2016-11-09T08:13:01-06:00 2015-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2015-01-01 592018848 St Anthony's Professional Buildings & Services Inc % JOHN GANTNER STAN 7278251649 1200 7th Avenue North St Petersburg FL 33705 JIM COTE SVP 7273946749 2016-11-09 true Melanie A McPeak P01346034 8132254800 2015 2017-02-10 21:41:12Z JIM COTE 8452 118TH AVE N LARGO FL 33773 18540648 false 0928 X N/A X 1980 FL THE ORGANIZATION OWNS PROPERTY CONSISTING OF PARKING GARAGES, AMBULATORY SURGERY CENTERS, OUTPATIENT CENTERS, MED OFFICE BUILDINGS, USED IN SUPPORT OF ST. ANTHONY'S HOSPITAL INC. 8 4 191 900 0 50500 92500 52241956 17445173 29013 -1937 201260 323929 52522729 17859665 80 0 0 0 29460427 3853952 0 0 0 35057618 14112032 64518125 17965984 -11995396 -106319 93820018 79471034 125918399 89431207 -32098381 -9960173 THE ORGANIZATION OWNS PROPERTY CONSISTING OF PARKING GARAGES, AMBULATORY SURGERY CENTERS, OUTPATIENT CENTERS, MEDICAL OFFICE BUILDINGS USED IN SUPPORT OF ST. ANTHONY'S HOSPITAL, INC. false false 8892001 0 10722299 THE ORGANIZATION OWNS AND OPERATES OUTPATIENT SURGERY AND IMAGING FACILITIES WHICH ARE USED IN SUPPORT OF THE ACTIVITIES OF ST. ANTHONY'S HOSPITAL, INC. THE MISSION OF ST. ANTHONY'S HOSPITAL IS TO IMPROVE THE HEALTH OF ALL IT SERVES THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH QUALITY COMPASSIONATE CARE. IN 2015 THE ORGANIZATION PROVIDED 56,655 IMAGING SERVICES TO ITS PATIENTS. 4128606 0 5010226 THE ORGANIZATION OWNS MEDICAL OFFICE BUILDINGS AND PARKING GARAGES. THE PARKING GARAGES ARE ADJACENT TO AND CONNECTED TO ST. ANTHONY'S HOSPITAL AND ARE USED FREE OF CHARGE BY PATIENTS, VISITORS AND EMPLOYEES OF THE HOSPITAL. THE OFFICE BUILDINGS PROVIDE OFFICE SPACE TO VARIOUS DEPARTMENTS OF THE HOSPITAL AND OTHER RELATED ENTITIES AS WELL AS OTHER HEALTH CARE PROVIDERS WHOSE RENTS HELP SUPPORT THE COST INCURRED IN OPERATING AND MAINTAINING THE VARIOUS FACILITIES. 1691510 0 2216072 THE ORGANIZATION OPERATES A WELLNESS CENTER AND PROVIDES ON-SITE MEDICAL SERVICES AND HEALTH EDUCATION AT VARIOUS COMMUNITY EVENTS. THERE WERE 3,007 MEMBERS OF THE WELLNESS CENTER IN DECEMBER 2015. 14712117 true true false true false false false false false false true false true false true false false true false false false false false false true false false false false true false false false false false false false false false false false false false true true true false false true 87 0 true 191 true false false false false false false false false false false X 8 4 true false false false true true true true true false false true true true true true true false false true true X JOHN GANTNER 7278208005 2985 DREW STREET Clearwater FL 33759 X Denton Crockett Jr TRUST/CHAIRMAN/SVP AMB SVCS 1.0 48.0 X X 0 707150 64686 V Raymond Ferrara TRUSTEE 1.0 3.0 X 0 0 0 John Fisher TRUSTEE 1.0 2.0 X 0 0 0 Jonathan Radin TRUSTEE 1.0 2.0 X 0 0 0 Matthew Rahaim TRUSTEE 1.0 10.0 X 0 22000 0 Tom Ribble TRUST/TREAS/DIR, AMB. FINANCE 1.0 48.0 X X 0 233025 26480 Paul Swartz TRUSTEE 1.0 2.0 X 0 787 0 Donna St Louis TRU/VI CH/VP OUTPT & SURG SVCS 1.0 47.0 X 0 452120 46539 Deborah Sandman MANAGER IMAGING SERVICES 45.0 0.0 X 111045 0 21216 William Ulbricht FORMER OFFICER/PRES, SAH 0.0 45.0 X 0 573556 73438 Carl Tremonti FORMER OFFICER/CFO,BC HOSP DIV 0.0 58.0 X 0 577588 25119 111045 2566226 257478 1 true true false Radiology Associates of St Petersbu 1901 Ulmerton Rd STE 455 CLEARWATER FL 33762 Medical services 2210698 bradford cummings inc 4538 bartelt rd HOLIDAY FL 34690 cleaning/painting 485131 Siemens Medical Solutions USA PO Box 120001 DALLAS TX 753120733 software maintenance 790048 AMPCO Parking System 1459 Hamilton Ave CLEVELAND OH 44114 Valet services 317290 mitch murchs maintenance mgmt 2827 Clark Ave ST LOUIS MO 63103 janitorial services 298837 6 71000 21500 17000 92500 AMBULATORY PATIENT CARE 621990 6980742 6980742 0 0 MEDICARE/MEDICAID PAYMENTS 621990 3741557 3741557 0 0 RENTAL INCOME 812930 5010226 5010226 0 0 COMMUNITY AFFAIRS 561000 1712648 1712648 0 0 17445173 3764 3764 0 0 0 0 0 4061 9762 -5701 -5701 -5701 491726 71000 671221 -179495 -179495 0 0 OTHER REVENUE 621990 503424 503424 0 0 503424 17859665 17948597 0 -181432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3087723 2817758 269965 0 113701 103760 9941 0 418025 381476 36549 0 234503 224868 9635 0 0 0 0 0 428 0 428 0 2016 0 2016 0 1393 1393 0 0 0 0 0 0 0 0 3340089 3340089 0 0 0 0 265689 145662 120027 0 5967 5931 36 0 0 0 0 0 1916642 1709335 207307 0 9186 2576 6610 0 0 0 0 0 0 0 0 0 205011 201247 3764 0 0 0 0 0 3788378 3562440 225938 0 276895 69535 207360 0 OTHER SERVICES 1594233 941788 652445 0 MANAGEMENT FEES 1484241 1484241 0 BAD DEBT EXPENSE 801069 801069 0 MEDICAL SUPPLIES 353375 335770 17605 0 67420 67420 17965984 14712117 3253867 0 0 3525 200 0 0 0 0 3420815 1357242 0 0 0 0 373177 35705 22779 4316 154353 6267 111168811 42494188 71281620 68674623 0 0 0 0 8276423 8113473 8936801 0 1350525 1279208 93820018 79471034 1865106 906635 0 0 162542 133104 0 0 0 0 0 0 0 0 0 0 123890751 88391468 125918399 89431207 X -32098381 -9960173 0 0 0 0 -32098381 -9960173 93820018 79471034 X -106319 0 0 0 0 22244527 X false true X true false X 67250 68500 67500 50500 92500 346250 31988621 53648127 48784029 52241956 17936899 204599632 0 0 0 32055871 53716627 48851529 52292456 18029399 204945882 0 0 0 204945882 225 4520 4761 3764 13270 0 225 4520 4761 3764 13270 0 356695 1846216 1174159 384974 503424 4265468 32412566 55563068 50030208 52682191 18536587 209224620 0.97955 0.98090 0.00006 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1393 1393 false Part II, Line B-1i Dues were paid to the Florida Medical Association Political Action Committee. 12697550 12697550 84257449 31869729 52387720 881613 664606 217007 13284155 9959853 3324302 48044 48044 68674623 INVESTMENT IN RELATED CO'S 8113473 F 8113473 0 DEPOSITS 51700 DUE TO AFFILIATES 88339768 88391468 15448583 15448583 2411082 2411082 17859665 15554901 15554901 2411083 2411083 17965984 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B REVENUES NETTED WITH EXPENSES $2,411,082 SCHEDULE D, PART XII, LINE 4B REVENUES NETTED WITH EXPENSES $2,411,082 ROUNDING $1 TOTAL $2,411,083 TRIATHLON 562726 71000 491726 50795 20666 75638 22777 1800 499545 0 562726 71000 491726 50795 20666 75638 22777 1800 499545 671221 -179495 PART II, EVENT #1 The Triathlon event is 30+ year tradition and in prior years has occasionally shown a profit. In recent years, both sponsorships and registration fees have declined due to competition from similar events in the area, while many of the expenses remain fixed. Even though the event reported a loss this year, management continues to support the event because of the non-financial benefits it brings to the organization. The Triathlon provides an opportunity to support the hospital in its promotion of community health and community education. false true false false false false false false false Denton Crockett Jr TRUST/CHAIRMAN/SVP AMB SVCS 0 456998 0 136118 0 114034 0 43272 0 21414 0 771836 0 0 Tom Ribble TRUST/TREAS/DIR, AMB. FINANCE 0 196505 0 21888 0 14632 0 10695 0 15785 0 259505 0 0 Donna St Louis TRU/VI CH/VP OUTPT & SURG SVCS 0 287677 0 81434 0 83009 0 17014 0 29525 0 498659 0 0 William Ulbricht FORMER OFFICER/PRES, SAH 0 384302 0 110062 0 79192 0 37900 0 35538 0 646994 0 0 Carl Tremonti FORMER OFFICER/CFO,BC HOSP DIV 0 369443 0 106095 0 102050 0 13250 0 11869 0 602707 0 6595 Supplemental Compensation Information Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b Denton Crockett, Jr - Participated in a supplemental nonqualified deferred compensation plan. He had $77,124 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $32,391 in 2015. Donna St. Louis - Participated in a supplemental nonqualified deferred compensation plan. She had $58,708 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. She had $4,319 of nonvested benefits accrue during 2015. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,628 in 2015. William Ulbricht - Participated in a supplemental nonqualified deferred compensation plan. He had $67,878 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $28,475 in 2015. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $77,340 in benefits vest in 2015. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $32,444 in 2015. PART VI, Line 2 - Description of Family or Business Relationship Tom Ribble, Denton Crockett, Jr., and Donna St. Louis are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The sole member of St. Anthony's Professional Buildings & Services, Inc. is St. Joseph's Health Care Center, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The number of Trustees shall be not less than three (3) nor more than nine (9). These numbers may be increased or decreased from time to time by amendment to these Bylaws, but no decrease shall have the effect of shortening the term of any incumbent Trustee. Designation and Appointment of Trustees (a)The President of the Corporation shall serve as an ex officio Trustee with vote. (b) Unless subsection (c) below applies, all other Trustees shall be appointed by the Trustees of the Member at an Annual Meeting of the Member. (c) In appointing Trustees, the Board of Trustees of the Corporate member may waive the nominating procedure specified in subsection (b) above and appoint members of the Sponsoring Organization to serve as Trustees. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The Member shall reserve to itself in its capacity as the Corporate Member of the Corporation the following two categories of actions: Class I Members Reserved Rights and Class II Members 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. Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the Form 990 was provided to the entire Board. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest St. Anthony's Professional Buildings & Services, 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. Lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & Chief Financial Officer, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in 2015, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 16b - Procedure to evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public St. Anthony's Professional Buildings & Services' governing documents are made available to the public via Sunbiz.org. part XI, line 9 - other changes in net assets EQUITY TRANSFER $22,244,527 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:2309591 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER OUTSIDE SERVICES TOTAL FEES:1030498 South Florida Baptist Hospital Inc 301 N Alexander Street Plant City FL 33563 590594631 Medical Srvcs FL 501(C)(3) 3 na false St Anthony's Hospital Inc 1200 Seventh Ave North St Petersburg FL 33705 592043026 Health Srvcs FL 501(C)(3) 3 na false St Joseph's Hospital Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 590774199 Health Srvcs FL 501(C)(3) 3 na false St Joseph's Health Care Center Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592593686 Health Svcs FL 501(C)(3) 11b NA false Franciscan Properties 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592822519 Supports SJH FL 501(C)(3) 11b SJHCC true John Knox Village of Tampa Bay Inc 4100 Fletcher Ave Tampa FL 33613 581377711 Retire cmmty FL 501(C)(3) 9 SJHCC true St Joseph's Community Care Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 593152608 Medical asst FL 501(C)(3) 9 SJHCC true St Joseph's Enterprises Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592822516 Health invest FL 501(C)(3) 11b SJHCC true St Joseph's Hosp of Tampa Foundation 3001 W Dr Martin Luther King Jr B Tampa FL 33607 591100828 Fundraising FL 501(C)(3) 11c SJHCC true Carillon Surg Cntr 900 Carillon St Pete FL 33762 261116740 Health services FL SAPOB Related 463815 2154271 false 0 false 0.64560 St Ant Phy Surg Ctr 705 16th S N St Pete FL 33705 010861245 Health services FL SAPOB Related 34486 725329 false 0 false 0.75340 Healthpoint Management Services Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 650645457 health services FL SJHCC C corp 0 0 0.00000 true Healthpoint Medical Group Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 593244268 Physician group FL SJHCC C corp 0 0 0.00000 true true false false true false false false false true true true false false false true false false true true Carillon Surg Cntr a(i) 65412 FMV Carillon Surg Cntr a(iv) 423079 FMV Carillon Surg Cntr d 1343027 FMV