Form 990 for tax year 2022
Filed by BAYCARE SELECT HEALTH PLANS INC.
Totals
- Total revenue
- $124,150,563
- Total expenses
- $142,660,796
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $123,881,932
- Investment income
- $268,631
- Other revenue
- $0
- Total assets, end of year
- $46,467,439
- Total liabilities, end of year
- $15,807,851
- Net assets or fund balances, end of year
- $30,659,588
- Program services expenses (Part IX)
- $117,612,147
- Management and general expenses
- $25,048,649
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $117,612,147
Program services were 82.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: MEDICARE NET REVENUE
total $123,881,932 · related or exempt $123,881,932
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $268,631 · excluded $268,631
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $12,645,205 · management and general $12,645,205
-
11b · Fees: legal
total $18,141 · management and general $18,141
-
11c · Fees: accounting
total $299,919 · management and general $299,919
-
11g · Fees: other
total $3,505,695 · program services $0 · management and general $3,505,695 · fundraising $0
-
12 · Advertising and promotion
total $2,691,511 · management and general $2,691,511
-
13 · Office expenses
total $431,116 · management and general $431,116
-
14 · Information technology
total $37,241 · management and general $37,241
-
17 · Travel
total $34,287 · management and general $34,287
-
23 · Insurance
total $100,723 · management and general $100,723
-
24a · Other expenses: HEALTHCARE EXPENSE
total $100,577,993 · program services $100,577,993
-
24b · Other expenses: PHARMACY EXPENSE
total $14,269,031 · program services $14,269,031
-
24c · Other expenses: Commissions
total $5,203,472 · management and general $5,203,472
-
24e · All other expenses
total $2,846,462 · program services $2,765,123 · management and general $81,339 · fundraising $0
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $40,322,440 · end of year $35,674,687
-
4 · Accounts receivable
beginning of year $2,218,910 · end of year $9,867,309
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $4,787,175 · end of year $576,363
-
9 · Prepaid expenses and deferred charges
beginning of year $129,705 · end of year $49,080
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $300,000 · end of year $300,000
-
15 · Other assets
beginning of year $0 · end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $10,509,006 · end of year $15,541,439
-
19 · Deferred revenue
beginning of year $15,450 · end of year $65,252
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $12,063,953 · end of year $201,160
-
27 · Net assets without donor restrictions
beginning of year $25,169,821 · end of year $30,659,588
-
28 · Net assets with donor restrictions
end of year $0
Mission and programs · 2022
Mission
To improve the health of all we serve through community-owned health care that sets the standard for high-quality, compassionate care at affordable prices to all members in the communities we serve.
-
Medicare Advantage Plans: BayCare Select Health Plans offers members health care services along with additional services including dental, vision, over the counter, and transportation benefits for our members. BayCare educates health care professionals in population health to improve the care of our members.
Expenses $117,612,147 · Revenue $123,881,932
As filed on the 2022 return.
Listed in Part VII
-
Jacquelyn CawleyJACQUELYN CAWLEY
TRUSTEE/VP & CMO (eff Sept 2022)
- Total calculated
- $694,730
- From this org
- $0
- From related orgs
- $579,912
- Other
- $114,818
- Hours/week
- 1 + 47 related
Schedule J breakdown matched by us
- Base
- $0 + $446,870 related
- Bonus
- $0 + $104,575 related
- Other
- $0 + $28,467 related
- Deferred
- $0 + $66,572 related
- Nontaxable benefits
- $0 + $48,247 related
- Filer's total
- $0 + $694,730 related
-
Kristyn GreiferKRISTYN GREIFER
TRUSTEE/VP & CMO (until Aug 2022)
- Total calculated
- $452,754
- From this org
- $0
- From related orgs
- $424,589
- Other
- $28,165
- Hours/week
- 1 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $264,244 related
- Bonus
- $0 + $121,481 related
- Other
- $0 + $38,864 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $28,165 related
- Filer's total
- $0 + $452,754 related
-
Robert McGivneyROBERT MCGIVNEY
TRUSTEE/SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Victor KrauzeVICTOR KRAUZE
TRUSTEE/CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1
-
Andy BurwellANDY BURWELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
David HillsDAVID HILLS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Ravi ChariRAVI CHARI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Thomas CardyTHOMAS CARDY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Tommy InzinaTOMMY INZINA
TRUSTEE
- Total calculated
- $4,407,129
- From this org
- $0
- From related orgs
- $4,332,716
- Other
- $74,413
- Hours/week
- 1 + 47 related
Schedule J breakdown matched by us
- Base
- $0 + $1,806,884 related
- Bonus
- $0 + $802,057 related
- Other
- $0 + $1,723,775 related
- Deferred
- $0 + $20,814 related
- Nontaxable benefits
- $0 + $53,599 related
- Filer's total
- $0 + $4,407,129 related
-
Janice PoloJANICE POLO
TREASURER
- Total calculated
- $1,656,269
- From this org
- $0
- From related orgs
- $1,578,334
- Other
- $77,935
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $926,464 related
- Bonus
- $0 + $347,705 related
- Other
- $0 + $304,165 related
- Deferred
- $0 + $21,925 related
- Nontaxable benefits
- $0 + $56,010 related
- Filer's total
- $0 + $1,656,268 related
-
Nancy HorstmannNANCY HORSTMANN
PRESIDENT
- Total calculated
- $381,767
- From this org
- $381,767
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $381,767
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $381,767
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
- The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish compensation of the top management official of the filing organization.
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- BayCare Health System provides two nonqualified deferred compensation plans to executive level employees: Executive Nonqualified Defined Contribution Plan The plan provides for annual credits of a specified percentage of an eligible participant's eligible compensation paid in a plan year and interest credits. Plan participants vest in increasing percentages based on years of service. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Payments made during employment are made for required tax withholding and reduce the participant's account balance. Distribution of the vested account balance occurs upon termination of employment. The plan is frozen for the participants hired after 1.1.2018. Supplemental Executive Retirement Plan The plan provides for annual credits to the participant's company contribution account of a specified percentage of an eligible participant's eligible compensation paid in a plan year and investment income credits. Plan participants vest on January 1 of the fifth Plan Year following the Plan Year for which the contribution was made. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Distribution of the vested amounts shall be made no later than the earlier of 90 days following the date the amounts become vested or the March 15th following the Plan Year in which the participant became vested. Amounts accrued, vested and distributed for plan participants are provided below. Tommy Inzina - As part of his contract, Mr. Inzina received a 2022 retention payment of $1,300,000 which is included in Part II (B)(III) Other Compensation. He also participated in a supplemental nonqualified deferred compensation plan. He had $378,435 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $148,914 in 2022. Janice Polo - Participated in a supplemental nonqualified deferred compensation plan. She had $263,296 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $103,607 in 2022. Jacquelyn Cawley - Participated in a supplemental nonqualified deferred compensation plan. She had $51,322 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
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501(c)(3) · Health SERVICES · FL
Directly controlled by NA
-
501(c)(3) · HEALTH SERVICES · FL
Directly controlled by BCHS
-
BEHAVIORAL HEALTH MGMT SERVICES INC
501(c)(3) · HEALTH SERVICES · FL
Directly controlled by BC BEH HEALTH
-
501(c)(3) · HOME HEALTH · FL
Directly controlled by BCHS
-
BAYCARE MEDICAL GROUP INC
501(c)(3) · PHYSICIANS · FL
Directly controlled by BCHS
-
501(c)(3) · HOSPITAL · FL
Directly controlled by BCHS
-
BARTOW REGIONAL MEDICAL CENTER INC
501(c)(3) · HOSPITAL · FL
Directly controlled by BCHS
-
501(c)(3) · Hospital · FL
Directly controlled by BCHS
-
BayCare Emergency Assistance Program Inc
501(c)(3) · Emergency Assistance · FL
Directly controlled by BCHS
-
501(c)(3) · POTENTIAL HOSPITAL · FL
Directly controlled by BCHS
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
BayCare Purchasing Partners LLC
N/A · Group Purchasing · FL
Directly controlled by NA
-
BayCare Surgery Center LLC
N/A · Surgery Center · FL
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
BCHS Insurance LTD
C Corporation · Insurance Captive · CJ
Directly controlled by NA
-
MedSpecialists Inc
C Corporation · Payroll Services · FL
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 10 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303149349303530
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