2020-10-26T06:31:30-05:00 2019-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-01-01 590774199 St Joseph's Hospital Inc STJO 8138704942 3003 W Dr Martin Luther King Blvd Tampa FL 33607 Ron Beamon VP, CFO - BayCare Hospital Div 2020-10-26 true Brittney Kocaj P01320603 9542028600 2019 2021-01-29 14:40:06Z Glenn Waters 3003 W Dr Martin Luther King Blvd Tampa FL 33607 1374017821 false X WWW.BAYCARE.ORG/SJH X 1963 FL St. Joseph's Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. 21 19 7834 1189 2288056 0 8768983 8400728 1356940834 1349493472 10222 -23465 10986158 16121541 1376706197 1373992276 33500 6000 0 439063894 451705884 0 0 752746401 706093458 1191843795 1157805342 184862402 216186934 1927209250 2147893434 77431239 75638295 1849778011 2072255139 St. Joseph's hospital, inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care. false false 922045825 6000 1357440826 St. Joseph's hospital, inc. (SJH) is a full-service 1,062-bed community hospital. During 2019, SJH Provided inpatient care to 56,561 Patients, treated 254,982 patients in the emergency department, and delivered 6,907 babies. Through efforts of the medical assistance program and the hospital's charity care program, SJH saw a net community benefit expense of nearly $172.2 million. The hospital also provided other community services totaling $8.3 million. Some of the programs included wellness on wheels, faith Community nursing, and st. Joseph's children's advocacy center. Refer to schedule H for additional information. 922045825 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true false false false true X 0 0 7834 true true true false false false false false false false false false false false X 21 19 false false false false true true true true true false false true true true true true true false false true true X Janice Polo EVP & CFO 7278208021 2985 Drew Street Clearwater FL 33759 GLENN WATERS TRUSTEE/EVP, COO BAYCARE 1.0 63.0 X X 0 1722143 62974 JONATHAN JENNEWEIN TRUSTEE/CHAIRMAN 1.0 3.0 X X 0 0 0 RALPH GARCIA TRUSTEE/TREASURER 1.0 2.0 X X 0 0 0 TRACY HALME TRUSTEE/VICE CHAIR/SECRETARY 1.0 3.0 X X 0 0 0 AVRIL CHIN FATT TRUSTEE 1.0 3.0 X 0 0 0 BRUCE RODWELL TRUSTEE 1.0 3.0 X 0 0 0 COLEMAN DAVIS TRUSTEE 1.0 3.0 X 0 0 0 CR HALL TRUSTEE 1.0 2.0 X 0 0 0 DIPA SHAH TRUSTEE 1.0 1.0 X 0 0 0 DOMENICK REINA TRUSTEE until Feb 2019 1.0 2.0 X 0 0 0 DONNA JORDAN TRUSTEE until Feb 2019 1.0 2.0 X 0 0 0 DOUGLAS MCFADDEN TRUSTEE 1.0 2.0 X 0 15390 0 HUGH CAMPBELL TRUSTEE until Feb 2019 1.0 3.0 X 0 0 0 JENNIFER BROWN KING TRUSTEE 1.0 2.0 X 0 0 0 JERILYN REED TRUSTEE 1.0 2.0 X 0 0 0 LAUREN WEINER TRUSTEE 1.0 2.0 X 0 0 0 LORI YARBROUGH TRUSTEE 1.0 2.0 X 0 0 0 MATTHEW RICE TRUSTEE 1.0 2.0 X 0 0 0 PAT SHIRLEY TRUSTEE 1.0 3.0 X 0 0 0 RENA UPSHAW FRAZIER TRUSTEE 1.0 2.0 X 0 0 0 RICHARD GLORIOSO TRUSTEE 1.0 2.0 X 0 0 0 RICK COLON TRUSTEE 1.0 3.0 X 0 0 0 SEAN BUTLER TRUSTEE 1.0 2.0 X 0 0 0 STEPHEN MENDOZA TRUSTEE 1.0 2.0 X 0 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 1.0 58.0 X 0 467400 71631 KATE REED PRES SJWH & SJCH 1.0 45.0 X 0 408841 1845 KIMBERLY GUY PRES SJH/SVP MARKET LEADER HILLSB 1.0 46.0 X 0 809372 47882 MATTHEW NOVAK PRES SJH SOUTH till 1/20/2019/PRES TRUSTEES OF MEASE HOSP eff 12.30.18 1.0 50.0 X 0 366834 82019 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 1.0 45.0 X 0 436292 62338 PHILIP MINDEN PRES ST JOSEPH'S HOSP SOUTH 1.0 45.0 X 0 356619 70774 SARAH NAUMOWICH PRES MP NORTH BAY/SJCH & SJWH 1.0 45.0 X 0 312055 80025 DEAN SANTOS CLINICAL PHARMACIST 45.0 0 X 228197 0 48290 LYDIA BOUTROS CLINICAL PHARMACIST 45.0 0 X 238575 0 11390 MARY ROBINSON DIRECTOR SURGICAL SERVICES - SJH 45.0 0 X 221117 0 28435 MICHAEL HANCE DIR OPERATIONS ST JOSEPH'S HOSP SOUTH 45.0 0 X 230225 0 22555 THOMAS GARTHWAITE PRESIDENT SJH NORTH 45.0 0 X 217265 0 51620 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0.0 52.0 X 0 742494 27347 JOANNE MAYERS FORMER KEY/VP, PATIENT SVCS/CNO - EAST 45.0 0 X 365163 0 77465 LORRAINE SARGENT FORMER KEY/DIRECTOR IMAGING EAST REGION 45.0 0 X 197458 0 11566 MICHAEL SMITH FORMER PRES SJH SOUTH 0.0 45.0 X 0 489232 82023 1698000 6126672 840179 339 true true false BARTON MALOW COMPANY 26500 AMERICAN DR SOUTHFIELD MI 48034 construction services 60654959 ROBINS & MORTON GROUP DBA ERS CONSTRUCTION PRODUCTS 5021 CARDINAL ST TRUSSVILLE AL 35173 construction services 34104958 CHILDRENS HOSPITAL PITTSBURGH 4401 PENN AVE PITTSBURGH PA 15224 physician services 9499223 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 laundry services 6145901 WEHR CONSTRUCTORS INC 4425 N LOIS AVE TAMPA FL 33614 construction services 3755925 172 2433420 4998622 968686 8400728 HOSPITAL PATIENT CARE 622110 852207293 850003599 2203694 MEDICARE/ MEDICAID PMNT 622110 496943786 496943786 RENTAL INCOME FROM AFFILIATES 531190 342393 342393 0 0 0 0 1349493472 203447 203447 0 203447 203447 2080 25545 -23465 0 -23465 -23465 CAFETERIA 722514 7886378 7886378 OTHER HEALHT SVCS REVENUE 621990 8031716 7947354 84362 0 0 0 0 15918094 1373992276 1355237132 2288056 8066360 6000 6000 383409507 378943304 4466203 14964273 14789959 174314 25898742 25597057 301685 27433362 27115045 318317 136556 136556 3018 3018 4359 4359 63278284 62214901 1063383 0 685308 675542 9766 16341952 7419699 8922253 2337041 1226628 1110413 17454664 15034712 2419952 2285566 1761308 524258 11639250 11639250 61735634 61262745 472889 27674611 27674611 MEDICAL SUPPLIES 228821396 228821396 MANAGEMENT FEES 177395654 177395654 UBI TAXES 622 622 BAD DEBT EXPENSE 1125663 1125663 95173880 56733024 38440856 0 1157805342 922045825 235759517 0 35068 22085 139511867 134387255 0 0 905824 982023 25942579 29565101 5550652 5888669 1639624015 855065964 654869417 784558051 0 5745236 5324850 1094648607 1187165400 1927209250 2147893434 57184070 70900384 181703 208191 0 3513067 20065466 1016653 77431239 75638295 X 1849778011 2072255139 X 1849778011 2072255139 1927209250 2147893434 X 216186934 6290194 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 7500 false true 4359 11859 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lines 1b, 1g, 1i. Lobbying activities performed by employees concerning healthcare issues. Line 1i. - Dues were paid to American Health Information Management Association, American Proficiency Institute, American Organization of Nurses, APIC, American Association of Healthcare Administrative Management, Association of Community ACCC, Greater Tampa Chamber of Commerce, Florida Society pf Health, ASIS International, 340B Health, Florida Association of Director, Westshore Alliance, Florida Healthcare Engineering, Health Management Academy, Florida Professional in Healthcare. These associations use a portion of their respective dues to conduct lobbying activities. 5736409 5736409 999182731 475032443 524150288 1312923 936058 376865 469714854 378817162 90897692 163677098 280301 163396797 784558051 DEPOSITS 243749 PPD PHYSICIAN RECRUITMENT 74349 Est Third Party Settlements 6060418 DUE FROM AFFILIATES 1180786884 1187165400 26400 PENSION OBLIGATION 683817 SERP LIABILITY 241910 ASSET RETIREMENT OBLIGATION 64526 1016653 X 1365551367 0 0 1365551367 8440909 8440909 1373992276 1151797854 0 0 1151797854 6007488 6007488 1157805342 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GRANTS - 6030954 CONTRIBUTIONS RECORDED IN NET ASSETS - 2433420 GAIN ON SALE OF ASSETS - -23465 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements - GRANTS - 6030953 GAIN ON SALE OF ASSETS - -23465 true true X true X 250 false true true true false true true 33752592 0 33752592 0.0292 256706179 125830415 130875764 0.1131 12783532 5214456 7569076 0.0065 0 0 303242303 131044871 172197432 0.1489 4965407 0 4965407 0.0043 2845507 0 2845507 0.0025 247774 0 247774 0.0002 83976 0 83976 0.0001 178530 0 178530 0.0002 0 0 8321194 0 8321194 0.0072 0 0 311563497 131044871 180518626 0.1561 0 0.0 0 0.0 33714 0 33714 0.0000 54586 0 54586 0.0000 0 0.0 0 0.0 0 0.0 9534 0 9534 0.0000 0 0.0 0 0 97834 0 97834 0.0001 true 1125663 505112 171749924 189850836 -18100912 X true true 1 1 ST JOSEPH'S HOSPITAL INC 3001 W DR MARTIN LUTHER KING JR BLV D TAMPA FL 33615 WWW.BAYCARE.ORG/SJH 4292 X X X X ST JOSEPH'S HOSPITAL INC 1 false false true X X X X X X X X X 19 true true false true X https://baycare.org/hospitals/st-josephs-hospital/about-us/community-health-needs X true 19 true https://baycare.org/hospitals/st-josephs-hospital/about-us/community-health-needs false true X 250.0 0.0 X X X X X X true true X X X true X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X https://baycare.org/billing-and-insurance/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 55 COMMUNITY STAKEHOLDERS IN THE ST. JOSEPH'S HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 11 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. CHNA was conducted with the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL, INC. 2. MORTON PLANT HOSPITAL ASSOCIATION, INC. 3. TRUSTEES OF MEASE HOSPITAL, INC. 4. ST. JOSEPH'S HOSPITAL, INC. 5. SOUTH FLORIDA BAPTIST HOSPITAL, INC. 6. WINTER HAVEN HOSPITAL, INC. 7. BARTOW REGIONAL MEDICAL CENTER, INC. 8. BayCare Alliant Hospital, INC. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. St. Joseph's Hospital is concentrating efforts during the 2020-2022 time period to address the following significant health needs of our community as identified in the most recent CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight ST. JOSEPH'S HOSPITAL, INC.'S implementation plan DESCRIBES specific activities that are underway to address these significant health needs during the 2020-2022 time period. Although the majority of the overarching goals, objectives and efforts will focus on these top three focus areas, St. Joseph's Hospital remains committed to supporting positive advancements in addressing diabetes, heart disease and stroke, while addressing the focus area of exercise, nutrition and weight. There were five additional health focus areas identified through the CHNA. These were: * Cancer * Immunization and infectious disease * Maternal, fetal and infant health * Oral health * Respiratory disease These remaining health needs are significant, but they're not directly addressed in 2020-2022 health improvement plan strategies. However, they'll continue to be impacted through existing hospital strategies for clinical excellence and St. Joseph's Hospital partnerships within the community, including the Florida Department of Health and community organizations who may be in a better position to address these health issues. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. 8 TAMPA CARE CLINIC 4600 NORTH HABANA AVE SUITE 15 TAMPA FL 33614 OUTPATIENT CLINIC (HIV CLINIC) SJH CHILDREN'S SPECIALTY CENTER-N TAMPA 15045 BRUCE B DOWNS BLVD TAMPA FL 33647 OUTPATIENT REHABILITATION FOR CHILDREN AND ADOLESCENTS SJH CHILDREN'S SPECIALTY CENTER-BRANDON 10817 BLOOMINGDALE AVE RIVERVIEW FL 33578 OUTPATIENT REHABILITATION FOR CHILDREN AND ADOLESCENTS SJH PHYSICAL THERAPY & SPORTS REHABILITATION 310 S MACDILL AVE TAMPA FL 33609 OUTPATIENT REHABILITATION SJH BEHAVIORAL HEALTH CENTER 4918 N HABANA AVE TAMPA FL 33614 IP PSYCH UNIT SJH CHILDREN'S SPECIALTY CENTER-MEASE 3253 N MCMULLEN BOOTH RD SUITE 100 CLEARWATER FL 33761 OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS ST JOSEPH PINELLAS CARE CLINIC 3554 1ST AVE SOUTH ST PETERSBURG FL 33713 OUTPATIENT CLINIC ST JOSEPH'S OUTPATIENT REHABILITATION CENTER 3003 W DR MLK JR BLVD 2ND FLOOR TAMPA FL 33607 OUTPATIENT REHABILITATION Schedule H, Part VI, Line 7 State filing of community benefit report ST. JOSEPH'S HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. Schedule H, Part VI, Line 5 Promotion of Community Health (Continued) More than $175,000 was spent in 2019 to support our strategic directions to foster and implement community relationships and partnerships to improve the health status of our community. By collaborating with community partners and sharing resources, St. Joseph's Hospital is able to find less expensive ways to make an even greater health impact in the Tampa Bay area. In 2019, Financial Assistance team members at St. Joseph's Hospitals screened uninsured and under-insured ER patients and inpatients at the bedside for multiple Medicaid programs and county health care plans, then assisted with the completion of applications in addition to providing education and continuous support through the process. Across BayCare, our Financial Assistance team members touched approximately 75,000 lives in 2019, providing support in overcoming barriers to accessing health care. BayCare's Clinical Research Operations Teams provide specialized staffing support to Principal Investigators across BayCare Health System in the conduct of clinical research involving human subjects. The primary purpose is to increase access opportunities for participation in clinical research by both clinicians and patients in an effort to provide life-changing care for patients today and to advance the science of medicine for future generations. Cutting-edge inpatient and outpatient studies focus on pharmaceutical and device trials, infectious diseases including HIV, and pediatric and adult trials including investigational research in hematology, oncology, cardiology and tissue banking studies. In 2019, St. Joseph's Hospitals worked with neighboring not-for-profit hospitals and the Florida Department of Health-Hillsborough to complete a Community Health Needs Assessment (CHNA). The CHNA provides information on the unmet and emerging health needs as identified through available local, state and national data-and most importantly, the assessment is intended to be inclusive of the thoughts and ideas of members of the communities we serve. We engaged residents, community leaders, and other key advocates throughout each phase of the assessment. Data was collected using a robust, 75 question community survey which was deployed onsite at many community organizations across the county. In addition, data was gathered from key informant surveys and focus groups. In July, a county-wide prioritization meeting was held with community members to rank the needs identified in the collected data. Top priority areas identified included Behavioral Health (Mental Health and Substance Use), Access to Health Services, and Exercise, Nutrition and Weight. An implementation plan to address these top three needs was approved by the Board of Trustees in December. Children's Services (St. Joseph's Children's Hospital) * As Tampa's first dedicated children's hospital, St. Joseph's Children's Hospital is designed to meet the unique needs of children and their families by providing high-tech pediatric health care in a family-centered, child-friendly environment. The 207-bed facility is home to a medical staff of more than 240 physicians representing 25 medical and surgical disciplines including almost every major pediatric sub-specialty. It also includes the Steinbrenner Emergency/Trauma Center for Children, a state designated pediatric trauma center. * St. Joseph's Children's Hospital's Neonatal Intensive Care Unit (NICU) is licensed for two levels of intensity: Level III (the highest) with 49 infant beds and Level II with 15 infant beds and is a place where sick and premature infants receive special care. * The Chronic-Complex Clinic (CCC) at St. Joseph's Children's Hospital provides a medical home to more than 700 children through a comprehensive primary care practice that addresses the special health care needs of children with complex medical conditions. The complexity of their care and the effort to effectively coordinate all of the services needed by these children makes it difficult, if not impossible, to find appropriate care in the community. This CCC provides a medical home for these children and their families, coordinating their specialty care, addressing psychosocial concerns and providing continuity of care during their hospitalizations. With the creation of the CCC, the number of emergency room visits, hospitalizations and the length of hospital stays with this complex population has seen dramatic reductions. * St. Joseph's Children's Hospital has satellite specialty centers to meet the needs of children and families throughout Tampa Bay and surrounding regions. These centers provide rehabilitative and subspecialty health care for children. Facilities are strategically located to increase access to families who live in north Hillsborough and south Pasco, Polk and south Hillsborough counties. * For more than 20 years, St. Joseph's Children's Wellness and Safety Center has been committed to keeping kids and families healthy, safe and informed through a multifaceted outreach approach focusing on community education, unintentional injury prevention, children's health and wellness and legislative advocacy. In 2019, the Children's Wellness and Safety Center educated more than 90,942 children and their families through community programs and events. * The Mobile Medical Clinic was established in 2004, with the goal of addressing the community-wide problem of reduced immunization compliance among young children. Services include immunizations, well child physicals, vaccine record checks, developmental screening, hearing screenings, vision screenings, and fluoride varnish treatments along with health and safety education. In 2019, the Mobile Medical Clinic provide services to 2,558 medically needy children * Healthy Families Hillsborough is a community-based, voluntary home visiting program designed to enable children to grow up healthy, safe and nurtured. There were over 50 referrals and 27 assessments completed in 2019. Women's Services (St. Joseph's Women's Hospital) * Designed to serve the unique health care needs of women and newborns in a caring, family-centered environment, St. Joseph's Women's Hospital has served Tampa Bay families for more than 30 years. St. Joseph's Women's Hospital offers complete obstetrical, perinatal, surgical, gynecological and oncological services for women through every stage of life. St. Joseph's Women's Hospital includes the Shimberg Breast Center, where women of all ages, race and backgrounds can receive the most advanced testing and treatment available. The Center received Center of Excellence designation by the American College of Radiologists and was accredited by the NABPC. * St. Joseph's Women's Hospital is widely regarded as "the place in Tampa Bay to have a baby" due to the comfortable Labor and Delivery suites, extensive childbirth education programs, Level III NICU and a maternal/fetal program that offers the security expectant mothers need. In fact, more than 7,000 babies were born at St. Joseph's Women's Hospital in 2019, making it the second busiest obstetrical program in the state of Florida. St. Joseph's Hospital recognizes the strong community need for psychiatric care. The St. Joseph's Hospital Behavioral Health Center is the only freestanding inpatient Baker Act-receiving private psychiatric hospital in Hillsborough County. The facility promotes healing through architectural design elements and an atmosphere focused on meeting the needs of the patient. The facility includes 40 adult beds and 20 child/adolescent beds. Indigent patients turn to the St. Joseph's Community Care Clinic for primary care services, which helps reduce the use of emergency services for basic health care needs. A not-for-profit organization owned by St. Joseph's Hospital, the clinic provides care for patients participating in the Hillsborough County Health Care Plan, access to a specialty panel for specialty services, acute care services through St. Joseph's Hospital and St. Joseph's Women's Hospital and a variety of outpatient services through St. Joseph's Hospital. Patients who experience chronic, debilitating disease or are living with advanced illness often benefit greatly from specialized, compassionate care focused on managing their pain, stress and symptoms. St. Joseph's Hospital's palliative care team works to develop a personalized plan for providing relief from pain and suffering while enhancing quality of life to hospitalized patients. This program helps both adult and pediatric patients and their families faced with this life-changing situation. (CONTINUED) Schedule H, Part VI, Line 5 Promotion of Community Health (Continued) Volunteer Activities: In 2019, 955 volunteers contributed 124,441 hours of service to St. Joseph's Hospital, St. Joseph's Women's Hospital, St. Joseph's Children's Hospital, St. Joseph's Hospital-North and St. Joseph's Hospital-South. For over 85 years, our team members have exemplified values of trust, dignity, respect, responsibility and excellence. In fact, a favorite annual tradition for the team is a holiday gift drive to benefit families of dozens of patients who were hospitalized during the 12 previous months. For this "mission basket" event, hospital departments adopt families and provide personalized gifts and food to make the holiday season a joyous one. In addition, team members participated in blood drives and donation drives throughout 2019 to support those most in need in our community. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. ST. JOSEPH'S HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. Presumptive financial assistance decisions for uninsured ER patients may be determined based on third party analytics, using a credit inquiry process, under the following circumstances: * Uninsured accounts of patients not seen by the Financial Assistance team or without a current financial assistance application on file * The reported federal poverty level (FPL) of the patient meets the criteria for financial assistance (250%) Schedule H, Part I, Line 6a Community benefit report prepared by related organization BAYCARE HEALTH SYSTEM, INC. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1125663 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. Schedule H, Part II Community Building Activities ST. JOSEPH'S HOSPITALS SUPPORT ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. THIS INCLUDES: - TEAM MEMBER TIME DEDICATED TO SUPPORTING THOSE DISADVANTAGED AND TO COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS TO IMPROVE ECONOMIC STABILITY AND PROSPERITY IN THE COMMUNITY. COMMUNITY GROUPS INCLUDE THE HILLSBOROUGH HEALTHCARE COALITION ON DISASTER PREPAREDNESS AND HILLSBOROUGH COUNTY SCHOOLS - FUNDING SUPPORT FOR ORGANIZATIONS THAT ADDRESS THE ROOT CAUSES OF HEALTH AND SAFETY ISSUES AND PROMOTE ECONOMIC STABILITY - RECYCLING COSTS FOR DISPOSABLE ITEMS - TEAM MEMBER TIME DEDICATED TO WORKING WITH HEALTH CARE OBSERVERS, INTERESTED IN PURSUING A CAREER IN THE MEDICAL FIELD Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE IS CALCULATED AS A CHARGE RATIO, DERIVED FROM DATA SAMPLING. THE RESULTING CHARGE RATIO IS THEN APPLIED TO TOTAL BAD DEBT ACCOUNTS OF THE ORGANIZATION, WHICH CALCULATES THE BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE. THE STATE OF FLORIDA REQUIRES THE PATIENT TO PROVIDE CERTAIN DOCUMENTATION IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE. IN CASES WHERE THE PATIENT HAS NOT RESPONDED TO HOSPITAL REQUESTS OR BILLING STATEMENT ALERTS, THOSE ACCOUNTS ARE PROCESSED AS BAD DEBT, IF UNPAID. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE NARRATIVE TO PART III, LINE 2. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. LINE 7 SURPLUS OR (SHORTFALL) ($18,100,912) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($26,744,736) TOTAL SURPLUS OR (SHORTFALL) ($44,845,648) Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions. Schedule H, Part V, Section B, Line 16a FAP website - ST. JOSEPH'S HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. JOSEPH'S HOSPITAL, INC.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. JOSEPH'S HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment ST. JOSEPH'S HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. ST. JOSEPH'S HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. ST. JOSEPH'S HOSPITAL, INC. RECOGNIZES THE IMPORTANCE OF HEARING FROM THOSE THEY SERVE. ALONG WITH COLLECTING GENERALLY AVAILABLE DATA, ST. JOSEPH'S HOSPITAL, INC. CONDUCTS A COMMUNITY-BASED SURVEY TO ALLOW FOR COMMUNITY RESIDENTS' VOICES TO BE HEARD AS WELL AS INFORMED DECISION MAKING RELATED TO HEALTH PRIORITIES. IN ADDITION, ST. JOSEPH'S HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST ST. JOSEPH'S HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. JOSEPH'S HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BAYCARE HEALTH SYSTEM, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, ST. JOSEPH'S HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. Schedule H, Part VI, Line 4 Community information The St. Joseph's Hospitals are acute care facilities serving all of Hillsborough county and parts of several surrounding counties. This grouping includes St. Joseph's Main, St. Joseph's Children's, St. Joseph's Women's, St. Joseph's North and St. Joseph's South. The average household income of $82,278 in this area is $1,112 lower than the state average and $11,429 lower than the national average. 10.3% of households have annual household income below $15,000 per year. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 24.4% of the population. St. Joseph's Hospitals are part of BayCare Health System that serves west central Florida. The area served by the St. Joseph's Hospitals has 24 acute care hospitals (16 Not-for-Profit) and 3 long term acute care hospitals (1 Not-for-Profit). There are 4 federally designated medically underserved areas and 10 federally designated medically underserved populations in the St. Joseph's Hospitals' service area. With the service area expanding and the over 65 population expected to grow 18.7% in the next five years, the health care needs of our service area are expanding and changing. The population served by St. Joseph's Hospitals is expected to grow 7.3% in the next 5 years. This is higher than the expected growth rate of 6.6% for Florida and 3.3% for the United States Based on Florida inpatient discharge data for the period of 10/01/2018-9/30/2019, the payer mix for the geographic area consists of 48.7% Medicare/Medicare HMO, 16.4% Medicaid/Medicaid HMO, 21.5% Commercial Insurance, 8.3% Self pay/Non-pay, and 5.1% Other. Schedule H, Part VI, Line 5 Promotion of community health MORE THAN $175,000 WAS SPENT IN 2019 TO SUPPORT OUR STRATEGIC DIRECTIONS TO FOSTER AND IMPLEMENT COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. BY COLLABORATING WITH COMMUNITY PARTNERS AND SHARING RESOURCES, ST. JOSEPH'S HOSPITAL IS ABLE TO FIND LESS EXPENSIVE WAYS TO MAKE AN EVEN GREATER HEALTH IMPACT IN THE TAMPA BAY AREA. IN 2019, FINANCIAL ASSISTANCE TEAM MEMBERS AT ST. JOSEPH'S HOSPITALS SCREENED UNINSURED AND UNDER-INSURED ER PATIENTS AND INPATIENTS AT THE BEDSIDE FOR MULTIPLE MEDICAID PROGRAMS AND COUNTY HEALTH CARE PLANS, THEN ASSISTED WITH THE COMPLETION OF APPLICATIONS IN ADDITION TO PROVIDING EDUCATION AND CONTINUOUS SUPPORT THROUGH THE PROCESS. ACROSS BAYCARE, OUR FINANCIAL ASSISTANCE TEAM MEMBERS TOUCHED APPROXIMATELY 75,000 LIVES IN 2019, PROVIDING SUPPORT IN OVERCOMING BARRIERS TO ACCESSING HEALTH CARE. BAYCARE'S CLINICAL RESEARCH OPERATIONS TEAMS PROVIDE SPECIALIZED STAFFING SUPPORT TO PRINCIPAL INVESTIGATORS ACROSS BAYCARE HEALTH SYSTEM IN THE CONDUCT OF CLINICAL RESEARCH INVOLVING HUMAN SUBJECTS. THE PRIMARY PURPOSE IS TO INCREASE ACCESS OPPORTUNITIES FOR PARTICIPATION IN CLINICAL RESEARCH BY BOTH CLINICIANS AND PATIENTS IN AN EFFORT TO PROVIDE LIFE-CHANGING CARE FOR PATIENTS TODAY AND TO ADVANCE THE SCIENCE OF MEDICINE FOR FUTURE GENERATIONS. CUTTING-EDGE INPATIENT AND OUTPATIENT STUDIES FOCUS ON PHARMACEUTICAL AND DEVICE TRIALS, INFECTIOUS DISEASES INCLUDING HIV, AND PEDIATRIC AND ADULT TRIALS INCLUDING INVESTIGATIONAL RESEARCH IN HEMATOLOGY, ONCOLOGY, CARDIOLOGY AND TISSUE BANKING STUDIES. IN 2019, ST. JOSEPH'S HOSPITALS WORKED WITH NEIGHBORING NOT-FOR-PROFIT HOSPITALS AND THE FLORIDA DEPARTMENT OF HEALTH-HILLSBOROUGH TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES INFORMATION ON THE UNMET AND EMERGING HEALTH NEEDS AS IDENTIFIED THROUGH AVAILABLE LOCAL, STATE AND NATIONAL DATA-AND MOST IMPORTANTLY, THE ASSESSMENT IS INTENDED TO BE INCLUSIVE OF THE THOUGHTS AND IDEAS OF MEMBERS OF THE COMMUNITIES WE SERVE. WE ENGAGED RESIDENTS, COMMUNITY LEADERS, AND OTHER KEY ADVOCATES THROUGHOUT EACH PHASE OF THE ASSESSMENT. DATA WAS COLLECTED USING A ROBUST, 75 QUESTION COMMUNITY SURVEY WHICH WAS DEPLOYED ONSITE AT MANY COMMUNITY ORGANIZATIONS ACROSS THE COUNTY. IN ADDITION, DATA WAS GATHERED FROM KEY INFORMANT SURVEYS AND FOCUS GROUPS. IN JULY, A COUNTY-WIDE PRIORITIZATION MEETING WAS HELD WITH COMMUNITY MEMBERS TO RANK THE NEEDS IDENTIFIED IN THE COLLECTED DATA. TOP PRIORITY AREAS IDENTIFIED INCLUDED BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE), ACCESS TO HEALTH SERVICES, AND EXERCISE, NUTRITION AND WEIGHT. AN IMPLEMENTATION PLAN TO ADDRESS THESE TOP THREE NEEDS WAS APPROVED BY THE BOARD OF TRUSTEES IN DECEMBER. CHILDREN'S SERVICES (ST. JOSEPH'S CHILDREN'S HOSPITAL) *AS TAMPA'S FIRST DEDICATED CHILDREN'S HOSPITAL, ST. JOSEPH'S CHILDREN'S HOSPITAL IS DESIGNED TO MEET THE UNIQUE NEEDS OF CHILDREN AND THEIR FAMILIES BY PROVIDING HIGH-TECH PEDIATRIC HEALTH CARE IN A FAMILY-CENTERED, CHILD-FRIENDLY ENVIRONMENT. THE 207-BED FACILITY IS HOME TO A MEDICAL STAFF OF MORE THAN 240 PHYSICIANS REPRESENTING 25 MEDICAL AND SURGICAL DISCIPLINES INCLUDING ALMOST EVERY MAJOR PEDIATRIC SUB-SPECIALTY. IT ALSO INCLUDES THE STEINBRENNER EMERGENCY/TRAUMA CENTER FOR CHILDREN, A STATE DESIGNATED PEDIATRIC TRAUMA CENTER. *ST. JOSEPH'S CHILDREN'S HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) IS LICENSED FOR TWO LEVELS OF INTENSITY: LEVEL III (THE HIGHEST) WITH 49 INFANT BEDS AND LEVEL II WITH 15 INFANT BEDS AND IS A PLACE WHERE SICK AND PREMATURE INFANTS RECEIVE SPECIAL CARE. *THE CHRONIC-COMPLEX CLINIC (CCC) AT ST. JOSEPH'S CHILDREN'S HOSPITAL PROVIDES A MEDICAL HOME TO MORE THAN 700 CHILDREN THROUGH A COMPREHENSIVE PRIMARY CARE PRACTICE THAT ADDRESSES THE SPECIAL HEALTH CARE NEEDS OF CHILDREN WITH COMPLEX MEDICAL CONDITIONS. THE COMPLEXITY OF THEIR CARE AND THE EFFORT TO EFFECTIVELY COORDINATE ALL OF THE SERVICES NEEDED BY THESE CHILDREN MAKES IT DIFFICULT, IF NOT IMPOSSIBLE, TO FIND APPROPRIATE CARE IN THE COMMUNITY. THIS CCC PROVIDES A MEDICAL HOME FOR THESE CHILDREN AND THEIR FAMILIES, COORDINATING THEIR SPECIALTY CARE, ADDRESSING PSYCHOSOCIAL CONCERNS AND PROVIDING CONTINUITY OF CARE DURING THEIR HOSPITALIZATIONS. WITH THE CREATION OF THE CCC, THE NUMBER OF EMERGENCY ROOM VISITS, HOSPITALIZATIONS AND THE LENGTH OF HOSPITAL STAYS WITH THIS COMPLEX POPULATION HAS SEEN DRAMATIC REDUCTIONS. *ST. JOSEPH'S CHILDREN'S HOSPITAL HAS SATELLITE SPECIALTY CENTERS TO MEET THE NEEDS OF CHILDREN AND FAMILIES THROUGHOUT TAMPA BAY AND SURROUNDING REGIONS. THESE CENTERS PROVIDE REHABILITATIVE AND SUBSPECIALTY HEALTH CARE FOR CHILDREN. FACILITIES ARE STRATEGICALLY LOCATED TO INCREASE ACCESS TO FAMILIES WHO LIVE IN NORTH HILLSBOROUGH AND SOUTH PASCO, POLK AND SOUTH HILLSBOROUGH COUNTIES. *FOR MORE THAN 20 YEARS, ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER HAS BEEN COMMITTED TO KEEPING KIDS AND FAMILIES HEALTHY, SAFE AND INFORMED THROUGH A MULTIFACETED OUTREACH APPROACH FOCUSING ON COMMUNITY EDUCATION, UNINTENTIONAL INJURY PREVENTION, CHILDREN'S HEALTH AND WELLNESS AND LEGISLATIVE ADVOCACY. IN 2019, THE CHILDREN'S WELLNESS AND SAFETY CENTER EDUCATED MORE THAN 90,942 CHILDREN AND THEIR FAMILIES THROUGH COMMUNITY PROGRAMS AND EVENTS. *THE MOBILE MEDICAL CLINIC WAS ESTABLISHED IN 2004, WITH THE GOAL OF ADDRESSING THE COMMUNITY-WIDE PROBLEM OF REDUCED IMMUNIZATION COMPLIANCE AMONG YOUNG CHILDREN. SERVICES INCLUDE IMMUNIZATIONS, WELL CHILD PHYSICALS, VACCINE RECORD CHECKS, DEVELOPMENTAL SCREENING, HEARING SCREENINGS, VISION SCREENINGS, AND FLUORIDE VARNISH TREATMENTS ALONG WITH HEALTH AND SAFETY EDUCATION. IN 2019, THE MOBILE MEDICAL CLINIC PROVIDE SERVICES TO 2,558 MEDICALLY NEEDY CHILDREN *HEALTHY FAMILIES HILLSBOROUGH IS A COMMUNITY-BASED, VOLUNTARY HOME VISITING PROGRAM DESIGNED TO ENABLE CHILDREN TO GROW UP HEALTHY, SAFE AND NURTURED. THERE WERE OVER 50 REFERRALS AND 27 ASSESSMENTS COMPLETED IN 2019. WOMEN'S SERVICES (ST. JOSEPH'S WOMEN'S HOSPITAL) *DESIGNED TO SERVE THE UNIQUE HEALTH CARE NEEDS OF WOMEN AND NEWBORNS IN A CARING, FAMILY-CENTERED ENVIRONMENT, ST. JOSEPH'S WOMEN'S HOSPITAL HAS SERVED TAMPA BAY FAMILIES FOR MORE THAN 30 YEARS. ST. JOSEPH'S WOMEN'S HOSPITAL OFFERS COMPLETE OBSTETRICAL, PERINATAL, SURGICAL, GYNECOLOGICAL AND ONCOLOGICAL SERVICES FOR WOMEN THROUGH EVERY STAGE OF LIFE. ST. JOSEPH'S WOMEN'S HOSPITAL INCLUDES THE SHIMBERG BREAST CENTER, WHERE WOMEN OF ALL AGES, RACE AND BACKGROUNDS CAN RECEIVE THE MOST ADVANCED TESTING AND TREATMENT AVAILABLE. THE CENTER RECEIVED CENTER OF EXCELLENCE DESIGNATION BY THE AMERICAN COLLEGE OF RADIOLOGISTS AND WAS ACCREDITED BY THE NABPC. *ST. JOSEPH'S WOMEN'S HOSPITAL IS WIDELY REGARDED AS "THE PLACE IN TAMPA BAY TO HAVE A BABY" DUE TO THE COMFORTABLE LABOR AND DELIVERY SUITES, EXTENSIVE CHILDBIRTH EDUCATION PROGRAMS, LEVEL III NICU AND A MATERNAL/FETAL PROGRAM THAT OFFERS THE SECURITY EXPECTANT MOTHERS NEED. IN FACT, MORE THAN 7,000 BABIES WERE BORN AT ST. JOSEPH'S WOMEN'S HOSPITAL IN 2019, MAKING IT THE SECOND BUSIEST OBSTETRICAL PROGRAM IN THE STATE OF FLORIDA. ST. JOSEPH'S HOSPITAL RECOGNIZES THE STRONG COMMUNITY NEED FOR PSYCHIATRIC CARE. THE ST. JOSEPH'S HOSPITAL BEHAVIORAL HEALTH CENTER IS THE ONLY FREESTANDING INPATIENT BAKER ACTRECEIVING PRIVATE PSYCHIATRIC HOSPITAL IN HILLSBOROUGH COUNTY. THE FACILITY PROMOTES HEALING THROUGH ARCHITECTURAL DESIGN ELEMENTS AND AN ATMOSPHERE FOCUSED ON MEETING THE NEEDS OF THE PATIENT. THE FACILITY INCLUDES 40 ADULT BEDS AND 20 CHILD/ADOLESCENT BEDS. INDIGENT PATIENTS TURN TO THE ST. JOSEPH'S COMMUNITY CARE CLINIC FOR PRIMARY CARE SERVICES, WHICH HELPS REDUCE THE USE OF EMERGENCY SERVICES FOR BASIC HEALTH CARE NEEDS. A NOT-FORPROFIT ORGANIZATION OWNED BY ST. JOSEPH'S HOSPITAL, THE CLINIC PROVIDES CARE FOR PATIENTS PARTICIPATING IN THE HILLSBOROUGH COUNTY HEALTH CARE PLAN, ACCESS TO A SPECIALTY PANEL FOR SPECIALTY SERVICES, ACUTE CARE SERVICES THROUGH ST. JOSEPH'S HOSPITAL AND ST. JOSEPH'S WOMEN'S HOSPITAL AND A VARIETY OF OUTPATIENT SERVICES THROUGH ST. JOSEPH'S HOSPITAL. PATIENTS WHO EXPERIENCE CHRONIC, DEBILITATING DISEASE OR ARE LIVING WITH ADVANCED ILLNESS OFTEN BENEFIT GREATLY FROM SPECIALIZED, COMPASSIONATE CARE FOCUSED ON MANAGING THEIR PAIN, STRESS AND SYMPTOMS. ST. JOSEPH'S HOSPITAL'S PALLIATIVE CARE TEAM WORKS TO DEVELOP A PERSONALIZED PLAN FOR PROVIDING RELIEF FROM PAIN AND SUFFERING WHILE ENHANCING QUALITY OF LIFE TO HOSPITALIZED PATIENTS. THIS PROGRAM HELPS BOTH ADULT AND PEDIATRIC PATIENTS AND THEIR FAMILIES FACED WITH THIS LIFE-CHANGING SITUATION. (CONTINUED) Schedule H, Part VI, Line 6 Affiliated health care system BayCare Health System, headquartered in Clearwater, Florida, is a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 15 hospitals and hundreds of other convenient locations throughout the Tampa Bay and West Central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and urgent care. BayCare's 2019 Report to the Community can be viewed at BayCare.org/AnnualReport. BayCare's 15 hospitals are BayCare Alliant, Bartow Regional Medical Center, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, St. Joseph's, St. Joseph's Children's, St. Joseph's Women's, St. Joseph's-North, St. Joseph's-South, South Florida Baptist, Winter Haven and Winter Haven Women's. (In certain cases, hospital locations with the same tax identification and state license number are listed as one facility on Form 990, Schedule H, consistent with IRS reporting guidelines.) BayCare was founded in 1997 after leaders of several of the area's independent, not-for-profit hospitals began discussing ways to ensure that high-quality, not-for-profit health care would remain a viable option for the Tampa Bay community for decades to come. The founding hospitals agreed to sacrifice some of their autonomy to be operated by a new entity, BayCare. With $4.4 billion in operating revenue in 2019, BayCare is now a fully integrated health system dedicated to providing high-quality, compassionate care to all we serve, regardless of their ability to pay. BayCare has 3,482 hospital beds, 18 urgent care centers, 5 surgery centers, 12 outpatient imaging facilities, 124 physician practice locations and 33 walk-in care facilities in Publix supermarkets. BayCare annually generates $8.5 billion in economic benefit for the region and state. BayCare is one of the largest employers in the Tampa Bay area, with 29,045 team members. During 2019, BayCare provided $647 million in benefits for its employees, including more than $193.8 million in retirement, $184.5 million in health insurance, $155.7 million in paid time off and $52 million in education and development. In 2019 BayCare received numerous local, national and international workplace awards, including Fortune magazine's 100 Best Companies to Work For; Becker's Healthcare's 150 Top Places to Work in Healthcare; and Training magazine's global, all-industries Training Top 125. In 2019, BayCare provided $461 million in total Community Benefit, including $319 million in Medicaid and other income-based programs, $103 million in traditional charity care and $39 million in unbilled community services, all measured in unreimbursed costs. Also in 2019, BayCare led an unprecedented collaboration with other area hospital systems and local departments of health to conduct an in-depth Community Health Needs Assessment (CHNA) that determined that the three most pressing health needs in the West Central Florida region are 1) mental health and substance abuse, 2) access to health care services, and 3) exercise, nutrition and weight. BayCare and its CHNA partners formed the All4HealthFL Collaborative to create programs to address those top health needs. BayCare's financial strength, the efficiencies gained from its operating model, its visionary leadership, the hard work of its team members, and its determination to provide exceptional care to its patients helped BayCare reach a ranking in the top 20% of large U.S. health systems from IBM Watson Health last year. Twenty-three years after it was created, BayCare is achieving the goal of its founders to preserve the provision of not-for-profit health care for the communities of the Tampa Bay region, and it is fulfilling its Mission as an organization to "improve the health of all we serve through community-owned services that set the standard for high-quality, compassionate care." true FLORIDA HEMOPHILIA ASSOCIATION 915 MIDDLE RIVER DRIVE STE 421 FT LAUDERDALE FL 33304 592072352 501(C)(3) 6000 Supporting St. Joseph's Hospital patients compassionate care program 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BAYCARE HEALTH SYSTEM, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS. true true false false false false false false false GLENN WATERS TRUSTEE/EVP, COO BAYCARE 0 955203 0 441696 0 325244 0 20330 0 42644 0 1785117 0 56588 CARL TREMONTI FORMER VP, CFO BAYCARE HOSP DIV 0 416544 0 138632 0 187318 0 14165 0 13182 0 769841 0 67134 MICHAEL SMITH FORMER PRES SJH SOUTH 0 323024 0 113349 0 52859 0 52475 0 29548 0 571255 0 0 JOANNE MAYERS FORMER KEY/VP, PATIENT SVCS/CNO - EAST 257097 0 93212 0 14854 0 53158 0 24307 0 442628 0 0 0 LORRAINE SARGENT FORMER KEY/DIRECTOR IMAGING EAST REGION 167785 0 21351 0 8322 0 9027 0 2539 0 209024 0 0 0 RONALD BEAMON VP, CFO BAYCARE HOSP DIV 0 369649 0 80805 0 16946 0 43556 0 28075 0 539031 0 0 PHILIP MINDEN PRES ST JOSEPH'S HOSP SOUTH 0 271972 0 76051 0 8596 0 58051 0 12723 0 427393 0 0 KIMBERLY GUY PRES SJH/SVP MARKET LEADER HILLSB 0 472007 0 151322 0 186043 0 14000 0 33882 0 857254 0 72660 SARAH NAUMOWICH PRES MP NORTH BAY/SJCH & SJWH 0 243180 0 61755 0 7120 0 48852 0 31173 0 392080 0 0 MATTHEW NOVAK PRES SJH SOUTH till 1/20/2019/PRES TRUSTEES OF MEASE HOSP eff 12.30.18 0 270928 0 81686 0 14220 0 58938 0 23081 0 448853 0 0 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 0 278875 0 98486 0 58931 0 49068 0 13270 0 498630 0 0 KATE REED PRES SJWH & SJCH 0 14025 0 0 0 394816 0 0 0 1845 0 410686 0 24828 LYDIA BOUTROS CLINICAL PHARMACIST 164853 0 65260 0 8462 0 9746 0 1644 0 249965 0 0 0 THOMAS GARTHWAITE PRESIDENT SJH NORTH 181696 0 21392 0 14177 0 13736 0 37884 0 268885 0 0 0 MICHAEL HANCE DIR OPERATIONS ST JOSEPH'S HOSP SOUTH 191659 0 26492 0 12074 0 10573 0 11982 0 252780 0 0 0 MARY ROBINSON DIRECTOR SURGICAL SERVICES - SJH 189543 0 26423 0 5151 0 10401 0 18034 0 249552 0 0 0 DEAN SANTOS CLINICAL PHARMACIST 142439 0 75310 0 10448 0 9710 0 38580 0 276487 0 0 0 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 the CEO's compensation of the filing organization. Schedule J, Part I, Line 4a Severance or change-of-control payment Kate Reed received a severance payment in the amount of $316,826 during 2019. 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 $286,780 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $112,848 in 2019. Ronald Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $31,360 of nonvested benefits accrue during 2019. 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 $175,389 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $69,016 in 2019. Paula McGuiness - Participated in a supplemental nonqualified deferred compensation plan. She had $46,120 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $18,148 in 2019. Kate Reed- Participated in a supplemental nonqualified deferred compensation plan. He had $76,257 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. She became 100% vested in 2019. The plan made cash distribution of $30,007 in 2019. Matthew Novak - Participated in a supplemental nonqualified deferred compensation plan. He had $43,362 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Philip Minden - Participated in a supplemental nonqualified deferred compensation plan. He had $44,186 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Sarah Naumowich- Participated in a supplemental nonqualified deferred compensation plan. She had $35,685 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Joanne Mayers - Participated in a supplemental nonqualified deferred compensation plan. She had $45,632 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. Michael Smith - Participated in a supplemental nonqualified deferred compensation plan. He had $25,094 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. He had $38,475 of nonvested benefits accrue during 2019. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $9,874 in 2019. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $159,463 in benefits vest in 2019. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $62,749 in 2019. Form 990, Part V, Line 1a Number in Box 3 of Form 1096 THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN. Form 990, Part VI, Line 15a Process for determining compensation THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT FOLLOWS THE COMPENSATION POLICY OF THE INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2019, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. Form 990, Part VI, Line 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A Form 990, Part VI, Line 6 Classes of members or stockholders TRINITY HEALTH, AN INDIANA NONPROFIT CORPORATION IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER TRINITY HEALTH. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. TRINITY HEALTH SHALL RESERVE TO ITSELF IN ITS CAPACITY AS THE CORPORATE MEMBER OF THE CORPORATION THE FOLLOWING TWO CATEGORIES OF ACTIONS: CLASS I MEMBER RESERVED RIGHTS AND CLASS II MEMBER RESERVED RIGHTS. A. CLASS I MEMBER RESERVED RIGHTS. 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION. 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION. 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION. 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER). 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION. 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS. 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION. 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION. 10. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER. 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION. 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION. 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER. B. CLASS II MEMBER RESERVED RIGHTS. 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 2. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 3. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION. 4. APPROVAL OF ANY SALE, LONG TERM LEASE, MORTGAGE, ENCUMBRANCE OR DISPOSITION OF PROPERTY OF THE CORPORATION CONSTITUTING AN 'ALIENATION' UNDER PRINCIPLES OF CANON LAW. 5. APPROVAL OF MATTERS RELATING TO THE IMPLEMENTATION OF AND COMPLIANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES. 6. CHANGE IN THE NAME OF THE HOSPITAL FACILITY OF THE CORPORATION. 7. APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION OF THE CORPORATION AND THESE BYLAWS PROVIDED THAT PRIOR NOTICE OF ANY CHANGE IN THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THESE BYLAWS SHALL BE PROVIDED TO TRINITY HEALTH AND, IF SUCH CHANGE, AS A RESULT OF TRINITY HEALTH BEING A CATHOLIC ENTITY, MUST BE APPROVED BY TRINITY HEALTH, SUCH CHANGE, REGARDLESS OF WHETHER IT IS SUBSTANTIVE AS A MATTER OF CIVIL LAW, SHALL BE SUBJECT TO THE APPROVAL OF THE MEMBER. 8. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES). Form 990, Part VI, Line 11b Review of form 990 by governing body The form 990 is prepared by the organization and reviewed by the CFO as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the form 990 is made available to the entire Board. Form 990, Part VI, Line 12c Conflict of interest policy ST. JOSEPH'S HOSPITAL, INC. HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATE, BAYCARE HEALTH SYSTEM, INC. THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. ARE AVAILABLE THROUGH EMMA FOR BOND INVESTORS. THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE FLORIDA DEPARTMENT OF STATE AND CAN BE LOCATED AT SUNBIZ.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS OF FOUNDATION - -82231; CHANGE IN MINIMUM PENSION OBLIGATION - 8805845; CONTRIBUTIONS IN NET ASSETS - -2433420; BAYCARE HEALTH SYSTEM INC 2985 DREW ST CLEARWATER FL 337593012 592796965 SUPPORT SRVCS FL 501(c)(3) Type I NA false FRANCISCAN PROPERTIES INC 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 336076307 592822519 SUPPORTS SJH FL 501(c)(3) Type II SJHCC true JOHN KNOX VILLAGE OF TAMPA BAY INC 4100 FLETCHER AVE TAMPA FL 336134864 581377711 RETIRE CMMNTY FL 501(c)(3) 10 SJHCC true SOUTH FLORIDA BAPTIST HOSPITAL INC 301 N ALEXANDER STREET PLANT CITY FL 335634303 590594631 MEDICAL SRVCS FL 501(c)(3) 3 NA true ST ANTHONY'S PROF BUILDING & SERVICES 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 336076307 592018848 REAL ESTATE FL 501(c)(3) 10 SJHCC true ST JOSEPH'S COMMUNITY CARE INC 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 336076307 593152608 MEDICAL ASST FL 501(c)(3) 10 SJHCC true ST JOSEPH'S ENTERPRISES INC 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 336076307 592822516 HEALTH INVEST FL 501(c)(3) Type II SJHCC true ST JOSEPH'S HEALTH CARE CENTER INC 3001 W DR MARTIN LUTHER KING TAMPA FL 336076307 592593686 SUPPORT SRVCS FL 501(c)(3) Type II NA true ST JOSEPH'S HOSPITAL AUXILIARY INC 3001 W DR MARTIN LUTHER KING TAMPA FL 336076307 592131207 SUPPORTS SJH FL 501(c)(3) Type III-FI NA false ST JOSEPH'S HOSPITAL OF TAMPA FOUND INC 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 336076307 591100828 FUNDRAISING FL 501(c)(3) Type III-FI SJHCC true CARILLON SURG CNTR 900 CARILLON ST PETE FL 337161121 261116740 HEALTH SRVC FL SAPOB N/A false false ST ANT PHY SURG CNTR 705 16TH ST N ST PETE FL 337051334 010861245 HEALTH SRVC FL SAPOB N/A false false HEALTHPOINT MEDICAL GROUP INC 4902 EISENHOWER BLVD SUITE 300 TAMPA FL 336346344 593244268 PHYSICIAN GRO FL SJHCC C Corporation true false false true true false false false false true false true true true false true false false true true ST JOSEPH'S HEALTH CARE CENTER INC C 2433420 FMV FRANCISCAN PROPERTIES INC K 886239 FMV ST JOSEPH'S HEALTH CARE CENTER INC M 26609842 FMV ST JOSEPH'S HEALTH CARE CENTER INC O 347726 FMV SOUTH FLORIDA BAPTIST HOSPITAL INC O 940915 FMV ST JOSEPH'S ENTERPRISES INC O 98259 FMV FRANCISCAN PROPERTIES INC O 241996 FMV SOUTH FLORIDA BAPTIST HOSPITAL INC R 516937 FMV ST JOSEPH'S ENTERPRISES INC R 784097 FMV ST ANTHONY'S PROF BUILDING & SERVICES R 8292956 FMV ST JOSEPH'S HEALTH CARE CENTER INC S 26471673 FMV FRANCISCAN PROPERTIES INC S 205889 FMV