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ST ANTHONYS HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST ANTHONYS HOSPITAL INC (EIN 59-2043026)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349304124
Schema version
2011v1.3
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)
Timestamp2012-11-13T15:59:16-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592043026EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Anthony's Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% SUSAN OLDSInCareOfName
Name ControlSTANNameControl
Phone7278251649Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 7th Avenue NorthAddressLine1
CitySt PetersburgCity
StateFLState
ZIP Code33705ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN OLDSName
TitleCFOTitle
Date Signed2012-11-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam UlbrichtNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 7th Avenue NorthAddressLine1
CitySt PetersburgCity
StateFLState
ZIP Code33705ZIPCode
FieldValueIRS element (for citing)
Gross Receipts223607904GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.BayCare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSt. Anthony's Hospital will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees1731TotalNbrEmployees
Total Nbr Volunteers398TotalNbrVolunteers
Total Gross UBI375490TotalGrossUBI
Net Unrelated Business Txbl Income280422NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year485893ContributionsGrantsPriorYear
Contributions Grants Current Year392590ContributionsGrantsCurrentYear
Program Service Revenue Prior Year183669458ProgramServiceRevenuePriorYear
Program Service Revenue CY194748366ProgramServiceRevenueCY
Investment Income Prior Year886666InvestmentIncomePriorYear
Investment Income Current Year767322InvestmentIncomeCurrentYear
Other Revenue Prior Year868135OtherRevenuePriorYear
Other Revenue Current Year3584498OtherRevenueCurrentYear
Total Revenue Prior Year185910152TotalRevenuePriorYear
Total Revenue Current Year199492776TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year101978GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY165797GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year83117354SalariesEtcPriorYear
Salaries Etc Current Year88976162SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year94765441OtherExpensePriorYear
Other Expenses Current Year97126558OtherExpensesCurrentYear
Total Expenses Prior Year177984773TotalExpensesPriorYear
Total Expenses Current Year186268517TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7925379RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13224259RevenuesLessExpensesCY
Total Assets BOY113527734TotalAssetsBOY
Total Assets EOY159607665TotalAssetsEOY
Total Liabilities BOY90994172TotalLiabilitiesBOY
Total Liabilities EOY129335789TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22533562NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY30271876NetAssetsOrFundBalancesEOY
Mission DescriptionST. ANTHONY'S HOSPITAL WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense163155765Expense
Grants165797Grants
Revenue197042203Revenue
DescriptionST. ANTHONY'S HOSPITAL, INC. (SAH) IS A FULL-SERVICE 395-BED COMMUNITY HOSPITAL. DURING 2011, SAH PROVIDED INPATIENT CARE TO 12,737 PATIENTS AND TREATED 35,871 PATIENTS IN THE EMERGENCY DEPARTMENT. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM SAH SAW A NET COMMUNITY BENEFIT EXPENSE OF $13.8 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $1 MILLION. SOME OF THE PROGRAMS INCLUDED SERVICES FOR THE ST. PETE FREE CLINIC, FAITH COMMUNITY NURSING, AND HEALTH FAIRS.Description
Total Program Service Expense163155765TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096256NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1731NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN OLDSNamePerson
Telephone Number7278251649TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 7TH AVE NAddressLine1
CitySt PetersburgCity
StateFLState
ZIP Code33705ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WILLIAM ULBRICHT
EX-OFFICIO TRUSTEE AND PRSDNT45.0XX620237022509
STEPHEN MASON
EX-OFFICIO TRUSTEE1.0X0312803925026
JOHN BILCHAK
TRUSTEE1.0X000
WORTH T BLACKWELL
TRUSTEE1.0X000
JOSEPH BOULAY
TRUSTEE1.0X000
DEBORAH COAKLEY
EX-OFFICIO TRUSTEE1.0X000
THOMAS J EGAN
TRUSTEE AND CHAIRMAN1.0XX000
COREY EVANS
TRUSTEE1.0X000
PHILIP H GRAHAM
TRUSTEE1.0X000
JAMES MCCLINTIC
TRUSTEE/VP MEDICAL AFFAIRS45.0X186711013400
MICHAEL G MIKURAK
TRUSTEE1.0X000
GWENDOLYN MURRAY-JOHNSON
TRUSTEE1.0X000
J DALE OLIVER
TRUSTEE1.0X000
CHARLES OSTERHOLT
EX-OFFICIO TRUSTEE1.0X000
CARY PUTRINO
TRUSTEE1.0X000
GLADYS SHARKEY
TRUSTEE1.0X000
THOMAS TREMAINE
EX-OFFICIO TRUSTEE1.0X000
MARLENE WEIDENBORNER
TRUSTEE1.0X000
DAVID MEEHAN
TRUSTEE1.0X000
THOMAS WHITEMAN
TRUSTEE1.0X000
CHARLES WENIGER
TRUSTEE1.0X000
SUSAN OLDS
CFO - SAH AND TREASURER45.0X162873014936
REBECCA ARSENEAU
SECRETARY45.0X6568407058
TERESA BRADLEY
VP MEDICAL AFFAIRS - SAHC45.0466022016319X
PATRICIA SIZEMORE
VP PATIENT CARE SRVCS - SAH45.0403349015487X
RONALD COLAGUORI
VP, OPERATIONS - SAH45.0280663045129X
WALTER INMAN
DIRECTOR, PHARMACY/CLIN SVCS45.0185374011203X
ARCHANA PUDUR
STAFF PHYSICIAN45.0452107012682X
ANNE-MARIE JOHNROSE-BROWN
STAFF PHYSICIAN45.0332411020887X
JOHN GROSS
STAFF PHYSICIAN45.0278010020753X
HENRY CLARKE
STAFF PHYSICIAN45.0606187022342X
ALLAN WEISS
STAFF PHYSICIAN45.0312482022467X
CARL TREMONTI
FORMER CFO-SAH/ CFO-MPM1.0036802039913X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4352110TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3496059TotalReportableCompFrmRltdOrgs
Total Other Compensation310111TotalOtherCompensation
Number Individuals GT100 K71NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BRASFIELD GORRIE LLC
200 COLONIAL PKY STE 200LAKE MARYFL32746CONSTRUCTION SVCS24070855
FLAD ASSOCIATES INC
PO BOX 5620MADISONWI53705ARCHITECTURE SVCS852400
JOHNSON CONTROLS INC
PO BOX 905240CHARLOTTENC28290MAINTENANCE/SUPPORT807722
HARVARD JOLLY INC
2714 DR MLK JR ST NORTHST PETERSBURGFL33704ARCHITECTURE SVCS755566
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762LAUNDRY SERVICES1042652
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Related Organizations175919RelatedOrganizations
Government Grants45338GovernmentGrants
All Other Contributions171333AllOtherContributions
Total Contributions392590TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT CARE6219998594088385940883
MEDICARE/MEDICAID NET REVENUE621999108807483108807483
FieldValueIRS element (for citing)
Total Program Service Revenue194748366TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column488998TotalRevenueColumn
Exclusion$488,998ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities23978602Securities
Other414850Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities23441108Securities
Other674020Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities537494Securities
Other-259170Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column278324TotalRevenueColumn
Exclusion$278,324ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA722210953581$953,581
INCOME FROM ST PETERSBURG ENDOSCOPY CTR900099331808331808
ALL OTHER REVENUE9000992299109436822255427
FieldValueIRS element (for citing)
Total Other Revenue3584498TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column199492776TotalRevenueColumn
Related Or Exempt Function Income197003793RelatedOrExemptFunctionIncome
Unrelated Business Revenue375490UnrelatedBusinessRevenue
Exclusion$1,720,903ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total165797Total
Program Services165797ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2446913Total
Program Services177810ProgramServices
Management And General2269103ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total72414569Total
Program Services70497559ProgramServices
Management And General1917010ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2378537Total
Program Services2315571ProgramServices
Management And General62966ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6706248Total
Program Services6528715ProgramServices
Management And General177533ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5029895Total
Program Services4846242ProgramServices
Management And General183653ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total359920Total
Management And General359920ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1070Total
Management And General1070ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total60978Total
Management And General60978ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6150033Total
Program Services5649797ProgramServices
Management And General500236ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total810054Total
Program Services767006ProgramServices
Management And General43048ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2705073Total
Program Services1637408ProgramServices
Management And General1067665ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total355531Total
Program Services343096ProgramServices
Management And General12435ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4493027Total
Program Services4365857ProgramServices
Management And General127170ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total371751Total
Program Services170884ProgramServices
Management And General200867ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2151968Total
Program Services2151968ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11464826Total
Program Services11440425ProgramServices
Management And General24401ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1879894Total
Program Services26382ProgramServices
Management And General1853512ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES29689166296881471019
MANAGEMENT FEES1398351313983513
BAD DEBT EXPENSE1270957912709579
PURCHASED SERVICES53579525357952

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4582223Total
Program Services4315570ProgramServices
Management And General266653ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total186268517Total
Program Services163155765ProgramServices
Management And General23112752ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7767BOY
EOY15265EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18847662BOY
EOY20501017EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY161545BOY
EOY231967EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3408969BOY
EOY3616041EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1619102BOY
EOY2203441EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis246224112LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec140339245LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY63653492BOY
EOY105884867EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9691879BOY
EOY9221436EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7101610BOY
EOY7905495EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY8941145BOY
EOY9933573EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY94563BOY
EOY94563EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY113527734BOY
EOY159607665EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11901849BOY
EOY16798483EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6980241BOY
EOY908767EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY72112082BOY
EOY111628539EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90994172BOY
EOY129335789EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15623871BOY
EOY22476557EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5905609BOY
EOY6750373EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1004082BOY
EOY1044946EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22533562BOY
EOY30271876EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113527734BOY
EOY159607665EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13224259ReconcilationRevenueExpenses
Reconcilation Other Changes-5485945ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,769OtherActivitiesAmount
Total Lobbying Expenditures IIB1769TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
ExplanationDues were paid to the St. Petersburg Chamber of Commerce, the Florida Medical Association, and the National Association of Psychiatric Health Systems. These associations use a portion of the dues to conduct lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis465465OtherCostOrOtherBasis
Book Value465465BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis95399148OtherCostOrOtherBasis
Depreciation65886816Depreciation
Book Value29512332BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2573259OtherCostOrOtherBasis
Depreciation1540795Depreciation
Book Value1032464BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis91165743OtherCostOrOtherBasis
Depreciation72911634Depreciation
Book Value18254109BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56620497OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value56620497BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings105884867TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN RELATED ENTITIES1169788F
INVESTMENT IN FOUNDATION8763785F
FieldValueIRS element (for citing)
Total Of Book Value Program Related9933573TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$104,386,934
ESTIMATED THIRD PARTY SETTLEMENTS$7,155,146
ASSET RETIREMENT OBLIGATION ST$50,000
ASSET RETIREMENT OBLIGATION LT$35,000
ABANDONED PROPERTY$1,459
FieldValueIRS element (for citing)
Total Of Amounts111628539TotalOfAmounts
Total Revenue199492776TotalRevenue
Total Expenses186268517TotalExpenses
Excess Or Deficit For Year13224259ExcessOrDeficitForYear
Net Unrealized GL On Investments-6456139NetUnrealizedGLOnInvestments
Other-$27,850OtherAmount
Total Adjustments-6483989TotalAdjustments
Excess Or Deficit Per FS6740270ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt192670909TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-632059NetUnrealizedGainsInvestments
Revenue Not Rptd F990-632059RevenueNotRptdF990
Revenue Subtotal193302968RevenueSubtotal
Other Revenues Not Included6189808OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6189808RevenueNotRptdOnFinStmt
Total Revenue Per Form990199492776TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt185930639TotExpensesEtcAuditedFinclStmt
Expenses Subtotal185930639ExpensesSubtotal
Other Expenses Not Included337878OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt337878ExpensesNotRptdOnFinStmt
Total Expenses Per Form990186268517TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D Supplement InformationIdentifier
ExplanationSchedule D, Part XI, Line 8 Change in interest in foundation $87,840 Contributions in book income $204,912 Contributions in net assets ($171,333) Contributions recorded in foundation ($149,269) Total ($27,850) Schedule D, Part XII, Line 4b Change in net assets of foundation ($87,840) Contributions in book income ($204,912) Contributions in net assets $320,602 Unrealized loss on swaps $5,824,080 Revenues netted with expenses $337,878 Total $6,189,808 Schedule D, Part XIII, Line 4b Expenses netted with revenues $337,878Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (9 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments1798000
East Asia and the PacificInvestments650000
Europe (including Iceland and Greenland)Investments1452000
Middle East and North AfricaInvestments12000
North AmericaInvestments37000
Russia and the Newly Independent StatesInvestments14000
South AmericaInvestments105000
South AsiaInvestments4000
Sub-Saharan AfricaInvestments3000
FieldValueIRS element (for citing)
Subtotal Amount Spent4075000SubtotalAmountSpent
Total Amount Spent4075000TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served10168PersonsServed
Total Community Benefit Expense10308613TotalCommunityBenefitExpense
Direct Offsetting Revenue269944DirectOffsettingRevenue
Net Community Benefit Expense10038669NetCommunityBenefitExpense
Percent Of Total Expense0.05780PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served9177PersonsServed
Total Community Benefit Expense20629509TotalCommunityBenefitExpense
Direct Offsetting Revenue16958770DirectOffsettingRevenue
Net Community Benefit Expense3670739NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served72PersonsServed
Total Community Benefit Expense46707TotalCommunityBenefitExpense
Net Community Benefit Expense46707NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served19417PersonsServed
Total Community Benefit Expense30984829TotalCommunityBenefitExpense
Direct Offsetting Revenue17228714DirectOffsettingRevenue
Net Community Benefit Expense13756115NetCommunityBenefitExpense
Percent Of Total Expense0.07920PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served8394PersonsServed
Total Community Benefit Expense342204TotalCommunityBenefitExpense
Direct Offsetting Revenue230DirectOffsettingRevenue
Net Community Benefit Expense341974NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served131PersonsServed
Total Community Benefit Expense472739TotalCommunityBenefitExpense
Net Community Benefit Expense472739NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs35NumberOfActivitiesOrPrograms
Persons Served8183PersonsServed
Total Community Benefit Expense235668TotalCommunityBenefitExpense
Net Community Benefit Expense235668NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs58NumberOfActivitiesOrPrograms
Persons Served16708PersonsServed
Total Community Benefit Expense1050611TotalCommunityBenefitExpense
Direct Offsetting Revenue230DirectOffsettingRevenue
Net Community Benefit Expense1050381NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs61NumberOfActivitiesOrPrograms
Persons Served36125PersonsServed
Total Community Benefit Expense32035440TotalCommunityBenefitExpense
Direct Offsetting Revenue17228944DirectOffsettingRevenue
Net Community Benefit Expense14806496NetCommunityBenefitExpense
Percent Of Total Expense0.08530PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,520,614BadDebtExpenseAmount
Amount Attributable To7008376AmountAttributableTo
Amount Reimbursed By Medicare55093674AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare61058015CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5964341MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY'S HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11200 7TH AVE NORTHAddressLine1
CityST PETERSBURGCity
StateFLState
ZIP Code33705ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY'S HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
St Petersburg Endoscopy Ctr LLC
1099 5th Ave North Suite 100St PetersburgFL33705Surgery Center
St Anthony's Rehab Services Outpatient
900 Carillon PkwySt PetersburgFL33716Rehabilitation Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. St. Anthony's Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
PART I, LINE 6A
PART I, LINE 7Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits.
PART I, LINE 7FBad Debt expense of $12,709,579 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.
PART III, SECTION A, LINE 4The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid.
PART III, SECTION B, LINE 8Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Line 7 Surplus or (Shortfall) ($5,964,341) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($1,834,518) Total Surplus or (Shortfall) ($7,798,859)
PART III, SECTION C, LINE 9BPatients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, patient billing mailers, brochures or Customer Service phone calls, to submit financial information to the Financial Assistance Department to determine eligibility for programs, such as County, Medicaid, Disability, Victims of Crime, Charity, etc. For those patients who provide all the necessary documentation and qualify for charity according to the Financial Assistance policy, (defined in Part I, line 3c), patients' account would be written off completely to charity and not billed to the patients.
PART V, SECTION B, LINE 10An uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
PART V, SECTION B, LINE 19DPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. St. Anthony's Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. Once a patient is identified as eligible for financial assistance his/her account balance is written off 100% to charity write-offs and are no longer billed for services provided.
2 - NEEDS ASSESSMENTSt. Anthony's Hospital, Inc is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. St. Anthony's Hospital, Inc addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition, St. Anthony's Hospital, Inc conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist St. Anthony's Hospital, Inc in developing initiatives and programs/services to address identified health care needs in the communities it serves.
3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESt. Anthony's Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the St. Anthony's Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, St. Anthony's Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing mailers and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance.
4 - COMMUNITY INFORMATIONSt. Anthony's Hospital, Inc. is in a small city setting serving southern Pinellas county. The average income is lower than both the state and national averages. The population served is predominantly Caucasian and high-school or higher educated. Blacks are the second largest ethnic group representing 16% of the population and 15% of households are below poverty level. St. Anthony's Hospital, Inc. is part of BayCare Health System that serves west central Florida. The area served by St. Anthony's has 7 hospitals with more For Profits than Not-for Profits. There are 2 federally designated medically underserved areas in St. Anthony's service area. Due to the aging of the population with little to no growth for the under 55 segment in the next five years, the health care needs of our service area are changing. The population served by St. Anthony's Hospital, Inc. is expected to decline 1% in the next 5 years. The expected growth rate for the United States is 4%. While overall population growth is declining, the population Age 55+ is expected to grow 17%. The community experiences higher incidence rates compared to the state of Florida in the following areas: adults with asthma, HIV cases, AIDs cases, fully immunized kindergarteners and sexually transmitted diseases. Based on Florida inpatient discharge data for the period of 07/01/10-06/30/11, the payor mix for the geographic area consists of 51.6% Medicare/Medicare HMO, 16.4% Medicaid/Medicaid HMO, 21.0% Commercial Insurance, 7.3% Self-pay, and 3.7% Other.
5 - PROMOTION OF COMMUNITY HEALTHSt. Anthony's Hospital St. Anthony's Hospital was founded in 1931 by the Franciscan Sisters of Allegany with a mission to serve and to build a hospital evoking the Franciscan sisters' faith and mission of treating everyone with the utmost kindness and consideration, regardless of circumstances. Through faith dedication and compassionate care, St. Anthony's has grown to become an established community resource. The mission is evident as 1,457 team members and nearly 500 highly qualified physicians work daily to achieve St. Anthony's mission of improving the health of the community. 2011 Overview In 2011, St. Anthony's Hospital prepared to continue its legacy of serving all in the community with care and compassion and celebrated many achievements. Suncoast Medical Clinic To enhance patient care coordination and improve quality of care for the St. Petersburg community, Suncoast Medical Clinic and St. Anthony's Healthcare announced a new affiliation in 2011. This affiliation creates a closer collaboration that offers patients seamless transition between different levels of care and services. In the new model, the majority of the current Suncoast physicians and about 300 clinic nurses and staff are employed by an associated company of St. Anthony's Healthcare, SC Physicians LLC. Additionally, there will be other physicians working on a contract basis. New Emergency Center and Patient Care Tower Construction In 2011, St. Anthony's neared completion of a new four-story, 105,000-sq.-ft. Emergency Center and Patient Care Tower. At the end of the year, the Emergency Center construction was completed and plans were underway for a January 2012 opening. With a design to enhance family-centered care and patient privacy, the new, larger Emergency Center has 32 private patient examination rooms, two critical care exam rooms, expedited triage and admissions with the goal of treating patients more quickly and efficiently, spacious waiting room with comfortable seating and wireless connectivity, Meditation Chapel for solace and reflection and an advanced CT scanner, as well as imaging and lab facilities within the emergency center to help expedite diagnosis and treatment. Rooms are designed to accommodate two patients in the event of a major disaster. Patient Care Tower St. Anthony's worked to complete a total of 64 new private patient rooms located on the second and third stories of the new building for a February 2012 opening. Features of the new patient rooms include a pull-out sleeper sofa for family to remain with the patient, two televisions in each patient room (one for a family member and one for a patient), warm woods and soft tones to reflect a tranquil environment, individual temperature controls in each room and carpeted hallways to help keep noise levels low. St. Anthony's Triathlon Affiliates with Global Race Series The 28th year of the St. Anthony's Triathlon marked the first year that the race was part of a new global event series titled 5150 launched by the World Triathlon Corporation (WTC), producer of the Ironman triathlon events. Close to 4,000 athletes swimming, biking and running along scenic areas of St. Petersburg competed in 2011 Triathlon. ENERGY STAR Ranking Earned for Third Year For the third year in a row, St. Anthony's Hospital earned the U.S. Environmental Protection Agency's prestigious ENERGY STAR, the national symbol for protecting the environment through superior energy efficiency. This signifies that the hospital's buildings perform in the top 25 percent of similar facilities nationwide for energy efficiency. Commercial buildings that earn the ENERGY STAR use an average of 35 percent less energy than typical buildings and also release 35 percent less carbon dioxide into the atmosphere. Electronic Medical Record Implementation As part of BayCare Health System's multi-year, system-wide electronic medical record initiative, St. Anthony's Hospital continued implementation of Phase II, forever changing how clinicians document patient information. Today, entering patient information on the computer is the only way to perform many of the daily functions currently documented on paper charts. 80 Years of Serving the Community St. Anthony's celebrated 80 years of serving the community in 2011. Celebrations included a special service in the hospital's chapel to honor the Sisters of Allegany for their selfless work in founding the hospital in 1931. New Way to Diagnose Parkinson's Disease In 2011, St. Anthony's was one of the first hospitals in the country to use DaTscan, a new test that can provide an earlier diagnosis for patients suffering from symptoms related to Parkinson's disease. As the first reliable test for Parkinson's, DaTscan can help in the diagnosis of Parkinson's in the disease's early stages when there are minimal signs, allowing for earlier treatment. Collaboration to Reduce Hospital Re-admissions Elderly patients can often experience re-admissions to the hospital for the same issues or chronic conditions. As part of statewide effort to address hospital re-admissions, St. Anthony's collaborated with the Pinellas Point Nursing and Rehabilitation and Bon Secours nursing home to identify the causes of hospital re-admissions for nursing home patients. The project identified heart failure patients were returning to the hospital with sepsis, a dangerous infection. Working with St. Anthony's the nursing home started screening for patients considered at risk, running lab tests and watching for early warning signs. Surgery Center Receives Top Accreditation for Bariatric Surgery St. Anthony's Carillon Surgery Center became the first ambulatory surgery center in Florida to be granted full accreditation by the American College of Surgeons Bariatric Surgery Center Network (ACS BSCN) Accreditation Program. Carillon was the seventh outpatient center in the country to be fully accredited by the ACS. The accreditation confirms that the surgery center has demonstrated its commitment to provide the highest quality care for its bariatric surgery patients. Community Outreach & Partnerships St. Anthony's Hospital has had a tradition of caring for people from all walks of life and has been at the forefront of community outreach for generations. This includes not only the care given within the walls of the hospital, but also in the community itself. The Mission Integration / Community Affairs Committee, is a committee of the St. Anthony's Hospital Board of Trustees, and made up of community members including representatives of diverse community organizations including a neighborhood association, the police department, Salvation Army, Catholic Charities, senior citizens, Family Services, St. Petersburg Free Clinic, physicians, school principal, and other businesses and social community leaders. The committee's aim is to keep St. Anthony's aware of community needs and facilitate collaboration to meet those needs. St. Anthony's is proud to work with the Nina Harris Exceptional Student Education Center, which is dedicated to providing a safe, nurturing environment where special needs students can build self-confidence, independence and self-esteem to maximize their success at home, school and in the community. Students from the school work at the hospital in the areas of food and nutrition and environmental services to help with learning job skills. St. Petersburg Free Clinic St. Anthony's Hospital is committed to supporting community organizations such as the St. Petersburg Free Clinic. The St. Petersburg Free Clinic serves as "safety net" providing health care for the uninsured and underinsured in St. Petersburg. In 2011, St. Anthony's provided laboratory and basic imaging services for clinic patients. St. Anthony's Hospital actively recruits volunteer doctors, nurses, physical therapists and occupational therapists, to provide free medical care for the St. Petersburg Free Clinic. The hospital also held a food and clothing drive to collect donations for the clinic which serves the greater community. Pinellas Care Clinic The Pinellas Care Clinic provides outpatient medical care to adults living with HIV. Patients receive care in an environment that maintains their optimal physical, emotional and spiritual well-being. The clinic also serves the community as a scientific resource through education and research. The program is complemented by other HIV services available through the BayCare Health System, including St. Anthony's Hospital. Health Fairs In 2011, St. Anthony's Hospital participated in seven health fairs which were held at a variety of locations, including Carillon Wellness Center and St. Anthony's Hospital, Catalina Marketing Health Fair, City of St. Petersburg Health Fair, Family Health Lecture, General Dynamics Health Fair, Homeless Health Fair and Screening, Tropicana Field and Tampa Bay Start! Heart Walk. Health Screenings St. Anthony's Hospital screened community members on many diseases and conditions, including dia
6 - AFFILIATED HEALTH CARE SYSTEMSt. Anthony's Hospital is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 19,600 employees, 10 not-for-profit hospitals, 17 outpatient centers, and a complete range of services, such as imaging, lab, behavioral health, and home care. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, and St. Joseph's Hospital-North. St. Joseph's hospitals operate as one entity and file one Form 990. BayCare was founded in 1997 when the area's top not-for-profit hospitals came together united by a common mission to improve the health of their communities and continue caring for all patients regardless of their ability to pay. In 2011, BayCare provided $167 million in community benefits, which included $77.9 million in traditional charity care, $77.6 million in Medicaid and other means-tested programs, and $11.8 million in unbilled community services. In addition to charity care, BayCare's financial stability and centralization of shared services in finance, information technology, and human resources strengthens each hospital's ability to allocate resources to help meet the needs of their communities. BayCare's hospitals are located in three geographic regions, each with their own Boards of local leadership focused on their community's specific needs. Recognizing the need for mental health services, BayCare continues to be the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home treatment, support group and case management services. BayCare's designated Baker Act-receiving facilities in Hillsborough, Pinellas, and Pasco counties provide inpatient crisis stabilization and partial hospitalization programs as part of the continuum of mental health care. BayCare is the only organization in the Tampa Bay area that operates dedicated psychiatric emergency rooms at each of its hospital-based, Baker Act facilities. In Hillsborough County, St. Joseph's prepared in 2011 to open a 45,000-square-foot behavioral health facility as the only private, freestanding, inpatient psychiatric Baker Act receiving hospital in the county. Earlier that year, the Tampa Bay Partnership, a regional research and education foundation, published a report that noted the area's suicide rate was statistically higher than state and national rates. St. Joseph's also began admitting mothers and babies to a new 125,000-square-foot, five-story tower with 64 neonatal intensive care unit suites, one floor exclusively for new mothers and one floor for medical/surgical patients. The Tampa Bay region has a high infant mortality rate, according to the partnership's report. In north Pinellas County, Morton Plant opened a new, four-story pavilion that expanded cancer, imaging and patient support services. The report noted that the region's mortality rate due to cancer was higher than Florida's rate. In south Pinellas County, St. Anthony's identified a growing need for emergency services in its local community. As a result, the hospital expanded its current facilities with a new, 105,000-square-foot Emergency Center and Patient Care Tower. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region. In 2011, BayCare added 1,000 new employees during a tough economy when unemployment rates in other areas remained high. The community also benefits from BayCare's comprehensive network, which provides increased access to services, such as emergency care, outpatient and home care. In 2011, BayCare HomeCare provided 625,000 home health visits, helping patients leave the hospital sooner and recover at home where they are more comfortable. BayCare also meets the needs of the community by helping its hospitals continue evolving to keep pace with changes in the health care industry and new technologies. In 2011, BayCare continued developing a clinically integrated network in the Tampa Bay area. This new, physician-led organization puts more emphasis on prevention, early detection and disease management by creating a flexible model of care that better aligns physicians with BayCare's resources. In addition, BayCare successfully completed the second phase of its system-wide implementation of an electronic medical record (EMR). With the completion of this phase in 2011, every hospital in BayCare now documents clinical information in a system-wide EMR, providing the entire health team with real-time, electronic access to patient information. In 2011, BayCare hosted its sixth annual and largest Quality Sharing Day event, with more than 500 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects. In 2011, BayCare had 193 Six Sigma and performance improvement projects championed by employees throughout the health system. BayCare currently has 31 certified Six Sigma Black Belts and 57 certified Green Belts. Since BayCare began its Six Sigma program in 2004, more than 5,400 employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout its hospitals and facilities. As part of its commitment to the community, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College and the Pinellas Technical Education Center to help educate future nurses and health care professionals. BayCare also continues to support other organizations committed to improving the health of the community. These organizations include the American Heart Association (Greater Southeast Affiliate), Susan G. Komen for the Cure (Florida Suncoast Affiliate), and the Tampa Bay Partnership: ONE BAY Healthy Communities.
7 - STATE FILINGN/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
KOMEN FLA SUNCOAST RACE FOR THE CURE
PO BOX 14452ST PETERSBURGFL33733752870702501(C)(3)7833SPONSORSHIP
AMERICAN HEART ASSOCIATION
PO BOX 4002900DES MOINESIA50340135613797501(c)(3)10000SPONSORSHIP
CITY OF ST PETERSBURG
16700 GULF BLVD SUITE 227ST PETERSBURGFL33708MUNICIPALITY10000SPONSORSHIP
BOARD OF COUNTY COMMISSIONERS
2189 CLEVELAND STCLEARWATERFL33765GOVERNMENT37500
SUNCOAST COMMUNITY HEALTH CENTERS
13110 ELK MOUNTAIN DRIVERIVERVIEWFL33579591741303501(C)(3)44475
CATHOLIC CHARITIES INC
1213 16TH STREET NST PETERSBURGFL33705591741303501(C)(3)13867FMVFLU VCCNS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationALL GRANTS ARE MADE TO NOT FOR PROFIT ORGANIZATIONS AND ARE REVIEWED ON AN INDIVIDUAL BASIS BY MANAGEMENT TO ENSURE THAY THEY SUPPORT THE HOSPITAL'S MISSION. THE LEVEL OF APPROVAL APPROPRIATE TO THE SIZE OF THE GRANT AND DOCUMENTATION OF NON PROFIT STATUS ARE REQUIRED BEFORE PAYMENT IS MADE. THE REQUESTING TEAM MEMBER OVERSEES THE GRANT TO MAKE SURE THAT THE ACTIVITY OR EVENT HAS OCCURED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM ULBRICHT
3469740147921012534201222201028706427460320810
TERESA BRADLEY
305947090764069311012037042820482341000
PATRICIA SIZEMORE
20831206147101335660111860430104188360825440
RONALD COLAGUORI
196151060088024424035166099630325792000
WALTER INMAN
1637810162780531507390038130196577000
SUSAN OLDS
146363016234027608021069150177809000
ARCHANA PUDUR
45146800063901225004320464789000
ANNE-MARIE JOHNROSE-BROWN
33127100011400107320101550353298000
JOHN GROSS
2769840001026012114086390298763000
HENRY CLARKE
60422400019630122500100920628529000
ALLAN WEISS
3119300005520122500102170334949000
STEPHEN MASON
01054306046568601608047012152012874031530650519405
CARL TREMONTI
024667708008104126203602103892040793300
JAMES MCCLINTIC
18624100047009386040140200111000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationSchedule J, 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. Supplemental Compensation Information Schedule J, Part I, Line 4b 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. Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $1,570,412 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $572,415 in 2011. 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. 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. 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. 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 Information80 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.Schedule J, Part I, line 7

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMFP Inc dba Financial Credit ServiNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction157663AmountOfTransaction
Description Of TransactionFees for collection servicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRelationship between interested person and the organizationIdentifier
Return ReferenceSchedule L, Part IV, Column BReturnReference
ExplanationStephen Mason, ex-officio trustee of the filing organization, and William Ulbricht, ex-officio trustee and president of the filing organization, serve as board members at MFP, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family or Business Relationship William Ulbricht, Susan Olds, Ron Colaguori, Patricia Sizemore and Rebecca Arseneau are board members/officers 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 Catholic Health East, a Pennsylvania nonprofit corporation is the sole member of St. Anthony's Hospital, Inc. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights The members of the Board of Trustees of the Corporation shall be appointed by the Member Catholic Health East (CHE). 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. CHE 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 the closure of a hospital facility of the Corporation. 4. Approval of any sale, long term lease, mortgage, encumbrance or disposition of property of the Corporation constituting an 'alienation' under principles of canon law. 5. Approval of matters relating to the implementation of and compliance with the Ethical and Religious Directives. 6. Change in the name of the hospital facility of the Corporation. 7. Approval of substantive changes in the Articles of Incorporation of the Corporation and these Bylaws provided that prior notice of any change in the Articles of Incorporation of the Corporation or these Bylaws shall be provided to 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 the Member. 8. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). 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 via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest St. Anthony's Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. 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 VIIPart VI, Lines 15a & 15b - Process used for Compensation Review and Approval The organization uses an independent compensation committee, 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 Hospital, Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and policies are not available for public inspection. 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 Professional Buildings & Services, Inc. - 1 Carl Tremonti - Trustees of Mease Hospital, Inc. - 1 Deborah Coakley - South Florida Baptist Hospital, Inc. - 1 Deborah Coakley - St. Joseph's Health Care Center, Inc. - 1 Deborah Coakley - St. Joseph's Hospital, Inc. - 1 Gladys Sharkey - BayCare Health System, Inc. - 1 Gladys Sharkey - South Florida Baptist Hospital, Inc. - 1 Gladys Sharkey - St. Joseph's Health Care Center, Inc. - 1 Gladys Sharkey - St. Joseph's Hospital, Inc. - 1 Patricia Sizemore - St. Anthony's Professional Buildings & Services, Inc. - 1 Rebecca Arseneau - St. Anthony's Professional Buildings & Services, Inc. - 1 Stephen Mason - BayCare Health System, Inc. - 45 Stephen Mason - BayCare Home Care, Inc. - 1 Stephen Mason - Morton Plant Hospital Association, Inc. - 1 Stephen Mason - Morton Plant Mease Health Care, Inc. - 1 Stephen Mason - Morton Plant Mease Primary Care, Inc. - 1 Stephen Mason - Trustees of Mease Hospital, Inc. - 1 Susan Olds - BayCare Behavioral Health, Inc. - 1 Susan Olds - Behavioral Health Management Services, Inc. - 1 Susan Olds - St. Anthony's Professional Buildings & Services, Inc. - 1 Teresa Bradley - St. Anthony's Professional Buildings & Services, Inc. - 1 Thomas Egan - BayCare Health System, Inc. - 1 William Ulbricht - St. Anthony's Professional Buildings & Services, Inc. - 1
Part XI, Line 5Other changes in Net Assets: Contributions in income, not on books ($320,602) Unrealized losses on swaps ($5,824,080) Unrealized losses on investments ($632,059) Change in net assets of foundation $1,317,446 Total ($5,459,295)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St Anthony's Primary Care LLC
1200 Seventh Ave NorthSt PetersburgFL33705030575868Health srvcsFL68862061831161SAH
St Anthony's Specialists LLC
1200 Seventh Ave NorthSt PetersburgFL33705743168197Health srvcsFL3435776559428SAH

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BayCare Health System Inc
16255 Bay Vista DrClearwaterFL33760592796965Support srvcsFL501(c)(3)11Anafalse
Mark Sheppard Trust Fund
1200 Seventh Ave NorthSt PetersburgFL33705592223579Educ supportFL501(c)(3)11ASAHC Foundtrue
St Anthony's Health Care Found Inc
1200 Seventh Ave NorthSt PetersburgFL33705592128991FundraisingFL501(c)(3)11CSAHtrue
St Anthony's Hospital Auxiliary Inc
1200 Seventh Ave NorthSt PetersburgFL33705590201974Volunteer srvFL501(c)(3)11Cnafalse
St Anthony's Professional Build & Srvs
1200 Seventh Ave NorthSt PetersburgFL33705592018848Owns propertyFL501(c)(3)11ASAHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
Carillon Surgery Center LLC
900 Carillon PkwySt PetersburgFL33762261116740Health servicesFLnan/a
St Anthony's Physicians Surgery Center
705 16th Street NorthSt PetersburgFL33705010861245Health servicesFLnan/a

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1St Anthony's Ancillary Services IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 Seventh Ave NorthAddressLine1
CitySt PetersburgCity
StateFLState
ZIP Code33705ZIPCode
FieldValueIRS element (for citing)
EIN592128990EIN
Primary ActivityinactivePrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST ANTHONYS HEALTH CARE FOUNDATION
C175919FMV
ST ANTHONYS PROFESSIONAL BUILDING & SERVICES
J1101449FMV
ST ANTHONYS PROFESSIONAL BUILDING & SERVICES
Q4508673FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRelated Tax Exempt OrganizationsIdentifier
Return ReferencePart IIReturnReference
ExplanationSt. 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.Explanation