Become A Member

Please be aware that a completed SMH PHO application is not a substitute for the Sarasota Memorial Hospital Medical Staff application. You must complete both applications. Please read this notice from the SMH Medical Staff office.

Notice: There is a $700 non-refundable membership fee at the time of applicant submission.

PHO Membership Requirements:

  • Must be on Staff at SMH- Sarasota or SMH Venice
  • Must have active or affiliate privileges

Affiliate privileges require a Consult Agreement to be completed by the PHO member with affiliate staff privileges and a covering physician within the same specialty that agrees to admit and treat patients on their behalf. The covering physician must have ACTIVE privileges and must be a PHO member as well.

Affiliate Consult Agreement

*At minimum, must agree to participate as a Gulf Coast provider, treating SMH employees and their families.

Note: you are not required to participate with the other carriers contracted through the PHO.

Associated Fees:

Membership fee- $700, administrative expenses of joining the PHO.

*Your application is not complete without the fee being paid in full.

Annual Assessment fee- $375, covers operational expenses of the PHO

*Due by January 1st of each year, notices sent out annually in the third quarter. (Late fees apply if not by the deadlines.)

The Annual Assessment fee is prorated (determined by the number of months left in the year) for new members as they join.

The invoice will be sent in your welcome email.

For Current Members

If you already have an account please login by clicking here.

Become a Member

please download job aid for step by step assistance

If you would like to become a member and begin the application process, please select one of the following: