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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <Explanation>Dues were paid to the Greater Tampa Chamber of Commerce, the National Association of Psychiatric Health Systems, the Florida Hospital Association and the National Association of Children's Hospitals; the associations use a portion of the dues to conduct lobbying activities.</Explanation>
      </Form990ScheduleCPartIV>
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      <OtherAssets>
        <Description>PPD PHYSICIAN RECRUITMENT LT</Description>
        <BookValue>1367422</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>400880</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>305779434</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY SETTLEMENTS</Description>
        <Amount>45753378</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION OBLIGATION</Description>
        <Amount>55572251</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SERP LIABILITY</Description>
        <Amount>933729</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION LT</Description>
        <Amount>89845</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>102349203</TotalOfAmounts>
      <TotalRevenue>813580568</TotalRevenue>
      <TotalExpenses>731793238</TotalExpenses>
      <ExcessOrDeficitForYear>81787330</ExcessOrDeficitForYear>
      <OtherAmount>-22110364</OtherAmount>
      <TotalAdjustments>-22110364</TotalAdjustments>
      <ExcessOrDeficitPerFS>59676966</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>785819113</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>785819113</RevenueSubtotal>
      <OtherRevenuesNotIncluded>27761455</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>27761455</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>813580568</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>726142147</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>726142147</ExpensesSubtotal>
      <OtherExpensesNotIncluded>5651091</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>5651091</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>731793238</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Schedule D Supplemental Information</Identifier>
        <Explanation>Schedule D, Part XI, Line 8 Change in interest in foundation $406,985 Unrealized loss on swaps ($22,517,349) Total ($22,110,364) Schedule D, Part XII, Line 4b Change in interest in foundation ($406,985) Unrealized loss on swaps $22,517,349 Revenues netted with expenses $5,651,091 Total $27,761,455 Schedule D, Part XIII, Line 4b Revenues netted with expenses $5,651,091</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>250.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>19909</PersonsServed>
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        <NetCommunityBenefitExpense>25779775</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03810</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <PersonsServed>100284</PersonsServed>
        <TotalCommunityBenefitExpense>170555587</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>125823639</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>44731948</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06610</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>10407</PersonsServed>
        <TotalCommunityBenefitExpense>10531361</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5362534</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5168827</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00760</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>130600</PersonsServed>
        <TotalCommunityBenefitExpense>208602564</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>132922014</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>75680550</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11180</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>70</NumberOfActivitiesOrPrograms>
        <PersonsServed>76377</PersonsServed>
        <TotalCommunityBenefitExpense>1606066</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>59744</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1546322</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00230</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>12</NumberOfActivitiesOrPrograms>
        <PersonsServed>983</PersonsServed>
        <TotalCommunityBenefitExpense>2906365</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2906365</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00430</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>1476</PersonsServed>
        <TotalCommunityBenefitExpense>511482</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>511482</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>155</PersonsServed>
        <TotalCommunityBenefitExpense>255142</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>255142</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>17</NumberOfActivitiesOrPrograms>
        <PersonsServed>643</PersonsServed>
        <TotalCommunityBenefitExpense>248324</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>248324</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>103</NumberOfActivitiesOrPrograms>
        <PersonsServed>79634</PersonsServed>
        <TotalCommunityBenefitExpense>5527379</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>59744</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5467635</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00820</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>109</NumberOfActivitiesOrPrograms>
        <PersonsServed>210234</PersonsServed>
        <TotalCommunityBenefitExpense>214129943</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>81148185</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12000</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>54646696</BadDebtExpenseAmount>
      <AmountAttributableTo>28983685</AmountAttributableTo>
      <AmountReimbursedByMedicare>124277361</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>135035502</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-10758141</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3001 W MARTIN LUTHER KING JR BLVD</AddressLine1>
          <City>TAMPA</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>250.</FPGFreePercent>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 3c</Identifier>
        <Explanation>Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. St. Joseph's Hospital Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 6a</Identifier>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 7</Identifier>
        <Explanation>Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part I Line 7 Column f</Identifier>
        <Explanation>Bad Debt expense of $54,646,696 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 4</Identifier>
        <Explanation>The 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 8</Identifier>
        <Explanation>Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Line 7 Surplus or (Shortfall) ($10,758,141) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($10,149,480) Total Surplus or (Shortfall) ($20,907,621)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part III Line 9b</Identifier>
        <Explanation>Patients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, patient billing mailers, 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 would be written off completely to charity and not billed to the patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V Section B Line 10</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Part V Section B Line 19d</Identifier>
        <Explanation>Patients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. St. Joseph's Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. Once a patient is identified as eligible for financial assistance their account balance is written off 100% to charity write-offs and are no longer billed for services provided.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>2 - Needs assessment</Identifier>
        <Explanation>St. Joseph's Hospital, Inc. is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. St. Joseph's Hospital, Inc. addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, St. Joseph's Hospital, Inc. conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist St. Joseph's Hospital, Inc. in developing initiatives and programs/services to address identified health care needs in the communities it serves.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>3 - Patient education of eligibility for assistance</Identifier>
        <Explanation>St. Joseph's Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the St. Joseph's Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, St. Joseph's Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing mailers 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>4 - Community information</Identifier>
        <Explanation>St. Joseph's Hospital is in a suburban setting serving all of Hillsborough and Pasco counties and parts of several surrounding counties. The average income is lower than both the state and national averages. The population served is predominantly Caucasian, under age 65 and high-school or higher educated. Hispanics are the second largest ethnic group representing 18% of the population and 13% of households are below poverty level. The population served by St. Joseph's Hospital is expected to grow over 8% in the next 5 years. This is over twice 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 17% 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 07/01/10-06/30/11, the payor mix for the geographic area consists of 46.2% Medicare/Medicare HMO, 18.4% Medicaid/Medicaid HMO, 24.0% Commercial Insurance, 6.6% Self-pay, and 4.8% Other. St. Joseph's Children's Hospital, a hospital within a hospital at St. Joseph's, treats patients from 36 counties in Florida. 90% of St. Joseph's Children's inpatients come from Hillsborough, Pasco, Pinellas and Polk counties. The other 10% comes from 32 other Florida counties and out of state.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>5 - Promotion of community health (part 1)</Identifier>
        <Explanation>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, heart and cancer institutes, plus, in 2010, the community's first new hospital in more than 30 years. 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 &amp; 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 79,000 lives in 2011. More than $5 million was spent 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 2011 Heart Walk, both in raising funds and providing screening services. 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 2011, the family assessment workers conducted 6,368 Healthy Start screens, made 5,424 initial contacts, gave 434 Healthy Family assessments and provided 4,660 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 2011, students participated in vision, height, weight and blood pressure screenings; 190 children received physicals and 139 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 2011 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, Faith Community Nurses touched the lives of nearly 16,950 people. In honor of the 20th Anniversary of Faith Community Nursing, the program provided advance directive education to just under 1,700 individuals. One of these trainings was done in follow up to a professional stage production of the play Vesta, about issues faced by a woman and her family as she nears the end of her life. The production occurred at St. Joseph's John Knox Village in collaboration with LifePath Hospice and Project Grace. Respecting Choices, an Advance Care Planning Facilitators course, sponsored by FCN, trained 21 additional facilitators in 2011. These 21, plus the facilitators trained in 2010, are prepared to and have been sharing their expertise in the community and the hospitals in which they serve. In collaboration with Community Health and the Faith Community Nursing Program at St. Anthony's Hospital, Faith Community Nursing successfully finished administering the federally funded CHANGE Your Life Grant, a health disparities initiative bringing heart and diabetes screenings, and interventional exercise and healthy lifestyle programs to African Americans and Hispanic populations through the Faith Community Nursing program churches. In 2011, the Faith Community Nursing program provided an impressive 16,978 hours of service in the community (79 percent of these volunteer hours). 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 45 events and programs in 2011 and was able to promote better health to more than 1,200 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 ser</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>5 - Promotion of community health (part 2)</Identifier>
        <Explanation>Emergency Care St. Joseph's Hospital's Emergency Center is designated as a Level II trauma center and is the busiest in the Tampa Bay area, with an outstanding team of board-certified emergency medicine physicians, nurses and paramedics providing care to more than 130,000 children and adults every year. A wide variety of medical emergencies are treated in the Emergency Center, which specializes in both trauma and complex medical care. The Emergency Center is the largest STEMI Receiving Center in the county, treating more than 80 transferred heart attacks in 2011. It also is widely recognized for stroke care, having earned Stroke Center Designation by the State Agency for Health Care Administration and earned the Primary Stroke Gold Seal of Approval by the Joint Commission as well as the Get with the Guidelines Stroke Gold Plus Quality Achievement Award from the American Heart Association/American Stroke Association. St. Joseph's Hospital provides care for every patient in the Emergency Center, regardless of their ability to pay. St. Joseph's Hospital also offers a separate, secure psychiatric emergency unit to provide necessary care to community members needing emergent psychiatric care. Palliative Care Patients who experience chronic, debilitating disease or are living with advanced illness often benefit greatly from specialized, compassionate care focused on managing their pain, stress and symptoms. St. Joseph's Hospital's palliative care team works to develop a personalized plan for providing relief from pain and suffering while enhancing quality of life to hospitalized patients. This program helps both adult and pediatric patients and their families faced with this life-changing situation. Professional 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. 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, $2,499,603 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 2011, 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 2010, students studied with team members devoting more than $406,762 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 2011, 861 volunteers contributed 116,242 hours of service to the organization. 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. Also in 2010, the main campus of St. Joseph's Hospital installed 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>6 - Affiliated health care system</Identifier>
        <Explanation>St. Joseph's Hospital, Inc is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 19,600 employees, 10 not-for-profit hospitals, 17 outpatient centers, and a complete range of services, such as imaging, lab, behavioral health, and home care. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, 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 2011, BayCare provided $167 million in community benefits, which included $77.9 million in traditional charity care, $77.6 million in Medicaid and other means-tested programs, and $11.8 million in unbilled community services. In addition to charity care, 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 help 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. Recognizing the need for mental health services, BayCare 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 is the only organization in the Tampa Bay area that operates dedicated psychiatric emergency rooms at each of its hospital-based, Baker Act facilities. In Hillsborough County, St. Joseph's prepared in 2011 to open a 45,000-square-foot behavioral health facility as the only private, freestanding, inpatient psychiatric Baker Act receiving hospital in the county. Earlier that year, the Tampa Bay Partnership, a regional research and education foundation, published a report that noted the area's suicide rate was statistically higher than state and national rates. St. Joseph's also began admitting mothers and babies to a new 125,000-square-foot, five-story tower with 64 Neonatal Intensive Care Unit suites, one floor exclusively for new mothers and one floor for medical/surgical patients. The Tampa Bay region has a high infant mortality rate, according to the partnership's report. In north Pinellas County, Morton Plant opened a new, four-story pavilion that expanded cancer, imaging and patient support services. The report noted that the region's mortality rate due to cancer was higher than Florida's rate. In south Pinellas County, St. Anthony's identified a growing need for emergency services in its local community. As a result, the hospital expanded its current facilities with a new, 105,000-square-foot Emergency Center and Patient Care Tower. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region. In 2011, BayCare added 1,000 new employees during a tough economy when unemployment rates in other areas remained high. The community also benefits from BayCare's comprehensive network, which provides increased access to services, such as emergency care, outpatient and home care. In 2011, BayCare HomeCare provided 625,000 home health visits, helping patients leave the hospital sooner and recover at home where they are more comfortable. BayCare also meets the needs of the community by helping its hospitals continue evolving to keep pace with changes in the health care industry and new technologies. In 2011, BayCare continued developing a clinically integrated network in the Tampa Bay area. This new, physician-led organization puts more emphasis on prevention, early detection and disease management by creating a flexible model of care that better aligns physicians with BayCare's resources. In addition, BayCare successfully completed the second phase of its system-wide implementation of an electronic medical record (EMR). With the completion of this phase in 2011, every hospital in BayCare now documents clinical information in a system-wide EMR, providing the entire health team with real-time, electronic access to patient information. In 2011, BayCare hosted its sixth annual and largest Quality Sharing Day event, with more than 500 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects. In 2011, BayCare had 193 Six Sigma and performance improvement projects championed by employees throughout the health system. BayCare currently has 31 certified Six Sigma Black Belts and 57 certified Green Belts. Since BayCare began its Six Sigma program in 2004, more than 5,400 employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout its hospitals and facilities. As part of its commitment to the community, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College and the Pinellas Technical Education Center to help educate future nurses and health care professionals. BayCare also continues to support other organizations committed to improving the health of the community. These organizations include the American Heart Association (Greater Southeast Affiliate), Susan G. Komen for the Cure (Florida Suncoast Affiliate), and the Tampa Bay Partnership: ONE BAY Healthy Communities.</Explanation>
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        <Identifier>7 - State Filing</Identifier>
        <Explanation>N/A</Explanation>
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          <BusinessNameLine1>American Heart Association</BusinessNameLine1>
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          <AddressLine1>11207 Blue Heron Blvd N</AddressLine1>
          <City>St Petersburg</City>
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          <ZIPCode>33716</ZIPCode>
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        <EINOfRecipient>135613797</EINOfRecipient>
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        <PurposeOfGrant>American Heart Association Heart Ball Sponsorship to benefit the AHA and advance its not-for-profit mission of building healthier lives, free from cardiovascular diseases and stroke.</PurposeOfGrant>
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          <BusinessNameLine1>Glazer Childrens Museum</BusinessNameLine1>
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          <AddressLine1>1107 E Jackson St Ste 200</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33602</ZIPCode>
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        <PurposeOfGrant>Pledge to assist in the building of the Glazer Children's Museum in Tampa, Florida</PurposeOfGrant>
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          <BusinessNameLine1>Ronald McDonald House of Tampa Bay</BusinessNameLine1>
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          <AddressLine1>28 Columbia Drive</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33606</ZIPCode>
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        <Explanation>The 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>
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        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1438328</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>130088</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CATHY YODER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>246914</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>74806</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>35746</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>36455</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>3903</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>397824</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>Part 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 Isaac Mallah - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in his benefits in 2011. He had $275,389 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $100,379 in 2011. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $25,841 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. She had $24,417 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $9,419 in 2011. Patricia Donnelly - Participated in a supplemental nonqualified deferred compensation plan. She had $20,243 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. She had $28,288 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $7,379 in 2011. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $24,608 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. She had $21,587 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $8,970 in 2011. Lorraine Lutton - Participated in a supplemental nonqualified deferred compensation plan. She had $84,710 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $30,877 in 2011.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Part I, line 7</ReturnReference>
        <Explanation>80 percent of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20 percent would be considered non-fixed and is based on the discretion of the employee's immediate supervisor.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MFP Inc dba Financial Credit Serv</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>885011</AmountOfTransaction>
        <DescriptionOfTransaction>Collection Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BayLinen Inc</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>3772712</AmountOfTransaction>
        <DescriptionOfTransaction>Laundry Services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Relationship between interested person and the organization</Identifier>
        <ReturnReference>Schedule L, Part IV</ReturnReference>
        <Explanation>Isaac 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>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Part VI</Identifier>
        <Explanation>Part VI, Line 2 - Description of Family or Business Relationships Isaac Mallah, Cathy Yoder and Lee Kirkman are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. 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 &amp; 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 &amp;/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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI and Part VII</Identifier>
        <Explanation>Part VI, Lines 15a &amp; 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 Administrative Officer &amp; 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. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Albert Whitaker - BayCare Health System, Inc. - 1 Albert Whitaker - South Florida Baptist Hospital, Inc. - 1 Albert Whitaker - St. Joseph's Health Care Center, Inc. - 1 Brenda Balicki - Franciscan Properties, Inc. - 1 Brenda Balicki - South Florida Baptist Hospital, Inc. - 1 Brenda Balicki - St. Joseph's Health Care Center, Inc. - 1 Bruce Rodwell - BayCare Health System, Inc. - 1 Bruce Rodwell - South Florida Baptist Hospital, Inc. - 1 Bruce Rodwell - St. Joseph's Health Care Center, Inc. - 1 Carolyn Mcmullen - South Florida Baptist Hospital, Inc. - 1 Carolyn Mcmullen - St. Joseph's Health Care Center, Inc. - 1 Cathy Yoder - Franciscan Properties, Inc. - 1 Cathy Yoder - John Knox Village of Tampa Bay, Inc. - 1 Cathy Yoder - San Damiano Enterprises, Inc. - 1 Cathy Yoder - South Florida Baptist Hospital, Inc. - 1 Cathy Yoder - St. Joseph's Ancillary Services, Inc. - 1 Cathy Yoder - St. Joseph's Community Care, Inc. - 1 Cathy Yoder - St. Joseph's Health Care Center, Inc. - 45 David Stamps - South Florida Baptist Hospital, Inc. - 1 David Stamps - St. Joseph's Health Care Center, Inc. - 1 Deborah Coakley - South Florida Baptist Hospital, Inc. - 1 Deborah Coakley - St. Anthony's Hospital, Inc. - 1 Deborah Coakley - St. Joseph's Health Care Center, Inc. - 1 Domenick Reina - South Florida Baptist Hospital, Inc. - 1 Domenick Reina - St. Joseph's Health Care Center, Inc. - 1 Donna Jordan - South Florida Baptist Hospital, Inc. - 1 Donna Jordan - St. Joseph's Health Care Center, Inc. - 1 Eric Obeck - South Florida Baptist Hospital, Inc. - 1 Eric Obeck - St. Joseph's Health Care Center, Inc. - 1 Gene Marshall - South Florida Baptist Hospital, Inc. - 1 Gene Marshall - St. Joseph's Health Care Center, Inc. - 1 Gladys Sharkey - BayCare Health System, Inc. - 1 Gladys Sharkey - South Florida Baptist Hospital, Inc. - 1 Gladys Sharkey - St. Anthony's Hospital, Inc. - 1 Gladys Sharkey - St. Joseph's Health Care Center, Inc. - 1 Isaac Mallah - Franciscan Properties, Inc. - 1 Isaac Mallah - John Knox Village of Tampa Bay, Inc. - 1 Isaac Mallah - San Damiano Enterprises, Inc. - 1 Isaac Mallah - South Florida Baptist Hospital, Inc. - 1 Isaac Mallah - St. Joseph's Ancillary Services, Inc. - 1 Isaac Mallah - St. Joseph's Community Care, Inc. - 1 Isaac Mallah - St. Joseph's Health Care Center, Inc. - 45 Isaac Mallah - St. Joseph's Hospital Foundation, Inc. - 1 John Borreca - BayCare Health System, Inc. - 1 John Borreca - South Florida Baptist Hospital, Inc. - 1 John Borreca - St. Joseph's Health Care Center, Inc. - 1 Kimberly Guy - Franciscan Properties, Inc. - 1 Kimberly Guy - San Damiano Enterprises, Inc. - 1 Kimberly Guy - St. Joseph's Ancillary Services, Inc. - 1 Kimberly Guy - St. Joseph's Health Care Center, Inc. - 45 Lee Kirkman - South Florida Baptist Hospital, Inc. - 1 Lee Kirkman - St. Joseph's Health Care Center, Inc. - 1 Lorraine Lutton - Franciscan Properties, Inc. - 1 Lorraine Lutton - San Damiano Enterprises, Inc. - 1 Lorraine Lutton - St. Joseph's Ancillary Services, Inc. - 1 Lorraine Lutton - St. Joseph's Community Care, Inc. - 1 Lorraine Lutton - St. Joseph's Health Care Center, Inc. - 45 Mary Arghittu - BayCare Health System, Inc. - 1 Mary Arghittu - John Knox Village of Tampa Bay, Inc. - 1 Mary Arghittu - South Florida Baptist Hospital, Inc. - 1 Mary Arghittu - St. Joseph's Health Care Center, Inc. - 1 Michael Booher - South Florida Baptist Hospital, Inc. - 1 Michael Booher - St. Joseph's Health Care Center, Inc. - 1 Patricia Donnelly - John Knox Village of Tampa Bay, Inc. - 1 Patricia Donnelly - St. Joseph's Ancillary Services, Inc. - 1 Patricia Donnelly - St. Joseph's Health Care Center, Inc. - 45 Rick Colon - South Florida Baptist Hospital, Inc. - 1 Rick Colon - St. Joseph's Health Care Center, Inc. - 1 Stephen Buckley - South Florida Baptist Hospital, Inc. - 1 Stephen Buckley - St. Joseph's Health Care Center, Inc. - 1 Steve Smith - South Florida Baptist Hospital, Inc. - 1 Steve Smith - St. Joseph's Health Care Center, Inc. - 1 Walwin Metzger - South Florida Baptist Hospital, Inc. - 1 Walwin Metzger - St. Joseph's Health Care Center, Inc. - 1 William West - BayCare Health System, Inc. - 1 William West - South Florida Baptis Hospital, Inc. - 1 William West - St. Joseph's Health Care Center, Inc. - 1 Winnie Marvel - South Florida Baptist Hospital, Inc. - 1 Winnie Marvel - St. Joseph's Health Care Center, Inc. - 1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 5</Identifier>
        <Explanation>Other changes in net assets Unrealized (losses) on swaps ($22,517,349) Change in net assets of foundation $1,738,796 Change in minimum pension obligation ($16,503,456) Total ($37,282,009)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule H</Identifier>
        <Explanation>For purposes of reporting on Schedule H, Part V, Section A, St. Joseph's Hospital is listed and Section B has been completed. St. Joseph's Hospital and St. Joseph's Hospital North share the same license number and follow the same standardized policies and procedures that are administered by the same centralized billing and collections departments; as such St. Joseph's Hospital North was not listed in Schedule H, Part V, Section A.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BayCare Health System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>16255 Bay Vista Drive</AddressLine1>
          <City>Clearwater</City>
          <State>FL</State>
          <ZIPCode>33760</ZIPCode>
        </AddressUS>
        <EIN>592796965</EIN>
        <PrimaryActivities>Support srvcs</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Community Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>593152608</EIN>
        <PrimaryActivities>Medical asst</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Enterprises Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592822516</EIN>
        <PrimaryActivities>Health invest</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>South Florida Baptist Hospital Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 N Alexander Street</AddressLine1>
          <City>Plant City</City>
          <State>FL</State>
          <ZIPCode>33563</ZIPCode>
        </AddressUS>
        <EIN>590594631</EIN>
        <PrimaryActivities>Medical srvcs</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Health Care Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr B</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592593686</EIN>
        <PrimaryActivities>Support srvcs</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Franciscan Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592822519</EIN>
        <PrimaryActivities>Supports SJH</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>San Damiano Enterprises Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592822514</EIN>
        <PrimaryActivities>Health invest</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Hospital Auxiliary Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592131207</EIN>
        <PrimaryActivities>Supports SJH</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Hospital of Tampa Found Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>591100828</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>John Knox Village of Tampa Bay Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4100 Fletcher Ave</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33613</ZIPCode>
        </AddressUS>
        <EIN>581377711</EIN>
        <PrimaryActivities>Retire cmmty</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph's Ancillary Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Bl</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592795925</EIN>
        <PrimaryActivities>Health promo</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Healthpoint Management Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4902 Eisenhower Blvd Suite 300</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33634</ZIPCode>
        </AddressUS>
        <EIN>650645457</EIN>
        <PrimaryActivity>Billing/Mgmt</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Healthpoint Medical Group Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4902 Eisenhower Blvd Suite 300</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33634</ZIPCode>
        </AddressUS>
        <EIN>593244268</EIN>
        <PrimaryActivity>Physician group</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph's Physicians-Healthcenter Org</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Blv</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>592820509</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph's Preferred Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3001 W Dr Martin Luther King Jr Blv</AddressLine1>
          <City>Tampa</City>
          <State>FL</State>
          <ZIPCode>33607</ZIPCode>
        </AddressUS>
        <EIN>593055643</EIN>
        <PrimaryActivity>Provider network</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>true</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>true</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Healthpoint Management Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a(iv)</TransactionType>
        <AmountInvolved>26625</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Hospital of Tampa Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>1005097</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>g</TransactionType>
        <AmountInvolved>176453</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Franciscan Properties Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>h</TransactionType>
        <AmountInvolved>544055</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Franciscan Properties Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>1070492</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Franciscan Properties Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>176650</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Health Care Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>29464657</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Health Care Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>54357</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>South Florida Baptist Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>233313</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>South Florida Baptist Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>390522</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Health Care Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>2615787</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Community Care Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>97499</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph's Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>108523</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>John Knox Village of Tampa Bay Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>52526</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>