2012-11-14T21:33:47-06:00 2011-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2011-01-01 592018848 St Anthony's Professional Buildings & Services Inc % Susan Olds STAN 7278251649 1200 7th Avenue North St Petersburg FL 33705 SUSAN OLDS 2012-11-12 4048748300 2011 2016-02-24 21:20:13Z William Ulbricht 1200 7th Avenue North St Petersburg FL 33705 32415316 false X N/A X 1980 FL The org owns property consisting of a parking garage, ambulatory sur- gery centers, outpatient centers, physician practices, medical office buildings, used exclusively in support of St. Anthony's Hospital, Inc. 5 0 511 1000 32 0 90000 67250 13328731 31205829 8009 -1986 171957 393948 13598697 31665041 0 1544 0 0 2862517 14566018 0 0 0 10668518 17132300 13531035 31699862 67662 -34821 41738014 67404253 50957192 67838496 -9219178 -434243 X ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. false false 22402927 1044 27616292 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 SERVES THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH QUALITY, COMPASSIONATE CARE. IN 2011 THE CORPORATION PROVIDED SERVICES FOR 98,465 PATIENT VISITS. 1536210 0 1658496 THE ORGANIZATION OPERATES A WELLNESS CENTER AND PROVIDES ON-SITE MEDICAL SERVICES AND HEALTH EDUCATION AT VARIOUS COMMUNITY EVENTS. THERE WERE 2,731 MEMBERS OF THE WELLNESS CENTER IN DECEMBER 2011. 3432646 500 2287736 THE ORGANIZATION OWNS MEDICAL OFFICE BUILDINGS AND A 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. 160460 SPORTS TRAINING AND FAN CARE AT COMMUNITY EVENTS 101273 MANAGEMENT FEES - RACES AND COMMUNITY EVENTS 47763 GAINS ON INVESTMENT IN RELATED COMPANIES 47199 CHILD CARE, VENDING, AND OTHER 356695 27371783 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 true true true true false false true 139 0 true 511 true false false false false false false false false false false X 5 0 true false false false true true true true true false false true true true true true true true true true true X Susan Olds 7278251649 1200 7th Ave N St Petersburg FL 33705 X TERESA BRADLEY 1.0 X 0 466022 16319 RON COLAGUORI 1.0 X 0 280663 45129 SUSAN OLDS 1.0 X X 0 162873 14936 PATRICIA SIZEMORE 1.0 X 0 403348 15487 WILLIAM ULBRICHT 1.0 X X 0 620237 22509 REBECCA ARSENEAU 1.0 X 0 65683 7058 JAMES CONNORS 45.0 X 755443 0 0 EUGENE MURPHY 45.0 X 359713 0 0 JAMES MAUCH 45.0 X 246405 0 1838 NICHOLAS KOZLOV 45.0 X 218117 0 0 IGNACIO SOTOLONGO 45.0 X 213804 0 0 CARL TREMONTI 1.0 X 0 368020 39913 1793482 2366846 163189 5 true true false RADIOLOGY ASSOC OF ST PETE 800 2ND AVE SOUTH STE 340 ST PETERSBURG FL 33701 MEDICAL SERVICES 1049306 SIEMENS MEDICAL SOLUTIONS USA PO BOX 120001 DALLAS TX 75312 IT Consulting 215301 UNITED PROPERTY MAINT SVCS INC 14100 58TH STREET N STE 100 CLEARWATER FL 33760 REPAIR & MAINTENANCE 184419 AMPCO PARKING SYSTEMS 1459 HAMILTON AVE CLEVELAND OH 44114 VALET SERVICE 156603 TERBO GROUP INC 1410 SANTA ANNA DR DUNEDIN FL 34698 CONSTRUCTION SVCS 117584 6 67250 67250 PATIENT CARE 621999 24065010 24065010 MEDICARE/MEDICAID NET REVENUE 621999 1648645 1648645 RENTAL INCOME 812930 3772290 3772290 COMMUNITY AFFAIRS 561000 1719884 1719884 31205829 0 0 0 2750 4736 -1986 -1986 -1986 782792 67250 745539 37253 37253 0 0 OTHER REVENUE 621990 356695 356663 32 356695 31665041 31562492 32 35267 1544 1544 0 0 0 0 0 13056472 12678506 377966 167889 163029 4860 772654 750287 22367 569003 555331 13672 0 1443 1443 0 0 0 0 2434749 2261156 173593 27762 15848 11914 588841 250643 338198 22067 21411 656 0 3018001 2793137 224864 16252 2004 14248 0 0 317382 305980 11402 0 3032287 2856023 176264 466292 466292 MEDICAL SUPPLIES 3189762 3189762 OTHER SERVICES 1331730 1035968 295762 BAD DEBT EXPENSE 1249788 311338 938450 MANAGEMENT FEES 1243354 1243354 192590 179816 12774 31699862 27371783 4328079 0 1072 1021240 0 0 0 0 292479 4266824 0 0 0 0 40176 129272 12743 597132 0 157945 75815038 34053248 39818725 41761790 0 0 0 0 0 8722447 0 9227797 1572819 1519806 41738014 67404253 438536 2126890 0 0 678094 478977 0 0 0 0 0 0 0 0 0 0 49840562 65232629 50957192 67838496 X -9219178 -434243 0 0 0 0 -9219178 -434243 41738014 67404253 X -34821 8819756 X false true true X false X X X false false false ST ANTHONY'S HOSPITAL 592043026 03 true 27370239 1 27370239 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 250 250 false Part II, Line B-1i Dues were paid to the Florida Medical Association Political Action Committee. 12697550 12697550 48521541 24640775 23880766 1304889 541087 763802 13276799 8871145 4405654 14259 241 14018 41761790 INVESTMENTS IN RELATED CO'S 8722447 F 8722447 0 DUE TO AFFILIATES 65176529 DEPOSITS 56100 65232629 31665041 31699862 -34821 -34821 30952406 30952406 712635 712635 31665041 30987227 30987227 712635 712635 31699862 Schedule D Supplemental Information Schedule D, Part XII, Line 4b Revenues netted with expenses $712,635 Schedule D, Part XIII, Line 4b Revenues netted with expenses $712,635 ST ANTHONYS TRI 850042 67250 782792 65450 11220 85752 24245 3775 555097 0 850042 67250 782792 65450 11220 85752 24245 3775 555097 745539 37253 false true false false false false false true false TERESA BRADLEY 0 305947 0 90764 0 69311 0 12037 0 4282 0 482341 0 0 RON COLAGUORI 0 196151 0 60088 0 24424 0 35166 0 9963 0 325792 0 0 SUSAN OLDS 0 146363 0 16234 0 276 0 8021 0 6915 0 177809 0 0 PATRICIA SIZEMORE 0 208312 0 61471 0 133565 0 11186 0 4301 0 418835 0 82544 CARL TREMONTI 0 246677 0 80081 0 41262 0 36021 0 3892 0 407933 0 0 WILLIAM ULBRICHT 0 346974 0 147921 0 125342 0 12222 0 10287 0 642746 0 32081 JAMES CONNORS 755443 0 0 0 0 0 0 0 0 0 755443 0 0 0 EUGENE MURPHY 359713 0 0 0 0 0 0 0 0 0 359713 0 0 0 JAMES MAUCH 246405 0 0 0 0 0 1838 0 0 0 248243 0 0 0 NICHOLAS KOZLOV 218117 0 0 0 0 0 0 0 0 0 218117 0 0 0 IGNACIO SOTOLONGO 213804 0 0 0 0 0 0 0 0 0 213804 0 0 0 Supplemental Compensation Information 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. Supplemental Compensation Information Part I, Line 4b Teresa Bradley - Participated in a supplemental nonqualified deferred compensation plan. She had $50,162 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $18,284 in 2011. Ronald Colaguori - Participated in a supplemental nonqualified deferred compensation plan. He had $15,399 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. He also had $24,166 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $5,613 in 2011. Patricia Sizemore - Participated in a supplemental nonqualified deferred compensation plan. She became 100% vested in 2011. She had $124,342 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $45,323 in 2011. William Ulbricht - Participated in a supplemental nonqualified deferred compensation plan. He became 100% vested in 2011. He had $104,570 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $38,116 in 2011. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $22,761 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. He had $24,036 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $8,296 in 2011. Supplemental Compensation Information Part I, Line 7 80 percent of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20 percent would be considered non-fixed and is based on the discretion of the employee's immediate supervisor. Part VI Part VI, Line 2 - Description of Family or Business Relationship William Ulbricht, Susan Olds, Rebecca Arseneau, Teresa Bradley, Patricia Sizemore and Ronald Colaguori are officers or 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. Anthony's Hospital. 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. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board. 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 and Part VII 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 Administrative Officer & CFO, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year with the last review occurring in 2011, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 16b - Procedure to evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public St. Anthony's Professional Buildings & Services does not make its governing documents, conflict of interest policy or financial statements available to the public. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Carl Tremonti - Morton Plant Hospital Association, Inc. - 1 Carl Tremonti - Morton Plant Mease Health Care, Inc. - 45 Carl Tremonti - Morton Plant Mease Primary Care, Inc. - 1 Carl Tremonti - St. Anthony's Hospital, Inc. - 1 Carl Tremonti - Trustees of Mease Hospital, Inc. - 1 Patricia Sizemore - St. Anthony's Hospital, Inc. - 45 Rebecca Arseneau - St. Anthony's Hospital, Inc. - 45 Ron Colaguori - St. Anthony's Hospital, Inc. - 45 Susan Olds - BayCare Behavioral Health, Inc. - 1 Susan Olds - Behavioral Health Management Services, Inc. - 1 Susan Olds - St. Anthony's Hospital, Inc. - 45 Teresa Bradley - St. Anthony's Hospital, Inc. - 45 William Ulbricht - St. Anthony's Hospital, Inc. - 45 PART III, LINE 4D OTHER PROGRAM SERVICES SPORTS TRAINING AND FAN CARE AT COMMUNITY EVENTS - $160,460 MANAGEMENT FEES - RACES AND COMMUNITY EVENTS - $101,273 GAINS ON INVESTMENT IN RELATED COMPANIES - $ 47,763 CHILD CARE, VENDING, AND OTHER - $ 47,199 tOTAL OTHER PROGRAM REVENUE - $356,695 Part XI, Line 5 - Other changes in net assets Contributed capital $8,819,756 SC Physicians LLC 1200 7TH AVENUE NORTH ST PETERSBURG FL 33705 274951265 Health Servs FL 17934293 14173107 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 Anthony's Health Care Found Inc 1200 Seventh Ave North St Petersburg FL 33705 592128991 Fundraising FL 501(c)(3) 11C SAH true Carillon Surgery Center LLC 900 Carillon Pkwy Suite 205 St Petersburg FL 33762 261116740 Health services FL SA Prof Bldg RELATED 105965 5539700 false 0 true 0.87931 St Anthony's Physicians Surgery Ctr 705 16th Street North St Petersburg FL 33705 010861245 Health services FL SA Prof Bldg related 9157 1047564 false 0 true 0.69863 St Anthony's Ancillary Services Inc 1200 Seventh Ave North St Petersburg FL 33705 592128990 inactive FL na C corp true false false true false false false false true false false true false true false false true true Carillon Surgery Center LLC a(i) 77189 FMV Carillon Surgery Center LLC a(iv) 361700 FMV Carillon Surgery Center LLC d 1518901 FMV Related Tax Exempt Organization Part II St. Anthony's HealthCare's Foundation's exempt status was automatically revoked by the IRS for failure to file tax returns. The Foundation operates as an integrated auxiliary of a church, and, as such, does not have a filing requirement. St Anthony's HealthCare Foundation, Inc. has requested reinstatement of their tax-exempt status and is operating under the assumption that reinstatement will be retroactive back to the date of revocation.