ST JOSEPHS HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPHS HOSPITAL INC (EIN 59-0774199)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349300726
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T14:44:12-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590774199EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph's Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CARL TREMONTIInCareOfName
Name ControlSTJONameControl
Phone8138704942Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13003 W Dr Martin Luther King BlvdAddressLine1
Address Line2SuiteAddressLine2
CityTampaCity
StateFLState
ZIP Code33607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL TREMONTIName
TitleCFOTitle
Date Signed2013-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGlenn WatersNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13003 W Dr Martin Luther KingAddressLine1
CityTampaCity
StateFLState
ZIP Code33607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts832369705GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.Sjbhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSt. Joseph's Hospital will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees5633TotalNbrEmployees
Total Nbr Volunteers1037TotalNbrVolunteers
Total Gross UBI3800456TotalGrossUBI
Net Unrelated Business Txbl Income-510348NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5588638ContributionsGrantsPriorYear
Contributions Grants Current Year5916901ContributionsGrantsCurrentYear
Program Service Revenue Prior Year800359231ProgramServiceRevenuePriorYear
Program Service Revenue CY813716768ProgramServiceRevenueCY
Investment Income Prior Year111403InvestmentIncomePriorYear
Investment Income Current Year298660InvestmentIncomeCurrentYear
Other Revenue Prior Year7521296OtherRevenuePriorYear
Other Revenue Current Year12242513OtherRevenueCurrentYear
Total Revenue Prior Year813580568TotalRevenuePriorYear
Total Revenue Current Year832174842TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year63000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY73880GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year303715939SalariesEtcPriorYear
Salaries Etc Current Year300619491SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year428014299OtherExpensePriorYear
Other Expenses Current Year432529291OtherExpensesCurrentYear
Total Expenses Prior Year731793238TotalExpensesPriorYear
Total Expenses Current Year733222662TotalExpensesCurrentYear
Revenues Less Expenses Prior Year81787330RevenuesLessExpensesPriorYear
Revenues Less Expenses CY98952180RevenuesLessExpensesCY
Total Assets BOY918154342TotalAssetsBOY
Total Assets EOY1031629066TotalAssetsEOY
Total Liabilities BOY149323201TotalLiabilitiesBOY
Total Liabilities EOY160032222TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY768831141NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY871596844NetAssetsOrFundBalancesEOY
Mission DescriptionSt. 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense637889546Expense
Grants73880Grants
Revenue825682851Revenue
DescriptionSt. Joseph's Hospital (SJH) is a full-service 1,006-bed community hospital. During 2012, SJH provided inpatient care to 46,664 patients, treated 181,869 patients in the emergency department, and delivered 7,280 babies. Through efforts of the medical assistance program and the hospital's charity care program SJH saw a net community benefit expense of $88.8 million. The hospital also provided other community services totaling more than $5.4 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.Description
Total Program Service Expense637889546TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096483NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees5633NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCARL TREMONTINamePerson
Telephone Number8138704235TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13003 W Dr Martin Luther King Jr BlvAddressLine1
CityTampaCity
StateFLState
ZIP Code33607ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARY ARGHITTU
TRUSTEE1.04.0X
MICHAEL BOOHER
TRUSTEE1.02.0X
JOHN BORRECA
TRUSTEE AND CHAIRMAN1.03.0XX
DONNA JORDAN
TRUSTEE1.02.0X
CAROLYN MCMULLEN
TRUSTEE1.02.0X
DOMENICK REINA
TRUSTEE1.02.0X
BRUCE RODWELL
TRUSTEE AND VICE CHAIRMAN1.03.0XX
GLADYS SHARKEY
TRUSTEE1.04.0X
WILLIAM WEST
TRUSTEE1.03.0X
ALBERT WHITAKER
TRUSTEE1.02.0X
LEE KIRKMAN
TRUSTEE1.047.0X037530534244
ISAAC MALLAH
EX-Officio Trustee and Prsdnt1.051.0XX0133873473467
RICK COLON
TRUSTEE1.02.0X
GENE MARSHALL
TRUSTEE1.02.0X
WINNIE MARVEL
TRUSTEE1.02.0X
ERIC OBECK
TRUSTEE1.03.0X
ROBERT BASKIN
TRUSTEE1.02.0X
JUDITH LISI
TRUSTEE1.02.0X
ELAINE SHIMBERG
TRUSTEE1.02.0X
BRENDA BALICKI
SECRETARY45.03.0X6310713366
CATHY YODER
CFO AND TREASURER1.051.0X038551152921
PATRICIA DONNELLY
VP PATIENT CARE SERVICES - SJB1.047.0040231666226X
KIMBERLY GUY
COO, SJWH & SJCH1.048.0045288057789X
MICHAEL HANCE
DIRECTOR RADIOLOGY45.0182394023651X
MARY ROBINSON
DIR. SURGICAL SERVICES - SJH45.0176337028410X
PAULA MCGUINESS
COO ST JOSEPH'S HOSP - NORTH1.045.0036490362055X
LORRAINE LUTTON
COO ST JOSEPH'S HOSPITAL1.049.0056530068702X
MICHAEL MAGEE
DIRECTOR PHARMACEUTICAL SRVCS45.0232222044027X
HOSSAIN MARANDI
DIR. MEDICAL AFFAIRS - SJB45.0292418024480X
ONYEMA EZEANYA
CLINICAL PHARMACIST45.0207625012868X
RICHARD ARMSTRONG JR
DIR. FACILITIES & CONSTRUCTION45.0197891024141X
LYDIA BOUTROS
CLINICAL PHARMACIST45.0225213010145X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1577207TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3884949TotalReportableCompFrmRltdOrgs
Total Other Compensation596492TotalOtherCompensation
Number Individuals GT100 K162NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BARTON MALOW CO
26500 AMERICAN DRSOUTHFIELDMI48034CONSTRUCTION21041900
GILBANE BLDG CO
8433 ENTERPRISE CIRCLELAKEWOOD RANCHFL34202preconstruction Svcs6570930
GRESHAM SMITH PARTNERS
PO BOX 440029NASHVILLETN372440029architectural svcs4249063
BAYCARE HOME CARE INC
PO BOX 741704ATLANTAGA303741704home care services4045203
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762laundry services3841942
FieldValueIRS element (for citing)
Number Of Contractors GT100 K107NumberOfContractorsGT100K
Related Organizations1067900RelatedOrganizations
Government Grants4653233GovernmentGrants
All Other Contributions195768AllOtherContributions
Total Contributions5916901TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL PATIENT CARE6219904988872744951753393711935
MEDICARE/MEDICAID NET REVENUE621990314787322314787322
PREMIER PURCHASING PARTNERS9000994217242172
FieldValueIRS element (for citing)
Total Program Service Revenue813716768TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column108185TotalRevenueColumn
Unrelated Business Revenue88521UnrelatedBusinessRevenue
Exclusion$19,664ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real276430Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real276430Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column276430TotalRevenueColumn
Exclusion$276,430ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other385338Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other194863Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other190475Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column190475TotalRevenueColumn
Exclusion$190,475ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA72251457856765785676
MISCELLANEOUS REVENUE621990544185544185
HITECH62199056362225636222
FieldValueIRS element (for citing)
Total Other Revenue11966083TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column832174842TotalRevenueColumn
Related Or Exempt Function Income821970916RelatedOrExemptFunctionIncome
Unrelated Business Revenue3800456UnrelatedBusinessRevenue
Exclusion$486,569ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total73880Total
Program Services73880ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total487266Total
Program Services410793ProgramServices
Management And General76473ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total254102063Total
Program Services252515967ProgramServices
Management And General1586096ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9705181Total
Program Services9644602ProgramServices
Management And General60579ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18188465Total
Program Services18074933ProgramServices
Management And General113532ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18136516Total
Program Services18022905ProgramServices
Management And General113611ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51460Total
Management And General51460ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5659Total
Management And General5659ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total32682Total
Program Services32682ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total35157162Total
Program Services34539736ProgramServices
Management And General617426ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2067888Total
Program Services2065609ProgramServices
Management And General2279ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11003009Total
Program Services10728985ProgramServices
Management And General274024ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total873282Total
Program Services850443ProgramServices
Management And General22839ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12488762Total
Program Services12443931ProgramServices
Management And General44831ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1121383Total
Program Services1086845ProgramServices
Management And General34538ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total11338705Total
Program Services11338705ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total58109611Total
Program Services57906124ProgramServices
Management And General203487ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3777536Total
Program Services1397291ProgramServices
Management And General2380245ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1192314081192239977411
MANAGEMENT FEES8916671189166711
BAD DEBT EXPENSE5197003851970038
ASSESSMENTS1008958810089588

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26044407Total
Program Services25472492ProgramServices
Management And General571915ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total733222662Total
Program Services637889546ProgramServices
Management And General95333116ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23530BOY
EOY42772EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY88165110BOY
EOY87088821EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1557157BOY
EOY1343370EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14436581BOY
EOY14123658EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3629857BOY
EOY3734510EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis992207778LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec470525114LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY488844707BOY
EOY521682664EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY15664634BOY
EOY15817421EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY53332BOY
EOY7619EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY305779434BOY
EOY387788231EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY918154342BOY
EOY1031629066EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY42413345BOY
EOY57490839EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4439328BOY
EOY3350182EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY121325BOY
EOY23222EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY102349203BOY
EOY99167979EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY149323201BOY
EOY160032222EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY755753402BOY
EOY858316671EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13037739BOY
EOY13240173EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40000BOY
EOY40000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY768831141BOY
EOY871596844EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY918154342BOY
EOY1031629066EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses98952180ReconcilationRevenueExpenses
Reconcilation Other Changes3813523ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$5,417DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$27,265OtherActivitiesAmount
Total Lobbying Expenditures IIB32682TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
ExplanationDues were paid to the Greater Tampa Chamber of Commerce, the National Association of Children's Hospitals, and the Hillsborough County Medical Association, Florida Hosptial Association, and the National Association of Psychiatric Health Systems. These organizations use a portion of their respective dues to conduct lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5736409OtherCostOrOtherBasis
Book Value5736409BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis623679818OtherCostOrOtherBasis
Depreciation260070181Depreciation
Book Value363609637BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis851125OtherCostOrOtherBasis
Depreciation386029Depreciation
Book Value465096BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis296118779OtherCostOrOtherBasis
Depreciation210068904Depreciation
Book Value86049875BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65821647OtherCostOrOtherBasis
Book Value65821647BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings521682664TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES386973360
PPD PHYSICIAN RECRUITMENT LT588401
DEPOSITS226470
FieldValueIRS element (for citing)
Total Book Value Other Assets387788231TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
EST. 3RD PARTY SETTLEMENTS$46,157,994
PENSION OBLIGATION$51,981,469
SERP LIABILITY$933,729
ASSET RETIREMENT OBLIGATION LT$94,787
FieldValueIRS element (for citing)
Total Of Amounts99167979TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt827207025TotRevenueEtcAuditedFinclStmt
Other Revenues724916OtherRevenues
Revenue Not Rptd F990724916RevenueNotRptdF990
Revenue Subtotal826482109RevenueSubtotal
Other Revenues Not Included5692733OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt5692733RevenueNotRptdOnFinStmt
Total Revenue Per Form990832174842TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt727529929TotExpensesEtcAuditedFinclStmt
Expenses Subtotal727529929ExpensesSubtotal
Other Expenses Not Included5692733OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5692733ExpensesNotRptdOnFinStmt
Total Expenses Per Form990733222662TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 2d Change in interest in foundation $481,490 Unrealized gains on swaps $243,427 Rounding ($1) Total $724,916 Schedule D, Part XI, Line 4b Revenues netted with expenses $5,692,733 Schedule D, Part XII, Line 4b Revenues netted with expenses $5,692,733Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served24358PersonsServed
Total Community Benefit Expense28320395TotalCommunityBenefitExpense
Net Community Benefit Expense28320395NetCommunityBenefitExpense
Percent Of Total Expense0.04160PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served105749PersonsServed
Total Community Benefit Expense177840229TotalCommunityBenefitExpense
Direct Offsetting Revenue127014517DirectOffsettingRevenue
Net Community Benefit Expense50825712NetCommunityBenefitExpense
Percent Of Total Expense0.07460PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served9741PersonsServed
Total Community Benefit Expense8798985TotalCommunityBenefitExpense
Direct Offsetting Revenue4573936DirectOffsettingRevenue
Net Community Benefit Expense4225049NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served139848PersonsServed
Total Community Benefit Expense214959609TotalCommunityBenefitExpense
Direct Offsetting Revenue131588453DirectOffsettingRevenue
Net Community Benefit Expense83371156NetCommunityBenefitExpense
Percent Of Total Expense0.12240PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs57NumberOfActivitiesOrPrograms
Persons Served65326PersonsServed
Total Community Benefit Expense1549987TotalCommunityBenefitExpense
Direct Offsetting Revenue34902DirectOffsettingRevenue
Net Community Benefit Expense1515085NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served786PersonsServed
Total Community Benefit Expense2905258TotalCommunityBenefitExpense
Net Community Benefit Expense2905258NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1700PersonsServed
Total Community Benefit Expense578488TotalCommunityBenefitExpense
Net Community Benefit Expense578488NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served42PersonsServed
Total Community Benefit Expense153966TotalCommunityBenefitExpense
Net Community Benefit Expense153966NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served637PersonsServed
Total Community Benefit Expense246318TotalCommunityBenefitExpense
Net Community Benefit Expense246318NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs90NumberOfActivitiesOrPrograms
Persons Served68491PersonsServed
Total Community Benefit Expense5434017TotalCommunityBenefitExpense
Direct Offsetting Revenue34902DirectOffsettingRevenue
Net Community Benefit Expense5399115NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs96NumberOfActivitiesOrPrograms
Persons Served208339PersonsServed
Total Community Benefit Expense220393626TotalCommunityBenefitExpense
Direct Offsetting Revenue131623355DirectOffsettingRevenue
Net Community Benefit Expense88770271NetCommunityBenefitExpense
Percent Of Total Expense0.13030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$51,970,038BadDebtExpenseAmount
Amount Attributable To25587394AmountAttributableTo
Amount Reimbursed By Medicare119753193AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare128765759CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9012566MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroupEr OtherErOtherOtherOther
St Joseph's Hospital
13001 W Dr Martin Luther King Jr BlTampaFL33615www.sjbhealth.comXXXXA
St Joseph's Hospital North
24211 Van Dyke RdLutzFL33558www.sjbhealth.comXXXA
St Joseph's Hosp Behav Health Cntr
34918 N Habana AveTampaFL33614www.sjbhealth.comXAXPsychiatry

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1A - St Joseph's Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierExplanationExplanation
Part I Line 3cPatients 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 6aN/A - The Community Benefit Report is available to the public.
Part I Line 7Financial 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 fBad Debt expense of $51,970,038 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.
Part III Line 2,3, & 4The organization's financial statements do not include a footnote directly on bad debt expense. 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.
Part III Line 8Cost 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) ($9,012,566) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($12,178,963) Total Surplus or (Shortfall) ($21,191,529)
Part III Line 9bPatients 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 V Section B Line 11An 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 V Section B Line 14Contact information related to financial assistance is posted in the emergency room waiting area, admissions office, and printed on all patient billing.
Part V Section B Line 16Lien action related to collections is limited to patients involving auto liability insurance.
Part V Section B Line 20dPatients 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.
Part VI Line 2 - Needs AssessmentSt. 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 AssistanceSt. 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 HealthSt. 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, under age 65 and high-school or higher educated. Hispanics are the second largest ethnic group representing 20% of the population and 13% of households are below poverty level. The population served by St. Joseph's Hospital is expected to grow over 7% in the next 5 years. This is slightly higher than the expected growth rate for the United States. The fastest growing population segments are Age 0-14 and Age 55+. The community experiences higher incidence rates compared to the state of Florida in the following areas: cervical cancer, colorectal cancer, lung cancer, post-neonatal death, adult smokers, HIV cases, AIDs cases, HIV/AIDS deaths, asthma hospitalization, sexually transmitted diseases, domestic violence, linguistically isolated population, stroke hospitalization and hypertension. St. Joseph's Hospital is part of BayCare Health System that serves west central Florida. The area served by St. Joseph's Hospital has 20 hospitals with an even split of For-Profit and Not-For-Profit. There are 9 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 16% 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 10/01/11-09/30/12, the payor mix for the geographic area consists of 47.6% Medicare/Medicare HMO, 18.2% Medicaid/Medicaid HMO, 22.3% Commercial Insurance, 7.5% Self-pay, and 4.4% Other. St. Joseph's Children's Hospital, a hospital within a hospital at St. Joseph's, treats patients from 38 counties in Florida. 94% of St. Joseph's Children's inpatients come from Hillsborough, Pasco, Pinellas and Polk counties. The other 6% comes from 34 other Florida counties and out of state.
Part VI Line 5 - Promotion of Community HealthSt. 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 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 75 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 provided 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 any one 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 74,000 lives in 2012. More than $5 million was spent in 2012 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), "Reach to Recovery" Fashion Show and Luncheon to raise money to fight breast cancer, and various support group meetings. 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 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 2012 Heart Walk, contributing to the team that had the most participants and raised the most money 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 2012, the family assessment workers conducted 6,307 Healthy Start screens, made 5,466 initial contacts, gave 407 Healthy Family assessments and provided 6,500 resources and referrals. For Back to School Health Fairs, St. Joseph's Hospital teams up with the Hillsborough County School System, the Hillsborough County Immunization Task Force and the Hillsborough County Health Department to provide required screenings and easier access to immunizations for underserved families and children. In 2012, students participated in vision, height, weight and blood pressure screenings; 230 children received physicals and 150 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 2012 this program included 68 nurses working in partnerships with 44 congregations 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 2012, Faith Community Nurses directly touched the lives of nearly 16,500 people. The program provided an impressive 12,231 volunteer hours of service in the community. 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 40 events and programs in 2012 and was able to promote better health to more than 1,500 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 activities offered outside the hospital. Some services are provided on the "Wellness On Wheels" mobile bus. The 40-foot mobile health unit is equipped to provide health screenings, immunizations, physical exams and education. Health screenings offered at little or no cost to the community include blood pressure, cholesterol, body composition, diabetes/glucose, health risk appraisal, osteoporosis, school physicals, skin cancer. The team also provides flu and pneumonia shots for the community. St. Joseph's Children's Advocacy Center offers a multifaceted outreach approach focusing on community education, unintentional injury prevention, children's health and wellness and legislative advocacy. In 2012, the Children's Advocacy Center participated in 409 community events, reached more than 54,479 children and their families and distributed almost 4,000 health and safety products. The center provided expertise on child health and safety issues for over 16 local media news stories, received recognition nationally through publications and pres
Part VI Line 5 - Promotion of Community Health ContinuedProfessional Education and Training St. Joseph's Hospital partners with numerous universities, colleges and high schools to help students in various health-related fields fulfill their academic goals and requirements through internships. Some clinical internship areas include nursing, radiology, phlebotomy, nuclear medicine, pharmacy, community health, physical therapy, occupational therapy, speech therapy, social work, pastoral care, pharmacy, home care, and psychology and diabetes management. St. Joseph's Hospital also participates in community job fairs and provides "earn as you learn" tuition reimbursement and scholarship opportunities to its team members interested in advancing their career. In addition, St. Joseph's Women's Hospital is a proud participant with project REACH, a partnership with Hillsborough County Schools to help transition special needs kids from a school to a work environment. Health Professional Education Nursing students from area colleges including Hillsborough Community College, University of Tampa, University of South Florida, Erwin Technical Center and St. Petersburg College completed their clinical internships at many facilities throughout St. Joseph's Hospitals. In total, $2,487,879 in staff time for nurses, dietitians, lab technologists, and respiratory therapists was used to educate these future nurses about the many aspects of patient care. Technical students completed their clinicals at St. Joseph's Hospital in a variety of specialties, including EKG, imaging and nuclear medicine. In 2012, team members who mentored these students devoted numerous hours toward their time and training. Students pursuing careers in other health fields, such as pharmacy, physical therapy and radiation therapy, also completed their clinical studies at St. Joseph's Hospital. In 2012, students studied with team members devoting more than $401,779 toward their time and training. Volunteer Opportunities For more than 50 years, members of the community have spent thousands of hours volunteering their time to St. Joseph's Hospital, and are a valuable resource to the hospital and its patients. Volunteer opportunities for teens through seniors include providing assistance to patients and visitors at the information desks and in the gift shops, working with the pastoral care or child life team, providing wheelchair assistance, driving the hospital shuttles, serving as a patient liaison in the waiting rooms and assisting nursing staff, patients and families in the high-risk areas. In addition to donating the profits from the hospital gift shop back to St. Joseph's Hospital, the Auxiliary also sponsors book, jewelry, uniform and various other sales throughout the year to raise funds for hospital projects. In 2012, 948 volunteers contributed 125,158 hours of service to the organization. They supported all of our locations: St. Joseph's Hospital, St. Joseph's Women's Hospital, St. Joseph's Children's Hospital and St. Joseph's Hospital-North. Board of Trustees St. Joseph's Hospital's Board of Trustees is comprised of a diverse set of community members who believe in the mission, values, and vision of St. Joseph's Hospital and who donate their time, talents and support. The primary responsibility of the Board is to assist with policy formulation, decision making and oversight by ensuring decision and actions conform to St. Joseph's Hospital's strategic plans and budgets and produce intended results. Caring for the Environment In addition to caring for people, St. Joseph's Hospital respects the environment and takes steps to preserve natural resources. A "Green Team" comprised of team members meets regularly to look for and create opportunities for staff to positively impact the planet, from recycling to planting trees to educating team members about energy conservation. After opening in 2010, the "green" construction of St. Joseph's Hospital-North was recognized as the facility became LEED certified - the first hospital in the state to earn this designation. In 2012, the expansion of St. Joseph's Women's Hospital also was became LEED certified. Since 2010, the main campus of St. Joseph's Hospital has utilized the ReGen VANISH system, a unique waste treatment system that reduces waste volume by 90 percent. The system pulverizes waste and extrudes fine particles that can be used as fuel. St. Joseph's Hospital is the first in the country to utilize this "green" medical waste disposal solution.
Part VI Line 6 - Affiliated Health Care SystemSt. Joseph's Hospital, Inc is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 20,100 employees, 10 not-for-profit hospitals, 14 outpatient centers, and a complete range of services, such as imaging, laboratory, behavioral health, and home care. BayCare hospitals include 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, and St. Joseph's Hospital-North. St. Joseph's hospitals operate as one entity and file one Form 990. BayCare was founded in 1997 when the area's top not-for-profit hospitals came together, united by a common mission to improve the health of their communities and continue caring for all patients regardless of their ability to pay. In 2012, BayCare provided $188.6 million in community benefits, which includes $86.2 million in traditional charity care, $91.5 million in Medicaid and other means-tested programs, and $10.9 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare's financial stability and centralization of shared services in finance, information technology and human resources strengthens each hospital's ability to allocate resources to meet the needs of their communities. BayCare's hospitals are located in three geographic regions, each with their own Boards of local leadership focused on their community's specific needs. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region, spending $1.2 billion on payroll and benefits for 20,100 employees. In 2012, BayCare added 500 new employees during a tough economy when unemployment rates in other areas remained high. To meet the health care needs of the community, BayCare provides expert medical care through a network with more than 200 access points connecting patients to a complete range of preventive, diagnostic and treatment services for any health care need. BayCare's network includes primary care and specialist physicians, urgent/immediate care centers, imaging, wellness centers, and 21 laboratory locations providing general, specialized and molecular testing. In addition, BayCare's home care division is one of the largest in Florida, providing 622,000 home health visits in 2012, helping patients leave the hospital sooner and recover at home where they are more comfortable. Recognizing the community's need for mental health services, BayCare also continues to be the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home treatment, support group and case management services. BayCare's designated Baker Act-receiving facilities in Hillsborough, Pinellas, and Pasco counties provide inpatient crisis stabilization and partial hospitalization programs as part of the continuum of mental health care. BayCare also operates the only private, freestanding Baker Act-receiving hospitals in Hillsborough and Pasco counties. In 2012, BayCare began the process of assisting each hospital with a Community Health Needs Assessment (CHNA) as required by the Patient Protection and Affordable Care Act. As part of the process, BayCare conducted primary research with community stakeholders and focus groups, and secondary research to analyze the area's health status indicators, morbidity, mortality prevalence rates, socio-economic factors, behavioral risk factors, community needs scores, and prevention quality indicators. BayCare will use this information to develop reports for each hospital, implementation plans to address identified community needs, and specific measures to monitor progress. BayCare also continued developing its clinically integrated network, known as BayCare Physician Partners. This is a new model of care designed to improve the clinical coordination between employed physicians, independent physicians and health system resources. The goal of BayCare Physician Partners is to improve the overall health and patient experience of populations served by the network. More than 1,100 physicians joined BayCare Physician Partners in 2012. The network also approved 17 clinical performance measures for all of its member physicians and attained contractual agreements with three major health plans, affecting about 50,000 patient lives in the area. In addition to the strong growth of physician membership in 2012, BayCare Physician Partners continued developing the administrative and technology infrastructure needed to deliver the network's improved care coordination and overall population health in 2013. To meet the health care needs of a growing but medically underserved area in southern Hillsborough, BayCare has started construction on St. Joseph's Hospital South, a 352,000-square-foot, 90-bed, acute-care community hospital. The $237-million facility, which includes an 86,000-square-foot medical office building, is scheduled to open in 2015. In 2012, BayCare also successfully completed its seven-year implementation of a system-wide, electronic medical record at its 10 hospitals. With the completion of the project, all ancillary, nursing and physician staff members now document clinical information electronically, providing the entire care team with a more complete and more accurate care record, available in real time. BayCare hosted its largest annual Quality Sharing Day event in 2012, with more than 600 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects throughout the health system. The event featured 13 teams presenting summaries of successful process improvements and 80 storyboard exhibits on projects recognized for quality contributions. Since BayCare began its Six Sigma program in 2004, thousands of employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout the organization. To help educate future nurses and health care professionals, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College, and the Pinellas Technical Education Center. In 2012, BayCare also supported more than 90 community organizations and charities, big and small, through event sponsorships as part of the health system's commitment to the community. These organizations include the American Heart Association, Susan G. Komen for the Cure, American Cancer Society, the Tampa Bay Partnership: ONE BAY Healthy Communities, and local economic development councils and chambers of commerce.
Part VI Line 7 - State FilingN/A: St. Joseph's Hospital, Inc does not file a community benefit report with the state.
Part VI Line 8 - Facility Reporting GroupAll answers provided in Part VI pertain to Facility Group A which includes St. Joseph's Hospital, St. Joseph's Hospital North and St. Joseph's Hospital Behavioral Health Center.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Glazer Childrens Museum
110 W Gasparilla PlazaTampaFL33602592637851501(C)(3)11190Pledge to assist in the building of the Glazer Children's Museum in Tampa, Florida
Ronald McDonald House of Tampa Bay
28 Columbia DriveTampaFL33606590879015501(C)(3)25000SJH Ronald McDonald Story Book Ball Sponsorship
March of Dimes
406 Reo Street Suite 160TampaFL33609131846366501(c)(3)7500SJH March for babies sponsorship 2012 Signature Chefs Auction, contributions used to further the MD mission
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationThe orgnization 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, no-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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA DONNELLY
VP PATIENT CARE SERVICES - SJB0271062089673041581046622019604046854200
KIMBERLY GUY
COO, SJWH & SJCH03033740104097045409035302022487051066900
MICHAEL MAGEE
DIRECTOR PHARMACEUTICAL SRVCS204416026255015510204300235970276249000
HOSSAIN MARANDI
DIR. MEDICAL AFFAIRS - SJB26168303017105640123990120810316898000
ONYEMA EZEANYA
CLINICAL PHARMACIST1592660423250603406606062620220493000
RICHARD ARMSTRONG JR
DIR. FACILITIES & CONSTRUCTION17117402151405203067500173910222032000
MICHAEL HANCE
DIRECTOR RADIOLOGY152286020038010070014931087200206045000
MARY ROBINSON
DIR. SURGICAL SERVICES - SJH153973019371029930137540146560204747000
LYDIA BOUTROS
CLINICAL PHARMACIST161079057600065340935807870235358000
LEE KIRKMAN
TRUSTEE032235304785205100021610012634040954900
ISAAC MALLAH
EX-Officio Trustee and Prsdnt0782636035827601978220543940190730141220100
CATHY YODER
CFO AND TREASURER0253641085067046803035673017248043843200
PAULA MCGUINESS
COO ST JOSEPH'S HOSP - NORTH0227280079229058394050177011878042695800
LORRAINE LUTTON
COO ST JOSEPH'S HOSPITAL0328377011085301260700393370293650634002030870

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationPart I, Line 3 The filing organization does not use any of the options listed in Schedule J, 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 Patricia Donnelly - Participated in a supplemental nonqualified deferred compensation plan. She had $31,391 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. She had $24,348 of nonvested benefits accrue during 2012 and her earnings on the plan in 2012 were $10,884. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $11,442 in 2012. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $38,327 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. She had $22,802 of nonvested benefits accrue during 2012 and her earnings on the plan in 2012 were $10,541. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $13,970 in 2012. Isaac Mallah - Participated in a supplemental nonqualified deferred compensation plan. He had $139,781 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $12,274. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $50,950 in 2012. Paula McGuiness - Participated in a supplemental nonqualified deferred compensation plan. She had $38,092 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. Her earnings on the plan in 2012 were $7,372. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $13,885 in 2012. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $36,780 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. She had $16,435 of nonvested benefits accrue during 2012 and her earnings on the plan in 2012 were $10,720. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $13,406 in 2012.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MFP Inc dba Financial Credit Serv
See Part V771229Collection Servicesfalse
BayLinen Inc
See Part V3841942Laundry Servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRelationship between interested person and the organizationIdentifier
Return ReferenceSchedule L, Part VReturnReference
ExplanationIsaac Mallah is an officer of the filing organization as well as a board member of MFP, Inc. Kimberly Guy is a key employee of the filing organization as well as a board member of BayLinen, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family or Business Relationships Isaac Mallah, Cathy Yoder, Elaine Shimberg and Lee Kirkman are Board members/officers of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders Catholic Health East, a Pennsylvania 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 Catholic Health East (CHE). 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. Catholic Health East (CHE) 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 CHE and, if such change, as a result of CHE being a Catholic entity, must be approved by CHE, 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. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 will be made available 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 VIPart 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 & CFO, 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 2011, 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. Included in its review are a review for compliance with relevant tax laws and 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.
Part XI, Line 9Unrealized gains on swaps $243,427 Change in net assets of foundation $1,351,883 Change in minimum pension obligation $2,212,214 Other $6,000 Rounding ($1) Total $3,813,523

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BayCare Health System Inc
16255 Bay Vista DriveClearwaterFL33760592796965Support srvcsFL501(c)(3)11ANAfalse
St Joseph's Community Care Inc
3001 W Dr Martin Luther King JrTampaFL33607593152608Medical asstFL501(c)(3)9SJHCCtrue
St Joseph's Enterprises Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592822516Health investFL501(c)(3)11BSJHCCtrue
South Florida Baptist Hospital Inc
301 N Alexander StreetPlant CityFL33563590594631Medical srvcsFL501(c)(3)3NAtrue
St Joseph's Health Care Center Inc
3001 W Dr Martin Luther King Jr BTampaFL33607592593686Support srvcsFL501(c)(3)11BNAtrue
Franciscan Properties Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592822519Supports SJHFL501(c)(3)11BSJHCCtrue
San Damiano Enterprises Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592822514Health investFL501(c)(3)11BSJHCCtrue
St Joseph's Hospital Auxiliary Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592131207Supports SJHFL501(c)(3)11CNAfalse
St Joseph's Hospital of Tampa Found Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607591100828FundraisingFL501(c)(3)11CSJHCCtrue
John Knox Village of Tampa Bay Inc
4100 Fletcher AveTampaFL33613581377711Retire cmmtyFL501(c)(3)9SJHCCtrue
St Joseph's Ancillary Services Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592795925Health promoFL501(c)(3)11BSJHCCtrue
St Anthony's Prof Building & Services
1200 7th Avenue NorthSt PetersburgFL33705592018848Real EstateFL501(c)(3)9SJHCCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsControlled OrgControlledOrg
Healthpoint Management Services Inc
4902 Eisenhower Blvd Suite 300TampaFL33634650645457Billing/MgmtFLnaC corp00true
Healthpoint Medical Group Inc
4902 Eisenhower Blvd Suite 300TampaFL33634593244268Physician groupFLnaC corp00true
St Joseph's Physicians-Healthcenter Org
3001 W Dr Martin Luther King Jr BlvTampaFL33607592820509Holding CompanyFLnaC corp00true
St Joseph's Preferred Inc
3001 W Dr Martin Luther King Jr BlvTampaFL33607593055643Provider networkFLnaC corp00true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Healthpoint Management Services Inc
a(iv)77792FMV
St Joseph's Hospital of Tampa Foundation
c1067900FMV
Franciscan Properties Inc
k1051467FMV
Franciscan Properties Inc
l81640FMV
St Joseph's Health Care Center Inc
m32225741FMV
St Joseph's Health Care Center Inc
o68078FMV
South Florida Baptist Hospital Inc
o226023FMV
South Florida Baptist Hospital Inc
r124089FMV
Franciscan Properties Inc
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