2018-11-06T16:26:33-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2017-01-01 590774199 ST JOSEPH'S HOSPITAL INC STJO 8138704942 3003 W DR MARTIN LUTHER KING BLVD TAMPA FL 33607 CARL TREMONTI CFO 8138704942 2018-11-06 1 MELANIE MCPEAK P01346034 8132254800 2018-11-05 99.1.243.133 2018-11-06 16:26:02 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484 2017 2019-02-21 02:37:17Z GLENN WATERS 3003 W DR MARTIN LUTHER K TAMPA FL 33607 1340427651 0 X WWW.SJBHEALTH.ORG X 1963 FL SEE SCHEDULE OST. 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. 18 17 7524 1208 2137871 -1369529 7489618 8349975 1249397265 1320927646 -1096019 -11470 10831368 11091530 1266622232 1340357681 45455 39000 0 0 415212812 432249393 0 0 0 650468028 721344282 1065726295 1153632675 200895937 186725006 1584817104 1753104088 102649054 79371668 1482168050 1673732420 ST. JOSEPH'S HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. 0 0 956690299 39000 1324124002 ST. JOSEPH'S HOSPITAL, INC. (SJH) IS A FULL-SERVICE 1,002-BED COMMUNITY HOSPITAL. DURING 2017, SJH PROVIDED INPATIENT CARE TO 59,261 PATIENTS, TREATED 262,213 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 8,638 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, SJH SAW A NET COMMUNITY BENEFIT EXPENSE OF OVER $151 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING NEARLY $7 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. 956690299 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 718 0 1 7524 1 1 1 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X JANICE POLO EVP & CFO 7278208021 2985 DREW STREET CLEARWATER FL 33759 ROBERT BASKIN TRUSTEE 1.00 0.00 X 0 0 0 ROBERTA BRUNNER TRUSTEE 1.00 0.00 X 0 0 0 HUGH CAMPBELL TRUSTEE 1.00 0.00 X 0 0 0 JANE CASTOR TRUSTEE 1.00 0.00 X 0 0 0 AVRIL CHIN FATT TRUSTEE 1.00 0.00 X 0 0 0 RICK COLON TRUSTEE/CHAIR 1.00 1.00 X X 0 0 0 COLEMAN DAVIS TRUSTEE 1.00 1.00 X 0 0 0 RALPH GARCIA TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 RICHARD GLORIOSO TRUSTEE 1.00 0.00 X 0 0 0 TRACY HALME TRUSTEE 1.00 1.00 X 0 0 0 JONATHAN JENNEWEIN TRUSTEE/VICE CHAIR/SECRETARY 1.00 1.00 X X 0 0 0 DONNA JORDAN TRUSTEE 1.00 1.00 X 0 0 0 DOUGLAS MCFADDEN TRUSTEE 1.00 0.00 X 0 0 0 STEPHAN MENDOZA TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM MORROW TRUSTEE 1.00 0.00 X 0 0 0 ERIC OBECK TRUSTEE/IMM PAST CHAIR 1.00 1.00 X 0 0 0 DOMENICK REINA TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW RICE TRUSTEE 1.00 0.00 X 0 0 0 BRUCE RODWELL TRUSTEE 1.00 1.00 X 0 0 0 ELAINE SHIMBERG TRUSTEE 1.00 0.00 X 0 0 0 PAT SHIRLEY TRUSTEE 1.00 1.00 X 0 0 0 GLENN WATERS TRUSTEE/PRES/EVP, COO BAYCARE 1.00 45.00 X X 0 1581392 76036 CARL TREMONTI VP, CFO BAYCARE HOSP DIV 1.00 45.00 X 0 680038 32073 KIMBERLY GUY PRES SJH/SVP MARKET LEADER HILLSB 1.00 45.00 X 0 743985 42304 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 1.00 45.00 X 0 426909 54373 KATE REED PRES SJWH & SJCH 1.00 45.00 X 0 242764 21193 MATTHEW NOVAK PRES SJH SOUTH 1.00 45.00 X 0 277501 41087 JOANNE MAYERS VP, PATIENT SVCS/CNO - EAST 45.00 0.00 X 204896 0 35631 LORRAINE SARGENT DIRECTOR IMAGING EAST REGION 45.00 0.00 X 161910 0 23190 MICHAEL HANCE DIRECTOR OPERATIONS ST JOSEPH'S HOSP SOUTH 45.00 0.00 X 222999 0 19913 KAREN HOWELL DIR PATIENT SERVICES - SJW 45.00 0.00 X 235034 0 15039 LYDIA BOUTROS CLINICAL PHARMACIST 45.00 0.00 X 229845 0 10781 MELANIE DESOUZA MEMBER PHYSICIAN-PRIMARY CARE 45.00 0.00 X 237919 0 37339 DELPHINE BALLARD DIRECTOR, REHABILITATION & WOUND CARE 45.00 0.00 X 207928 0 21200 MICHAEL SMITH FORMER PRES SJH SOUTH 1.00 45.00 X 0 408905 89567 CATHY YODER FORMER TREASURER 1.00 45.00 X 0 80232 6988 1500531 4441726 526714 303 1 1 0 BAY LINEN INC 11525 47TH ST N CLEARWATER FL 33762 LAUNDRY SERVICES 5662935 CHILDRENS HOSPITAL PITTSBURGH 4401 PENN AVE PITTSBURGH PA 15224 PHYSICIAN SERVICES 4567390 AMERICAN ANESTHESIOLOGY OF FL PO BOX 281034 ATLANTA GA 30384 ANESTHESIOLOGY SERVICES 3475040 BRASFIELD & GORRIE LLC 941 W MORSE BLVD WINTER PARK FL 32789 CONSTRUCTION SERVICES 3313794 HELLMUTH OBATA & KASSABAUM INC 211 N BROADWAY SAINT LOUIS MO 63102 CONSTRUCTION SERVICES 3299032 140 1357512 5921351 1071112 8349975 HOSPITAL PATIENT CARE 621500 812697973 810667649 2030324 MEDICARE/MEDICAID PMNT 621990 508229673 508229673 1320927646 213361 0 213361 213361 213361 58500 69970 -11470 -11470 -11470 CAFETERIA 722514 7574266 7574266 OTHER HEALTH SVCS REV 621990 3303903 3196356 107547 10878169 1340357681 1322093678 2137871 7776157 39000 39000 420303 420303 365182073 363123704 2058369 15255534 15169545 85989 24977555 24836768 140787 26413928 26243806 170122 281900 281900 1743 1743 14113 14113 57123164 53743089 3380075 272114 264062 8052 15192840 15044719 148121 2155676 1142726 1012950 17006951 16926427 80524 2068822 1954050 114772 14757802 14757802 63462425 63346603 115822 26982210 24922324 2059886 MEDICAL SUPPLIES 189189298 189188786 512 MANAGEMENT FEES 153245011 153245011 BAD DEBT EXPENSE 92605850 92605850 PHYSICIAN FEES 36159449 3686038 32473411 50824914 49680887 1144027 1153632675 956690299 196942376 0 42827 115769 136562500 129291080 1202503 1346421 22618632 24861895 4827129 5289439 1378580925 737420250 670710431 641160675 4331814 5460238 744521268 945578571 1584817104 1753104088 45681626 55476980 228105 198985 56739323 23695703 102649054 79371668 X 1479954578 1671539054 2213472 2193366 1482168050 1673732420 1584817104 1753104088 X 186725006 4839364 X 0 1 X 1 0 X 0 1 0 0 0 0 1 4600 0 1 14113 18713 0 SCHEDULE C PART II - B, LINE 1B, 1G AND 1I SUPPLEMENTAL INFORMATION LINE 1B AND 1G LOBBYING ACTIVITIES PERFORMED BY EMPLOYEES CONCERNING HEALTH ISSUES. LINE 1I DUES WERE PAID TO THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, FLORIDA ASSOCIATION OF CHILDREN'S HOSPITALS, 340B HEALTH, GREATER TAMPA CHAMBER OF COMMERCE AND THE NATIONAL ASSOCIATION OF PSYCHIATRIC HEALING. THESE ORGANIZATIONS USE A PORTION OF THEIR RESPECTIVE DUES TO CONDUCT LOBBYING ACTIVITIES. 5736409 5736409 939228970 407663669 531565301 1312923 773272 539651 417979426 328983309 88996117 14323197 14323197 641160675 DEPOSITS 243749 PPD PHYSICIAN RECRUITMENT LT 569803 DUE FROM AFFILIATES 884020220 EST THIRD PARTY SETTLEMENTS 60744799 945578571 NONCURRENT PENSION OBLIGATION 23072241 SERP LIABILITY 371372 ASSET RETIREMENT OBLIGATION ST 194116 ASSET RETIREMENT OBLIGATION LT 57974 23695703 X 1246394319 0 1246394319 93963362 93963362 1340357681 1061026825 0 1061026825 92605850 92605850 1153632675 PART X, LINE 2: MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 92,605,850. CONTRIBUTIONS IN NET ASSETS 1,357,512. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 92,605,850. 1 1 X 1 X 250.000000000000 0 1 1 0 1 1 1 34617 32808294 0 32808294 0.03090 1 138893 257049711 146938176 110111535 0.10380 1 10211 11787722 5392123 6395599 0.00600 3 183721 301645727 152330299 149315428 0.14070 54 82012 2322094 0 2322094 0.00220 19 1609 4424810 0 4424810 0.00420 2 1441 65414 0 65414 0.00010 75 85062 6812318 6812318 0.00650 78 268783 308458045 152330299 156127746 0.14720 1 92605850 45270522 155203735 184301907 -29098172 X 1 1 1 1 ST JOSEPH'S HOSPITAL INC 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA FL 33615 WWW.BAYCARE.ORG/SJH 4292 X X X X ST JOSEPH'S HOSPITAL INC 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X HTTPS://BAYCARE.ORG/SJH/ABOUT-US/COMMUNITY-HEALTH-NEEDS X HTTPS://BAYCARE.ORG/SJHN/ABOUT-US/COMMUNITY-HEALTH-NEEDS 1 16 0 1 0 1 X 250.000000000000 0.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X HTTPS://BAYCARE.ORG/MOBILE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ST. JOSEPH'S HOSPITAL, INC. PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 70 COMMUNITY STAKEHOLDERS IN THE ST. JOSEPH'S HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 8 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. ST. JOSEPH'S HOSPITAL, INC. PART V, SECTION B, LINE 6A: CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:1. ST. ANTHONY'S HOSPITAL2. MORTON PLANT HOSPITAL ASSOCIATION3. TRUSTEES OF MEASE4. ST. JOSEPH'S HOSPITAL5. SOUTH FLORIDA BAPTIST HOSPITAL ST. JOSEPH'S HOSPITAL, INC. PART V, SECTION B, LINE 11: WHILE 15 AREAS OF OPPORTUNITY WERE IDENTIFIED WITHIN ST. JOSEPH'S HOSPITALS' SERVICE AREAS, CONCENTRATED EFFORTS WILL BE DEDICATED DURING THE 2017-2019 TIME PERIOD TO ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA: - ACCESS TO HEALTHCARE SERVICES - CANCER - DIABETES - HEART DISEASE & STROKE - INFANT HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE - NUTRITION, PHYSICAL ACTIVITY & WEIGHTPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2017-2019 TIME PERIOD.BASED ON THE SCOPE/SCALE OF THE ISSUE, ST. JOSEPH'S HOSPITALS' LEADERSHIP TEAM'S PERCEIVED ABILITY TO IMPACT THE ISSUE, THE AVAILABILITY OF EXISTING COMMUNITY RESOURCES ALREADY IN PLACE TO ADDRESS THE ISSUE AND CONSIDERING COMMUNITY STAKEHOLDER FEEDBACK, THE SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE 2016 ASSESSMENT THAT ARE NOT DIRECTLY REFERENCED IN THE 2017-2019 CHNA IMPLEMENTATION STRATEGY, ARE LISTED BELOW:HIV/AIDSWHILE NO NEW ACTIVITIES ARE NOTED WITHIN THE CYCLE-2 CHNA IMPLEMENTATION PLAN SPECIFICALLY RELATED TO HIV/AIDS, ST. JOSEPH'S HOSPITALS REMAIN COMMITTED TO SUPPORTING THOSE AFFECTED BY HIV/AIDS. ST. JOSEPH'S HOSPITALS' CONTINUED OPERATION OF HIV CLINICS IS ONE OF THE SPECIFIC WAYS IN WHICH THAT COMMITMENT TO OUR COMMUNITY IS DEMONSTRATED ON A DAILY BASIS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR NEW ACTION DURING THE CYCLE-2 PERIOD.INJURY & VIOLENCEST. JOSEPH'S HOSPITALS' LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY ORGANIZATIONS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSENFOR ACTION.ORAL HEALTHST. JOSEPH'S HOSPITALS HAVE LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.POTENTIALLY DISABLING CONDITIONS ST. JOSEPH'S HOSPITALS' LEADERSHIP BELIEVES THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON AIDING THOSE WITH POTENTIALLY DISABLING CONDITIONS AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY AT THIS TIME.RESPIRATORY DISEASESWHILE NO NEW ACTIVITIES ARE NOTED WITHIN THE CYCLE-2 CHNA IMPLEMENTATION PLAN SPECIFICALLY RELATED TO RESPIRATORY DISEASES, ST. JOSEPH'S HOSPITALS REMAIN COMMITTED TO SUPPORTING THOSE AFFECTED BY THESE CONDITIONS THROUGH VARIOUS INITIATIVES (SPECIFICALLY COPD, CLRD AND ASTHMA). LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR NEW ACTION DURING THE CYCLE-2 PERIOD.SEXUALLY TRANSMITTED DISEASESST. JOSEPH'S HOSPITALS' LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.TOBACCO USEWHILE NO NEW ACTIVITIES ARE NOTED WITHIN THE CYCLE-2 CHNA IMPLEMENTATION PLAN SPECIFICALLY RELATED TO TOBACCO USE, ST. JOSEPH'S HOSPITALS' HAVE INTEGRATED SMOKING CESSATION INITIATIVES WITHIN THE HEART DISEASE & STROKE AND DIABETES SECTIONS OF THE PLAN. A SEPARATE SET OF INITIATIVES WAS NOT CONSIDERED TO BE NECESSARY AT THIS TIME. ST. JOSEPH'S HOSPITAL, INC. PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE PORTION OF HOSPITAL BILLS EXCEEDING 25% OF ANNUAL INCOME. ST. JOSEPH'S HOSPITAL, INC. PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. 8 1 - TAMPA CARE CLINIC 4600 NORTH HABANA AVE SUITE 15 TAMPA FL 33614 OUTPATIENT CLINIC (HIV CLINIC) 2 - SJH CHILDREN'S SPECIALTY CENTER-N TAMPA 15045 BRUCE B DOWNS BLVD TAMPA FL 33647 OP REHABILITATION FOR CHILDREN AND ADOLESCENTS 3 - SJH CHILDREN'S SPECIALTY CENTER-BRANDON 10817 BLOOMINGDALE AVE RIVERVIEW FL 33578 OP REHABILITATION FOR CHILDREN AND ADOLESCENTS 4 - SJH PHYSICAL THERAPY & SPORTS REHAB 310 S MACDILL AVE TAMPA FL 33609 OUTPATIENT REHABILIATION 5 - SJH BEHAVIORAL HEALTH CENTER 4918 N HABANA AVE TAMPA FL 33614 IP PSYCH UNIT 6 - SJH CHILDREN'S SPECIALTY CENTER-MEASE C 3253 N MCMULLEN BOOTH RD SUITE 100 CLEARWATER FL 33761 OP REHABILITATION SVCS FOR CHILDREN AND ADOLESCENTS 7 - ST JOSEPH PINELLAS CARE CLINIC 3554 1ST AVE SOUTH ST PETERSBURG FL 33713 OUTPATIENT CLINIC 8 - ST JOSEPH'S OUTPATIENT REH CENTER 3003 W DR MLK JR BLVD 2ND FLOOR TAMPA FL 33607 OUTPATIENT REHABILIATION PART I, LINE 3C: PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. ST JOSEPH'S HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE ST. JOSEPH'S HOSPITAL CRITERIA FOR FINANCIAL ASSISTANCE (250%) PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION. PART I, LINE 7: FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $92,605,850 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: BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE IS CALCULATED AS A CHARGE RATIO, DERIVED FROM DATA SAMPLING. THE RESULTING CHARGE RATIO IS THEN APPLIED TO TOTAL BAD DEBT ACCOUNTS OF THE ORGANIZATION, WHICH CALCULATES THE BAD DEBT ATTRIBUTABLE TO 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 3: SEE PART III, LINE 2 PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 11 AND 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. - LINE 7 SURPLUS OR (SHORTFALL) ($29,098,172) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($27,964,038) - TOTAL SURPLUS OR (SHORTFALL) ($57,062,210) PART III, LINE 9B: PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE, ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), THE PATIENT'S ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. PART VI, LINE 2: ST. JOSEPH'S HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS IN THE COMMUNITIES IT SERVES. ST. JOSEPH'S HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS.IN ADDITION, ST. JOSEPH'S HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST ST. JOSEPH'S HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. PART VI, LINE 3: ST. JOSEPH'S HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE ST. JOSEPH'S HOSPITAL, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS.IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, ST. JOSEPH'S HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: ST. JOSEPH'S HOSPITAL IS AN ACUTE CARE FACILITY SERVING ALL OF HILLSBOROUGH AND PASCO COUNTIES AND PARTS OF SEVERAL SURROUNDING COUNTIES. THE AVERAGE HOUSEHOLD INCOME IS LOWER THAN BOTH THE STATE AND NATIONAL AVERAGES. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 22.2% OF THE POPULATION. 12.6% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED BY ST. JOSEPH'S HOSPITAL IS EXPECTED TO GROW 7.1% IN THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE OF 3.8% FOR THE UNITED STATES. ST. JOSEPH'S HOSPITAL IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE AREA SERVED BY THE ST. JOSEPH'S HOSPITALS HAS 26 ACUTE CARE HOSPITALS (17 NOT-FOR-PROFIT) AND 4 LONG TERM ACUTE CARE HOSPITALS (2 NOT-FOR-PROFIT). THERE ARE 4 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS AND 12 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED POPULATIONS IN ST. JOSEPH'S HOSPITAL'S SERVICE AREA. WITH THE SERVICE AREA EXPANDING AND THE OVER 65 POPULATION EXPECTED TO GROW 19.0% 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 10/01/2016-9/30/2017, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 48.7% MEDICARE/MEDICARE HMO, 17.2% MEDICAID/MEDICAID HMO, 21.5% COMMERCIAL INSURANCE, 7.7% SELF PAY/NON-PAY, AND 4.9% OTHER. PART VI, LINE 5: ST. JOSEPH'S HOSPITAL, INC.ST. JOSEPH'S HOSPITAL WAS FOUNDED IN 1934 AS A MISSION OF THE FRANCISCAN SISTERS OF ALLEGANY, WHO TRAVELED FROM NEW YORK DURING THE GREAT DEPRESSION TO BRING MUCH-NEEDED MEDICAL ASSISTANCE TO THE PEOPLE OF TAMPA. BY 1967, THE HOSPITAL OUTGREW ITS ORIGINAL THREE-STORY FACILITY AND MOVED TO ITS CURRENT LOCATION. SINCE THAT TIME, SERVICES AND FACILITIES HAVE GROWN DRAMATICALLY TO INCLUDE A CHILDREN'S HOSPITAL, A WOMEN'S HOSPITAL, NEW PATIENT CARE BUILDINGS, PLUS HEART AND CANCER INSTITUTES. IN RECENT YEARS, ST. JOSEPH'S HAS FURTHER IMPROVED ACCESS TO CARE EACH BY OPENING HOSPITALS IN AREAS THAT WERE PREVIOUSLY UNDERSERVED. THE FIRST OF THESE WAS ST. JOSEPH'S HOSPITAL-NORTH, A $225 MILLION, 76-BED COMMUNITY HOSPITAL IN NORTHERN HILLSBOROUGH COUNTY THAT OPENED IN 2010. FIVE YEARS LATER, ST. JOSEPH'S HOSPITAL-SOUTH OPENED IN SOUTHERN HILLSBOROUGH COUNTY. THIS STATE-OF-THE-ART FACILITY INCLUDES 90 PRIVATE PATIENT ROOMS, 22 PRIVATE OBSERVATION ROOMS AND A 32-BED EMERGENCY CENTER, BRINGING A FULL-SERVICE NOT-FOR-PROFIT HOSPITAL TO A PREVIOUSLY MEDICALLY UNDERSERVED COMMUNITY. WHILE MUCH HAS CHANGED OVER THE YEARS, ST. JOSEPH'S HOSPITAL'S COMMITMENT TO IMPROVE THE HEALTH OF ITS COMMUNITY THROUGH ACCESSIBLE, COMPASSIONATE AND FAMILY-FOCUSED HEALTH CARE SERVICES REMAINS. FOR MORE THAN 80 YEARS, OUR TEAM MEMBERS HAVE EXEMPLIFIED VALUES OF TRUST, DIGNITY, RESPECT, RESPONSIBILITY AND EXCELLENCE. IN FACT, A FAVORITE ANNUAL TRADITION FOR THE TEAM IS A HOLIDAY GIFT DRIVE TO BENEFIT FAMILIES OF DOZENS OF PATIENTS WHO WERE HOSPITALIZED DURING THE 12 PREVIOUS MONTHS. FIRST, CASEWORKERS IDENTIFY FAMILIES WHO WERE FACING DIFFICULT TIMES EVEN BEFORE THEY ENCOUNTERED A PERSONAL HEALTH CRISIS. THEN HOSPITAL DEPARTMENTS ADOPT FAMILIES AND PROVIDE PERSONALIZED GIFTS AND FOOD TO MAKE THE FAMILIES HOLIDAY SEASON A JOYOUS ONE. THIS TRULY COMPASSIONATE TEAM CONTINUES TO GIVE BACK TO THE COMMUNITY BY DOING WHAT IT DOES BEST - GIVING EVEN MORE. ST. JOSEPH'S HOSPITAL SERVES AS THE SAFETY NET FOR THE COMMUNITY. NOT JUST BY PROVIDING EMERGENCY SERVICES FOR ANYONE AT ANY TIME, BUT BY HELPING PEOPLE LIKE NO ONE ELSE CAN - OR WILL. THE HOSPITAL HAS SERVED AS A SAFE PLACE FOR FRIGHTENED MOTHERS TO LEAVE THEIR NEWBORNS BEHIND, RESEARCHED EVERY OPTION FOR FINANCIAL AND SOCIAL SERVICES FOR THOSE IN NEED AND PROVIDED TRANSPORTATION FOR PATIENTS WHO HAVE NO OTHER MEANS TO GET HOME - WHETHER HOME IS DOWN THE ROAD OR ACROSS AN OCEAN. CARING TEAM MEMBERS HAVE WORKED TIRELESSLY TO HELP PATIENTS TRANSITION FROM THE HOSPITAL SETTING TO THE NEXT LEVEL OF CARE, TAKING INTO CONSIDERATION PATIENTS' SPECIAL NEEDS AND LACK OF FINANCIAL RESOURCES. OTHERS HAVE DONATED THEIR TIME AND TALENT TO MISSION TRIPS, BROUGHT COMFORT ITEMS TO PATIENTS WITH SPECIFIC CULTURAL NEEDS AND WORKED TIRELESSLY TO EXTEND THE FRANCISCAN TRADITION OF HOSPITALITY TO ALL.COMMUNITY OUTREACH & PARTNERSHIPSTHROUGH EDUCATION AND A FOCUS ON PREVENTION AND EARLY DETECTION, ST. JOSEPH'S HOSPITALS ARE BUILDING A HEALTHIER COMMUNITY WHILE REDUCING SUFFERING AND TOTAL HEALTH CARE COSTS. THROUGH COMMUNITY HEALTH IMPROVEMENT PROGRAMS, WHICH INCLUDE HEALTH SCREENINGS, PHYSICIAN LECTURES, SUPPORT GROUPS, HEALTH FAIRS AND MOBILE CLINICS, THE HOSPITAL TOUCHED MORE THAN 80,000 LIVES IN 2017.MORE THAN $6 MILLION WAS SPENT IN 2017 TO SUPPORT OUR STRATEGIC DIRECTIONS TO FOSTERING AND IMPLEMENT COMMUNITY RELATIONSHIPS AND PARTNERSHIPS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. BY COLLABORATING WITH COMMUNITY PARTNERS AND SHARING RESOURCES, ST. JOSEPH'S HOSPITAL IS ABLE TO FIND LESS EXPENSIVE WAYS TO MAKE AN EVEN GREATER HEALTH IMPACT IN THE TAMPA BAY AREA. SOME EXAMPLES OF OUR PARTICIPATION IN COMMUNITY PARTNERSHIPS INCLUDE: - ST. JOSEPH'S CANCER INSTITUTE PARTNERS WITH THE AMERICAN CANCER SOCIETY (ACS) TO PROVIDE PATIENT INFORMATION AND SUPPORT. IN 2017, ST. JOSEPH'S HOSPITAL WAS A PARTNER FOR ACS'S MAKING STRIDES AGAINST BREAST CANCER AND RELAY FOR LIFE WALKS. IN ADDITION, THE HOSPITAL HOSTS FREE CANCER SUPPORT GROUPS AND LECTURES ON TOPICS SUCH AS COLON CANCER, OVARIAN AND GYNECOLOGIC CANCER, BREAST CANCER, PROSTATE CANCER AND MORE. MEANWHILE, ST. JOSEPH'S CANCER HELPLINE SERVES AS A FREE, CONFIDENTIAL RESOURCE FOR INFORMATION ABOUT THE DISEASE AS WELL AS REFERRALS TO PHYSICIANS, COMMUNITY PROGRAMS AND HOSPITAL SERVICES. - ST. JOSEPH'S COLLABORATES WITH THE SUSAN G. KOMEN FOUNDATION; THE JUDEO-CHRISTIAN CLINIC; THE FLORIDA DEPARTMENT OF HEALTH BREAST & CERVICAL EARLY DETECTION PROGRAM AND THE SISTERS NETWORK TO OFFER BREAST HEALTH RISK ASSESSMENTS AND HIGH-RISK SCREENING FOR BREAST CANCER. - ST. JOSEPH'S HEART INSTITUTE PARTNERS WITH THE AMERICAN HEART ASSOCIATION TO EDUCATE THE COMMUNITY ABOUT HEART DISEASE AND STROKE. 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 2017, THE FAMILY ASSESSMENT WORKERS MADE 5,760 INITIAL CONTACTS, GAVE 355 HEALTHY FAMILY ASSESSMENTS AND PROVIDED REFERRALS. - FOR BACK TO SCHOOL HEALTH FAIRS, ST. JOSEPH'S HOSPITAL TEAMS UP WITH THE HILLSBOROUGH COUNTY SCHOOL SYSTEM AND THE HILLSBOROUGH COUNTY BACK TO SCHOOL COALITION TO PROVIDE REQUIRED SCREENINGS AND EASIER ACCESS TO IMMUNIZATIONS FOR UNDERSERVED FAMILIES AND CHILDREN. - ST. JOSEPH'S FAITH COMMUNITY NURSING PROGRAM WAS ESTABLISHED TO PROVIDE HEALTH AND WELLNESS INFORMATION TO MEMBERS OF LOCAL CONGREGATIONS OF ALL DENOMINATIONS. THE GOAL IS TO ASSIST CONGREGATIONS IN DEVELOPING HEALTH MINISTRIES THAT COMPASSIONATELY AND EFFECTIVELY ADDRESS THE EMOTIONAL, PHYSICAL AND SPIRITUAL NEEDS OF INDIVIDUALS WITHIN THE CONGREGATION AND THE PEOPLE THEY REACH OUT TO IN THEIR COMMUNITIES. THE HOSPITAL PROVIDES THE INFRASTRUCTURE FOR THE FAITH COMMUNITY NURSE PROGRAM AND ASSISTS THE FAITH COMMUNITY BY PROVIDING RECRUITMENT, TRAINING, CONTINUING NURSE EDUCATION AND HEALTH SCREENINGS. IN 2017 THIS PROGRAM INCLUDED 70 NURSES WORKING IN PARTNERSHIPS WITH 37 CONGREGATIONS AND TWO CLINICS IN HILLSBOROUGH, WESTERN POLK AND SOUTHERN PASCO COUNTIES. THROUGH HOME AND HOSPITAL VISITS, PARISH NURSE OFFICE VISITS OR OTHER ENCOUNTERS AT THE CHURCH, EDUCATIONAL PROGRAMS, HEALTH FAIRS AND OTHER FORMS OF CORRESPONDENCE IN 2017, FAITH COMMUNITY NURSES DIRECTLY TOUCHED THE LIVES OF 16,690 PEOPLE. THE PROGRAM PROVIDED AN IMPRESSIVE 15,899 VOLUNTEER HOURS OF SERVICE IN THE COMMUNITY. - IN 1994, THE CATHOLIC DIOCESE OF ST. PETERSBURG FOUNDED THE SAN JOSE MISSION LOCATED IN DOVER, FLORIDA. THE MISSION PROVIDES HOUSING, CHILDCARE, FOOD, CLOTHING AND ASSISTANCE TO THE MIGRANT FARM WORKER COMMUNITY OF EASTERN HILLSBOROUGH COUNTY. OVER THE PAST SEVERAL YEARS, MANY NEW RESOURCES HAVE BEEN ADDED INCLUDING THE FULL-TIME SERVICES OF A PARISH NURSE. THE PARISH NURSE IS SPONSORED BY ST. JOSEPH'S HOSPITAL TO IMPLEMENT STRATEGIES THAT MEET THE PHYSICAL, EMOTIONAL, SPIRITUAL AND SOCIAL NEEDS OF THE PRIMARILY SPANISH-SPEAKING POPULATION. SERVING MORE THAN 250 INDIVIDUALS MONTHLY, THE NURSE IS A KNOWLEDGEABLE AND COMPASSIONATE PRESENCE TO MANY WHO ARE UNABLE TO ACCESS BASIC HEALTH AND SOCIAL SERVICES. - 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 151 EVENTS AND PROGRAMS IN 2016 AND WAS ABLE TO PROMOTE BETTER HEALTH TO MORE THAN 5,000 PEOPLE. HEALTH EDUCATION INCLUDED CPR AND FIRST AID, SMOKING CESSATION, WELLNESS SCREENINGS, FLU SHOTS AND BACK-TO-SCHOOL FAIRS. (CONT-D AFTER PART VI, LINE 7 NARRATIVE) PART VI, LINE 6: ST. JOSEPH'S HOSPITAL, INC. IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY REGION AND WEST CENTRAL FLORIDA. INPATIENT AND OUTPATIENT SERVICES INCLUDE ACUTE CARE, PRIMARY CARE, IMAGING, LABORATORY, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S ANNUAL "REPORT TO THE COMMUNITY" CAN BE VIEWED AT HTTPS://BAYCARE.ORG/ANNUAL-REPORT.BAYCARE'S HOSPITALS ARE BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, SOUTH FLORIDA BAPTIST, ST. JOSEPH'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S HOSPITAL-NORTH, ST. JOSEPH'S HOSPITAL-SOUTH, WINTER HAVEN HOSPITAL AND WINTER HAVEN WOMEN'S.*BAYCARE WAS FOUNDED IN 1997 WHEN SEVERAL OF THE AREA'S NOT-FOR-PROFIT HOSPITALS CAME TOGETHER, UNITED BY THE COMMON MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVED. BAYCARE IS NOW A $4.39 BILLION, INTEGRATED HEALTH DELIVERY SYSTEM WITH 27,600 EMPLOYEES. IT PLAYS AN IMPORTANT ROLE AS AN ECONOMIC ENGINE, ANNUALLY GENERATING A $6.62 BILLION IMPACT ON THE REGION AND THE STATE. IN 2017, BAYCARE SPENT $1.97 BILLION TO PAY FOR THE SALARY AND BENEFITS OF ITS EMPLOYEES AND $696 MILLION TO PROVIDE FUNDING FOR FUTURE COMMUNITY HEALTH CARE NEEDS, TECHNOLOGY, AND NEW PROGRAMS AND FACILITIES.BAYCARE'S CENTRALIZATION OF ADMINISTRATIVE FUNCTIONS IN A NUMBER OF AREAS, INCLUDING FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, PERFORMANCE IMPROVEMENT, CLINICAL OUTCOMES, PLANNING, MATERIALS MANAGEMENT AND MARKETING/COMMUNICATIONS, HAS PROVIDED A MANAGEMENT STRUCTURE THAT HELPS ITS HOSPITALS AND SERVICE LINES OPERATE MORE EFFICIENTLY AND CONTINUE STRIVING FOR CLINICAL EXCELLENCE. BAYCARE'S FINANCIAL STABILITY ALSO HELPS ENSURE THAT ITS HOSPITALS REMAIN FOCUSED ON THEIR SHARED MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE, REGARDLESS OF PATIENTS' ABILITY TO PAY.IN 2017, BAYCARE PROVIDED $391 MILLION IN TOTAL COMMUNITY BENEFIT, WHICH INCLUDES $121 MILLION IN TRADITIONAL CHARITY CARE FOR UNDERINSURED AND UNINSURED PATIENTS, $246 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, AND $24 MILLION IN UNBILLED COMMUNITY SERVICES. ALL OF THESE ARE MEASURED IN UNREIMBURSED COST.*IN CERTAIN CASES, HOSPITAL LOCATIONS WITH THE SAME TAX IDENTIFICATION AND STATE LICENSE NUMBER ARE LISTED AS ONE FACILITY ON FORM 990, SCHEDULE H, CONSISTENT WITH IRS REPORTING GUIDELINES. PART VI, LINE 7 ST. JOSEPH'S HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. PART VI, LINE 5 (CONT-D) IN ADDITION, COMMUNITY HEALTH IDENTIFIES GENERAL AND DISEASE-SPECIFIC RISK FACTORS TO BE ABLE TO PROVIDE APPROPRIATE EDUCATION, ONE-ON-ONE COUNSELING, FOLLOW-UP NURSE SUPPORT AND REFERRALS. MORE THAN HALF OF THE TEAM'S EVENTS ARE OUTREACH ACTIVITIES OFFERED OUTSIDE THE HOSPITAL. SOME SERVICES ARE PROVIDED ON FOUR "WELLNESS ON WHEELS" MOBILE BUSES. THESE 37-FOOT MOBILE HEALTH UNITS ARE EQUIPPED TO PROVIDE HEALTH SCREENINGS, IMMUNIZATIONS AND EDUCATION. HEALTH SCREENINGS OFFERED AT LITTLE OR NO COST TO THE COMMUNITY INCLUDE BLOOD PRESSURE, CHOLESTEROL, BODY COMPOSITION, DIABETES/GLUCOSE, HEALTH RISK APPRAISAL, OSTEOPOROSIS, SCHOOL PHYSICALS, AND SKIN CANCER. THE TEAM ALSO PROVIDES FLU AND PNEUMONIA SHOTS FOR THE COMMUNITY.FOR MORE THAN 20 YEARS, ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER HAS BEEN COMMITTED TO KEEPING KIDS AND FAMILIES HEALTHY, SAFE AND INFORMED THROUGH A MULTIFACETED OUTREACH APPROACH FOCUSING ON COMMUNITY EDUCATION, UNINTENTIONAL INJURY PREVENTION, CHILDREN'S HEALTH AND WELLNESS AND LEGISLATIVE ADVOCACY. IN 2017, THE CHILDREN'S WELLNESS AND SAFETY CENTER EDUCATED MORE THAN 53,000 CHILDREN AND THEIR FAMILIES THROUGH COMMUNITY PROGRAMS AND EVENTS. IN 2017, ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER PROVIDED TREMENDOUS COMMUNITY OUTREACH THROUGH THE FOLLOWING PROGRAMS:BE OUR BESTTHE "BE OUR BEST" PROGRAMS OFFER A RANGE OF AGE-APPROPRIATE, COMMUNITY AND SCHOOL BASED LESSONS THAT ENCOURAGE AND EMPOWER CHILDREN TO DEVELOP HEALTHY NUTRITION HABITS AND VITAL SAFETY SKILLS THAT IMPROVE OVERALL PHYSICAL AND SOCIAL WELL-BEING. HEALTH AND SAFETY CLASSES INCLUDE: I CAN EAT A RAINBOW, TEDDY BEAR CLINIC, GERMAINE THE GERM THING, BODY SAFARI, MISSION NUTRITION, GET YOUR FIT ON, SAFE SITTER, TEEN TALK FOR GIRLS AND BOYS, SHAKEN BABY PREVENTION, AND LIFE CHOICES. IN 2017, THE BE OUR BEST PROGRAM EDUCATED 13,458 CHILDREN IN LOCAL SCHOOLS AND CHILDREN'S BOARD FAMILY RESOURCE CENTERS.MOBILE MEDICAL CLINICTHE MOBILE MEDICAL CLINIC WAS ESTABLISHED IN 2004, WITH THE GOAL OF ADDRESSING THE COMMUNITY-WIDE PROBLEM OF REDUCED IMMUNIZATION COMPLIANCE AMONG YOUNG CHILDREN. MANY FAMILIES WERE UNABLE TO FIND CONVENIENT OR LOCAL IMMUNIZATION CARE DUE TO HEALTH AND FINANCIAL CONSTRAINTS. IN 2005, THE MOBILE MEDICAL CLINIC BEGAN TO OFFER WELL CHILD PHYSICALS IN RESPONSE TO THE COMMUNITY'S EXPRESSED NEED. CURRENTLY, THEIR NEW 44-FOOT BUS, FUNCTIONING AS A MOBILE CLINIC, OFFERS A VARIETY OF SERVICES INCLUDING IMMUNIZATIONS, WELL CHILD PHYSICALS, VACCINE RECORD CHECKS, DEVELOPMENTAL SCREENING, HEARING SCREENINGS, VISION SCREENINGS, FLUORIDE VARNISH TREATMENTS ALONG WITH HEALTH AND SAFETY EDUCATION. THE POPULATIONS SERVED ARE CHILDREN IN HILLSBOROUGH COUNTY WHO DO NOT HAVE INSURANCE, ARE ENROLLED IN MEDICAID AND ARE NATIVE AMERICAN OR ALASKAN NATIVES. IN 2017, THE MOBILE MEDICAL CLINIC TRAVELED THROUGHOUT THE TAMPA BAY AREA TO PROVIDE SERVICES TO 1,837 MEDICALLY NEEDY CHILDREN WHILE EDUCATING AND ASSISTING 564 CAREGIVERS ON NAVIGATING THE HEALTH CARE SYSTEM FOR THEIR CHILDREN. OUR PARTNERS FOR THIS PROJECT INCLUDE: ALLEGANY FRANCISCAN MINISTRIES, CATHOLIC CHARITIES, CITIZENS ALLIANCE FOR PROGRESS, COMMUNITY HEALTH CENTERS OF PINELLAS, DR. MARTIN LUTHER KING JR. NEIGHBORHOOD FAMILY CENTER, FAMILY SUPPORT AND RESOURCE CENTERS, FEEDING AMERICA, FLORIDA KIDCARE, GREATER RIDGECREST YOUTH DEVELOPMENT INITIATIVE, HILLSBOROUGH COUNTY HEAD START, HILLSBOROUGH COUNTY HEALTH DEPARTMENT, HILLSBOROUGH COUNTY SCHOOL SYSTEM, HISPANIC OUTREACH CENTER, JUVENILE WELFARE BOARD, LAYLA'S HOUSE, LEALMAN AND ASIAN NEIGHBORHOOD FAMILY CENTER, LUTHERAN SERVICES FLORIDA, PHILANTHROPIC WOMEN OF ST. JOSEPH'S, PINELLAS COUNTY HEAD START, PINELLAS COUNTY SCHOOLS, PREVENT BLINDNESS FLORIDA, REDLANDS CHRISTIAN MIGRANT ASSOCIATION, ST. CLEMENT CATHOLIC CHURCH, SULPHUR SPRINGS RESOURCE CENTER, THE CHILDREN'S BOARD OF HILLSBOROUGH COUNTY AND THE SPRING OF TAMPA BAY.SAFE KIDS GREATER TAMPASAFE KIDS TAMPA, WHICH IS LED BY ST. JOSEPH'S CHILDREN'S HOSPITAL TO PROVIDE LEADERSHIP TO THE TAMPA BAY COMMUNITY IN THE EFFORT TO PREVENT CHILDHOOD INJURY FOCUSING ON BICYCLE, PEDESTRIAN, WATER AND CHILD PASSENGER SAFETY. IN 2017, THE SAFE ROUTES TO SCHOOL WALK AND ROLL SAFETY PROGRAM EDUCATED MORE THAN 24,199 CHILDREN ABOUT BIKE AND PEDESTRIAN SAFETY THROUGH 68 SCHOOL CLINICS, ASSEMBLIES AND SPECIAL EVENTS. THE SAFE KIDS TAMPA PROGRAM FIT AND DISTRIBUTED 590 BIKE HELMETS. HILLSBOROUGH WATER SAFETY TEAMALSO IN 2017, THE HILLSBOROUGH WATER SAFETY TEAM (HWST) LED BY ST. JOSEPH'S CHILDREN'S HOSPITAL PROVIDES A FORUM FOR COMMUNITY ORGANIZATIONS TO COLLABORATE EFFORTS TO PREVENT CHILDHOOD DROWNING. THROUGH THE HWST ST. JOSEPH'S CHILDREN'S ADVOCACY CENTER WAS ABLE TO PROVIDE 363 CHILDREN WITH FREE SWIM LESSONS AND DISTRIBUTED 334 DOOR ALARMS TO PREVENT CHILDREN FROM ENTERING POOL AREAS UNSUPERVISED. ADDITIONALLY, ST. JOSEPH'S CHILDREN'S ADVOCACY CENTER STAFF ATTENDED 26 EVENTS THROUGHOUT THE COMMUNITY PROMOTING WATER SAFETY AND EDUCATED 4,473 CHILDREN AND CAREGIVERS ON TACTICS TO REDUCE CHILD DROWNING. HEALTH & SAFETY CLASSES FOR PARENT AND CAREGIVERS ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER OFFERS A VARIETY OF CLASSES TO EQUIP PARENTS AND CAREGIVERS WITH THE SKILLS AND KNOWLEDGE NECESSARY TO KEEP KIDS SAFE. THESE CLASSES ARE TAUGHT IN ST. JOSEPH'S HOSPITALS, CHILDREN'S BOARD RESOURCE CENTERS, AND COMMUNITY GROUPS. CLASSES INCLUDE INFANT AND CHILD CPR, PEDIATRIC FIRST AID AND SAFE BABY EXPRESS. IN 2017, ST. JOSEPH'S CHILDREN'S ADVOCACY CENTER WAS ABLE TO EDUCATE 1,375 PARENTS AND CAREGIVERS THROUGH THESE CLASSES.TO IMPROVE CHILD PASSENGER SAFETY, CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS TEACH PARENTS AND CAREGIVERS OF INFANTS THROUGH SCHOOL-AGED CHILDREN HOW TO PROPERLY USE AND INSTALL CHILD SAFETY SEATS. IN 2017, THE CHILD PASSENGER SAFETY PROGRAM INSPECTED THE USE AND INSTALLATION 394 CHILD SAFETY SEATS AND PROVIDED 562 NEW CHILD SAFETY SEATS TO CHILDREN IN OUR COMMUNITY. THOUSANDS OF CAREGIVERS WERE ABLE TO ASK AN EXPERT THEIR CAR SEAT QUESTIONS BY CALLING OUR TECHNICIANS OR BY SEEING US AT COMMUNITY EVENTS, CHILDREN'S BOARD FAMILY RESOURCE CENTER'S OR AAA APPOINTMENT LOCATIONS. COMMUNITY PARTNERS INCLUDE: AAA - TRAFFIC SAFETY FOUNDATION, REEVE'S MOTOR CARS, PEDIATRIC ASSOCIATES OF BRANDON, HILLSBOROUGH COUNTY (COMMUNITY DEVELOPMENT BLOCK GRANT), PLANT CITY PREGNANCY CLINIC, PLANT CITY WIC- HCDOH, SOUTH COUNTY CAREER CENTER TEEN PARENT EAST, LIFE CARE OF BRANDON, HILLSBOROUGH COUNTY WIC PROGRAM, CENTER OF MANIFESTATION CHURCH, YMCA, DIMPLES PLAYGROUND DAYCARE, PLANT CITY EARLY LEARNING RESOURCE, HILLSBOROUGH COUNTY HEAD START. ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER FORMED THE FLORIDA KIDCARE OUTREACH PROJECT IN 2007 TO IDENTIFY FAMILIES WHOSE CHILDREN HAVE NO HEALTH INSURANCE AND ASSIST THEM IN APPLYING FOR COVERAGE THROUGH THE FLORIDA KIDCARE PROGRAM. THE CHILDREN'S ADVOCACY CENTER NOW PARTNERS WITH THE KIDS HEALTHCARE FOUNDATION AND MANY COMMUNITY ORGANIZATIONS THROUGHOUT THE TAMPA BAY AREA TO ACHIEVE THIS GOAL. COMMUNITY PARTNERS INCLUDE: THE KIDS HEALTHCARE FOUNDATION, ALLEGANY FRANCISCAN MINISTRIES, SCHOOL DISTRICT OF HILLSBOROUGH COUNTY, FAMILY SUPPORT AND RESOURCE CENTERS, CHILDREN'S BOARD OF HILLSBOROUGH COUNTY, METROPOLITAN MINISTRIES, SUCCESS 4 KIDS AND FAMILIES, CITY OF PLANT CITY, COMMUNITY HEALTH CENTERS OF PINELLAS COUNTY, CHILDREN'S MEDICAL SERVICES, NETWORK OF EAST HILLSBOROUGH NEIGHBORHOODS, BRANDON FAMILY SUPPORT & RESOURCE CENTER, TOWN & COUNTRY FAMILY SUPPORT & RESOURCE CENTER, FICS MULTICULTURAL FAMILY CENTER, SOUTH COUNTY FAMILY SUPPORT & RESOURCE CENTER, CHILDREN'S BOARD CENTRAL TAMPA FSRC, CITY OF PLANT CITY, COMMUNITY HEALTH CENTERS OF PINELLAS, INC., NORTH TAMPA FAMILY SUPPORT & RESOURCE CENTER, THE NETWORK OF EAST HILLSBOROUGH NEIGHBORHOODS, HILLSBOROUGH COUNTY PUBLIC SCHOOLS, SUNCOAST COMMUNITY HEALTH CENTERS, TAMPA FAMILY HEALTH CENTERS, CRISIS CENTER OF TAMPA BAY, SHILOH RESTORATION, HILLSBOROUGH COUNTY HEALTH DEPARTMENT, ECHO, SULPHUR SPRINGS RESOURCE CENTER, METRO WELLNESS & COMMUNITY CENTERS, CONNECTIONS JOB DEVELOPMENT PROGRAM, EARLY LEARNING COALITION OF PASCO AND HERNANDO COUNTIES, FIRST UNITED METHODIST CHURCH DAYCARE, HIS STOREHOUSE OUTREACH, INC., GRADYI, HIGH POINT FAMILY CENTER, JAMES B SANDERLIN, LEALMAN & ASIAN NEIGHBORHOOD CENTER, NORTH GREENWOOD RECREATION & AQUATICS COMPLEX, OPERATION PAR, THE HEALTHY START COALITION OF PINELLAS, UNION ACADEMY FAMILY CENTER (CAP), THE HAVEN, CASA, RONALD MCDONALD MOBILE CLINIC/PASCO COUNTY SCHOOLS; RUSKIN-FICS MULTICULTURAL FAMILY CENTER. IN 2017, THE ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER SENT INFORMATION ABOUT FLORIDA KIDCARE TO 1,230 FAMILIES WITH UNINSURED CHILDREN AND MADE FOLLOW-UP PHONE CALLS TO ANSWER QUESTIONS THEY MAY HAVE AND HELP NAVIGATE THE SYSTEM IF NEEDED. PART VI, LINE 5 (CONT-D) ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER WAS A LEADING FORCE IN THE ENHANCEMENT OF FLORIDA'S CAR SEAT LAW, REQUIRING CHILDREN AGES 4 AND 5 TO BE PROPERLY RESTRAINED IN A CAR SEAT OR BOOSTER SEAT INSTEAD OF JUST AN ADULT SEATBELT. BEFORE THE PASSAGE OF THIS LAW IN 2014, FLORIDA WAS THE ONLY STATE THAT ALLOWED A 4 YEAR OLD TO RIDE IN JUST A SEATBELT.THE STEINBRENNER PEDIATRIC EMERGENCY ROOM AT ST. JOSEPH'S CHILDREN'S HOSPITAL IS A 22 BED EMERGENCY ROOM DEDICATED TO CHILDREN FROM BIRTH TO 21 YEARS OF AGE. ST. JOSEPH'S CHILDREN'S WELLNESS AND SAFETY CENTER WORKS IN COLLABORATION WITH THE EMERGENCY ROOM STAFF AND FUNCTIONS AS A LIAISON BETWEEN ST. JOSEPH'S CHILDREN'S HOSPITAL AND THE COMMUNITY WITH REGARDS TO CHILDREN'S HEALTH AND SAFETY. IN 2017, ST. JOSEPH'S CHILDREN WELLNESS AND SAFETY CENTER STAFF AND VOLUNTEERS WERE ABLE TO PROVIDE HEALTH AND SAFETY RESOURCES AS WELL AS FREE SAFETY PRODUCTS TO 1,186 FAMILIES VISITING THE STEINBRENNER EMERGENCY ROOM. THE SAFETY STORE AT ST. JOSEPH'S CHILDREN'S HOSPITAL, WHICH IS THE FIRST HOSPITAL-BASED SAFETY STORE PROVIDING LOW-COST SAFETY PRODUCTS AND PERSONALIZED SAFETY EDUCATION IN THE STATE OF FLORIDA. IN 2017, THE SAFETY STORE WELCOMED MORE THAN 1,186 VISITORS. THE SAFETY STORE PROVIDED CAREGIVERS WITH MORE THAN 2,000 INJURY PREVENTION PRODUCTS. ST. JOSEPH'S HOSPITAL ALSO PROVIDES THE TAMPA BAY COMMUNITY WITH THE SPECIALIZED TREATMENT OF HEART DISEASE, CANCER, STROKE, ORTHOPEDIC CONDITIONS, MENTAL ILLNESS, SEIZURES AND CRANIOFACIAL ANOMALIES, AS WELL AS AN EXTENSIVE RANGE OF OBSTETRICAL, GYNECOLOGICAL AND REHABILITATION SERVICES, NEONATAL CARE, SURGICAL SERVICES AND ADULT AND PEDIATRIC EMERGENCY/TRAUMA CARE. AS A NOT-FOR-PROFIT HOSPITAL, ST. JOSEPH'S HOSPITAL PROVIDES MANY SERVICES TO UNDER-SERVED MEMBERS OF THE COMMUNITY AT NO CHARGE OR AT A REDUCED CHARGE. SPECIALIZED SERVICESST. JOSEPH'S CHILDREN'S HOSPITALCHILDREN ARE DIFFERENT FROM ADULTS, WHICH IS WHY THEY NEED HEALTH CARE THAT FOCUSES ON THEIR UNIQUE NEEDS. THEY REQUIRE EXTRA TIME, EXTRA MONITORING, SPECIALIZED MEDICATIONS, AND CAREGIVERS WITH THE SKILLS AND COMPASSION TO UNDERSTAND THE NEEDS OF CHILDREN. IT'S ESTIMATED THAT HOSPITALIZED CHILDREN UNDER AGE 2 REQUIRE 45 PERCENT MORE ROUTINE NURSING CARE THAN ADULT PATIENTS. AS TAMPA'S FIRST DEDICATED CHILDREN'S HOSPITAL, ST. JOSEPH'S CHILDREN'S HOSPITAL IS DESIGNED TO MEET THE UNIQUE NEEDS OF CHILDREN AND THEIR FAMILIES BY PROVIDING HIGH-TECH PEDIATRIC HEALTH CARE IN A FAMILY-CENTERED, CHILD-FRIENDLY ENVIRONMENT. THE 186-BED FACILITY IS HOME TO A MEDICAL STAFF OF MORE THAN 240 PHYSICIANS REPRESENTING 25 MEDICAL AND SURGICAL DISCIPLINES INCLUDING ALMOST EVERY MAJOR PEDIATRIC SUB-SPECIALTY. IT ALSO INCLUDES A STATE DESIGNATED PEDIATRIC TRAUMA CENTER.ST. JOSEPH'S CHILDREN'S HOSPITAL IS ONE OF THE LARGEST CHILDREN'S HOSPITALS IN FLORIDA, PROVIDING MORE ACUTE MEDICAL AND SURGICAL PEDIATRIC CARE THAN ALL OTHER HOSPITALS IN HILLSBOROUGH COUNTY. ST. JOSEPH'S CHILDREN'S HOSPITAL ALSO EXTENDS ITS EXPERTISE TO MEASE COUNTRYSIDE HOSPITAL IN SAFETY HARBOR, ST. JOSEPH'S HOSPITAL-SOUTH IN RIVERVIEW AND SOUTH FLORIDA BAPTIST HOSPITAL IN PLANT CITY IN ORDER TO HELP MEET THE UNIQUE NEEDS OF CHILDREN AND THEIR FAMILIES IN THOSE COMMUNITIES. AS A PARTNER, ST. JOSEPH'S CHILDREN'S HOSPITAL SUPPORTS THESE HOSPITALS WITH PEDIATRIC PROGRAMS STAFFED BY HOSPITALISTS, NURSES AND A MULTITUDE OF SPECIALISTS, ALL WITH THE GOAL OF PROVIDING OUTSTANDING CHILDREN'S CARE. ST. JOSEPH'S CHILDREN'S HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) IS LICENSED FOR TWO LEVELS OF INTENSITY: LEVEL III (THE HIGHEST) WITH 49 INFANT BEDS AND LEVEL II WITH 15 INFANT BEDS, AND IS A PLACE WHERE SICK AND PREMATURE INFANTS RECEIVE SPECIAL CARE. THE TYPES OF MEDICAL CHALLENGES TREATED IN THE NICU INCLUDE PRE-TERM BIRTH, INFECTIONS, AND CONGENITAL ANOMALIES, SUCH AS SPINA BIFIDA, BOWEL CONDITIONS AND HEART DEFECTS. THE CHRONIC-COMPLEX CLINIC (CCC) AT ST. JOSEPH'S CHILDREN'S HOSPITAL PROVIDES A MEDICAL HOME TO MORE THAN 700 CHILDREN THROUGH A COMPREHENSIVE PRIMARY CARE PRACTICE THAT ADDRESSES THE SPECIAL HEALTH CARE NEEDS OF CHILDREN WITH COMPLEX MEDICAL CONDITIONS. THESE PATIENTS HAVE MULTIPLE SYSTEM INVOLVEMENT (FOR EXAMPLE, A TRACHEOTOMY, A G-TUBE AND DEVELOPMENTAL DELAY). THE COMPLEXITY OF THEIR CARE AND THE EFFORT TO EFFECTIVELY COORDINATE ALL OF THE SERVICES NEEDED BY THESE CHILDREN MAKES IT DIFFICULT, IF NOT IMPOSSIBLE, TO FIND APPROPRIATE CARE IN THE COMMUNITY. THIS CCC PROVIDES A MEDICAL HOME FOR THESE CHILDREN AND THEIR FAMILIES, COORDINATING THEIR SPECIALTY CARE, ADDRESSING PSYCHOSOCIAL CONCERNS AND PROVIDING CONTINUITY OF CARE DURING THEIR HOSPITALIZATIONS. THE MULTI-DISCIPLINARY TEAM IS INVOLVED IN THE PLANNING, DEVELOPMENT, COORDINATION AND OVERSIGHT OF THE CHILD'S OVERALL CARE. THE BENEFITS INCLUDE IMPROVING ACCESS TO ROUTINE HEALTH CARE FOR CHILDREN WITH COMPLEX NEEDS, DEVELOPING A MEDICAL HOME MODEL THAT IS BASED UPON THE AMERICAN ACADEMY OF PEDIATRICS MODEL AND BEST PRACTICE STANDARDS ACROSS THE COUNTRY, OFFERING A SUPPORT SYSTEM FOR PRIMARY CARE PROVIDERS THROUGH CONSULTATION, COORDINATING HEALTH CARE AND SERVICES, AND ESTABLISHING PARTNERSHIPS WITH FAMILIES. PATIENTS AND FAMILIES ARE ENCOURAGED TO ADVOCATE FOR THEIR NEEDS AND ASSISTED IN ACCESSING COMMUNITY RESOURCES. THE CCC IS LOCATED IN THE MEDICAL ARTS BUILDING OF ST. JOSEPH'S HOSPITAL, CO-LOCATED WITH MANY OF THE PEDIATRIC SUB-SPECIALISTS AND REHABILITATIVE SERVICES UTILIZED BY THE FAMILIES SERVED BY THE CLINIC. THE CO-LOCATION OF THESE SERVICES CONTRIBUTES TO BETTER COMMUNICATION BETWEEN PROVIDERS AS WELL AS ALLOWING FAMILIES TO SCHEDULE MULTIPLE APPOINTMENTS DURING THE SAME VISIT. TRANSPORTATION ALONE CAN BE BURDENSOME FOR THESE FAMILIES, AND BEING ABLE TO SEE MORE THAN ONE PROVIDER OR RECEIVE THERAPIES ON THE SAME DAY AS A PRIMARY CARE VISIT IS A MAJOR PATIENT SATISFIER. THE CCC HAS RECEIVED AN "A" RATING BY FAMILIES FOR SATISFACTION AS WELL AS THE COST EFFECTIVENESS OF PROVIDING THESE COORDINATED SERVICES. WITH THE CREATION OF THE CCC, THE NUMBER OF EMERGENCY ROOM VISITS, HOSPITALIZATIONS AND THE LENGTH OF HOSPITAL STAYS WITH THIS COMPLEX POPULATION HAS SEEN DRAMATIC REDUCTIONS. ADDITIONALLY, DUE TO THE COORDINATION OF SERVICES AND PREVENTATIVE CARE, HOSPITAL COSTS HAVE BEEN REDUCED. THE STEINBRENNER EMERGENCY/TRAUMA CENTER FOR CHILDREN IS A STATE-APPROVED PEDIATRIC TRAUMA REFERRAL CENTER THAT OPERATES 24 HOURS A DAY WITH A STAFF OF PHYSICIANS WHO ARE BOARD-CERTIFIED IN EMERGENCY MEDICINE AND PEDIATRICS. ST. JOSEPH'S CHILDREN'S HOSPITAL ALSO OFFERS AN EXTENSIVE SUPPORT SYSTEM INCLUDING CHILD LIFE SPECIALISTS, SOCIAL WORKERS, VOLUNTEERS, PET THERAPY, AND MORE. THESE INVALUABLE TEAM MEMBERS HELP TO MAKE THE EXPERIENCE AS PLEASANT AS POSSIBLE FOR PATIENTS AND THEIR FAMILIES. ST. JOSEPH'S WOMEN'S HOSPITALDESIGNED TO SERVE THE UNIQUE HEALTH CARE NEEDS OF WOMEN AND NEWBORNS IN A CARING, FAMILY-CENTERED ENVIRONMENT, ST. JOSEPH'S WOMEN'S HOSPITAL HAS SERVED TAMPA BAY FAMILIES FOR MORE THAN 30 YEARS. HOSPITAL SERVICES FOCUS ON THE INDIVIDUAL NEEDS OF WOMEN THROUGH EVERY STAGE OF LIFE. ST. JOSEPH'S WOMEN'S HOSPITAL OFFERS COMPLETE OBSTETRICAL, PERINATAL, SURGICAL, GYNECOLOGICAL AND ONCOLOGICAL SERVICES. ST. JOSEPH'S WOMEN'S HOSPITAL INCLUDES THE SHIMBERG BREAST CENTER, WHERE WOMEN OF ALL AGES, RACE AND BACKGROUNDS CAN RECEIVE THE MOST ADVANCED TESTING AND TREATMENT AVAILABLE. THE CENTER RECEIVED CENTER OF EXCELLENCE DESIGNATION BY THE AMERICAN COLLEGE OF RADIOLOGISTS AND WAS ACCREDITED BY THE NABPC. MEANWHILE, ST. JOSEPH'S WOMEN'S HOSPITAL'S MID-LIFE WOMEN'S PROGRAMS CATER DIRECTLY TO WOMEN IN THE POST-CHILD BEARING YEARS. ST. JOSEPH'S WOMEN'S HOSPITAL IS WIDELY REGARDED AS "THE PLACE IN TAMPA BAY TO HAVE A BABY" DUE TO THE COMFORTABLE LABOR AND DELIVERY SUITES, EXTENSIVE CHILDBIRTH EDUCATION PROGRAMS, LEVEL III NICU AND A MATERNAL/FETAL PROGRAM THAT OFFERS THE SECURITY EXPECTANT MOTHERS NEED. IN FACT, MORE THAN 7,000 BABIES WERE BORN AT ST. JOSEPH'S WOMEN'S HOSPITAL IN 2017, MAKING IT THE SECOND BUSIEST OBSTETRICAL PROGRAM IN THE STATE OF FLORIDA. OTHER UNIQUE FEATURES THAT DISTINGUISH THIS HOSPITAL INCLUDE AMENITIES SUCH AS ROOM SERVICE, AN ON-SITE MATERNITY STORE, LACTATION SUPPORT, FAMILY-CENTERED DELIVERY FOR CESAREAN BIRTHS, POST-PARTUM DEPRESSION SCREENING AND SUPPORT, ON-SITE BIRTH CERTIFICATE SERVICE AND VARIOUS EDUCATIONAL SESSIONS. PART VI, LINE 5 (CONT-D) BEHAVIORAL HEALTHWHILE MANY HEALTH CARE ORGANIZATIONS HAVE ABANDONED THEIR BEHAVIORAL HEALTH PROGRAMS AND SERVICES DUE TO LOW REIMBURSEMENT AND HIGH COSTS, ST. JOSEPH'S HOSPITAL CONTINUES TO RECOGNIZE THE STRONG COMMUNITY NEED FOR PSYCHIATRIC CARE. IN 2012, WE OPENED ST. JOSEPH'S HOSPITAL BEHAVIORAL HEALTH CENTER -- THE ONLY FREESTANDING INPATIENT BAKER ACT-RECEIVING PRIVATE PSYCHIATRIC HOSPITAL IN HILLSBOROUGH COUNTY. THE FACILITY PROMOTES HEALING THROUGH ARCHITECTURAL DESIGN ELEMENTS AND A STAFF CENTERED ON MEETING THE NEEDS OF THE PATIENT. THE CENTER FEATURES: A SERENE, THERAPEUTIC ENVIRONMENT THAT PROMOTES HEALING; COMPASSIONATE, PATIENT-CENTERED CARE; A CONTINUUM OF PSYCHIATRIC SERVICES FOR CHILDREN AND ADULTS; INDOOR RECREATION FACILITIES DESIGNED TO PROMOTE HOLISTIC RECOVERY, EXERCISE AND MOVEMENT. OUR EXPERIENCED TEAM OF BEHAVIORAL HEALTH SPECIALISTS COMPOSED OF PSYCHIATRISTS, NURSES, SOCIAL WORKERS, CASE MANAGERS AND MENTAL HEALTH TECHNICIANS PROVIDE ASSESSMENT, STABILIZATION AND COMPREHENSIVE DISCHARGE PLANNING FOR PATIENTS EXPERIENCING ACUTE MENTAL HEALTH PROBLEMS. THE FACILITY INCLUDES 40 ADULT BEDS AND 20 CHILD/ADOLESCENT BEDS.MEDICAL CARE ST. JOSEPH'S HOSPITAL IS COMMITTED TO INVESTING IN HIGHLY QUALIFIED PEOPLE, NEW TECHNOLOGY AND MODERN FACILITIES THAT PROMOTE HEALING. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY.IN ADDITION TO THE MOBILE MEDICAL CLINIC ALREADY MENTIONED, ST. JOSEPH'S CHILDREN'S HOSPITAL HAS FOUR SATELLITE SPECIALTY CENTERS TO MEET THE NEEDS OF CHILDREN AND FAMILIES THROUGHOUT TAMPA BAY AND SURROUNDING REGIONS. THESE CENTERS PROVIDE REHABILITATIVE AND SUBSPECIALTY HEALTH CARE FOR CHILDREN. FACILITIES ARE STRATEGICALLY LOCATED TO INCREASE ACCESS TO FAMILIES WHO LIVE IN NORTH HILLSBOROUGH AND SOUTH PASCO, POLK AND SOUTH HILLSBOROUGH COUNTIES. INDIGENT PATIENTS TURN TO THE ST. JOSEPH'S COMMUNITY CARE CLINIC FOR PRIMARY CARE SERVICES, WHICH HELPS REDUCE THE USE OF EMERGENCY SERVICES FOR BASIC HEALTH CARE NEEDS. A NOT-FOR-PROFIT ORGANIZATION OWNED BY ST. JOSEPH'S HOSPITAL, THE CLINIC PROVIDES CARE FOR PATIENTS PARTICIPATING IN THE HILLSBOROUGH COUNTY HEALTH CARE PLAN, ACCESS TO A SPECIALTY PANEL FOR SPECIALTY SERVICES, ACUTE CARE SERVICES THROUGH ST. JOSEPH'S HOSPITAL AND ST. JOSEPH'S WOMEN'S HOSPITAL AND A VARIETY OF OUTPATIENT SERVICES THROUGH ST. JOSEPH'S HOSPITAL.ST. JOSEPH'S HOSPITAL ALSO SUPPORTS A COMPREHENSIVE RESEARCH INSTITUTE. SINCE ITS INCEPTION IN 1991, COMPREHENSIVE RESEARCH INSTITUTE (CRI) HAS BEEN DEDICATED TO PROVIDING ACCESS TO CUTTING EDGE THERAPIES THROUGH LABORATORY AND CLINICAL RESEARCH. CRI, WHICH IS PRIMARILY GRANT FUNDED, PERFORMS BOTH INPATIENT AND OUTPATIENT CLINICAL TRIALS AT ST. JOSEPH'S HOSPITAL, ST. JOSEPH'S WOMEN'S HOSPITAL AND ST. JOSEPH'S CHILDREN'S HOSPITAL. WHILE PARTICIPATING IN PHASE II - IV STUDIES IN VARIOUS ASPECTS OF HEALTH CARE INCLUDING PHARMACEUTICAL AND DEVICE TRIALS, CRI FOCUSES ON INFECTIOUS DISEASES - PRIMARILY HIV. ADDITIONALLY, PEDIATRIC AND ADULT TRIALS INCLUDE INVESTIGATIONAL RESEARCH IN HEMATOLOGY, ONCOLOGY, CARDIOLOGY AND TISSUE BANKING STUDIES. THE FACILITY IS STAFFED WITH SIX FULL-TIME CLINICAL RESEARCH NURSES - EACH WITH EXTENSIVE EXPERIENCE IN A WIDE VARIETY OF DISEASE PROCESSES. AN ADDITIONAL ADMINISTRATIVE SUPPORT TEAM OF SIX RESEARCH PROFESSIONALS IS COMPLEMENTED BY AN ON-SITE STAFF PHYSICIAN. THIS TEAM OF RESEARCH PROFESSIONALS ALLOWS CRI TO PROVIDE OTHERWISE UNAVAILABLE INVESTIGATIONAL TREATMENTS FOR MANY CHALLENGING CLINICAL PROBLEMS FACING OUR COMMUNITY.PRESCRIPTIONSTO IMPROVE PATIENT SAFETY AT DISCHARGE AND DECREASE READMISSION RATES, ST. JOSEPH'S HOSPITALS IMPLEMENTED THE TRANSITIONS OF CARE PHARMACY PROGRAM. THIS HELPS ENSURE THAT PATIENTS RECEIVE AND UNDERSTAND THEIR MEDICATIONS BEFORE LEAVING THE HOSPITAL. AS PART OF THE PROGRAM, PHARMACISTS ALSO FOLLOW UP WITH PATIENTS 3 7 DAYS AFTER DISCHARGE TO COMPLETE A COMPREHENSIVE MEDICATION REVIEW. THE PHARMACIST REVIEWS ALL MEDICATIONS WITH THE PATIENT, MAKES SURE THEY UNDERSTAND WHAT IT IS BEING USED FOR AND DETERMINES WHETHER THE MEDICATION IS BEING TAKEN CORRECTLY. THE PHARMACIST CAN ANSWER ANY ADDITIONAL MEDICATION-RELATED QUESTIONS PATIENTS MAY HAVE. AT THREE WEEKS AFTER DISCHARGE, THE TRANSITIONS OF CARE TEAM MAKES ANOTHER CALL TO THE PATIENT TO ASSESS AND SOLVE ANY ONGOING ISSUES WITH ACCESS TO MEDICATIONS; ACT AS A RESOURCE FOR ANY DISEASE STATE OR MEDICATION QUESTIONS; AND IDENTIFY ANY COORDINATION OF CARE CONCERNS AND REFER TO THE APPROPRIATE INTERDISCIPLINARY CARE TEAM MEMBER AS NEEDED.HELPING HANDTO HELP FAMILIES FIND APPROPRIATE HEALTH CARE COVERAGE, ST. JOSEPH'S HOSPITAL WORKS WITH FLORIDA KIDCARE INSURANCE OUTREACH. ST. JOSEPH'S HOSPITAL PARTNERS WITH THE HEALTHY START COALITION OF HILLSBOROUGH COUNTY TO PROVIDE HEALTHY START, HEALTHY FAMILIES, AND SUPPORT SERVICES THROUGHOUT THE COUNTY. ST. JOSEPH'S WOMEN'S HOSPITAL COLLABORATES WITH REACHUP TO SUPPORT THE SPECIAL DELIVERY DOULA PROGRAM IN HILLSBOROUGH COUNTY. THE DOULAS SUPPORT AT-RISK WOMEN (FROM AT-RISK ZIP CODES) DURING LABOR AND PROVIDE IN-HOME VISITS TO SUPPORT AND KEEP THEM IN THE REACHUP SYSTEM FOR FOLLOW-UP AND TO COORDINATE COMMUNITY SUPPORT. THE HOSPITAL'S CARE COORDINATION DEPARTMENT PROVIDES SUPPORTIVE SERVICES TO MANY UNDERINSURED OR UNINSURED PATIENTS. TO ASSURE THAT HIGH-RISK PATIENTS RECEIVE NECESSARY TREATMENT, THEY ARE PROVIDED WITH ACCESS TO TRANSPORTATION, HOUSING RESOURCES, HOME HEALTH SERVICES, ACCESS TO MEDICATIONS AND EMOTIONAL SUPPORT.EMERGENCY CAREST. JOSEPH'S HOSPITAL'S EMERGENCY CENTER IS DESIGNATED AS A LEVEL II TRAUMA CENTER, IT INCLUDES A STATE-DESIGNATED 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 150,000 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 AND 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 CAREPATIENTS 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 TRAININGST. 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, 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. PART VI, LINE 5 (CONT-D) HEALTH PROFESSIONAL EDUCATIONSTUDENT CLINICAL EXPERIENCES ALLOW THE HEALTH CARE STUDENT THE OPPORTUNITY TO LEARN SKILLS AND KNOWLEDGE NECESSARY TO FUNCTION IN AN ACUTE CARE FACILITY. STUDENTS ARE PROVIDED WITH DIVERSE EXPERIENCES IN MULTIPLE PATIENT SETTINGS BASED ON THE LEVEL OF EDUCATION THEY HAVE RECEIVED. CLINICAL EXPERIENCES ALLOW THE STUDENT TO RECEIVE THE GUIDANCE, SUPERVISION AND ENCOURAGEMENT NECESSARY TO GAIN COMPETENCE IN CLINICAL TECHNIQUES. TOWARD THE END OF THE STUDENT'S FORMAL EDUCATION HE/SHE WILL BE PROVIDED WITH THE OPPORTUNITY TO DEVELOP LEADERSHIP AND MANAGEMENT SKILLS WHILE WORKING WITH A PRECEPTOR. EVALUATION AND FEEDBACK BY THE EXPERIENCED PRECEPTOR ARE ESSENTIAL COMPONENTS IN ASSISTING THE STUDENT TO IDENTIFY ADDITIONAL LEARNING NEEDS PRIOR TO APPLYING FOR EMPLOYMENT IN THE HEALTH CARE ARENA.NURSING STUDENTS FROM FLORIDA STATE UNIVERSITY, HILLSBOROUGH COMMUNITY COLLEGE, UNIVERSITY OF SOUTH FLORIDA, UNIVERSITY OF TAMPA AND ST. PETERSBURG COLLEGE COMPLETED THEIR CLINICAL INTERNSHIPS AT MANY FACILITIES THROUGHOUT ST. JOSEPH'S HOSPITALS. OUR NURSES, DIETITIANS, LAB TECHNOLOGISTS AND RESPIRATORY THERAPISTS HELPED EDUCATE THESE FUTURE NURSES ABOUT MANY ASPECTS OF PATIENT CARE.TECHNICAL STUDENTS COMPLETED THEIR CLINICAL ROTATIONS AT ST. JOSEPH'S HOSPITAL IN A VARIETY OF SPECIALTIES, INCLUDING EKG, IMAGING AND NUCLEAR MEDICINE. TEAM MEMBERS WHO MENTORED THESE STUDENTS DEVOTED NUMEROUS HOURS FOR ON-THE-JOB TRAINING OF THESE STUDENTS IN 2017.STUDENTS PURSUING CAREERS IN OTHER HEALTH FIELDS, SUCH AS PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY AND RADIOLOGY, ALSO COMPLETED INTERNSHIPS AND CLINICAL ROTATIONS AT ST. JOSEPH'S HOSPITAL. IN TOTAL MORE THAN 2,000 STUDENTS STUDIED AT OUR FACILITIES. VOLUNTEER OPPORTUNITIESFOR MORE THAN 50 YEARS, MEMBERS OF THE COMMUNITY HAVE SPENT THOUSANDS OF HOURS VOLUNTEERING THEIR TIME TO ST. JOSEPH'S HOSPITALS, 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 HOSPITALS, THE AUXILIARY ALSO SPONSORS BOOK, JEWELRY, UNIFORM AND VARIOUS OTHER SALES THROUGHOUT THE YEAR TO RAISE FUNDS FOR HOSPITAL PROJECTS. IN 2017, 960 VOLUNTEERS CONTRIBUTED 130,060 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, ST. JOSEPH'S HOSPITAL-NORTH AND ST. JOSEPH'S HOSPITAL-SOUTH.BOARD OF TRUSTEESST. 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 ENVIRONMENTIN 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 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. 1 RONALD MCDONALD HOUSE CHARITIES OF TAMPA BAY 35 DAVIS BLVD TAMPA FL 33606 591835985 501(C)(3) 5500 DONATION TO STORY BOOK BALL HEMOPHILIA FOUNDATION OF GREATER FLORIDA 1350 WEST ORANGE AVE STE 227 WINTER PARK FL 32789 593418827 501(C)(3) 15000 SUPPORTING HEMOPHILIA OR OTHER RELATED BLEEDING DISORDERS IN THE TAMPA AREA FLORIDA HEMOPHILIA ASSOCIATION 915 MIDDLE RIVER DRIVE STE 421 FT LAUDERDALE FL 33304 592072352 501(C)(3) 6000 SUPPORTING ST. JOSEPH'S HOSPITAL PATIENTS COMPASSIONATE CARE PROGRAM 3 PART I, LINE 2: ST. JOSEPH'S HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS. X 1 1 1 1 0 0 0 0 0 0 0 GLENN WATERS TRUSTEE/PRES/EVP, COO BAYCARE 0 882861 0 387681 0 310850 0 34342 0 41694 0 1657428 0 0 CARL TREMONTI VP, CFO BAYCARE HOSP DIV 0 391450 0 122076 0 166512 0 13500 0 18573 0 712111 0 33098 KIMBERLY GUY PRES SJH/SVP MARKET LEADER HILLSB 0 428348 0 137695 0 177942 0 13500 0 28804 0 786289 0 37377 PAULA MCGUINESS PRES ST JOSEPH'S HOSP NORTH 0 262953 0 79232 0 84724 0 42364 0 12009 0 481282 0 0 KATE REED PRES SJWH & SJCH 0 183005 0 25000 0 34759 0 2243 0 18950 0 263957 0 0 MATTHEW NOVAK PRES SJH SOUTH 0 209381 0 37841 0 30279 0 21253 0 19834 0 318588 0 0 JOANNE MAYERS VP, PATIENT SVCS/CNO - EAST 185150 0 14587 0 5159 0 4732 0 30899 0 240527 0 0 0 LORRAINE SARGENT DIRECTOR IMAGING EAST REGION 137263 0 14726 0 9921 0 7587 0 15602 0 185099 0 0 0 MICHAEL HANCE DIRECTOR OPERATIONS ST JOSEPH'S HOSP 185741 0 22856 0 14402 0 10215 0 9698 0 242912 0 0 0 KAREN HOWELL DIR PATIENT SERVICES - SJW 131920 0 17994 0 85120 0 0 0 15039 0 250073 0 0 0 LYDIA BOUTROS CLINICAL PHARMACIST 158048 0 63830 0 7967 0 9359 0 1422 0 240626 0 0 0 MELANIE DESOUZA MEMBER PHYSICIAN-PRIMARY CARE 208793 0 27462 0 1664 0 12374 0 24965 0 275258 0 0 0 DELPHINE BALLARD DIRECTOR, REHABILITATION & WOUND CAR 180113 0 22265 0 5550 0 9776 0 11424 0 229128 0 0 0 MICHAEL SMITH FORMER PRES SJH SOUTH 0 295493 0 85828 0 27584 0 63897 0 25670 0 498472 0 0 CATHY YODER FORMER TREASURER 0 51627 0 20808 0 7797 0 2682 0 4306 0 87220 0 26715 PART I, LINE 1A KATE REED RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $24,000 DURING 2017 WHICH WAS INCLUDED IN HER TAXABLE COMPENSATION. PART I, LINE 3 THE FILING ORGANIZATION DOES NOT USE ANY OF THE OPTIONS LISTED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. HOWEVER, THE RELATED ORGANIZATION, BAYCARE HEALTH SYSTEM INC, USES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS A MEANS TO ESTABLISH THE CEO'S COMPENSATION OF THE FILING ORGANIZATION. PART I, LINES 4A-B KAREN HOWELL RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $71,059 DURING 2017. GLENN WATERS - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $187,776 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. HE HAD $16,993 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $78,772 IN 2017. CARL TREMONTI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $117,157 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $49,147 IN 2017. KIMBERLY GUY - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $122,623 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $51,440 IN 2017. PAULA MCGUINESS - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $43,278 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $18,155 IN 2017. MATTHEW NOVAK - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $8,850 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. MICHAEL SMITH - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $50,397 OF NONVESTED BENEFITS ACCRUE DURING 2017. THIS AMOUNT IS INCLUDED IN PART II (C) RETIREMENT AND OTHER DEFERRED COMPENSATION. CATHY YODER - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $38,152 IN BENEFITS VEST IN 2017. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $316,132 IN 2017. FORM 990, PART VI, SECTION A, LINE 6 TRINITY HEALTH, AN INDIANA NONPROFIT CORPORATION IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER TRINITY HEALTH. FORM 990, PART VI, SECTION A, LINE 7B THE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. TRINITY HEALTH SHALL RESERVE TO ITSELF IN ITS CAPACITY AS THE CORPORATE MEMBER OF THE CORPORATION THE FOLLOWING TWO CATEGORIES OF ACTIONS: CLASS I MEMBER RESERVED RIGHTS AND CLASS II MEMBER RESERVED RIGHTS. A. CLASS I MEMBER RESERVED RIGHTS. 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION. 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION. 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION. 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER). 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION. 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS. 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION. 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE OF THE CORPORATION. 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION. 10. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER. 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION. 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION. 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER. B. CLASS II MEMBER RESERVED RIGHTS. 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 2. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 3. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION. 4. APPROVAL OF ANY SALE, LONG TERM LEASE, MORTGAGE, ENCUMBRANCE OR DISPOSITION OF PROPERTY OF THE CORPORATION CONSTITUTING AN 'ALIENATION' UNDER PRINCIPLES OF CANON LAW. 5. APPROVAL OF MATTERS RELATING TO THE IMPLEMENTATION OF AND COMPLIANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES. 6. CHANGE IN THE NAME OF THE HOSPITAL FACILITY OF THE CORPORATION. 7. APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION OF THE CORPORATION AND THESE BYLAWS PROVIDED THAT PRIOR NOTICE OF ANY CHANGE IN THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THESE BYLAWS SHALL BE PROVIDED TO TRINITY HEALTH AND, IF SUCH CHANGE, AS A RESULT OF TRINITY HEALTH BEING A CATHOLIC ENTITY, MUST BE APPROVED BY TRINITY HEALTH, SUCH CHANGE, REGARDLESS OF WHETHER IT IS SUBSTANTIVE AS A MATTER OF CIVIL LAW, SHALL BE SUBJECT TO THE APPROVAL OF THE MEMBER. 8. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL AS THE ORGANIZATION'S PAID PREPARER. PRIOR TO FILING WITH THE IRS, A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD VIA A WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C ST. JOSEPH'S HOSPITAL, INC. HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. FORM 990, PART VI, SECTION B, LINE 15B THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT ALSO FOLLOWS THE COMPENSATION POLICY OF THE COMPENSATION COMMITTEE. THE INDEPENDENT COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURRING IN 2017, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL, INC. PUBLISHES ITS FINANCIAL STATEMENTS WITH THE AGENCY FOR HEALTH CARE ADMINISTRATION. GOVERNING DOCUMENTS ARE AVAILABLE VIA SUNBIZ.ORG. FORM 990, PART XI, LINE 9: CHANGES IN NET ASSETS OF FOUNDATION -20,105. CHANGE IN MINMUM PENSION OBLIGATION 6,216,981. CONTRIBUTIONS IN NET ASSETS -1,357,512. BAYCARE HEALTH SYSTEM INC 2985 DREW ST CLEARWATER FL 33759 592796965 SUPPORT SRVCS FL 501(C)(3) 12A N/A 0 FRANCISCAN PROPERTIES INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 592822519 SUPPORTS SJH FL 501(C)(3) 12B SJHCC 1 JOHN KNOX VILLAGE OF TAMPA BAY INC 4100 FLETCHER AVE TAMPA FL 33613 581377711 RETIRE CMMNTY FL 501(C)(3) 10 SJHCC 1 SOUTH FLORIDA BAPTIST HOSPITAL INC 301 N ALEXANDER STREET PLANT CITY FL 33563 590594631 MEDICAL SRVCS FL 501(C)(3) 3 N/A 1 ST ANTHONY'S PROF BUILDING & SERVICES 1200 SEVENTH AVE NORTH ST PETERSBURG FL 33705 592018848 REAL ESTATE FL 501(C)(3) 10 SJHCC 1 ST JOSEPH'S COMMUNITY CARE INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 593152608 MEDICAL ASST FL 501(C)(3) 10 SJHCC 1 ST JOSEPH'S ENTERPRISES INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 592822516 HEALTH INVEST FL 501(C)(3) 12B SJHCC 1 ST JOSEPH'S HEALTH CARE CENTER INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 592593686 SUPPORT SRVCS FL 501(C)(3) 12B N/A 1 ST JOSEPH'S HOSPITAL AUXILIARY INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 592131207 SUPPORTS SJH FL 501(C)(3) 12C N/A 0 ST JOSEPH'S HOSPITAL OF TAMPA FOUND INC 3001 W DR MARTIN LUTHER KING JR BLV TAMPA FL 33607 591100828 FUNDRAISING FL 501(C)(3) 12C SJHCC 1 CARILLON SURG CNTR 900 CARILLON ST PET FL 33716 261116740 HEALTH SRVC FL SAPOB N/A 0 0 ST ANT PHY SURG CNTR 705 16TH ST N ST PET FL 33705 010861245 HEALTH SRVC FL SAPOB N/A 0 0 HEALTHPOINT MANAGEMENT SERVICES INC 4902 EISENHOWER BLVD SUITE 300 TAMPA FL 33634 650645457 BILLING/MGMT FL SJHCC C 1 HEALTHPOINT MEDICAL GROUP INC 4902 EISENHOWER BLVD SUITE 300 TAMPA FL 33634 593244268 PHYSICIAN GRO FL SJHCC C 1 0 0 1 1 0 0 0 0 1 0 1 1 1 0 1 0 0 1 1 ST JOSEPH'S HEALTH CARE CENTER INC C 1357512 FMV FRANCISCAN PROPERTIES INC K 1105487 FMV FRANCISCAN PROPERTIES INC L 51772 FMV ST JOSEPH'S HEALTH CARE CENTER INC M 23048424 FMV SOUTH FLORIDA BAPTIST HOSPITAL INC O 1081611 FMV ST JOSEPH'S HEALTH CARE CENTER INC O 231151 FMV JOHN KNOX VILLAGE OF TAMPA BAY INC O 637354 FMV FRANCISCAN PROPERTIES INC O 155370 FMV JOHN KNOX VILLAGE OF TAMPA BAY INC R 67210 FMV SOUTH FLORIDA BAPTIST HOSPITAL INC R 717815 FMV FRANCISCAN PROPERTIES INC S 1364564 FMV ST JOSEPH'S HEALTH CARE CENTER INC S 23041817 FMV