Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $4,230

• 2a · Program service revenue: MEDICARE/MEDICAID PMNT

  total $3,799 · related or exempt $3,799

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 6c · Rental income or loss

  real property $0 · personal property $0

• 7a · Gross sales of assets other than inventory

  other assets $0

• 7b · Less cost or other basis and sales expenses

  other assets $450

• 7c · Gain or loss

  securities $0 · other assets -$450

• 7d · Net gain or loss

  total -$450 · excluded -$450

• 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.

• 7 · Other salaries and wages

  total $164,222 · program services $164,222

• 8 · Pension plan contributions

  total $2,021 · program services $2,021

• 9 · Other employee benefits

  total $43,296 · program services $43,296

• 10 · Payroll taxes

  total $13,773 · program services $13,773

• 11g · Fees: other

  total $163,207 · program services $23,103 · management and general $140,104 · fundraising $0

• 13 · Office expenses

  total $53,569 · management and general $53,569

• 16 · Occupancy

  total $43,476 · program services $43,476

• 17 · Travel

  total $18 · management and general $18

• 22 · Depreciation, depletion and amortization

  total $125 · program services $125

• 23 · Insurance

  total $27,504 · program services $27,504

• 24a · Other expenses: MEDICAL SUPPLIES

  total $7,283 · program services $7,283

• 24b · Other expenses: ALL OTHER EXPENSES

  total $60,272 · program services $60,272

• 24e · All other expenses

  total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $150

• 4 · Accounts receivable

  beginning of year $215,533 · end of year $0

• 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 $292,959 · end of year $409,300

• 8 · Inventories for sale or use

  end of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $4 · end of year $0

• 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 $36,219 · end of year $0

• 11 · Investments: publicly traded securities

  end of year $0

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  end of year $0

• 15 · Other assets

  beginning of year $1,110 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $329,721 · end of year $176,953

• 18 · Grants payable

  end of year $0

• 19 · Deferred revenue

  end of year $0

• 20 · Tax-exempt bond liabilities

  end of year $0

• 21 · Escrow or custodial account liability

  end of year $0

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $36,615 · end of year $0

• 25 · Other liabilities

  beginning of year $24,842,671 · end of year $25,486,962

• 27 · Net assets without donor restrictions

  beginning of year -$24,665,972 · end of year -$25,257,555

• 28 · Net assets with donor restrictions

  beginning of year $2,940 · end of year $2,940

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 CEO (or COO) of the filing organization.

Schedule J, Part I, Line 4a Severance or change-of-control payment

Glenn Waters received a severance payment in the amount of $2,399,968 during 2022.

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. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $195,493 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $76,927 in 2022. Andrew Fink - Participated in a supplemental nonqualified deferred compensation plan. He had $66,340 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other Compensation. He had $61,599 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $26,105 in 2022. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $74,365 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $29,263 in 2022. Ronald Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $47,476 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. Angela Cosby - Participated in a supplemental nonqualified deferred compensation plan. She had $38,552 of nonvested benefits accrue during 2022. This amount is included in Part II (C) Retirement and other deferred compensation. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $98,047 in benefits vest in 2022. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $38,581 in 2022.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• CARILLON SURG CNTR

  N/A · HEALTH SRVC · FL

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• HEALTHPOINT MEDICAL GROUP INC

  C Corporation · Holding Company · FL

  Directly controlled by NA