2014-11-10T11:44:33-06:00 2013-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2013-01-01 592018848 St Anthony's Professional Buildings & Services Inc % JOHN GANTNER STAN 7278251649 1200 7th Avenue North Suite St Petersburg FL 33705 DENTON CROCKETT JR SVP 2014-11-02 WILLIAM RIKER P01226021 2013 2015-11-30 17:44:51Z Denton Crockett Jr 1200 7th Avenue North St Petersburg FL 33705 50139034 false 0928 X N/A X 1980 FL THE ORG OWNS PROPERTY OF PARKING GARAGES, AMBULATORY SURGERY CENTERS, OUTPATIENT CENTERS, PHYSICIAN PRACTICES, MED OFFICE BUILDINGS, USED IN SUPPORT OF ST. Anthony's Hospital,Inc. 8 5 539 958 0 0 68500 67500 53648127 48784029 -1585996 -191414 1167007 409975 53297638 49070090 0 0 0 0 32488053 31410613 0 0 0 30127586 28010215 62615639 59420828 -9318001 -10350738 60367258 96123689 70119503 116226675 -9752245 -20102986 THE ORG OWNS PROPERTY CONSISTING OF PARKING GARAGES, AMBULATORY SURGERY CENTERS, OUTPATIENT CENTERS, PHYSICIAN PRACTICES, MEDICAL OFFICE BUILDINGS, USED IN SUPPORT OF ST. ANTHONY'S HOSPITAL, INC. false false 44360780 0 43997085 THE ORGANIZATION OWNS AND OPERATES OUTPATIENT CENTERS, PHYSICIAN OFFICES AND AMBULATORY SURGERY CENTERS 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 SERVIES THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH QUALITY COMPASSIONATE CARE. IN 2013 THE CORPORATION PROVIDED SERVICES FOR 158,443 PATIENT VISITS IN ITS PHYSICIANS' OFFICES AND 49,889 TESTS IN ITS IMAGING CENTERS. 2050327 0 2035498 THE ORGANIZATION OPERATES A WELLNESS CENTER AND PROVIDES ON-SITE MEDICAL SERVICES AND HEALTH EDUCATION AT VARIOUS COMMUNITY EVENTS. THERE WERE 2,911 MEMBERS OF THE WELLNESS CENTER IN DECEMBER 2013. 4725120 0 3263155 THE ORGANIZATION OWNS MEDICAL OFFICE BUILDINGS AND PARKING GARAGE. THE PARKING GARAGE IS ADJACENT TO AND CONNECTED TO ST. ANTHONY'S HOSPITAL AND IS 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 COSTS INCURRED IN OPERATING AND MAINTAINING THE VARIOUS FACILITIES. 51136227 true true false false 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 true true true true false false true 145 0 true 539 true false false false false false false false false false false X 8 5 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 Denton Crockett Jr Trustee/Chair/SVP, Amb. Svcs 1.0 48.0 X X 0 712572 126102 V Raymond Ferrara Trustee 1.0 1.0 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 2.0 X 0 0 0 Tom Ribble Trustee/Treas/Dir Amb. Fin 1.0 48.0 X X 0 202203 25651 Paul Swartz Trustee 1.0 2.0 X 0 0 0 Donna St Louis Trustee/VC/VP, Outpt/Surg Svcs 1.0 47.0 X X 0 416268 66736 James Connors Staff Physician 45.0 0.0 X 1858796 0 82295 Eugene Murphy Staff Physician 45.0 0.0 X 871206 0 63877 Ignacio Sotolongo Staff Physician 45.0 0.0 X 599560 0 44765 Nicholas Kozlov Staff Physician 45.0 0.0 X 589633 0 58893 Harry Sperber Staff Physician 45.0 0.0 X 553546 0 50864 Carl Tremonti Former Dir/CFO Hosp Div 0.0 58.0 X 0 416973 34153 Ronald Colaguori Former Dir/VP, Operations SAH 0.0 45.0 X 0 318229 50699 James Mcclintic Former Dir/VP Med Affairs 0.0 45.0 X 0 352802 57730 Susan Olds Former Dir/Officer/Dir Fin Hos 0.0 45.0 X 0 175341 20803 Patricia Sizemore Former Dir/VP Patient Care Svc 0.0 46.0 X 0 335764 53456 William Ulbricht Former Dir/Officer/Pres SAH 0.0 45.0 X 0 573291 94765 4472741 3503443 830789 51 true true false RADIOLOGY ASSOC OF ST PETE 1901 ULMERTON ROAD STE 455 CLEARWATER FL 33762 MEDICAL SERVICES 1758163 ATHENAHEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 COLLECTION SERVICES 1233895 AMPCO PARKING SYS 1459 HAMILTON AVE CLEVELAND OH 44114 valet service 677433 UNITED PROPERTY MAINT SVCS INC 13770 58TH STREET N STE 303 CLEARWATER FL 33760 REPAIR & MAINTENANCE 316277 OH CLEANING SERVICES PO Box 14442 CLEARWATER FL 33766 CLEANING SERVICES 131769 8 67500 0 0 0 67500 AMBULATORY PATIENT CARE 621990 40650167 40650167 MEDICARE/MEDICAID NET REVENUE 621990 3232625 3232625 RENTAL INCOME 812930 3127698 3127698 COMMUNITY AFFAIRS 561000 1773539 1773539 48784029 4520 4520 0 0 0 0 0 108826 304760 -195934 -195934 -195934 662450 67500 764184 -101734 -101734 0 0 OTHER 621990 511709 511709 511709 49070090 49295738 -293148 0 0 0 0 0 0 27362296 26774391 587905 725103 709523 15580 1950910 1908993 41917 1372304 1340993 31311 0 44148 44148 0 0 0 0 4399385 4091361 308024 90931 13991 76940 1029323 195791 833532 49393 49014 379 0 2930306 2489487 440819 59599 6773 52826 0 0 265686 261157 4529 0 4258013 4039169 218844 867780 25422 842358 MEDICAL SUPPLIES 8058604 8054190 4414 MISCELLANEOUS EXPENSE 3728799 694790 3034009 MANAGEMENT FEES 1719702 1719702 BAD DEBT EXPENSE 480535 469442 11093 28011 11740 16271 59420828 51136227 8284601 0 4456 31351 0 0 0 0 2971237 2678784 0 0 0 0 217648 237022 116178 32890 197211 214737 112753414 38777237 37848379 73976177 0 0 0 0 8990888 8538888 9091484 8999471 929777 1414369 60367258 96123689 2974088 2389073 0 0 491582 164514 0 0 0 0 0 0 0 0 0 0 66653833 113673088 70119503 116226675 X -9752245 -20102986 0 0 0 0 -9752245 -20102986 60367258 96123689 X -10350738 -3 X false true X true false X 118384 90000 67250 68500 67500 411634 17346692 14188323 31988621 53648127 48784029 165955792 0 0 0 17465076 14278323 32055871 53716627 48851529 166367426 0 0 0 166367426 1024 9 225 4520 5778 0 1024 9 225 4520 5778 0 141359 356695 1846216 1174159 3518429 17466100 14419691 32412566 55563068 50030208 169891633 0.97926 0.98206 0.00003 0.00017 X Schedule A, Part III, Line 12 Fundraising receipts - $662,450 Miscellaneous revenue - $511,709 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12697550 12697550 82295244 26637058 55658186 1057331 656901 400430 16590255 11483278 5106977 113034 113034 73976177 INVESTMENT IN RELATED CO'S 8538888 F 8538888 0 DUE TO AFFILIATES 113628388 DEPOSITS 44700 113673088 48624107 48624107 445983 445983 49070090 58974848 58974848 445980 445980 59420828 Schedule D Supplemental Information Schedule D, Part XI, Line 4b Revenues netted with expenses $445,980 Rounding $3 Total $445,983 Schedule D, Part XII, Line 4b Revenues netted with expenses $445,980 TRIATHLON 729950 67500 662450 58200 18076 78352 28960 1800 578796 0 729950 67500 662450 58200 18076 78352 28960 1800 578796 764184 -101734 false true false false false false false false false Denton Crockett Jr Trustee/Chair/SVP, Amb. Svcs 0 451562 0 165162 0 95848 0 101693 0 24409 0 838674 0 0 Tom Ribble Trustee/Treas/Dir Amb. Fin 0 169099 0 21034 0 12070 0 9208 0 16443 0 227854 0 0 Donna St Louis Trustee/VC/VP, Outpt/Surg Svcs 0 271162 0 89974 0 55132 0 39325 0 27411 0 483004 0 0 James Connors Staff Physician 1856456 0 0 0 2340 0 12750 0 69545 0 1941091 0 0 Eugene Murphy Staff Physician 831402 0 35982 0 3822 0 21823 0 42054 0 935083 0 0 0 Ignacio Sotolongo Staff Physician 507651 0 85807 0 6102 0 12750 0 32015 0 644325 0 0 0 Nicholas Kozlov Staff Physician 524566 0 56343 0 8724 0 23836 0 35057 0 648526 0 0 0 Harry Sperber Staff Physician 499538 0 45300 0 8708 0 16609 0 34255 0 604410 0 0 0 Carl Tremonti Former Dir/CFO Hosp Div 0 280052 0 84201 0 52720 0 23173 0 10980 0 451126 0 0 Ronald Colaguori Former Dir/VP, Operations SAH 0 212139 0 62530 0 43560 0 24483 0 26216 0 368928 0 0 James Mcclintic Former Dir/VP Med Affairs 0 255082 0 77057 0 20663 0 46977 0 10753 0 410532 0 0 Susan Olds Former Dir/Officer/Dir Fin Hos 0 162121 0 12632 0 588 0 8560 0 12243 0 196144 0 0 Patricia Sizemore Former Dir/VP Patient Care Svc 0 221479 0 67249 0 47036 0 42221 0 11235 0 389220 0 0 William Ulbricht Former Dir/Officer/Pres SAH 0 360246 0 129358 0 83687 0 60324 0 34441 0 668056 0 0 Supplemental Compensation Information Schedule J, Part I, Line 3 The filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b Ronald Colaguori - Participated in a supplemental nonqualified deferred compensation plan. He had $36,470 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. He also had $12,897 of nonvested benefits accrue during 2013. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made a cash distribution of $14,096 in 2013. Denton Crockett, Jr - Participated in a supplemental nonqualified deferred compensation plan. He had $79,164 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. The plan made a cash distribution of $33,209 in 2013. James McClintic - Participated in a supplemental nonqualified deferred compensation plan. He had $33,050 of nonvested benefits accrue during 2013. This amount is included in Part II (C) Retirement and other deferred compensation. Patricia Sizemore - Participated in a supplemental nonqualified deferred compensation plan. She had $37,583 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. The plan made a cash distribution of $15,766 in 2013. Donna St. Louis - Participated in a supplemental nonqualified deferred compensation plan. She had $47,050 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. She had $25,401 of nonvested benefits accrue during 2013. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made a cash distribution of $13,916 in 2013. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $44,706 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. He had $10,423 of nonvested benefits accrue during 2013. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made a cash distribution of $19,208 in 2013. William Ulbricht - Participated in a supplemental nonqualified deferred compensation plan. He had $69,862 in benefits vest in 2013. This amount is included in Part II (B)(iii) Other compensation. The plan made a cash distribution of $29,307 in 2013. Part VI 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 CHE and, if such change, as a result of CHE being a Catholic entity, must be approved by CHE, such change, regardless of whether it is substantive as a matter of civil law, shall be subject to the approval of CHE). 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. Part VI Part VI, Lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & 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 2013, 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 does not make its governing documents, conflict of interest policy or financial statements available to the public. Part XI, Line 9 - Other changes in net assets ROUNDING ($3) SC Physicians LLC 1200 7TH AVENUE NORTH ST PETERSBURG FL 33705 274951265 Health Servs FL 34526129 8849475 SA Prof Bld St Anthony's Hospital Inc 1200 Seventh Avenue North St Petersburg FL 33705 592043026 Health srvcs FL 501(C)(3) 3 na false St Joseph's Health Care Center Inc 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 592593686 Health Svcs FL 501(c)(3) 11b CHE false Franciscan Properties 3001 W Dr Martin Luther King Jr Bl 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 Bl 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 Bl 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 Bl Tampa FL 33607 591100828 Fundraising FL 501(c)(3) 11c SJHCC true St Joseph's Hospital Inc 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 590774199 Health Srvcs FL 501(c)(3) 3 NA false South Florida Baptist Hospital Inc 301 N Alexander Street Plant City FL 33563 590594631 Medical Srvcs FL 501(c)(3) 3 NA false Carillon Surg Cntr 900 Carillon St Pete FL 33762 261116740 Health services FL SA Prof Bldg related 428624 2999753 false 0 0.65380 St Ant Phy Surg Ctr 705 16th S N St Pete FL 33705 010861245 Health Services FL SA Prof Bldg related -111629 772724 false 0 false 0.75340 Healthpoint Management Services Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 650645457 Admin Services FL NA C-Corp 0 0 0.00000 true Healthpoint Medical Group Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 593244268 Health srvcs FL NA C-Corp 0 0 0.00000 true true false false true false false false false false true true false false false true false false true true Carillon Surgery Center LLC a(i) 71584 FMV Carillon Surgery Center LLC a(iv) 365574 FMV Carillon Surgery Center LLC d 1404593 FMV