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Nonprofiteer
← BAYCARE SELECT HEALTH PLANS INC

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 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 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 McGivney

    TRUSTEE/SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Victor Krauze

    TRUSTEE/CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • Andy Burwell

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • David Hills

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Ravi Chari

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Thomas Cardy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Tommy 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 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 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.

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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