNATIONAL CLINICAL TRAINING PROGRAM FOR CLERGY. BASED ON THE ACTION/REFLECTION MODEL OF LEARNING, THE PROGRAM PROVIDES INTERFAITH, PROFESSIONAL EDUCATION FOR MINISTRY. IT BRINGS THEOLOGICAL STUDENTS AND MINISTERS OF ALL FAITHS INTO SUPERVISED ENCOUNTERS WITH PERSONS IN CRISIS. BEREAVEMENT FOLLOW-UP PROGRAM PROVIDES SUPPORT TO FAMILY MEMBERS OF PATIENTS WHO DIE WHILE IN OUR CARE, AS WELL AS TO TEAM MEMBERS WHO LOSE A LOVED-ONE. OVER THE PAST FIVE YEARS, NEARLY 20,000 CARDS AND GRIEF EDUCATION PIECES HAVE BEEN DISTRIBUTED THROUGHOUT THE COMMUNITY. TURLEY RESIDENCY PRIMARY CARE SPORTS MEDICINE FELLOWSHIP ($150,000) ENABLES THE FAMILY MEDICINE RESIDENCY PROGRAM AT THE TURLEY FAMILY HEALTH CENTER TO MAINTAIN AN ACGME ACCREDITED PRIMARY CARE SPORTS MEDICINE FELLOWSHIP FOR TWO FELLOWS EACH YEAR. SMILE PROGRAM ($145,000) STRESS AND ITS NEGATIVE EFFECTS ARE AT EPIDEMIC LEVELS IN OUR SOCIETY. INDIVIDUALS WHO WORK IN HEALTH CARE CARRY AN ADDITIONAL BURDEN STRESS DUE TO THE NATURE OF THEIR JOBS DEALING WITH LIFE AND DEATH. THE S.M.I.L.E. (STRESS MANAGEMENT INITIATIVE & LIFE ENHANCEMENT) PROGRAM BRINGS STRESS RESILIENCE RESOURCES AT NO COST TO THE TEAM MEMBERS OF MORTON PLANT MEASE - INCLUDING CHAIR MASSAGES, HEALING TOUCH THERAPY, TAI CHI, YOGA, GUIDED IMAGERY, PET THERAPY AND AROMATHERAPY. WOW AWARDS ($100,000) CELEBRATING ITS 10TH ANNIVERSARY, THIS PEER NOMINATED TEAM MEMBER AWARD PROGRAM RECOGNIZES OUR PHYSICIANS, NURSES AND NON-NURSING MEMBERS THAT INCLUDES CASH AWARDS AND A CELEBRATION BANQUET. AL EADDY FAMILY MEDICINE RESEARCH CENTER ($50,000) SUPPORTS SCHOLARLY AND RESEARCH ACTIVITIES TO PROMOTE AND ENCOURAGE THE SKILLS, ATTITUDES AND BEHAVIORS NECESSARY FOR THE COMPETENCY OF PRACTICE-BASED LEARNING AND A DISCIPLINED PROFESSIONAL CAREER THROUGH THE TURLEY FAMILY HEALTH CENTER'S FAMILY MEDICINE RESIDENCY PROGRAM. CLINICAL ETHICS PROGRAM ($50,000) OVER THE PAST SEVERAL YEARS, MPM HAS DEVELOPED AN ACTIVE CLINICAL ETHICS PROGRAM. THE HEALTH SYSTEM HAS AN INTERDISCIPLINARY COMMITTEE WHICH INCLUDES PHYSICIANS, RN'S, CHAPLAINS, SOCIAL WORKERS, RESPIRATORY CAREGIVERS AND OTHERS THAT IS CALLED UPON TO REVIEW AND OFFER ADVICE ON COMPLEX CASES, DEMANDS FOR FUTILE CARE, CONFLICTS AMONG CARE-GIVERS AND ISSUES SUCH AS WITHHOLDING AND WITHDRAWING TREATMENT. KATHERINE T. SMITH SCHOLARSHIP ($36,000) THE HOSPITALS OF MPM PROVIDE SCHOLARSHIPS FOR REGISTERED NURSES WHO ARE PURSUING A BACHELORS OR MASTER'S DEGREE IN NURSING. MORTON PLANT MEASE NEEDS BACCALAUREATE AND MASTERS PREPARED NURSES TO SERVE AS CLINICAL EXPERTS FOR STAFF AND TO DIRECT CARE. VOLUNTEER NURSE PROGRAM ($25,000) PROVIDES A PATHWAY FOR RETIRED NURSES OR THOSE TAKING A BREAK IN THEIR CAREER TO STAY IN THEIR PROFESSION AND CONTINUE THEIR PASSION FOR NURSING. VOLUNTEER NURSES SERVE AS "AMBASSADORS OF CARE" PROVIDING POSITIVE HOSPITAL EXPERIENCES FOR PATIENTS AND FAMILIES. THEY CONTRIBUTE TO PATIENT SATISFACTION BY ASSISTING WITH MEALS, HYGIENE, PROCEDURES, COMFORT, DIVERSIONS, AND PATIENT EDUCATION. SPORTS CONCUSSION ASSESSMENT: IMPACT PROGRAM ($19,500) IMPACT (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING) IS THE MOST-WIDELY USED AND MOST SCIENTIFICALLY VALIDATED COMPUTERIZED CONCUSSION EVALUATION SYSTEM ON THE MARKET. IMPACT IS A 20-30 MINUTE COMPUTER-BASED BATTERY OF NEUROCOGNITIVE TESTS THAT HAS BECOME A STANDARD TOOL USED IN COMPREHENSIVE COGNITIVE ASSESSMENT AND CLINICAL MANAGEMENT OF PRE-ADOLESCENT, ADOLESCENT AND ADULT ATHLETES. JOAN CLOW SEMINAR FUND ($18,000) ALLOWS OUR HOSPITALS TO FUND REGISTRATION, TRAVEL, HOTEL AND FOOD EXPENSES FOR UP TO FIVE NURSES AT A NATIONAL CONFERENCE IN THEIR AREAS OF SPECIALTY, INCLUDING: MED SURG, CRITICAL CARE NURSING, ASSOCIATION OF OR NURSES, WOMEN'S SERVICES OR PEDS NURSING, EMERGENCY NURSES ASSOCIATION, AND WOUND OSTOMY. LOIS ODENCE SCHOLARSHIP ($18,000) THE LOIS ODENCE ENDOWMENT WAS ESTABLISHED IN 2001 WITH GIFTS MADE IN MEMORY OF MRS. ODENCE, A FOUNDING MEMBER OF PLANTERS, TO ESTABLISH AN EDUCATIONAL, SOCIAL AND FRIEND-RAISING NETWORK FOR WOMEN INTERESTED IN THE HOSPITALS OF MORTON PLANT MEASE. EACH YEAR, THROUGH A GRANT TO THE HOSPITALS OF MPM, NEED-BASED SCHOLARSHIPS ARE AWARDED TO NURSING STUDENTS TO HELP PAY FOR ADDITIONAL EXPENSES, SUCH AS CHILD CARE AND TRANSPORTATION. PHYSICAL THERAPIST EARN AS YOU LEARN ASSISTANT ($11,000) THIS GRANT ALLOWS OUR HOSPITALS TO FUND SCHOLASTIC AND PRACTICAL EDUCATION IN THE PHYSICAL THERAPY FIELD. A PHYSICAL THERAPIST ASSISTANT IS A LICENSED PROFESSIONAL WITH AN ASSOCIATE OF SCIENCE DEGREE. THE PTA EARN AS YOU LEARN PROGRAM ALLOWS THE PARTICIPANT TO ATTEND COLLEGE AND WORK PART-TIME AS A REHAB TECH TO OBTAIN TOTAL EARNINGS UP TO 40 HOURS PER WEEK DURING THE 2 YEAR PROGRAM. ANNIE MILLER SCHOLARSHIP FUND ($10,000) OVER ANNIE MILLER'S 43 YEARS OF EXEMPLARY SERVICE AS AN RN AT MORTON PLANT HOSPITAL, SHE EARNED THE WELL-DESERVED STATUS AS A RESPECTED LEADER, MENTOR, COACH, COUNSELOR AND FRIEND. REFLECTING HER COMMITMENT TO BOTH NURSING AND EDUCATION, THE FOUNDATION FUNDS A GRANT TO OUR HOSPITALS THAT PROVIDE SCHOLARSHIPS TO LPN TEAM MEMBERS ENROLLED IN RN PROGRAM. DR. BERNARD MACIK, JR. SYMPOSIUM ($7,500) THE VISION OF THE DR. BERNARD A. MACIK JR. EDUCATION SYMPOSIUM IS TO ENCOURAGE COLLABORATION AND EFFECTIVE COMMUNICATION BETWEEN PHYSICIANS, NURSES AND HOSPITAL STAFF TO IMPROVE PATIENT OUTCOMES. THIS ANNUAL SYMPOSIUM WILL CARRY FORWARD THE VALUES AND PHILOSOPHY OF THE LATE DR. BERNARD A. MACIK, JR. - A HIGHLY RESPECTED PHYSICIAN AND LEADER WITHIN THE MORTON PLANT MEASE FAMILY. JOSEPH A. CLAPP NURSING SCHOLARSHIP ($2,500) THROUGH THE SUPPORT OF PEACE MEMORIAL PRESBYTERIAN CHURCH, THIS PROGRAM PROVIDES AN ANNUAL SCHOLARSHIP FUND FOR MORTON PLANT MEASE NURSING STUDENTS TO HELP THEM PURSUE THEIR DREAM OF BECOMING A NURSE.
FORM 990, PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	EXPANDED DESCRIPTION OF GRANTS FROM 4C (CAPITAL GRANTS): CAPITAL PASS THROUGH/CONTINGENCY GRANTS ($505,856) MORTON PLANT MEASE FOUNDATION PROVIDES THE HOSPITALS OF MORTON PLANT MEASE HEALTH CARE WITH A VARIETY OF CAPITAL EMERGENCY FUNDS THAT COULD NOT HAVE BEEN FORESEEN IN THE NORMAL GRANT CYCLE. IN 2013, THESE CAPITAL EMERGENCY FUNDS PURCHASED THE FOLLOWING: MEASE DUNEDIN HOSPITAL CARDIAC MONITORS ($314,056) THE CARDIAC MONITORS IN MEASE DUNEDIN EMERGENCY DEPARTMENT WERE OVER 25 YEARS OLD AND NEEDED TO BE REPLACED. THIS CAPITAL GRANT HELPED FUND 18 PATIENT MONITORING SYSTEMS WITH REMOTE ACCESS AND COMPLETE CERNER INTEGRATION. OUR CAREGIVERS CAN NOW ACCESS CURRENT, CRITICAL PATIENT INFORMATION- FROM BEDSIDE THROUGHOUT TRANSPORT-TO PROVIDE THE ULTIMATE LEVEL OF PATIENT CARE. DATA FROM A VARIETY OF SOURCES INFORMS AND SUPPORTS CLINICAL DETERMINATIONS AT THE BEDSIDE OR REMOTELY VOLUNTEER RESOURCES: CARELIFT/CARERIDE/HEALTHRIDE ($114,000) THROUGH A GRANT TO THE HOSPITALS OF MPM, THREE NEW VANS WERE PURCHASED FOR VOLUNTEER RESOURCES SO THAT THEY COULD CONTINUE THEIR SERVICE OF OFFERING FREE RIDES TO AND FROM MEDICAL APPOINTMENTS THROUGH OUR VAN TRANSPORTATION SERVICES. TRANSPORTATION SERVICES CAN LITERALLY BE A LIFELINE FOR PATIENTS WHO MIGHT NOT OTHERWISE FOLLOW THROUGH WITH MEDICAL APPOINTMENTS AND THERAPY TREATMENTS. SIMPADS FOR PASCO-HERNANDO COMMUNITY COLLEGE ($63,000) THROUGH A GRANT TO THE HOSPITALS OF MORTON PLANT MEASE, THE HOSPITALS FUNDED SIMPAD TO ENHANCE PHCC'S SIMULATION LEARNING EXPERIENCE. SIMPADS CAN BE USED WITH EXISTING PRE-DESIGNED SCENARIOS OR CUSTOMIZED SIMULATIONS, INCLUDING PHYSIOLOGICAL PATIENT PARAMETERS, SUCH AS VITAL SIGNS, ECG RECORDINGS, AND ORGAN AND PATIENT SOUNDS. INSTRUCTORS CAN SAVE SIMULATION OUTCOMES, USEFUL FOR DEBRIEFING AND ASSESSMENT. THE PORTABILITY OF THE SIMPADS ALLOW INSTRUCTORS TO TRAIN STUDENTS IN ANY ENVIRONMENT, PROVIDING THE FLEXIBILITY TO MAKE THE MOST OUT OF EVERY LEARNING OPPORTUNITY. THE STARLIGHT FUN CENTER FOR PEDIATRIC PATIENTS AT MCH'S ED ($5,000) AS THE NUMBER OF PEDIATRIC PATIENTS VISITING THE EMERGENCY DEPARTMENT (ED) CONTINUES TO INCREASE, THE NEED TO PROVIDE FOR THEIR PSYCHOSOCIAL AND EMOTIONAL NEEDS DOES AS WELL. A STARLIGHT FUN CENTER IS A SELF CONTAINED MOBILE ENTERTAINMENT UNIT EQUIPPED WITH A WII AND DVD PLAYER. THE ULTIMATE IS TO PROVIDE SUPPORT TO YOUNG PATIENTS IN AN EFFORT TO FACILITATE COMFORT WITH THE ENVIRONMENT, INCREASE COMPLIANCE AND DECREASE STRESS DURING PROCEDURES, AND THUS INCREASE FAMILY PERCEPTION OF MEASE COUNTRYSIDE'S ED'S ABILITY TO PROVIDE SUPERIOR HEALTH CARE EXPERIENCES THROUGH PROVIDING FOR THE WHOLE CHILD. VOLUNTEER RESOURCES TREE HOUSE RE-SALE SIGN ($5,000) THE TREE HOUSE RE-SALE SHOP AT MEASE DUNEDIN HAS BEEN SERVING THE COMMUNITY SINCE 1982. FUNDS RAISED SUPPORT THE CARELIFT VAN SERVICES, MPM FAMILY CARE FUND AND THE FOUNDATION. THE FORMER SIGN WAS OVER 30 YEARS OLD AND NEEDED TO BE UPDATED TO INCREASE VISIBILITY OF THE SERVICE. CARE ROOM FOR MED SURG UNIT MORTON PLANT NORTH BAY HOSPITAL ($3,000) OVER THE PAST FEW YEARS, MORTON PLANT NORTH BAY HOSPITAL HAS EXPERIENCED A CHANGE IN THE MEDICAL SURGICAL PATIENT DEMOGRAPHIC. THIS CHANGE HAS RESULTED IN THE INCREASE IN THE NUMBER OF PATIENTS ADMITTED WITH MEDICAL DIAGNOSES WITH AN UNDERLYING CO-MORBID BEHAVIORAL HEALTH (PSYCHIATRIC DISORDERS) CONDITION AS WELL AS DUAL DIAGNOSIS BEHAVIORAL HEALTH COMBINE WITH SUBSTANCE ABUSE. A CHANGE IS NEEDED TO ASSIST THE TEAM MEMBER WITH STRESS REDUCTION AND MITIGATION OF EMOTIONAL EXHAUSTION EXHIBITED FROM WORKING WITH THIS COMPLEX POPULATION. THE CARE ROOM ALLOWS TEAM MEMBERS TO HAVE AN AREA TO DE-STRESS AND REGAIN THEIR COMPOSURE TO CONTINUE TO CARE FOR THE COMPLEX POPULATION. IPADS FOR MEASE COUNTRYSIDE'S ED AND PEDS/NICU UNITS ($1,800) A STAY IN THE HOSPITAL CAN BE UNSETTLING NO MATTER HOW OLD YOU ARE. FOR CHILDREN, MEDICAL PROCEDURES, UNFAMILIAR SURROUNDINGS AND NEW FACES CAN BE PARTICULARLY STRESSFUL. IPADS OFFER DIRECT ENGAGEMENT FOR CHILDREN, AS WELL AS A COMPLETE SUITE OF SERVICES FOR PARENTS AND FAMILY. ONE IPAD HAS BEEN REQUESTED FOR MEASE COUNTRYSIDE'S ED AND ONE HAS BEEN REQUESTED FOR MEASE COUNTRYSIDE'S PEDS UNIT/NICU.
FORM 990, PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	EXPANDED DESCRIPTION OF GRANTS FROM 4B (DISEASE SPECIFIC AND COMMUNITY OUTREACH): INDIGENT PRESCRIPTION PROGRAM ($200,000) THE CURRENT ECONOMIC CRISIS HAS SIGNIFICANTLY INCREASED THE INDIGENT POPULATION IN THE COMMUNITY WHO ARE UNABLE TO PAY FOR NECESSARY MEDICATIONS AND OTHER DISCHARGE NEEDS. AS A MEDICAL LICENSED HEALTH CARE SYSTEM, MPM IS REQUIRED TO PROVIDE A SAFE DISCHARGE FOR INPATIENT PATIENTS IN ALL FACILITIES, REGARDLESS OF PAYER SOURCE OR AVAILABLE RESOURCES. THIS GRANT WILL PROVIDE THE FUNDS TO OUR HOSPITALS FOR ALL INDIGENT PATIENT PHARMACY AND TRANSPORTATION NEEDS AT TIME OF DISCHARGE. CLEARWATER FREE CLINIC ($200,000) THROUGH A GRANT TO OUR HOSPITALS, MORTON PLANT MEASE HELPS SUPPORT THE CLINIC'S FULL-TIME ADVANCED REGISTERED NURSE PRACTITIONER (ARNP) WHO HAS INCREASED THE NUMBER OF AVAILABLE ADULT AND PEDIATRIC APPOINTMENTS BY APPROXIMATELY 4,500 PER YEAR. THE SUPPORT FROM MORTON PLANT MEASE HELPS THE CLINIC TO IMPROVE THE CONTINUITY OF PATIENT CARE, SCOPE OF CLINIC SERVICES AND REDUCE THE NUMBER OF UNNECESSARY AND COSTLY EMERGENCY ROOM AND HOSPITALIZATIONS TO MORTON PLANT HOSPITAL. CANCER PATIENT SUPPORT SERVICES / CAPSS ($175,000) CAPSS WAS DEVELOPED TO ADDRESS THE PSYCHOSOCIAL, EMOTIONAL AND SPIRITUAL NEEDS OF ALL CANCER PATIENTS, THEIR FAMILIES AND FRIENDS. THE COUNSELORS OF CAPSS UTILIZE A VARIETY OF EDUCATIONAL AND SUPPORT SERVICES TO HELP CANCER SURVIVORS AND THEIR FAMILIES DEAL MORE EFFECTIVELY WITH THEIR EMOTIONAL DISTRESS. CERTIFIED DIABETES EDUCATORS ($175,000) FOCUSES ON KEY BEHAVIORS THAT PROMOTE SUCCESSFUL SELF-MANAGEMENT SUCH AS HEALTHY EATING, BEING ACTIVE, MONITORING, TAKING MEDICATION, PROBLEM SOLVING, HEALTHY COPING AND REDUCING RISKS. MADONNA PTAK CENTER FOR ALZHEIMER'S RESEARCH AND MEMORY DISORDERS ($150,000) PROGRAM PROVIDES HIGH-QUALITY, COMPASSIONATE CARE TO PATIENTS AND CAREGIVERS LIVING WITH ALZHEIMER'S AND OTHER MEMORY DISORDERS. CONGESTIVE HEART FAILURE CLINIC ($150,000) HEART FAILURE IS OUR #1 DIAGNOSED DISCHARGE AND MORTALITY RATES ARE NEARLY 50% WITHIN FIVE YEARS. CLINIC FOCUSES ON PREVENTING READMISSIONS AND PROVIDING THE RESOURCES FOR UNFUNDED PATIENTS TO HAVE ACCESS TO NEEDED MEDICATIONS, HOMECARE AND EDUCATION. HOMELESS EMERGENCY PROJECT ($125,000) FOR OVER TEN YEARS, MORTON PLANT HOSPITAL HAS PROVIDED A MEDICAL OVERLAY TEAM FOR CLEARWATER'S HOMELESS EMERGENCY PROJECT (HEP). THROUGH A GRANT TO THE HOSPITALS OF MORTON PLANT MEASE, THE HEALTH SYSTEM SUPPORTS TWO LICENSED PRACTICAL NURSES AND ONE ADVANCED REGISTERED NURSE PRACTITIONER THAT PROVIDE ASSESSMENT, CRISIS INTERVENTION, CASE MANAGEMENT AND TREATMENT TO THIS HIGH RISK POPULATION. PALLIATIVE CARE SERVICES ($115,000) PALLIATIVE CARE IS MEDICAL AND SPIRITUAL CARE FOCUSED ON RELIEF OF THE PAIN, SUFFERING AND STRESS OF ADVANCED OR CHRONIC ILLNESS THAT CANNOT BE CURED. IT INCLUDES EMOTIONAL, SOCIAL AND SPIRITUAL SUPPORT FOR THE PATIENT AND CAREGIVER AND IS A COLLABORATIVE EFFORT BETWEEN MORTON PLANT MEASE AND TWO LOCAL HOSPICE ORGANIZATIONS. PALLIATIVE CARE EXPANSION TO MORTON PLANT NORTH BAY HOSPITAL ($100,000) BEFORE LAST YEAR, MORTON PLANT MEASE HEALTH CARE ONLY HAD A PALLIATIVE CARE PROGRAM AT MORTON PLANT, MEASE DUNEDIN AND MEASE COUNTRYSIDE. THE PROGRAM WAS CREATED AT MORTON PLANT HOSPITAL IN 2004 AND EXPANDED TO THE MEASES IN 2008. PALLIATIVE CARE IS MEDICAL AND SPIRITUAL CARE FOCUSED ON RELIEF OF THE PAIN, SUFFERING AND STRESS OF ADVANCED OR CHRONIC ILLNESS THAT CANNOT BE CURED. COMPREHENSIVE BREAST HEALTH PROGRAM ($100,000) PROVIDES FUNDING THROUGH THE HOSPITALS OF MPM FOR DIAGNOSIS AND TREATMENT OF UNINSURED WOMEN WITH BREAST CANCER THROUGH THE MAMMOGRAPHY VOUCHER PROGRAM (MVP), AS WELL AS FUND A BREAST HEALTH NAVIGATOR WHO PROVIDES INITIAL EDUCATION FOR WOMEN WITH NEWLY DIAGNOSED BREAST CANCER THROUGHOUT THE HEALTH SYSTEM. TURLEY INDIGENT DIABETIC AFTER CARE ($97,000) PROVIDES FOLLOW-UP CARE AT THE TURLEY FAMILY HEALTH CENTER FOR INDIGENT PATIENTS WITH DIABETES DISCHARGED FROM MORTON PLANT HOSPITAL. THESE PATIENTS NEED EDUCATION SUPPORT, MEDICAL SUPPLIES AND MEDICATION TO MAINTAIN ACCEPTABLE CLINICAL LEVELS AND TO REMAIN IN OUTPATIENT CARE AS OPPOSED TO INPATIENT INTERVENTION. MPM LUNG CENTER ($90,000) OFFERS VALUABLE SERVICES TO THE COMMUNITY - INCLUDING SMOKING CESSATION, ASTHMA MANAGEMENT, SUPPORT GROUPS, AND PULMONARY REHABILITATION. OUTPATIENT DIABETES REGISTERED NURSE ($87,000) PROVIDES THE HOSPITALS OF MPM WITH A VALUABLE POSITION FOR BRIDGING THE GAP BETWEEN INPATIENT AND OUTPATIENT DIABETES MANAGEMENT CARE - COMPLIMENTING THE ROLE OF THE INPATIENT DIABETES EDUCATORS. GESTATIONAL DIABETES PROGRAM ($55,000) PROVIDES WOMEN WITH METER TRAINING, MEDICAL NUTRITION THERAPY, AND PATTERN MANAGEMENT TO PROMOTE TARGET GLUCOSE VALUES THROUGHOUT THEIR PREGNANCY. GOOD SAMARITANS HEALTH CLINIC OF PASCO - NURSE PRACTITIONER ($50,000) THROUGH A GRANT TO THE HOSPITALS OF MORTON PLANT MEASE, MORTON PLANT NORTH BAY HOSPITAL PROVIDES A NURSE PRACTITIONER AT THE NEARBY GOOD SAMARITANS HEALTH CLINIC TO HELP ELIMINATE SOME OF THE UNNECESSARY ER VISITS FROM THE INDIGENT POPULATION. PROSTATE CANCER PROGRAM ($50,000) COMBINATION OF COMMUNITY EDUCATION, SCREENINGS AND COUNSELING FOCUSED ON IMPROVING THE PROSTATE HEALTH OF MEN IN OUR COMMUNITY AND DIAGNOSIS AND TREATMENT FOR UNDERSERVED/UNINSURED MEN. LA CLINICA GUADALUPANA ($50,000) THROUGH A GRANT TO OUR HOSPITALS, MORTON PLANT MEASE HELPS SUPPORT LA CLINICA'S VOLUNTEER PHYSICIANS, NURSES, DIETICIANS, AND ONE PAID STAFF MEMBER TO MEET THE NON-EMERGENT NEEDS OF THE UNINSURED HISPANIC MEMBERS OF OUR COMMUNITY PARTNERING WITH THE CATHOLIC DIOCESES. MPM'S FINANCIAL SUPPORT ALSO HELPS THE CLINIC TO REDUCE NON-EMERGENT VISITS TO MORTON PLANT'S ER. WILLA CARSON HEALTH AND WELLNESS CENTER ($50,000) THROUGH A GRANT TO OUR HOSPITALS, MORTON PLANT MEASE HELPS SUPPORT THE WILLA CARSON HEALTH AND WELLNESS CENTER'S MISSION OF PROVIDING HEALTH CARE TO THE UNINSURED AND UNDERSERVED CHILDREN AND FAMILIES OF PINELLAS COUNTY. LAST YEAR THE CENTER ELIMINATED OVER 600 UNCOMPENSATED PATIENT VISITS TO THE MORTON PLANT HOSPITAL'S ER. DIABETES EDUCATION CENTER PROGRAM ($50,000) PROVIDES LOW INCOME, UNINSURED AND UNDERINSURED POPULATIONS WITH A SYSTEM OF CARE THROUGH COMPREHENSIVE DIABETES SELF-MANAGEMENT EDUCATION AND TRAINING SERVICES. GLADYS DOUGLAS FOREVER FIT ($36,000) AS A "BRIDGE TO WELLNESS" GROUP, THE PROGRAM CONNECTS CARDIAC REHAB WITH INDEPENDENT WORKOUTS WITHOUT SUPERVISION. THE PROGRAM ALLOWS INDIVIDUALS TO CONTINUE A MONITORED EXERCISE PROGRAM THAT IS NOT COVERED BY INSURANCE. CAMP LIVING SPRINGS: CANCER SURVIVOR RETREAT ($33,000) THE MISSION OF THIS CAMP EXPERIENCE IS TO PROMOTE CAMARADERIE, RELAXATION, AND SHARED EXPERIENCES WHILE NURTURING THE SPIRIT OF THOSE TOUCHED BY CANCER. PROGRAM CONTINGENCY GRANT REQUEST ($119,340) MORTON PLANT MEASE FOUNDATION PROVIDES THE HOSPITALS OF MORTON PLANT MEASE HEALTH CARE WITH A VARIETY OF EMERGENCY FUNDS FOR PROGRAM GRANTS THAT COULD NOT HAVE BEEN FORESEEN IN THE NORMAL GRANT CYCLE. THROUGH COMMUNITY PHILANTHROPY, IN 2013 THE FOUNDATION SUPPORTED 11 CONTINGENCY PROGRAM GRANTS REQUESTED BY MPM, INCLUDING OUR AIM FOUNDATION'S GRANDKIDS PROGRAM, PERINATAL LOSS PROGRAM, VARIOUS SEMINARS AND CONFERENCES, NURSING CERTIFICATION TRAINING AND THE MEDICAL RESPITE PROGRAM AT PINELLAS HOPE.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MORTON PLANT MEASE HEALTH CARE FOUNDATION INC

Employer identification number

59-1751535

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MORTON PLANT HOSPITAL ASSOCIATION INC 300 PINELLAS STREET CLEARWATER,FL33756 59-0624462	HOSPITAL	FL	501(C)(3)	PUBLIC CHARITY	N/A		No
(2) TRUSTEES OF MEASE HOSPITAL INC 300 PINELLAS STREET CLEARWATER,FL33756 59-0855412	HOSPITAL	FL	501(C)(3)	PUBLIC CHARITY	N/A		No
(3) MORTON PLANT MEASE PRIMARY CARE INC 300 PINELLAS STREET CLEARWATER,FL33756 59-3140335	HOSPITAL	FL	501(C)(3)	PUBLIC CHARITY	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: RAISING PHILANTHROPIC SUPPORT FOR PROGRAMS AT FOUR HOSPITALS OF MORTON PLANT MEASE HEALTH CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	26
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	46
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,442,854	10,403,241
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,904,609	5,776,328
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-122,121	-62,037
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	8,225,342	16,117,532
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,219,251	5,829,628
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,986,101	1,818,685
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 863,532
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	929,987	1,024,296
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	9,135,339	8,672,609
19	Revenue less expenses. Subtract line 18 from line 12.......	-909,997	7,444,923
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	96,765,910	109,398,253
21	Total liabilities (Part X, line 26).............	7,526,597	8,765,826
22	Net assets or fund balances. Subtract line 21 from line 20.....	89,239,313	100,632,427

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 3,220,753 including grants of $ 2,876,500 ) (Revenue $ )
	PROVIDING SUPPORT TO ENHANCE QUALITY OF CLINICAL CARE FROM MORTON PLANT MEASE NURSES, PHYSICIANS AND VOLUNTEERS, INCLUDING: PATHWAYS BEHAVIORAL HEALTH PROGRAM; IMPACT CONCUSSION ASSESSMENT PROGRAM FOR STUDENT ATHLETES; DR. GEORGE MORRIS EARN AS YOU LEARN NURSING EDUCATION PROGRAM; FAMILY MEDICINE RESIDENCY CLINICAL TRAINING; MULTIPLE NURSING SCHOLARSHIPS; CLINICAL PASTORAL EDUCATION FOR CLERGY; AND VOLUNTEER RECOGNITION. SEE SECTION O FOR A DETAILED DESCRIPTION OF EACH PROGRAM REQUESTED BY THE HOSPITALS OF MORTON PLANT MEASE.

4b	(Code: ) (Expenses $ 2,527,493 including grants of $ 2,257,340 ) (Revenue $ )
	PROVIDING DISEASE SPECIFIC PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING: CAPSS PROGRAM PROVIDING SUPPORT TO PATIENTS FIGHTNING CANCER; COMPREHENSIVE BREAST HEALTH PROGRAM; DIABETES CARE AND EDUCATION; NEW CONGESTIVE HEART FAILURE CLINIC AT MORTON PLANT HOSPITAL; COMMUNITY OUTREACH SUPPORT PARTNERSHIPS FUNDED THROUGH GRANTS TO THE HOSPITALS OF MPM; MADONNA PTAK ALZHEIMER'S RESEARCH CENTER; AND PALLIATIVE CARE. SEE SECTION O FOR A DETAILED DESCRIPTION OF EACH PROGRAM REQUESTED BY THE HOSPITALS OF MORTON PLANT MEASE.

4c	(Code: ) (Expenses $ 566,396 including grants of $ 505,856 ) (Revenue $ )
	PROVIDING CAPITAL SUPPORT TO THE HOSPITALS OF MORTON PLANT MEASE, INCLUDING: STATE-OF-THE-ART CARDIAC MONITORING SYSTEM THROUGHOUT MEASE DUNEDIN HOSPITAL'S EMERGENCY DEPARTMENT; SIMPADS FUNDED BY THE HEALTH SYSTEM FOR ASPIRING NURSES AT PASCO-HERNANDO COMMUNITY COLLEGE; STARLIGHT FUN CENTER MOBILE ENTERTAINMENT UNIT FOR MEASE COUNTRYSIDE HOSPITAL'S PEDIATRIC PATIENTS; NEW CARE VANS FOR VOLUNTEER RESOURCES. SEE SECTION O FOR A DETAILED DESCRIPTION OF EACH CAPITAL GRANT REQUESTED BY THE HOSPITALS OF MORTON PLANT MEASE.

	(Code: ) (Expenses $ 212,662 including grants of $ 189,932 ) (Revenue $ )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 212,662 including grants of $ 189,932 ) (Revenue $ )
4e	Total program service expenses6,527,304

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	800,475	1,937,395	436,274

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		407,496
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		9,995,745

g	Noncash contributions included in lines 1a-1f:$		7,357,471
h	Total. Add lines 1a-1f.......			10,403,241
			Business Code
2a
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........
3	Investment income (including dividends, interest, and other similar amounts).......			1,828,685			1,828,685
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	42,286,033
b	Less: cost or other basis and sales expenses	38,338,390
c	Gain or (loss)	3,947,643
d	Net gain or (loss)..........			3,947,643			3,947,643
8a	Gross income from fundraising events (not including $ 407,496 of contributions reported on line 1c). See Part IV, line 18 ..
	a		199,525
b	Less: direct expenses ...b		261,562
c	Net income or (loss) from fundraising events..			-62,037			-62,037
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			16,117,532	0	0	5,714,291


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			547	1	550
2	Savings and temporary cash investments .........			792,312	2	312,219
3	Pledges and grants receivable, net ...........			9,194,779	3	10,326,544
4	Accounts receivable, net .............				4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ..........			77,749	9	151,936
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,717,216
b	Less: accumulated depreciation .....	10b	1,271,342	460,700	10c	445,874
11	Investments—publicly traded securities ..........			57,382,886	11	67,431,565
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			28,856,937	15	30,729,565
16	Total assets. Add lines 1 through 15 (must equal line 34)......			96,765,910	16	109,398,253
17	Accounts payable and accrued expenses .........			336,366	17	361,182
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			7,190,231	25	8,404,644
26	Total liabilities. Add lines 17 through 25.........			7,526,597	26	8,765,826
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			16,657,279	27	19,647,650
28	Temporarily restricted net assets ...........			47,502,356	28	54,364,737
29	Permanently restricted net assets ...........			25,079,678	29	26,620,040
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			89,239,313	33	100,632,427
34	Total liabilities and net assets/fund balances ........			96,765,910	34	109,398,253