2015-11-09T22:16:57-06:00 2014-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2014-01-01 590774199 St Joseph's Hospital Inc % John Gantner STJO 8138704942 3003 W Dr Martin Luther King Blvd Tampa FL 33607 CARL TREMONTI CFO 2015-11-06 KATHY PITTS P00292940 4048748300 2014 2016-03-07 17:11:31Z Glenn Waters 3003 W Dr Martin Luther King Tampa FL 33607 944878107 false X www.sjbhealth.org 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. 22 20 6025 967 3318204 -536460 6913520 5885225 847956629 926757246 256492 251749 11240166 11932098 866366807 944826318 31000 46000 0 0 308164643 323935805 0 0 0 436463815 484313827 744659458 808295632 121707349 136530686 1141792404 1286292165 129275650 158028865 1012516754 1128263300 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 693469268 46000 931634534 ST. JOSEPH'S HOSPITAL, INC. (SJH) IS A FULL-SERVICE 1,006-BED COMMUNITY HOSPITAL. DURING 2014, SJH PROVIDED INPATIENT CARE TO 47,337 PATIENTS, TREATED 197,344 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 8,000 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, SJH SAW A NET COMMUNITY BENEFIT EXPENSE OF ALMOST $100 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $5.8 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. 693469268 true true false true false false false false false false true false false true true false 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 true true true true false false true 460 0 true 6025 true true true false false false false false false false false false X 22 20 true false true false true true true true true false false true true true true true true false true true true X John Gantner 7278208005 2985 Drew Street Clearwater FL 33759 GLENN WATERS EX-OFFICIO TRUSTEE/PRES/EVP 1.0 59.0 X X 0 1100633 152126 LEE KIRKMAN TRUSTEE/CMO BAYCARE MED GR 1.0 49.0 X 0 610178 39371 KEN ATWATAR TRUSTEE 1.0 2.0 X 0 0 0 ROBERT BASKIN TRUSTEE 1.0 2.0 X 0 0 0 MICHAEL BOOHER TRUSTEE 1.0 2.0 X 0 0 0 ROBERTA BRUNNER TRUSTEE 1.0 2.0 X 0 0 0 JAYENDRA CHOKSI TRUSTEE 1.0 2.0 X 0 0 0 RICK COLON TRUSTEE/VICE CHAIRMAN 1.0 3.0 X X 0 0 0 BO DAVIS TRUSTEE 1.0 2.0 X 0 0 0 COLEMAN DAVIS TRUSTEE 1.0 3.0 X 0 0 0 TRACY HALME TRUSTEE 1.0 2.0 X 0 0 0 JONATHAN JENNEWEIN TRUSTEE 1.0 2.0 X 0 0 0 DONNA JORDAN TRUSTEE 1.0 3.0 X 0 0 0 FAISAL KHAN TRUSTEE 1.0 3.0 X 0 0 0 ANDRE KIRWAN TRUSTEE 1.0 2.0 X 0 0 0 JUDITH LISI TRUSTEE 1.0 2.0 X 0 0 0 GENE MARSHALL TRUSTEE 1.0 3.0 X 0 0 0 CAROLYN MCMULLEN TRUSTEE/SECRETARY/TREASURER 1.0 2.0 X X 0 0 0 ERIC OBECK TRUSTEE/CHAIRMAN 1.0 3.0 X X 0 0 0 DOMENICK REINA TRUSTEE 1.0 2.0 X 0 0 0 BRUCE RODWELL TRUSTEE 1.0 4.0 X 0 0 0 ELAINE SHIMBERG TRUSTEE 1.0 2.0 X 0 0 0 GLADYS SHARKEY TRUSTEE 1.0 4.0 X 0 0 0 CARL TREMONTI CFO BAYCARE HOSP DIV 1.0 57.0 X 0 504568 25717 LORRAINE LUTTON PRES ST JOSEPH'S HOSP 1.0 49.0 X 0 527583 95947 KIMBERLY GUY PRES ST JOSEPH'S WOMEN'S & CHI 1.0 47.0 X 0 486749 41853 PATRICIA DONNELLY VP PATIENT CARE SVCS ST JOSEPH 1.0 46.0 X 0 431381 45917 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 1.0 45.0 X 0 367859 61559 MICHAEL SMITH PRES ST JOSEPH'S HOSP SOUTH 1.0 45.0 X 0 264585 24909 MARY ROBINSON DIRECTOR SURGICAL SVCS ST JSPH 45.0 0.0 X 183517 0 30654 LYDIA BOUTROS CLINICAL PHARMACIST 45.0 0.0 X 231473 0 9876 MICHAEL HANCE DIRECTOR OPERATIONS ST JOSEPH' 45.0 0.0 X 203253 0 24808 DALE SPEARS CLINICAL PHARMACIST 45.0 0.0 X 198247 0 26446 DEAN SANTOS CLINICAL PHARMACIST 45.0 0.0 X 186168 0 34072 IRA KURLAND AUTO PATIENT MEDICAL SYSTEM CO 45.0 0.0 X 185391 0 34252 CATHY YODER FORMER TREASURER 0.0 47.0 X 0 602110 38566 1188049 4895646 686073 226 true true false BARTON MALOW CO 26500 AMERICAN DR SOUTHFIELD MI 48034 CONSTRUCTION 55889377 GILBANE BLDG CO 8433 ENTERPRISE CIRCLE LAKEWOOD RANCH FL 34202 preconstruction Svcs 3267299 BAY LINEN INC 11525 47TH ST NORTH CLEARWATER FL 33762 LAUNDRY SERVICES 4106331 OB HOSPITALIST GROUP LLC 10 CENTIMETERS DR MAULDIN SC 29662 MEDICAL SERVICES 2924067 Siemens Medical Solutions USA PO Box 120001 DALLAS TX 753120733 software maintenance 2439588 149 0 1080658 4599985 204582 0 5885225 Hospital patient care 621500 578700939 575450132 3250807 0 MEDICARE/MEDICAID PAYMENTS 621990 348046322 348046322 0 0 PREMIER PURCHASING PTRS 900099 9985 9985 0 0 926757246 265764 67397 198367 0 0 1035887 1035887 0 1035887 1035887 37774 51789 -14015 -14015 -14015 0 0 0 Cafeteria 722514 6018923 0 0 6018923 MISCELLANEOUS REVENUE 621990 2988750 2988750 0 0 EMR INCENTIVE REVENUE 621990 1888538 1888538 0 0 10896211 944826318 928383727 3318204 7239162 46000 46000 0 0 0 0 0 0 214172 214172 0 0 0 0 0 0 275090306 273405467 1684839 0 9018156 8962923 55233 0 19911100 19789151 121949 0 19702071 19582131 119940 0 0 0 0 0 131123 0 131123 0 0 0 0 0 34066 34066 0 0 0 0 0 0 0 0 38772637 37448756 1323881 3087964 3083511 4453 0 11176292 10919860 256432 0 1351744 846212 505532 0 0 0 0 0 12863293 12810575 52718 0 912646 881641 31005 0 0 0 0 0 0 0 0 0 8466072 8466072 0 0 0 0 0 0 51203588 51033265 170323 0 21948194 18879040 3069154 0 Medical Supplies 132175553 132166170 9383 0 Management Fees 106440886 0 106440886 0 Bad Debt Expense 55029207 55029207 0 0 Assessments 10751555 10751555 0 0 29969007 29119494 849513 808295632 693469268 114826364 0 69819 61692 0 0 0 0 99141938 114324798 0 0 0 0 859540 1223626 14639207 15595777 3866714 4617582 1274664478 560019784 621982236 714644694 0 0 0 0 15527489 15512130 0 0 385705461 420311866 1141792404 1286292165 52683667 60860919 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76591983 97167946 129275650 158028865 X 999488158 1114746787 12988596 13276513 40000 240000 1012516754 1128263300 1141792404 1286292165 X 136530686 -20784140 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false 0 false 0 false 0 false 0 false 0 false 0 true 34066 34066 false Part II-B, Line 1i Dues were paid to the Greater Tampa Chamber of Commerce, the National Association of Children's Hospitals, and the Hillsborough County Medical Association, Florida Hospital Association, and the National Association of Psychiatric Health Systems. These organizations use a portion of their respective dues to conduct lobbying activities. 5736409 5736409 733682943 310965786 422717157 838376 534578 303798 317806444 248519420 69287024 216600306 0 216600306 714644694 Deposits 260055 Prepaid Physician Recruitment 763429 Due from Affiliates 418336133 OTHER 952249 420311866 0 NONCURRENT PENSION OBLIGATION 51363857 SERP LIABILITY 825675 ASSET RETIREMENT OBLIGATION LT 101375 Est THIRD PARTY SETTLEMENT 44877039 97167946 936965190 362746 362746 936602444 8223874 8223874 944826318 801227416 801227416 7068216 7068216 808295632 Schedule D, Supplemental information Schedule D, Part XI, Line 2d Change in interest in foundation $362,746. Schedule D, Part XI, Line 4b Revenues netted with expenses $7,068,216 Contributions in Net Assets $1,155,658 Total $8,223,874 Schedule D, Part XII, Line 4b Revenues netted with expenses $7,068,216 true true X true X 250. false true true true false true true 2 27381 30836419 30836419 0.04090 2 119082 195746575 136450217 59296358 0.07870 2 9605 8980236 4460084 4520152 0.00610 6 156068 235563230 140910301 94652929 0.12570 40 70315 1792436 888668 903768 0.00120 13 888 3295826 3295826 0.00440 3 534911 534911 0.00070 1 68 131378 131378 0.00020 7 891 96540 96540 0.00010 64 72162 5851091 888668 4962423 0.00660 70 228230 241414321 141798969 99615352 0.13230 true 55029207 27248337 133991995 143424797 -9432802 X true true 1 1 St Joseph's Hospital 3001 W Dr Martin Luther King Jr Bl Tampa FL 33615 www.baycare.org/sjh 4292 X X X X A St Joseph's Hospital 1 false false true X X X X X X X X 13 true true false true X See Part V Section C true 13 true See Part V Section C false false true X 250. 0. X X X X X true true X X X X true X X X X X X X X X X true X false X X X X X true X false false Part V Section B Line 5 All answers provided in Part V, Section B & C pertain to St. Joseph's Hospital, which includes the St. Joseph's Hospital North location. St. Joseph's Hospital North operates under the same state license number (#4292) as St. Joseph's Hospital. Line 5 Qualitative data was gathered during individual interviews with a total of 36 stakeholders of St. Joseph's Hospital - Main (which also includes Women's and Children's), St. Joseph's Hospital - North, and St. Joseph's Recovery Center service areas. These stakeholders were identified by a CHNA oversight committee including Hospital leadership and collaborating areas of other Hospital Facilities in BayCare Health System. Each stakeholder was interviewed by Tripp Umbach, a consulting firm representing the Hospitals, and lasted approximately 60 minutes. All respondents were asked the same set of questions (questions and responses can be found in the CHNA Report starting on pg 75 and Appendix B pg 436) previously developed by Tripp Umbach and reviewed by the individual Hospitals facility leadership. 1. Associate Director of the American Cancer Society 2. Administrator/HCR for Manor Care 3. Clerk and Comptroller for Pasco County 4. Chair of Mental Health and Substance Abuse Coalition in Pinellas County 5. CEO of Central Florida Behavioral Health Network 6. Commissioner of Pinellas County 7. Coalition Coordinator for the Pasco County Alliance for Substance Abuse Prevention 8. Chief Medical Officer for Chapters Health System 9. Director of the Hillsborough County Health Department 10. Dean and Professor at the University of South Florida - College of Public Health 11. Division Chief Rescue for Hillsborough County Fire Rescue 12. Detective from the Pinellas County Sheriffs Department 13. Director of Programs for Premier Community Health Care Group 14. Executive Director of the John Knox Village 15. Executive Director of the Judeo Christian Health Clinic, Inc. 16. Executive Director of Operation PAR 17. Executive Director of the Hispanic Services Council 18. Executive Director for Brighton Gardens Sunrise Senior Living 19. Executive Director of PEMHS (Personal Enrichment Mental Health Services) 20. Executive Director of the Healthy Start Coalition of Hillsborough County, Inc. 21. HR/Executive Director for the Tampa Jewish Community Center 22. Internal Medicine/Hospitalist at St. Josephs Hospital North 23. Manager of SJCH Child Advocacy 24. Registered Nurse Manager for the Trauma Agency of Hillsborough County BOCC 25. Regional Director of the Department of Children and Families 26. Regional Director for Diabetes Management at American Healthways 27. Project Manager of the One Bay Healthy Communities 28. Pulmonologist at St. Josephs Hospital North 29. Public Defender from the Pinellas/Pasco County Public Defenders Office 30. Public Information Officer for the Pasco County Health Department 31. Vice President of Community Services/West Central FL Area Agency on Aging 32. VP of Behavioral Health for BayCare Health System Behavioral Health 33. Sergeant from the Pasco County Sheriffs Department 34. Sr. Vice President of the United Way of Tampa Bay 35. Student Services Supervisor of Student Health for the Pasco County School Board 36. Supervisor of Health Services for the Pinellas County School Board Health Services In addition to the specific Stakeholder's identified, the Hospital's gathered qualitative data from residents of their individual communities by conducting facilitated focus groups. The participants were able to provide direct input related to top community needs of themselves, their families, and communities. The goal of the focus group process is that each participant feels comfortable and speaks openly so that they contribute to the discussion. It was explained to participants that there are no wrong answers, just different experiences and points of view. This process ensures that each participant shares their experiences from their point of view, even if it is different from what others have said. Specifically, focus group participants were asked to identify and discuss what they perceived to be the top health issues and/or concerns in their communities. Focus group input is subject to the limitations of the identified target populations (i.e., vocabulary, perspective, knowledge, etc.), and therefore, is not factual and inherently subjective in nature. The focus group audience participants were: 1. Residents for whom English is a second language 2. Obstetric professionals serving families that are at risk of poor birth outcomes 3. School nurses serving children and families in school settings 4. Private behavioral health practitioners serving residents with behavioral health needs Part V Section B Line 6a CHNA was conducted with the following hospital facilities: 1. St. Anthonys Hospital 2. Mease Countryside Hospital 3. Mease Dunedin Hospital 4. Morton Plant Hospital 5. Morton Plant North Bay Hospital 6. Morton Plant North Bay Recovery Center 7. South Florida Baptist Hospital 8. BayCare Alliant 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 Part V Section B Line 10a 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 Part V Section B Line 11 Based on its most recent Community Health Needs Assessment, St. Joseph's Hospital (SJH) is committed to addressing the following significant community needs: 1) Improving access to affordable healthcare 2) Decreasing the prevalence of clinical health issues 3) Improving healthy behavior and environments Specific areas of focus in 2014 include: 1) Improving access to and coordination of mental health services through the Family and Patient Preservation Program (working at home with families at-risk) and through substance abuse community alliances. 2) Advocating for Medicaid expansion and collaborating with community partners to provide services specifically to uninsured residents and migrant workers. Caseworkers and ER specialists are available on-site and by phone to assist those in need in connecting to available services in the marketplace. 3) Continuing to implement the Medical Home Model through prevention and disease management services for various conditions with focused efforts in 2014 to address pulmonary conditions, diabetes management and weight management (through BayCare Medical Group). 4) Enhancing cancer prevention and treatment initiatives through the launch of a lung cancer screening program; additional smoking cessation class offerings and through the launch of the Cancer Orientation program for newly diagnosed patients (offered in both English and Spanish). 5) Improving care coordination and outcomes for heart failure patients through daily inpatient rounds; outpatient clinics and the launch of a monthly Heart Failure support group. 6) Enhancing stroke prevention and recognition initiatives through community events (focused on sign and symptom recognition) as well as through collaborative efforts with the American Heart Association. 7) Enhancing services to improve birth outcomes through ongoing partnerships with Healthy Start, Florida Perinatal Quality Collaborative and ReachUp Hillsborough County. Efforts are underway to expand the use of donor human milk to reduce all morbidities in extreme low birth weight infants. Collaborative efforts continue in partnership with the Attorney General's office and statewide agencies to address the needs of infants born with neonatal abstinence syndrome (NAS) by improving education and outreach. 8) Evaluating and aligning services to improve health outcomes for diabetic patients including a BayCare-wide initiative in 2014 to implement a Diabetic Ketoacidosis protocol. 9) Improving care coordination and supporting initiatives to reduce readmissions including providing discharge planning and follow-up coordination in the community through chaplains and Faith Community Nurses (FCN). Medication assistance continues to be provided to those in need at all SJH facilities. In 2014 SJH continued to participate in the WCFAAA Collaborative and a Community-Based Care Transitions Program to reduce re-hospitalizations. The ED case management model was launched in second quarter of 2014 to link patients with community resources to reduce reliance on the ED for care. 10) Facilitating access to transportation services for those in need specifically by providing ambulance, security and shuttle service transportation on campus and between facilities as well as bus and cab vouchers to SJH patients unable to afford public transportation. Part V Section B Line 13B 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/financial-assistance-poli cy Line 16b https://baycare.org/about-us/financial-assistance Line 16c https://baycare.org/about-us/financial-assistance Part V Section B Line 18D Lien action related to collections is limited to patients involving auto liability insurance. Part V Section B Line 20e Every patient bill includes a plain language summary of the financial assistance policy. Part V Section B Line 22d 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. Once a patient is identified as eligible for financial assistance his/her account balance is written off 100% to charity write-offs and are no longer billed for services provided. 2 SDI Diagnostic Imaging LLC 2222 Swann Ave Tampa FL 33606 Outpatient Imaging Center Tampa Care Clinic 4600 North Habana Ave Suite 15 Tampa FL 33614 Outpatient Clinic (HIV Clinic) Part I Line 3c 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. Part I Line 6a The Community Benefit Report is available to the public and was prepared by BayCare Health System Inc. (EIN 59-2796965), a related organization. Part I Line 7 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. Part I Line 7 Column f Bad Debt expense of $55,029,207 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column. Part III Lines 2, 3, & 4 Lines 2 & 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. Part III Line 8 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) ($9,432,802) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($16,183,565) Total Surplus or (Shortfall) ($25,616,367) Part III Line 9b 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. 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 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. 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 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. Part VI Line 4 - Community Information St. Joseph's 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 19.6% of the population. 14.8% of households have annual household income below $15,000 per year. The population served by St. Joseph's Hospital is expected to grow 5.4% in the next 5 years. This is higher than the expected growth rate of 3.5% for the United States. The fastest growing population segment is Age 65+. St. Joseph's Hospital is part of BayCare Health System that serves west central Florida. The area served by St. Joseph's Hospital has 21 hospitals with 11 being Not-For-Profit. There are 12 federally designated medically underserved areas in St. Joseph's Hospital's service area. With the service area expanding and the over 65 population expected to grow 17.8% 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 10/01/13-09/30/14, the payor mix for the geographic area consists of 48.6% Medicare/Medicare HMO, 18.6% Medicaid/Medicaid HMO, 21.1% Commercial Insurance, 6.2% Self-pay, and 5.5% Other. Part VI Line 5 - Promotion of Community Health 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 February 2010, St. Joseph's opened St. Joseph's Hospital-North, a $225 million, 76-bed community hospital in northern Hillsborough County. In 2012, the hospital broke ground on the new St. Joseph's Hospital-South, which will bring not-for-profit health care to a medically underserved part of the community when it opens in 2015. 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 provide life-saving heart surgery for "Gift of Life" patients from around the world, brought comfort items to patients with specific cultural needs and worked tirelessly to extend the Franciscan tradition of hospitality to all. Community Outreach & Partnerships Through education and a focus on prevention and early detection, St. Joseph's Hospital is 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 72,100 lives in 2014. More than $4 million was spent in 2014 to support the goal of fostering and implementing community relationships and partnerships to improve the health status of the 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 and facilitate events such as the Cattle Barons' Ball (an event to raise money to fight cancer and provide services to cancer patients and their families). 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. Joseph's collaborates with The Susan G. Komen Foundation; The Judeo-Christian Clinic; The Florida Department of Health Breast & 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 2014 Heart Walk, contributing to the team that had the most participants in the Tampa Bay area. 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 2014, the family assessment workers made 5,809 initial contacts, gave 356Healthy Family assessments and provided 74,026 resources and 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. In 2014, students participated in vision, height, weight and blood pressure screenings; 146 children received physicals and 43 received immunizations. 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 2014 this program included 70 nurses working in partnerships with 38 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 2014, Faith Community Nurses directly touched the lives of nearly 14,688 people. The program provided an impressive 10,541 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. Joseph's 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. 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 more than 80 events and programs in 2014 and was able to promote better health to more than 4,002 people. Health education included CPR and First Aid, Smoking Cessation and Healthy Eating programs. 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 ac Part VI Line 6 - Affiliated Health Care System St. Joseph's Hospital, Inc. is part of BayCare, a leading, not-for-profit health care system that connects individuals and families to a wide range of services at 13 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and wellness. BayCare's Mission is to improve the health of all we serve through community-owned, health care services that set the standard for high-quality, compassionate care. On the web: http://www.baycare.org In 2014, BayCare hospitals provided 144,475 discharges and 544,678 emergency room visits. BayCare's network also includes 3,419 licensed beds, an expanding physician network, a comprehensive home health agency, three wellness centers, four ambulatory surgery centers, seven urgent care centers, 13 outpatient imaging facilities, outreach laboratories, retail pharmacies, and two stand-alone, behavioral health centers. BayCare has been developing an overall strategy to address the community's growing needs around post acute and ambulatory services. With a continued focus on establishing the foundation for population health management, BayCare strives to improve the area's access to affordable, high-quality health care. Creating the infrastructure to manage risk and population health is a multi-year initiative that encompasses aligning physicians, acquiring insurance competencies, developing information systems, and expanding care management capabilities. In this regard, BayCare has continued to expand its physician practices to 154 access points with 411 employed physicians. In 2014, its clinically integrated network, BayCare Physician Partners, grew to 943 specialists, 388 primary care physicians and 157,000 covered lives. BayCare also created a new organization, BayCare Physician Partners ACO, LLC, and applied to participate in the Medicare Shared Savings Program. BayCare will further mature its population health initiatives by working with the Centers for Medicare and Medicaid, and managing Medicare beneficiaries in the market. BayCare was founded in 1997 when several of the area's not-for-profit hospitals came together, united by the common Mission to improve the health of all they served. As an integrated health system, BayCare's hospital members believed they could reduce costs by consolidating administrative functions and services, and improve quality by sharing best practices. BayCare is currently one of the largest employers in the region with 23,600 employees and one of the few health systems in the nation with a top-decile, AA2 credit rating. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, St. Joseph's Hospital-North, St. Joseph's Hospital-South, Winter Haven Hospital and Winter Haven Women's. Today, BayCare's financial stability and centralization of shared services in Finance, Business Office, Information Technology, Human Resources, Performance Improvement, Clinical Outcomes, Materials Management, and Marketing/Communications strengthen each hospital's ability to serve the health needs of its local communities and continue providing traditional charity care and unbilled community services to uninsured and underinsured residents. BayCare also provides the organizational commitment and corporate infrastructure to help its hospitals and services continue striving to be among the highest quality organizations in the country, with a shared culture centered on continuous improvement and serving the needs of patients, regardless of their ability to pay. In 2014, BayCare provided $266.4 million in community benefit, which includes $117.3 million in traditional charity care, $139 million in Medicaid and other means-tested programs, and $10.1 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare also continues to refocus its strategic vision around 4 Key Results: 1. Patient-Centered Experience - A relationship with patients that places them first in everything we do. 2. One Standard of Care - Reducing variation by adhering to standard processes which assure best practices. 3. Top-Decile Performance - Consistently performing in the top 10 percent of publicly reported quality and service measures. 4. Preservation of Financial Stability - Maintaining its AA credit rating and level of market relevance to secure future access to the capital necessary to advance health care quality and access. Part VI Line 7 - State Filing 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. true Ronald McDonald House of Tampa Bay 28 Columbia Dr Tampa FL 33606 591835985 501(c)(3) 25000 0 Donation to Story Book Ball American Cancer Society 2006 W Kennedy Blvd Tampa FL 33606 590657320 501(c)(3) 6000 0 Pledge to assist in the building of the Glazer Children's Museum in Tampa, Florida 2 Schedule I, Part II DESCRIPTION OF THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS The organization is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Each cash donation request is reviewed by the senior management team to determine whether the organization is one we want to donate to, based on the organization's mission, non-profit status and usage of funds. Once approved, we require proper documentation from the organization of their non-profit status and follow-up to ensure the activity has occurred. false true false false false false false false false GLENN WATERS EX-OFFICIO TRUSTEE/PRES/EVP 0 769166 0 246271 0 85196 0 118321 0 33805 0 1252759 0 0 LEE KIRKMAN TRUSTEE/CMO BAYCARE MED GR 0 489554 0 107161 0 13463 0 22617 0 16754 0 649549 0 0 CARL TREMONTI CFO BAYCARE HOSP DIV 0 343558 0 80851 0 80159 0 13923 0 11794 0 530285 0 0 LORRAINE LUTTON PRES ST JOSEPH'S HOSP 0 357700 0 90699 0 79184 0 60553 0 35394 0 623530 0 0 KIMBERLY GUY PRES ST JOSEPH'S WOMEN'S & CHI 0 321679 0 89443 0 75627 0 15386 0 26467 0 528602 0 0 PATRICIA DONNELLY VP PATIENT CARE SVCS ST JOSEPH 0 288407 0 74823 0 68151 0 26857 0 19060 0 477298 0 0 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 0 240881 0 63693 0 63285 0 50687 0 10872 0 429418 0 0 MICHAEL SMITH PRES ST JOSEPH'S HOSP SOUTH 0 231453 0 22000 0 11132 0 10163 0 14746 0 289494 0 0 MARY ROBINSON DIRECTOR SURGICAL SVCS ST JSPH 163728 0 16540 0 3249 0 15451 0 15203 0 214171 0 0 0 LYDIA BOUTROS CLINICAL PHARMACIST 148946 0 75175 0 7352 0 9111 0 765 0 241349 0 0 0 MICHAEL HANCE DIRECTOR OPERATIONS ST JOSEPH' 174759 0 18385 0 10109 0 15841 0 8967 0 228061 0 0 0 DALE SPEARS CLINICAL PHARMACIST 137298 0 54275 0 6674 0 6199 0 20247 0 224693 0 0 0 DEAN SANTOS CLINICAL PHARMACIST 129721 0 49850 0 6597 0 8154 0 25918 0 220240 0 0 0 IRA KURLAND AUTO PATIENT MEDICAL SYSTEM CO 158302 0 18800 0 8289 0 15786 0 18466 0 219643 0 0 0 CATHY YODER FORMER TREASURER 0 269183 0 70324 0 262603 0 20672 0 17894 0 640676 0 191371 SUPPLEMENTAL COMPENSATION INFORMATION 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 4b Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $70,489 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other Compensation. He had $98,732 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $29,570 in 2014. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $58,771 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. He had $923 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,655 in 2014. Patricia Donnelly - Participated in a supplemental nonqualified deferred compensation plan. She had $57,713 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. She had $6,843 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,211 in 2014. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $67,869 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. She had $2,386 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $28,471 in 2014. Paula McGuiness - Participated in a supplemental nonqualified deferred compensation plan. She had $41,171 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $17,271 in 2014. Lorraine Lutton - Participated in a supplemental nonqualified deferred compensation plan. She had $59,950 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $25,149 in 2014. Michael Smith - Participated in a supplemental nonqualified deferred compensation plan. He had $2,998 of nonvested benefits accrue during 2014. This amount is included in Part II (C) Retirement and other deferred compensation. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She became 100% vested in 2014. She had $252,334 in benefits vest in 2014. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $105,854 in 2014. PART VI, LINE 2 DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS ELAINE SHIMBERG AND LEE KIRKMAN ARE BOARD MEMBERS OF THE ORGANIZATION, AS WELL AS BOARD MEMBERS OF A TAXABLE ENTITY, WHICH IS AN AFFILIATE OF THE FILING ORGANIZATION. 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. PART VI, LINE 4 - SIGNIFICANT CHANGES TO ORGANIZING DOCUMENTS 1) ARTICLE IV(A) CHANGED FROM SUPPORTING THE MISSION OF THE FRANCISCAN SISTERS OF ALLEGANY NY TO SUPPORTING THE MISSION OF CATHOLIC HEALTH MINISTRIES. 2) ARTICLE VI, SECTION 1 CHANGE OF THE CORPORATE MEMBER FROM CATHOLIC HEALTH EAST TO TRINITY HEALTH. PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS TRINITY HEALTH, AN INDIANA NONPROFIT CORPORATION IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL, INC. PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER TRINITY HEALTH. PART VI, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS 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). PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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 PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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. PART VI, LINES 15A & 15B PROCESS USED FOR COMPENSATION REVIEW AND APPROVAL 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 & 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 2013, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. PART VI, LINE 16B PROCEDURE TO EVALUATE JOINT VENTURE ARRANGEMENTS 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. PART VI, LINE 19 HOW AND IF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ST. JOSEPH'S HOSPITAL, INC. PUBLISHES ITS FINANCIAL STATEMENTS WITH THE AGENCY FOR HEALTH CARE ADMINISTRATION. GOVERNING DOCUMENTS AND POLICIES ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART XI, LINE 9 CHANGE IN NET ASSETS OF FOUNDATION ($1,025,686) CHANGE IN MINIMUM PENSION OBLIGATION ($20,704,124) CONTRIBUTIONS IN NET ASSETS $1,155,658 OTHER ($209,988) TOTAL ($20,784,140) SDI Diagnostic Imaging LLC 2222 Swann Ave Tampa FL 33606 810604563 radiology FL 0 0 St Joseph's BayCare Health System Inc 2985 Drew St Clearwater FL 33759 592796965 Support srvcs FL 501(C)(3) 11a na false Franciscan Properties Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592822519 Supports SJH FL 501(C)(3) 11b SJHCC true John Knox Village of Tampa Bay Inc 4100 Fletcher Ave Tampa FL 33613 581377711 retire cmmnty FL 501(C)(3) 9 SJHCC true South Florida Baptist Hospital Inc 301 N Alexander Street Plant City FL 33563 590594631 Medical srvcs FL 501(C)(3) 3 NA true St Anthony's Prof Building & Services 1200 Seventh Ave North St Petersburg FL 33705 592018848 Real Estate FL 501(C)(3) 9 SJHCC true St Joseph's Community Care Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 593152608 Medical asst FL 501(C)(3) 9 SJHCC true St Joseph's Enterprises Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592822516 Health invest FL 501(C)(3) 11b SJHCC true St Joseph's Health Care Center Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592593686 Support srvcs FL 501(C)(3) 11b NA true St Joseph's Hospital Auxiliary Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592131207 Supports SJH FL 501(C)(3) 11c NA false St Joseph's Hospital of Tampa Found Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 591100828 Fundraising FL 501(C)(3) 11c SJHCC true Carillon Surg Cntr 900 Carillon St Pet FL 33716 261116740 HEALTH SRVC FL NA NA 0 0 false 0 false 0.00000 St Ant Phy Surg Cntr 705 16th St N St Pet FL 33705 010861245 HEALTH SRVC FL NA NA 0 0 false 0 false 0.00000 Healthpoint Management Services Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 650645457 Billing/mgmt FL na C corp 0 0 0.00000 true Healthpoint Medical Group Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 593244268 Physician group FL na C corp 0 0 0.00000 true true false true true false false false false true true true true true false true false false true true Healthpoint Management Services Inc a(iv) 272765 FMV St Joseph's Hospital of Tampa Foundation c 1080658 FMV Franciscan Properties Inc k 983959 FMV Franciscan Properties Inc l 239001 FMV St Joseph's Health Care Center Inc m 20430709 FMV South Florida Baptist Hospital Inc o 329848 FMV Healthpoint Medical Group Inc o 269000 FMV South Florida Baptist Hospital Inc r 151663 FMV Franciscan Properties Inc r 303284 FMV John Knox Village of Tampa Bay Inc r 56701 FMV St Joseph's Health Care Center Inc s 873255 FMV St Joseph's Enterprises Inc s 469545 FMV St Joseph's Hospital of Tampa Foundation s 67241 FMV Healthpoint Management Services Inc s 260690 FMV Healthpoint Medical Group Inc s 470567 FMV