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John Knox Village of Tampa Bay Inc: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
John Knox Village of Tampa Bay Inc (EIN 58-1377711)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201723149349303807
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-10T16:08:40-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 N FRANKLIN ST STE 2400AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581377711EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1John Knox Village of Tampa Bay IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANICE POLO EVP & CFOInCareOfNm
Business Name ControlJOHNBusinessNameControlTxt
Phone8136322401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 East Fletcher AvenueAddressLine1Txt
CityTampaCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33613ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARL TREMONTIPersonNm
Person TitleCFOPersonTitleTxt
Phone8138704025PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMelanie A McPeakPreparerPersonNm
PTINP01346034PTIN
Phone8132254800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.184.231.48IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id65095320173145000020FederalOriginalSubmissionId
Federal Original Submission Id2017-11-10FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id090DF3880695D33BA5F0896781DD7F1FFA4BF94EAtSubmissionCreationDeviceId
At Submission Filing Device IdA9F34ED436352FF4B1AA576E9CC518543F23A016AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGlenn WatersPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 Drew StreetAddressLine1Txt
CityclearwaterCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,920,208GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.stjosephsjohnknox.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionJOHN KNOX VILLAGE of tampa bay, inc. WILL improve the health OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE services that set THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee513TotalEmployeeCnt
Total Volunteers159TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,140PYContributionsGrantsAmt
CY Contributions Grants$8,318CYContributionsGrantsAmt
PY Program Service Revenue$29,167,428PYProgramServiceRevenueAmt
CY Program Service Revenue$28,823,944CYProgramServiceRevenueAmt
PY Investment Income$58,426PYInvestmentIncomeAmt
CY Investment Income$87,946CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$29,236,994PYTotalRevenueAmt
CY Total Revenue$28,920,208CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,316,247PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,938,078CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,946,981PYOtherExpensesAmt
CY Other Expenses$15,384,118CYOtherExpensesAmt
PY Total Expenses$32,263,228PYTotalExpensesAmt
CY Total Expenses$32,322,196CYTotalExpensesAmt
PY Revenues Less Expenses-$3,026,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,401,988CYRevenuesLessExpensesAmt
Total Assets BOY$30,754,625TotalAssetsBOYAmt
Total Assets EOY$29,187,234TotalAssetsEOYAmt
Total Liabilities BOY$30,505,400TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,329,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$249,225NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,142,702NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJOHN KNOX VILLAGE OF TAMPA BAY, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,649,497ExpenseAmt
Grant$0GrantAmt
Revenue$28,823,944RevenueAmt
DescSee Schedule ODesc
Total Program Service Expenses$29,649,497TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee513EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANICE POLO EVP CFOPersonNm
Phone7278208021PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 DREW STREETAddressLine1Txt
CityClearwaterCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICIA DONNELLY
TTEE/VP, PATIENT SVCS/CNO-EAST1.045.0Yes (X)$0$498,774$42,044
KIMBERLY GUY
TTEE/PRES SJH/SVP MARKER LDER1.045.0Yes (X)$0$597,170$39,703Yes (X)
LORRAINE LUTTON
TRUSTEE/PRES ST JOSEPH'S HOSP1.045.0Yes (X)$0$543,628$86,270
MADELYN MOSELEY
TRUSTEE/EXEC DIR HOME CARE1.045.0Yes (X)$0$219,916$20,642
DOLORES O'BRIEN
TRUSTEE1.00.0Yes (X)$0$0$0
RON SHUCK
TRUSTEE1.00.0Yes (X)$0$0$0
CARL TREMONTI
TTEE/SECR/TREA/VP,CFO BYCR HOS1.045.0Yes (X)$0$619,350$24,420Yes (X)
GLENN WATERS
EVP, COO BAYCARE HEALTH SYSTEM1.045.0$0$1,341,759$88,360Yes (X)
LISA LYONS
DIRECTOR JOHN KNOX VILLAGE45.00.0$176,786$0$32,056Yes (X)
ELLEN KOBERLEIN
CONTROLLER JOHN KNOX VILLAGE45.00.0$119,158$0$23,499Yes (X)
MICHAEL JAMES
FACILITIES DIRECTOR45.00.0$109,541$0$17,633Yes (X)
SANDY ROSS
SENIOR LIVING COUNSELOR LEAD45.00.0$109,926$0$21,518Yes (X)
DONNA WASHBURN
DIRECTOR NURSING SERVICES45.00.0$127,074$0$22,102Yes (X)
CATHY YODER
FORMER TRUSTEE/OFFICER0.045.0$0$406,417$47,051Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$642,485TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,227,014TotReportableCompRltdOrgAmt
Total Other Compensation$465,298TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sodexo Inc Affiliates
9801 Washington BlvdGAITHERSBURGMD20878Management Svcs$736,234
Quality Care Rehab Inc
8477 Suncoast BlvdHOMOSASSAFL34446Rehab services$1,807,417
FMR Management Services
PO Box 3693PLANT CITYFL335633693Laundry services$351,092
Securitas Security Services USA In
3450 Buschwood Park Dr STE 340TAMPAFL33618Professional svcs$253,741
Siemens Industry Inc
1000 Deefield PkwyBUFFALO GROVEIL60089Equipment maintenanc$176,790
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$8,318AllOtherContributionsAmt
Total Contributions$8,318TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING621990$7,692,725$7,692,725
MEDICARE/MEDICAID PAYMENTS621990$9,356,331$9,356,331
RENTAL INCOME621990$11,596,815$11,596,815
DIETARY REVENUE621990$168,033$168,033
OTHER621990$10,040$10,040
FieldValueIRS element (for citing)
Total Program Service Revenue$28,823,944TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,946TotalRevenueColumnAmt
Exclusion$87,946ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,920,208TotalRevenueColumnAmt
Related Or Exempt Func Income$28,823,944RelatedOrExemptFuncIncomeAmt
Exclusion$87,946ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$208,842TotalAmt
Management And General$208,842ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,972,280TotalAmt
Program Services$12,972,280ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$395,500TotalAmt
Program Services$395,500ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,449,854TotalAmt
Program Services$2,449,854ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$911,602TotalAmt
Program Services$911,602ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,534TotalAmt
Management And General$20,534ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$195TotalAmt
Management And General$195ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,400TotalAmt
Program Services$2,400ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,772,295TotalAmt
Program Services$2,771,250ProgramServicesAmt
Management And General$1,045ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$122,866TotalAmt
Program Services$122,866ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,260,555TotalAmt
Program Services$393,526ProgramServicesAmt
Management And General$867,029ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$96,375TotalAmt
Program Services$96,086ProgramServicesAmt
Management And General$289ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,441,546TotalAmt
Program Services$1,441,546ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,831TotalAmt
Program Services$3,906ProgramServicesAmt
Management And General$50,925ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$557,770TotalAmt
Program Services$557,770ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,386,341TotalAmt
Program Services$2,385,917ProgramServicesAmt
Management And General$424ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,363,851TotalAmt
Program Services$1,173,043ProgramServicesAmt
Management And General$190,808ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS SUPPLIES$1,910,595$1,910,595
MANAGEMENT FEES$1,332,607$1,332,607
MEDICAL SUPPLIES$1,228,006$1,228,005$1
BAD DEBT$406,478$406,478

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$426,873TotalAmt
Program Services$426,873ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,322,196TotalAmt
Program Services$29,649,497ProgramServicesAmt
Management And General$2,672,699ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$51,947BOYAmt
EOY$9,598EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,045,160BOYAmt
EOY$1,798,759EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$77,508BOYAmt
EOY$377,266EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$51,961BOYAmt
EOY$42,542EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$55,670BOYAmt
EOY$32,932EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$72,536,966LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$54,508,823LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,669,103BOYAmt
EOY$18,028,143EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,691,527BOYAmt
EOY$8,800,584EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$111,749BOYAmt
EOY$97,410EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,754,625BOYAmt
EOY$29,187,234EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,478,534BOYAmt
EOY$1,630,144EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,686,893BOYAmt
EOY$8,243,382EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,339,973BOYAmt
EOY$22,456,410EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,505,400BOYAmt
EOY$32,329,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$437,207BOYAmt
EOY-$3,866,790EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$686,432BOYAmt
EOY$724,088EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$249,225BOYAmt
EOY-$3,142,702EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,754,625BOYAmt
EOY$29,187,234EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,401,988ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,061NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,842CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,270CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,830CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,140CurrentTaxYearMinus1YearAmt
Current Tax Year$8,318CurrentTaxYearAmt
Total$39,400TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,437,722CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,467,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,012,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,167,428CurrentTaxYearMinus1YearAmt
Current Tax Year$28,823,944CurrentTaxYearAmt
Total$148,909,306TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,451,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,470,567CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,015,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,178,568CurrentTaxYearMinus1YearAmt
Current Tax Year$28,832,262CurrentTaxYearAmt
Total$148,948,706TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$148,948,706PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$702,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$636,629CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,426CurrentTaxYearMinus1YearAmt
Current Tax Year$87,946CurrentTaxYearAmt
Total$1,535,407TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$702,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$636,629CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,567CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,426CurrentTaxYearMinus1YearAmt
Current Tax Year$87,946CurrentTaxYearAmt
Total$1,535,407TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$27,749CurrentTaxYearMinus3YearsAmt
Total$27,749TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,154,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,134,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,065,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,236,994CurrentTaxYearMinus1YearAmt
Current Tax Year$28,920,208CurrentTaxYearAmt
Total$150,511,862TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98961PublicSupportCY509Pct
Public Support PY5090.98560PublicSupportPY509Pct
Investment Income CY0.01020InvestmentIncomeCYPct
Investment Income PY0.01422InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$2,400DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$2,400TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II - B, Line 1b & 1g, Supplemental InformationFormAndLineReferenceDesc
ExplanationBayCare employees were compensated for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,100,000OtherCostOrOtherBasisAmt
Book Value$3,100,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,103,111OtherCostOrOtherBasisAmt
Depreciation$44,867,014DepreciationAmt
Book Value$14,236,097BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,260,588OtherCostOrOtherBasisAmt
Depreciation$9,641,809DepreciationAmt
Book Value$618,779BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,267OtherCostOrOtherBasisAmt
Book Value$73,267BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,028,143TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEPOSITS$619,328
ENDOWMENT DEPOSITS$59,754
EST THIRD PARTY SETTLEMENTS$867,069
DUE TO AFFILIATES$20,910,259
FieldValueIRS element (for citing)
Total Liability$22,456,410TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$28,513,730TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$28,513,730RevenueSubtotalAmt
Other Revenues Not Included$406,478OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$406,478RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,920,208TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,915,720TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$31,915,720ExpensesSubtotalAmt
Other Expenses Not Included$406,476OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$406,476ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$32,322,196TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHED D, PART XI, LINE 4BBAD DEBT EXPENSE $406,478 ROUNDING $ (2) Total $406,476
SCHED D, PART XII, LINE 4BBAD DEBT EXPENSE $406,478 ROUNDING $ (1) TOTAL $406,477

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICIA DONNELLY
TTEE/VP, PATIENT SVCS/CNO-EAST$0$304,018$0$94,965$0$99,791$0$20,793$0$21,251$0$540,818$0$17,053
KIMBERLY GUY
TTEE/PRES SJH/SVP MARKER LDER$0$387,360$0$102,302$0$107,508$0$13,250$0$26,453$0$636,873$0$24,285
LORRAINE LUTTON
TRUSTEE/PRES ST JOSEPH'S HOSP$0$323,909$0$113,907$0$105,812$0$58,914$0$27,356$0$629,898$0$0
MADELYN MOSELEY
TRUSTEE/EXEC DIR HOME CARE$0$195,847$0$22,913$0$1,156$0$11,203$0$9,439$0$240,558$0$0
CARL TREMONTI
TTEE/SECR/TREA/VP,CFO BYCR HOS$0$380,105$0$115,677$0$123,568$0$13,250$0$11,170$0$643,770$0$18,141
GLENN WATERS
EVP, COO BAYCARE HEALTH SYSTEM$0$855,648$0$324,235$0$161,876$0$57,114$0$31,246$0$1,430,119$0$0
LISA LYONS
DIRECTOR JOHN KNOX VILLAGE$156,423$0$18,230$0$2,133$0$8,806$0$23,250$0$208,842$0$0$0
CATHY YODER
FORMER TRUSTEE/OFFICER$0$228,201$0$82,545$0$95,671$0$30,383$0$16,668$0$453,468$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, line 3The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization.
PART I, LINE 4aCathy Yoder received a severance payment in the amount of $26,704 during 2016.
Part I, Line 4bPatricia Donnelly - Participated in a supplemental nonqualified deferred compensation plan. She had $86,568 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $36,315 in 2016. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $99,643 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $41,800 in 2016. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $97,566 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $40,928 in 2016. Lorraine Lutton - Participated in a supplemental nonqualified deferred compensation plan. She had $62,826 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $26,356 in 2016. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $142,556 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other Compensation. He had $40,877 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $59,802 in 2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III - Program Service AccomplishmentsJohn Knox Village of Tampa Bay, Inc. serves the elderly population through a continuum of care including independent living with home health assistance, assisted living and skilled nursing care. This includes a secured level of care of Alzheimer's patients in the assisted and skilled levels. All services and amenities to improve the quality of daily living are provided. These services include health care, housing, home health, dietary, security, maintenance, social services, activities and related services to over 473 residents/patients. Medicaid patients are served in our skilled care facility and assisted living through the diversion plan as well as assistance from veteran's aid and attendance program. We educate the community regarding senior living services as well as current elder population programs.
Form 990, Part VI, Line 1bJohn Knox Village of Tampa Bay, Inc. is controlled by St. Joseph's Health Care Center, Inc., a 501(c)(3) tax-exempt organization. A majority of the voting members of the board of St. Joseph's Health Care Center, Inc., are independent.
Form 990, Part VI, Line 2Carl Tremonti and Glenn Waters are officers of the filing organization as well as board members of a taxable entity affiliated with the filing organization.
Form 990, Part VI, Line 6The sole member of John Knox Village of Tampa Bay, Inc. is St. Joseph's Health Care Center, Inc.
Form 990, Part VI, Line 7aDesignation and Election of Directors: (a) The President of the Corporation shall serve as a permanent Director. (b) All Directors shall be elected by the Member.
Form 990, Part VI, Line 7bThe 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. The Member 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 any sale, long term lease, mortgage, encumbrance or disposition of property of the Corporation constituting an 'alienation' under principles of canon law. 4. Approval of matters relating to the implementation of and compliance with the Ethical and Religious Directives. 5. 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 Trinity Health). 6. 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). 7. The determination of the distribution of assets upon dissolution or liquidation of the Corporation.
Form 990, Part VI, Line 11bThe 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.
Form 990, Part VI, Line 12cJohn Knox Village of Tampa Bay, 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.
Form 990, Part VI, Lines 15a & 15bThe 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 2015, but the compensation committee regularly monitors compensation and all other procedures are followed annually.
Form 990, Part VI, Line 19John Knox Village of Tampa Bay's governing documents are available to the public via Sunbiz.org.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
St Joseph's Hospital of Tampa Found Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607591100828FundraisingFL501(C)(3)12cSJHCCYes (true)
SOUTH FLORIDA BAPTIST HOSPITAL
301 N ALEXANDER STREETPLANT CITYFL33563590594631MEDICAL SRVCSFL501(C)(3)3nafalse
Franciscan Properties Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592822519Supports SJHFL501(C)(3)12bSJHCCYes (true)
St Anthony's Professional Building & Se
1200 7th Avenue NorthSt PetersburgFL33705592018848Real EstateFL501(C)(3)10SJHCCYes (true)
St Joseph's Enterprises Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607592822516Health investFL501(C)(3)12bSJHCCYes (true)
BayCare Health System Inc
2985 Drew StClearwaterFL33759592796965Support srvcsFL501(C)(3)12anafalse
St Joseph's Health Care Center Inc
3001 W Dr Martin Luther King Jr BTampaFL33607592593686Support srvcsFL501(C)(3)12bnafalse
St Joseph's Hospital Inc
3001 W Dr Martin Luther King Jr BTampaFL33607590774199Health SrvcsFL501(C)(3)3nafalse
St Joseph's Community Care Inc
3001 W Dr Martin Luther King JrTampaFL33607593152608Medical asstFL501(C)(3)10SJHCCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Carillon Surg Cntr
900 CarillonSt PetFL33716261116740HEALTH SRVCFLSAPOBN/A$0$0false$0false
St Ant Phy Surg Cntr
705 16th St NSt PetFL33705010861245HEALTH SRVCFLSAPOBN/A$0$0false$0false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Healthpoint Management Services Inc
4902 Eisenhower Blvd Suite 300TampaFL33634650645457Billing/mgmtFLSJHCCC corp$0$00.00000Yes (true)
Healthpoint Medical Group Inc
4902 Eisenhower Blvd Suite 300TampaFL33634593244268Physicians groupFLSJHCCC corp$0$00.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd