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        <PersonNm>CARL TREMONTI</PersonNm>
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        <PersonNm>KIMBERLY GUY</PersonNm>
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        <PersonNm>PAULA MCGUINESS</PersonNm>
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        <PersonNm>LORRAINE LUTTON</PersonNm>
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        <PersonNm>MICHAEL SMITH</PersonNm>
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        <PersonNm>MATTHEW NOVAK</PersonNm>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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    </IRS990>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C Part II - B, Line 1b, 1g and 1i Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Dues were paid to the Greater Tampa Chamber of Commerce, the National Association of Children's Hospitals, Florida Society of Health-System Pharmacists, Safety Net Hospitals for Pharmaceutical Access, and teh American Society of Health-System Pharmacists. These organizations use a portion of their respective dues to conduct lobbying activities.</ExplanationTxt>
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      <RevenueNotReportedFinclStmtAmt>94816724</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
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        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V Section C</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>0.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V Section C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V Section C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V Section C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitOtherActionsInd>X</PermitOtherActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V Section B Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Josephs 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, 70 community stakeholders in the St. Joseph's Hospital Service Area took part in the Online Key Informant Survey, as outlined on page 8 of the CHNA. Several of the participants responding to the survey represent organizations which work with low-income, minority or other medically underserved populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V Section B Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>CHNA was conducted with the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL 2. MORTON PLANT HOSPITAL ASSOCIATION 3. TRUSTEES OF MEASE 4. ST. JOSEPH'S HOSPITAL 5. SOUTH FLORIDA BAPTIST HOSPITAL Part V Section B Line 7a St. Joseph's Hospital: https://baycare.org/sjh/about-us/community-health-needs St. Joseph's Hospital-North: https://baycare.org/sjhn/about-us/community-health-needs</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V Section B Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>While 15 areas of opportunity were identified within St. Josephs Hospitals service areas, concentrated efforts will be dedicated during the 2017-2019 time period to addressing the following significant health needs of our community as identified in the most recent CHNA: - Access to HealthCare Services - Cancer - Diabetes - Heart Disease &amp; Stroke - Infant Health - Mental Health - Substance Abuse - Nutrition, Physical Activity &amp; Weight Please see the attached implementation plan for specific activities that are underway to address these significant health needs during the 2017-2019 time period. Based on the scope/scale of the issue; St. Josephs Hospitals leadership teams perceived ability to impact the issue; the availability of existing community resources already in place to address the issue and considering community stakeholder feedback, the significant health needs identified during the 2016 assessment that are not directly referenced in the 2017-2019 CHNA implementation strategy are listed below: HIV/AIDS While no new activities are noted within the Cycle-2 CHNA implementation plan specifically related to HIV/AIDS, St. Josephs Hospitals remain committed to supporting those affected by HIV/AIDS. St. Josephs Hospitals continued operation of HIV clinics is one of the specific ways in which that commitment to our community is demonstrated on a daily basis. Limited resources and lower priority excluded this as an area chosen for new action during the Cycle-2 period. Injury &amp; Violence St. Josephs Hospitals leadership believes that this priority area falls more within the purview of other community organizations. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action. Oral Health St. Josephs Hospitals have limited resources, services and expertise available to address oral health. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources and lower priority excluded this as an area chosen for action. Potentially Disabling Conditions St. Josephs Hospitals leadership believes that efforts outlined herein to improve access to health services will have a positive impact on aiding those with potentially disabling conditions and that a separate set of initiatives was not necessary at this time. Respiratory Diseases While no new activities are noted within the Cycle-2 CHNA implementation plan specifically related to respiratory diseases, St. Josephs Hospitals remain committed to supporting those affected by these conditions through various initiatives (specifically COPD, CLRD and asthma). Limited resources and lower priority excluded this as an area chosen for new action during the Cycle-2 period. Sexually Transmitted Diseases St. Josephs Hospitals leadership believes that this priority area falls more within the purview of the county health department and other community organizations. Limited resources and lower priority excluded this as an area chosen for action. Tobacco Use While no new activities are noted within the Cycle-2 CHNA implementation plan specifically related to Tobacco Use, St. Josephs Hospitals have integrated smoking cessation initiatives within the Heart Disease &amp; Stroke and Diabetes sections of the plan. A separate set of initiatives was not considered to be necessary at this time.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V Section B Line 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients may be eligible for financial assistance on the portion of hospital bills exceeding 25% of annual income. Part V Section B Line 16 Line 16a https:/baycare.org/about-us/financial-assistance Line 16b https://baycare.org/about-us/financial-assistance Line 16c https://baycare.org/about-us/financial-assistance Part V Section B Line 18E Lien action related to collections is limited to patients involving auto liability insurance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>8</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Tampa Care Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4600 North Habana Ave Suite 15</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33614</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic (HIV Clinic)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SJH Children's Specialty Center-N Tampa</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15045 Bruce B Downs Blvd</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33647</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Rehabilitation for children and adolescents</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SJH Children's Specialty Center-Brandon</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10817 Bloomingdale Ave</AddressLine1Txt>
            <CityNm>Riverview</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33578</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Rehabilitation for children and adolescents</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SJH Physicial Therapy &amp; Sports Rehab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>310 S MacDill Ave</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33609</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SJH Behavioral Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4918 N Habana Ave</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33614</ZIPCd>
          </USAddress>
          <FacilityTxt>IP Psych unit</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SJH Children's Specialty Center-Mease C</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3253 N McMullen Booth Rd Suite 10</AddressLine1Txt>
            <CityNm>Clearwater</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33761</ZIPCd>
          </USAddress>
          <FacilityTxt>OP Rehabilitation svcs for children and adolescents</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Joseph Pinellas Care Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3554 1st Ave South</AddressLine1Txt>
            <CityNm>St Petersburg</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33713</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Joseph's Outpatient Reh Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3003 W Dr MLK Jr Blvd 2nd Floor</AddressLine1Txt>
            <CityNm>Tampa</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33607</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part I line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Benefit Report is available to the public and was prepared by BayCare Health System Inc. (EIN 59-2796965), a related organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part i line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part i line 7 column f</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt expense of $88,471,300 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINES 2, 3, &amp; 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Lines 2 &amp; 3 Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients 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 finance 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. Line 4 The organization's financial statements include a footnote that describes bad debt expense on page 9 and 10 of the Trinity Health BayCare Participants and Their Affiliated Organizations Notes to Consolidated Financial Statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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 70% 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) ($29,982,478) - Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($20,592,660) - Total Surplus or (Shortfall) ($50,575,138)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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), patients' account balance would be written off completely to charity and not billed to the patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part vi line 2 - needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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 in the communities it serves. 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. In addition, St. Joseph's Hospital, Inc conducts physician community need 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>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 St. Joseph's Hospital, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Josephs Hospital is in a suburban setting serving all of Hillsborough and Pasco counties and parts of several surrounding counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 22.5% of the population. 12.5% of households have annual household income below $15,000 per year. The population served by St. Josephs Hospital is expected to grow 7.1% in the next 5 years. This is higher than the expected growth rate of 3.8% for the United States. The fastest growing population segment is Age 65+. St. Josephs Hospital is part of BayCare Health System that serves west central Florida. The area served by St. Josephs Hospital has 21 hospitals with 11 being Not-for-Profit. There are 2 federally designated underserved areas and 10 federally designated medically underserved populations in St. Josephs Hospitals service area. With the service area expanding and the over 65 population expected to grow 19.2% in the next five years, the health care needs of our service area are expanding and changing. Based on Florida inpatient discharge data for the period of 10/01/2015-09/30/2016, the payer mix for the geographic area consists of 47.8% Medicare/Medicare HMO, 18.0% Medicaid/Medicaid HMO, 22.3% Commercial Insurance, 6.5% Self pay/Non-pay, and 5.4% Other.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Joseph's Hospital, Inc. St. Joseph's Hospital was founded in 1934 as a mission of the Franciscan Sisters of Allegany, who traveled from New York during the Great Depression to bring much-needed medical assistance to the people of Tampa. By 1967, the hospital outgrew its original three-story facility and moved to its current location. Since that time, services and facilities have grown dramatically to include a children's hospital, a women's hospital, new patient care buildings, plus heart and cancer institutes. In recent years, St. Josephs has further improved access to care each by opening hospitals in areas that were previously underserved. The first of these was St. Josephs Hospital-North, a $225 million, 76-bed community hospital in northern Hillsborough County that opened in 2010. Five years later, St. Joseph's Hospital-South opened in southern Hillsborough County. This state-of-the-art facility includes 90 private patient rooms, 22 private observation rooms and a 32-bed emergency center, bringing a full-service not-for-profit hospital to a previously medically underserved community. While much has changed over the years, St. Joseph's Hospital's commitment to improve the health of its community through accessible, compassionate and family-focused health care services remains. For more than 80 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. First, caseworkers identify families who were facing difficult times even before they encountered a personal health crisis. Then hospital departments adopt families and provide personalized gifts and food to make the families holiday season a joyous one. This truly compassionate team continues to give back to the community by doing what it does best - giving even more. St. Joseph's Hospital serves as the safety net for the community. Not just by providing emergency services for anyone at any time, but by helping people like no one else can - or will. The hospital has served as a safe place for frightened mothers to leave their newborns behind, researched every option for financial and social services for those in need and provided transportation for patients who have no other means to get home - whether home is down the road or across an ocean. Caring team members have worked tirelessly to help patients transition from the hospital setting to the next level of care, taking into consideration patients' special needs and lack of financial resources. Others have donated their time and talent to mission trips, brought comfort items to patients with specific cultural needs and worked tirelessly to extend the Franciscan tradition of hospitality to all. Community Outreach &amp; Partnerships Through education and a focus on prevention and early detection, St. Joseph's Hospitals are building a healthier community while reducing suffering and total health care costs. Through community health improvement programs, which include health screenings, physician lectures, support groups, health fairs and mobile clinics, the hospital touched more than 70,000 lives in 2016. More than $6 million was spent in 2016 to support our strategic directions to fostering 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. Some examples of our participation in community partnerships include: St. Joseph's Cancer Institute partners with the American Cancer Society to provide patient information and support. In addition, the hospital hosts free cancer support groups and lectures on topics such as colon cancer, ovarian and gynecologic cancer, breast cancer, prostate cancer and more. Meanwhile, St. Joseph's Cancer HelpLine serves as a free, confidential resource for information about the disease as well as referrals to physicians, community programs and hospital services. St. Josephs collaborates with The Susan G. Komen Foundation; The Judeo-Christian Clinic; The Florida Department of Health Breast &amp; Cervical Early Detection Program and The Sisters Network to offer breast health risk assessments and high-risk screening for breast cancer. St. Joseph's Heart Institute partners with the American Heart Association to educate the community about heart disease and stroke. St. Joseph's Hospital was a major sponsor in the 2016 Heart Walk. In addition, the hospital offers free healthy heart screenings to families of cardiac patients because it recognizes the strong role heredity can plan in heart disease. Throughout the year, the hospital offers free lectures and events to educate the community about the importance of keeping a healthy heart. Healthy Families Hillsborough is a community-based, voluntary home visiting program designed to enable children to grow up healthy, safe and nurtured. The program is designed to enhance family strengths through education and support. Specifically, the program's six broad goals for enrolled families are: to reduce the incidence of child abuse and neglect; to enhance parents' ability to create stable and nurturing home environments; to promote child health and development; to help develop positive parent-child interaction; to help ensure that families' social and medical needs are met; and to ensure families are satisfied with program services. St. Joseph's Children's Hospital provides an assessment component that is essential to the recruitment and service provision for families that qualify for Healthy Family Services. In 2016, the family assessment workers made initial contacts, gave Healthy Family assessments and provided referrals. For Back to School Health Fairs, St. Joseph's Hospital teams up with the Hillsborough County School System and the Hillsborough County Back to School Coalition to provide required screenings and easier access to immunizations for underserved families and children. St. Joseph's Faith Community Nursing program was established to provide health and wellness information to members of local congregations of all denominations. The goal is to assist congregations in developing health ministries that compassionately and effectively address the emotional, physical and spiritual needs of individuals within the congregation and the people they reach out to in their communities. The hospital provides the infrastructure for the Faith Community Nurse Program and assists the faith community by providing recruitment, training, continuing nurse education and health screenings. In 2016 this program included 74 nurses working in partnerships with 39 congregations and 2 clinics in Hillsborough, Western Polk and Southern Pasco counties. Through home and hospital visits, parish nurse office visits or other encounters at the church, educational programs, health fairs and other forms of correspondence in 2016, Faith Community Nurses directly touched the lives of more than 34,000 people. The program provided an impressive 27,000 volunteer hours of service in the community. In 1994, the Catholic Diocese of St. Petersburg founded the San Jose Mission located in Dover, Florida. The mission provides housing, childcare, food, clothing and assistance to the migrant farm worker community of Eastern Hillsborough County. Over the past several years, many new resources have been added including the full-time services of a Parish Nurse. The Parrish Nurse is sponsored by St. Josephs Hospital to implement strategies that meet the physical, emotional, spiritual and social needs of the primarily Spanish-speaking population. Serving more than 250 individuals monthly, the nurse is a knowledgeable and compassionate presence to many who are unable to access basic health and social services. St. Joseph's Community Health team develops community partnerships with area agencies, creating collaborative efforts that bring health services directly into area neighborhoods. As a result, Community Health participated in 145 events and programs in 2016 and was able to promote better health to more than 8,374 people. Health education included CPR and First Aid, Smoking Cessation, Wellness Screenings, Flu Shots and Back-to-School Fairs. In addition, Community Health identifies general and disease-specific risk factors to be able to provide appropriate education, one-on-one counseling, follow-up nurse support and referrals. More than half of the team's events are outreach activities offered outside the hospital. Some services are provided on four Wellness On Wheels mobile buses. These 37-foot mobile health units are equipped to provide health screenings, immunizations and education. Health screenings offered at little or no cost to the community include blood pressure</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Joseph's Hospital is part of BayCare Health System, Inc. (BayCare), a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 14 hospitals and hundreds of other convenient locations throughout the Tampa Bay region and West Central Florida. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and urgent care. BayCares annual report to the community can be viewed at https://baycare.org/annual-report. *BayCares hospitals are Bartow Regional Medical Center, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthonys, South Florida Baptist, St. Josephs, St. Josephs Womens, St. Josephs Childrens, St. Josephs Hospital-North, St. Josephs Hospital-South, Winter Haven Hospital and Winter Haven Womens. BayCare was founded in 1997 when several of the areas not-for-profit hospitals came together, united by the common mission to improve the health of all they served. BayCare is now a $3.97 billion, integrated health delivery system and one of the largest employers in the Tampa Bay area with 26,900 employees. BayCare also plays an important role as an economic engine, generating a $6.6 billion impact on the region and the state. In 2016, BayCare used almost half of its total revenue to pay for the salary and benefits of its employees and spent $589 million for large projects to serve future community health care needs, technology, and new programs and facilities. BayCares centralization of administrative functions in several areas, including Finance, Business Office, Information Technology, Human Resources, Performance Improvement, Clinical Outcomes, Planning, Materials Management, and Marketing/Communications, has provided a management structure that helps its hospitals and service lines operate more efficiently and continue striving for clinical excellence. BayCares financial stability also helps ensure that its hospitals remain focused on their shared Mission to improve the health of all they serve through community-owned health care that sets the standard for high-quality, compassionate care, regardless of ability to pay. In 2016, BayCare provided $346 million in total community benefit, which includes $110 million in traditional charity care for underinsured and uninsured patients, $217 million in Medicaid and other income-based programs, and $19 million in unbilled community services. All of these are measured in unreimbursed cost. *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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 7 - STATE FILING</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hemophilia Foundation of Greater Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1350 West Orange Ave Ste 227</AddressLine1Txt>
          <CityNm>Winter Park</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32789</ZIPCd>
        </USAddress>
        <RecipientEIN>593418827</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Supporting SJH patients</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hillsborough County Medical Assn</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>606 South Blvd</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33606</ZIPCd>
        </USAddress>
        <RecipientEIN>593470072</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART 1, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ST. JOSEPH'S HOSPITAL, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULA MCGUINESS</PersonNm>
        <TitleTxt>PRES ST JOSEPH'S HOSP NORTH</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>105812</OtherCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL COMPENSATION INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 3 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. PART I, LINE 4A Cathy Yoder received a severance payment in the amount of $26,704 during 2016. PART I, LINE 4B Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $142,556 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other Compensation. He had $40,877 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $59,802 in 2016. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $97,566 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $40,928 in 2016. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $99,643 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $41,800 in 2016. Paula McGuiness - Participated in a supplemental nonqualified deferred compensation plan. She had $41,886 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $17,571 in 2016. Lorraine Lutton - Participated in a supplemental nonqualified deferred compensation plan. She had $62,826 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $26,356 in 2016. Michael Smith Participated in a supplemental nonqualified deferred compensation plan. He had $43,876 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $46,569 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $19,536 in 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CARL TREMONTI AND GLENN WATERS ARE OFFICERS OF THE FILING ORGANIZATION, AS WELL AS BOARD MEMBERS OF A TAXABLE ENTITY WHICH IS AN AFFILIATE OF THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TRINITY HEALTH, AN INDIANA NONPROFIT CORPORATION IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER TRINITY HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WAS PROVIDED TO THE ENTIRE BOARD VIA A WEB PORTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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. FOR BOARD MEMBERS, THE REVIEW OF CONFLICTS OR POTENTIAL CONFLICTS OCCURS AT THE BOARD OR COMMITTEE LEVEL. AFTER DISCLOSURE OF THE BOARD MEMBER'S OR COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS, WITHOUT EXCEPTION: 1. THE INTERESTED DIRECTOR OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE CONFLICT OF INTEREST ISSUE IS DISCUSSED. 2. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. 3. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST: A. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED INDIVIDUAL OR COMMITTEE TO INVESTIGATE THE PROPOSED TRANSACTION OR ARRANGEMENT. B. 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. C. 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 DIRECTOR OR COMMITTEE MEMBER SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. THE DIRECTOR OR COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD OR 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 DIRECTORS OR COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED DIRECTOR OR COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, lines 15a &amp; 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT ALSO FOLLOWS THE COMPENSATION POLICY OF THE COMPENSATION COMMITTEE. THE INDEPENDENT COMPENSATION COMMITTEE IS 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 &amp; 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 OCCURRING IN 2015, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, part vi, line 16b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A JOINT VENTURE COMMITTEE OF SUBJECT MATTER EXPERTS WHO REVIEW POTENTIAL ARRANGEMENTS WITH TAXABLE JOINT VENTURES. THE COMMITTEE REVIEWS FOR COMPLIANCE WITH RELEVANT TAX LAWS AND CONDUCTS A REVIEW OF WHETHER THE JOINT VENTURE FURTHERS THE ORGANIZATION'S EXEMPT PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. JOSEPH'S HOSPITAL, INC. PUBLISHES ITS FINANCIAL STATEMENTS WITH THE AGENCY FOR HEALTH CARE ADMINISTRATION. GOVERNING DOCUMENTS ARE AVAILABLE VIA SUNBIZ.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990m PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets CHANGE IN NET ASSETS OF FOUNDATION $(20,264,944) EQUITY TRANSFER $ 2,910,406 CHANGE IN MINIMUM PENSION OBLIGATION $ 2,278,714 CONTRIBUTIONS IN NET ASSETS $ (190,268) Total $(15,266,092)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BayCare Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2985 Drew St</AddressLine1Txt>
          <CityNm>Clearwater</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33759</ZIPCd>
        </USAddress>
        <EIN>592796965</EIN>
        <PrimaryActivitiesTxt>Support srvcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12a</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Franciscan Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>592822519</EIN>
        <PrimaryActivitiesTxt>Supports SJH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>John Knox Village of Tampa Bay Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4100 Fletcher Ave</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33613</ZIPCd>
        </USAddress>
        <EIN>581377711</EIN>
        <PrimaryActivitiesTxt>retire cmmnty</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>South Florida Baptist Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 N Alexander Street</AddressLine1Txt>
          <CityNm>Plant City</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33563</ZIPCd>
        </USAddress>
        <EIN>590594631</EIN>
        <PrimaryActivitiesTxt>Medical srvcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Anthony's Prof Building &amp; Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 Seventh Ave North</AddressLine1Txt>
          <CityNm>St Petersburg</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33705</ZIPCd>
        </USAddress>
        <EIN>592018848</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Community Care Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>593152608</EIN>
        <PrimaryActivitiesTxt>Medical asst</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Enterprises Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>592822516</EIN>
        <PrimaryActivitiesTxt>Health invest</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Health Care Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>592593686</EIN>
        <PrimaryActivitiesTxt>Support srvcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Hospital Auxiliary Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>592131207</EIN>
        <PrimaryActivitiesTxt>Supports SJH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12c</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Joseph's Hospital of Tampa Found Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3001 W Dr Martin Luther King Jr B</AddressLine1Txt>
          <CityNm>Tampa</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33607</ZIPCd>
        </USAddress>
        <EIN>591100828</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12c</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SJHCC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Carillon Surg Cntr</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>900 Carillon</AddressLine1Txt>
          <CityNm>St Pet</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33716</ZIPCd>
        </USAddress>
        <EIN>261116740</EIN>
        <PrimaryActivitiesTxt>HEALTH SRVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SAPOB</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>St Ant Phy Surg Cntr</BusinessNameLine1Txt>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>Franciscan Properties Inc</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>St Joseph's Health Care Center Inc</BusinessNameLine1Txt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>