2011-11-11T15:40:57-05:00 2010-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BOULEVARD SUITE 1000 ATLANTA GA 30308 990 2010-01-01 592043026 St Anthony's Hospital Inc STAN 7278251649 1200 7th Avenue North St Petersburg FL 33705 Susan Olds 9839838908 2011-11-14 4048748300 2010 2016-02-24 21:20:13Z William Ulbricht 1200 7th Avenue North St Petersburg FL 33705 205924011 false X www.BayCare.org X 1980 FL St. 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. 21 17 1704 419 427302 309296 380535 485893 178717551 183669458 717268 886666 1722694 868135 181538048 185910152 43590 101978 0 0 77334699 83117354 0 0 0 97198297 94765441 174576586 177984773 6961462 7925379 110530700 113527734 97037852 90994172 13492848 22533562 ST. 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. false false 153514443 101978 184216196 St. Anthony's Hospital, Inc. (SAH) is a full-service 395-bed community hospital. During 2010, SAH provided inpatient care to 13,229 patients and treated 34,340 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 $15.5 million. The hospital also provided other community services totaling more than $625 thousand. Refer to Schedule H for additional information. 153514443 true true false false false false false false false true true true false true false false true false false true false false false false false true false true false true false false false false false false false true false false false false true true true true false false true 284 0 1704 true true true false false false false false false false false false X 21 17 true false false false true true true true true false true true true true true true true true true true true true X SUSAN OLDS 7278251649 1200 7TH AVE N St Petersburg FL 33705 X William Ulbricht 45.0 X X 565421 0 28943 John Bilchak 1.0 X 0 0 0 Worth T Blackwell 1.0 X 0 0 0 Joseph Boulay 1.0 X 0 0 0 Deborah Coakley 1.0 X 0 0 0 Thomas J Egan 1.0 X X 0 0 0 Corey Evans 1.0 X 0 0 0 Philip H Graham 1.0 X 0 0 0 Catherine Karl 1.0 X 0 0 0 Lee Martino 1.0 X 0 0 0 James Mcclintic 1.0 X 143542 0 5255 Michael G Mikurak 1.0 X 0 0 0 Gwen Murray-Johnson 1.0 X 0 0 0 J Dale Oliver 1.0 X 0 0 0 Charles Osterholt 1.0 X 0 0 0 Cary Putrino 1.0 X 0 0 0 Sr Gladys Sharkey 1.0 X 0 0 0 William Tapp 1.0 X 0 0 0 Thomas Tremaine 1.0 X 0 0 0 Marlene Weidenborner 1.0 X 0 0 0 Stephen Mason 1.0 X 0 2500313 31717 Rebecca Arseneau 45.0 X 64493 0 5000 Susan Olds 45.0 X 162470 0 14934 Ronald Colaguori 45.0 X 253906 0 60168 Walter Inman 45.0 X 176762 0 10347 Patricia Sizemore 45.0 X 300261 0 18645 Allan Weiss 45.0 X 254608 0 21381 John Gross 45.0 X 256981 0 18989 Teresa Bradley 45.0 X 462931 0 20602 Henry Clarke 45.0 X 710288 0 23491 Gregg Shore 45.0 X 249029 0 9075 Carl Tremonti 1.0 X 0 331163 43859 3600692 2831476 312406 11 true true false Prof Hlth Care of Pinellas Inc 1839 CENTRAL AVE ST PETERSBURG FL 33713 Medical Services 640040 Emerg Med Assoc of Florida LLC 1099 5th Ave North ST PETERSBURG FL 33705 Medical Staffing 623911 Flad Associates PO Box 5620 MADISON WI 53705 Architecture srvcs 2224388 Bay Linen Inc 11525 47th North CLEARWATER FL 33762 Laundry Services 984556 Siemens Medical Solutions USA PO Box 120001 DALLAS TX 753120733 IT Consulting 717644 23 124650 18742 342501 0 485893 HOSPITAL PATIENT CARE 621999 83434665 83434665 MEDICARE/MEDICAID NET REVENUE 621999 100234793 100234793 183669458 454845 454845 0 0 20444575 1105 20013859 430716 1105 431821 431821 0 0 0 CAFETERIA 722210 905811 905811 INCOME FROM ST PETERSBURG ENDOSCOPY CENTER 900099 332621 332621 NET LOSS ON BOND RESTRUCTURING 523999 -1011716 -1011716 641419 546738 94681 868135 185910152 184216196 427302 780761 101978 101978 0 0 0 1647256 177404 1469852 0 68182304 66255389 1926915 2332883 2266953 65930 6228307 6052287 176020 4726604 4568250 158354 0 176544 176544 15498 15498 0 0 60046 60046 6549051 5400690 1148361 601348 569181 32167 31398931 29755477 1643454 456995 431292 25703 0 4477855 4423219 54636 337422 168460 168962 0 0 2857389 2857389 0 12077090 12054735 22355 2833364 92943 2740421 MANAGEMENT FEES 13900533 13900533 BAD DEBT EXPENSE 9547655 9547655 ASSESSMENTS 2045332 2045332 DIETARY 1746452 1655177 91275 PURCHASED SERVICES 5090632 5090632 593304 593304 177984773 153514443 24470330 0 9917 7767 16923409 18847662 70921 161545 3210924 3408969 850525 1619102 196835269 133181777 63789767 63653492 9051701 9691879 5800409 7101610 10158536 8941145 570028 0 94563 94563 110530700 113527734 9180287 11901849 5418252 6980241 82439313 72112082 97037852 90994172 X 7136248 15623871 5407118 5905609 949482 1004082 13492848 22533562 110530700 113527734 X 7925379 1115335 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 465465 465465 95144779 62310514 32834265 2207829 1204503 1003326 90920712 69666760 21253952 8096484 8096484 63653492 HARBORVEST FUND VII 209879 C HARBORVEST FUND VIII 279835 C OAKTREE CAPITAL MMGT 720404 F LSV EMERGING MARKETS 813257 F MONDRIAN INT'L SMALL CAP 794936 F BLACKSTONE 654995 F NTGI SP 500 FD NL 9633 F NTGI SP 500 FD 2119519 F NTGI AGG BD FD 1185156 F METROPOLITAN REAL ESTATE PART 13598 F CLARION LION 174060 F SCHRODER 126338 F 7101610 INVESTMENT IN RELATED ENTITIES 1125857 F INVESTMENT IN FOUNDATION 7815288 F 8941145 0 DUE TO AFFILIATES 66627159 ESTIMATED THIRD PARTY STLMNTS 5306225 ASSET RETIREMENT OBLIGATIONS 165000 ABANDONED PROPERTY 13698 72112082 185910152 177984773 7925379 -425339 -305138 -730477 7194902 184662873 -425339 364829 -60510 184723383 1186769 1186769 185910152 177467970 177467970 516803 516803 177984773 Part XI, Line 8 Change in Interest in Foundation ($267,316) Contributions in Book Income $364,829 Contributions in Net Assets ($402,651) Total ($305,138) Part XII, Line 2d Contributions in Book Income $364,829 Part XII, Line 4b Change in Net Assets of Foundation $267,315 Contributions in Net Assets $402,651 Revenues Netted with Expenses $516,803 Total $1,186,769 Part XIII, Line 4b Expenses Netted with Revenues $516,803 Central America and the Caribbean Investments 684000 East Asia and the Pacific Investments 701000 Europe (Including Iceland and Greenland) Investments 1190000 Middle East and North Africa Investments 15000 North America Investments 42000 South America Investments 111000 South Asia Investments 18000 Sub-Saharan Africa Investments 6000 2767000 2767000 false false false false false false true true X true X 250. false true true false true true 1 9087 11373179 384522 10988657 0.07120 1 8199 17169772 12802803 4366969 0.02830 1 286 117072 117072 0.00080 3 17572 28660023 13187325 15472698 0.10030 24 2628 93083 5371 87712 0.00060 2 33 400543 400543 0.00260 35 15465 140013 2900 137113 0.00090 61 18126 633639 8271 625368 0.00410 64 35698 29293662 13195596 16098066 0.10440 true 1818053 1028135 53299433 63023530 -9724097 X true true 1 1 ST ANTHONY'S HOSPITAL INC

1200 7TH AVE NORTH ST PETERSBURG FL 33705

X X X ST ANTHONY'S HOSPITAL INC 1 true true 250. false true X X X X X X X true true X X X X true X X true X X X X X X true X false false 2 St Petersburg Endoscopy Ctr LLC

1099 5th Ave North Suite 100 St Petersburg FL 33705

Surgery Center St Anthony's Rehab Services Outpatient

900 Carillon Pkwy St Petersburg FL 33716

Rehabilitation Services PART VI LINE 1 - PART I, LINE 3C Patients 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 Medical 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 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 VI LINE I - PART I, LINE 6A N/A - The Community Benefit Report is available to the public. PART VI LINE 1 - PART I, LINE 7 Financial 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 VI LINE 1 - PART I, LINE 7F Bad Debt expense of $1,818,053 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column. PART VI LINE I - PART II N/A PART VI LINE I - PART III, SECTION A, LINE 4 The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense at cost was calculated by the ratio of cost to charge method, using data from Schedule H. Total expense of the organization is reduced by the community benefit expenses reported on Part I, Line 7 (column C), and gross patient revenue is reduced by the direct offsetting revenue reported on Part I, Line 7 (column D). The resulting ratio of cost to charges is then applied to total bad debt expense of the organization, which calculates the bad debt expense at cost. We believe the method described above understates the true cost of bad debt. In many instances, bad debt results from non-payment of co-pays and deductibles, which would not be at charges but at a lesser amount. 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 VI LINE 1 - PART III, SECTION B, LINE 8 Cost 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) ($6,523,476) Additional non-allowable costs and unpaid/non-reimbursed coninsurance/deductibles $2,446,597 Total Surplus or (Shortfall) ($8,970,073) PART VI LINE 1 - PART III, SECTION C, LINE 9B Patients 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 Medical 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 charity care policy, (defined in Part I, line 3c), patients' account would be written off completely to charity and not billed to the patients. PART VI LINE 1 - PART V, SECTION B, LINE 19D St. Anthony's Hospital applies a discount of 40% and offers up to a 50% discount of charges for individuals who do not have insurance covering emergency or other medically necessary care. This discount or allowance is consistent with the average blended inpatient/outpatient rate of BayCare's commercial payer's contractual allowance rate. PART VI LINE 2 St. Anthony's Hospital 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 develops 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 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 in developing initiatives and programs/services to address identified health care needs in the communities it serves. PART VI LINE 3 St. Anthony's Hospital Medical 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 charity care 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 Medical 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 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. PART VI LINE 4 St. Anthony's Hospital 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 15% of the population and 14% of households are below poverty level. St. Anthony's Hospital 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 is expected to grow 0.1% in the next 5 years. The expected growth rate for the United States is 4.1%. While overall population growth is miniscule, the population Age 55+ is expected to grow 10%. 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 07/01/09-06/30/10, the payor mix for the geographic area consists of 51.3% Medicare/Medicare HMO, 15.5% Medicaid/Medicaid HMO, 12.1% Commercial Insurance, 10.4% HMO/PPO, 6.3% Self-pay, and 4.4% Other. PART VI LINE 5 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. 2010 Overview In 2010, St. Anthony's Hospital prepared to continue its legacy of serving all in the community with care and compassion and celebrated many achievements. Construction Begins on New Emergency Center and Patient Care Tower St. Anthony's Hospital began construction on a new approximately 100,000 sq.-ft. Emergency Center and Patient Care Tower. The project is planned to include 32 private patient exam rooms; two critical cardiac care exam rooms; expedited triage and admissions; advanced CT Scan, digital imaging and point of care lab technologies; and a spacious waiting room with comfortable seating and wireless connectivity. Franciscan Sisters of Allegany Move Into New Convent In preparation for the new emergency center, St. Anthony's relocated and built the new St. Anthony of Padua Convent. With new convent, the Franciscan Sisters of Allegany now have a modern and updated home that will shelter both body and spirit. Named for the hospital's patron saint, the convent is a single story home with a chapel and meditation garden and common areas for prayer, dining and recreation. Nationally Recognized Breast Cancer Prevention and Care The Susan Sheppard McGillicuddy Breast Center at St. Anthony's Hospital received two important designations in 2010. The breast center was honored with accreditation from the National Accreditation Program for Breast Centers (NAPBC), a highly regarded national program. This accreditation comes just after receiving the Breast Center of Excellence designation from the American College of Radiology (ACR). The Susan Sheppard McGillicuddy Breast Center is now the only facility in St. Petersburg, Fla. with both the ACR designation and the NAPBC accreditation. St. Anthony's Triathlon Affiliates with Global Race Series The 27th year of the St. Anthony's Triathlon was a huge success with thousands of athletes swimming, biking and running along scenic areas of St. Petersburg. It also was announced that the 2011 Triathlon would become part of the Ironman tradition by joining a new global event series titled 5150 launched by the World Triathlon Corporation (WTC), producer of the Ironman triathlon events. ENERGY STAR Ranking Earned for Second Year For the second 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 Phase II As part of BayCare Health System's multi-year, system-wide electronic medical record initiative, St. Anthony's Hospital went live with 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. 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 leaders were ahead of their time when they established an entire department to promote good health in the community more than two decades ago. Through prevention and early detection of disease, we improve the quality of life and reduce cost and suffering due to preventable illness. STEPS to a Healthier Pinellas is an example of an organization that benefits from St. Anthony's outreach programs. 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 2010, 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 drive to collect donations for the clinic's food bank which serves the greater community. Health Fairs In 2010, 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 diabetes, heart disease, hypertension, and stroke. The health screenings were conducted at many venues, such as schools, churches and at hospital-sponsored events. St. Anthony's Hospital pays for these services so patients will not be charged. In 2010, the total amount paid for was $12,377. Community Lectures With our mission to improve the health of the communities that we serve, St. Anthony's Hospital held several free community lectures, educating the community on a variety of health-related topics including breast cancer awareness, diabetes, heart health, nutrition and weight loss, orthopedics, senior health, sports safety and training, stroke and cardiac risk assessment. Support Groups St. Anthony's Hospital provides support groups to the community on a number of topics ranging from cancer to stroke care. In 2010, we had more than eight active support groups throughout Pinellas County, including Amyotrophic Lateral Sclerosis, Primary Lateral Sclerosis, Bariatric Surgery Support Group; and Hereditary Spastic Paraplegia Support Group; Brain Tumor Support Group; Continent Ostomy Support Group; Diabetes Support Group; Headache Support Group; Multiple Sclerosis Support Group and Stroke Support Group. In-Kind Donations of Meeting Space St. Anthony's Hospital provides space for community groups to hold meetings and events. The organizations supported include: Alcoholics Anonymous, Boys and Girls Clubs of the Suncoast, Foster Grandparents, Fighting Blindness Foundation, Lupus Foundation, Relay for Life, Seniors and Services, Gulfcoast Chapter of Medical Assistance, Susan G. Komen for the Cure, Multiple Sclerosis Support Group, Overeaters Anonymous, Myasthenia Gravis Support Group, Brain Tumor Support Group, the Junior League and Tampa Bay Healthcare Collaborative. One important connection with the community is that St. Anthony's is an active member of the Historic Uptown Neighborhood Association, enabling them to carry out many of their activities and meetings. The availability of free space enables these organizations to conduct meetings without the cost of renting a venue. Faith Community Nursing Faith Community Nursing (FCN) offers a unique partnership between two healing groups - St. Anthony's Hospital and churches in Pinellas County. This nursing subspecialty takes a whole person approach to health care, promoting wellness of body, mind and spirit within the context of the va PART VI LINE 6 St. Anthony's Hospital is part of BayCare Health System, a leading community-based health care system in the Tampa Bay area with 10 not-for-profit hospitals, 70 outpatient facilities, more than 200 access sites and 18,500 employees. Together, BayCare organizations provide a lifetime of expert medical care by connecting patients to a complete range of services, such as primary care, imaging, lab, behavioral health and home health care. BayCare's hospitals are Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist and St. Joseph's Hospitals. St. Joseph's Hospitals operate as one entity and files one Form 990, however it includes several distinct hospitals: St. Joseph's, St. Joseph's Children's, St. Joseph's Women's and St. Joseph's Hospital-North. BayCare was founded in 1997 when several of the area's not-for-profit hospitals came together united by a common Mission to improve the health of their communities through high-quality, community-based health care. With BayCare, these hospitals created a unique model for a successful organization. Since those ingrained in the community can best determine their population's needs, BayCare's hospitals are in three geographic regions with their own local boards. BayCare provides organizational and financial strength for the hospitals and has centralized certain services regionally such as finance, human resources, home care and behavioral health. This enables each hospital to remain focused on their shared Mission of serving the health care needs of the entire community, regardless of their ability to pay. Each BayCare hospital provides charity care and unbilled community benefit services too. This is an essential expression of BayCare's shared Mission. In 2010, BayCare provided $184.5 million in community benefits, which includes $80 million in traditional charity care, $11 million in unbilled community services and $93 million in unreimbursed costs of Medicaid and county welfare programs. As one of the largest employers in the Tampa Bay area, BayCare has also played a significant role in the creation of jobs in the Tampa Bay community. Even though unemployment has increased, BayCare has brought on more than 1,650 employees since the end of 2006. BayCare's comprehensive network provides patients with increased access to services, such as emergency care, inpatient, outpatient and home health. For example, BayCare HomeCare helps patients leave the hospital sooner and recover at home where they are more comfortable. In 2010, HomeCare provided approximately 599,000 home health visits to more than 50,000 patients through 11 offices located throughout Florida. Recognizing the need for mental health services, BayCare is the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home, residential 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 also 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 2010, BayCare Behavioral Health opened the Morton Plant North Bay Recovery Center, a 72-bed acute care, behavioral health facility to treat adults, children and adolescents. It is the only hospital-based children's mental health facility in Pasco County. BayCare hospitals also benefit from faster technological advancements like the system-wide introduction of an electronic medical record (EMR) and a biometric patient identity program that uses cutting-edge, palm scanning technology. Both of these projects provide more comprehensive access to patient records with the goal of improving patient safety. BayCare has registered more than 1.5 million patients through its biometric, palm-scanning registration and added more than 2 million patient charts to its EMR repository. Because of these two systems, a patient's medical record is now available at any BayCare hospital or facility. With the scan of a palm, BayCare's facilities will be able access the patient's data and avoid duplicate information requests at different times in the care process. An EMR also provides real-time communication and care-team coordination that can lead to a more complete picture of the patient's needs and better outcomes. In an effort to offer greater communications, increased patient safety and continuous care, BayCare is also working to electronically connect our hospitals with physicians' offices through an electronic medical record. In addition, each facility can gain knowledge from best practices shared by other BayCare hospitals through a system-wide Quality program that helps drive higher performance to improve patient care, processes and technology. In 2010, every BayCare hospital participated in the Fifth Annual Quality Sharing Day, an event designed to help employees share and learn best practices that were implemented elsewhere in the health system. As part of the organization's commitment to the community, BayCare partners with Hillsborough Community College, University of Tampa, University of South Florida, Erwin Technical Center and St. Petersburg College to help educate future nurses and health care professionals. In addition, BayCare is an organizational sponsor for the United Way of Tampa Bay's Hands on Tampa Bay. The program provides volunteer support in a variety of service areas such as homelessness and hunger; education and literacy; children, youth, and family; seniors; animals and environment; and persons with disabilities. BayCare also supports organizations that work to foster economic development in the Tampa Bay area. These organizations include the Tampa Bay Partnership and the Pasco Economic Development Council. PART VI LINE 7 N/A: only provided benefit in the State of Florida. true KOMEN FLORIDA SUNCOAST RACE FOR THE CURE PO Box 14452 St Petersburg FL 33733 752870702 501(C)(3) 7000 Sponsorship AMERICAN HEART AND STROKE ASSOCIATION 1101 Northchase Pky Ste 1 Marietta GA 30067 135613797 501(c)(3) 12778 Sponsorship WestCare Gulfcoast FL Inc 9700 DR MLK JR STREET N Tampa FL 33602 593714627 501(C)(3) 25000 RESPITE PROGRAM SUNCOAST COMMUNITY HEALTH CENTERS 13110 ELK MOUNTAIN DR RIVERVIEW FL 33579 591741303 501(c)(3) 28417 UNRESTRICTED DONATION 4 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants All grants are made to not for profit organizations and are reviewed on an individual basis by management to ensure that 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. false true false false false false false true false Susan Olds 140665 0 14572 0 7233 0 7848 0 7086 0 177404 0 0 0 William Ulbricht 325597 0 124450 0 115374 0 12157 0 16786 0 594364 0 19302 0 Stephen Mason 0 967987 0 467277 0 1065049 0 12152 0 19565 0 2532030 0 261951 Carl Tremonti 0 232804 0 68315 0 30044 0 35213 0 8646 0 375022 0 0 Ronald Colaguori 188119 0 58420 0 7367 0 46250 0 13918 0 314074 0 0 0 Walter Inman 156772 0 13645 0 6345 0 6963 0 3384 0 187109 0 0 0 Patricia Sizemore 197426 0 54694 0 48141 0 10853 0 7792 0 318906 0 2021 0 Allan Weiss 254056 0 0 0 552 0 10094 0 11287 0 275989 0 0 0 John Gross 256199 0 0 0 782 0 11734 0 7255 0 275970 0 0 0 Teresa Bradley 294280 0 88773 0 79878 0 12037 0 8565 0 483533 0 0 0 Henry Clarke 706384 0 1942 0 1962 0 12250 0 11241 0 733779 0 0 0 Gregg Shore 248669 0 0 0 360 0 4900 0 4175 0 258104 0 0 0 Supplemental Compensation Information Part I, Line 4b William Ulbricht - Participated in a supplemental nonqualified deferred compensation plan. He had $83,200 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $30,326 in 2010. Stephen Mason - Participated in a supplemental nonqualified deferred compensation plan. He had $987,062 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $359,784 in 2010. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $13,401 in benefits vest in 2010. He had $23,856 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. The plan made cash distribution of $4,885 in 2010. Ronald Colaguori - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2010. He had $35,485 of nonvested benefits accrue during 2010. This amount is included in Part II Column C. Patricia Sizemore - Participated in a supplemental nonqualified deferred compensation plan. She had $39,250 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $14,307 in 2010. Teresa Bradley - Participated in a supplemental nonqualified deferred compensation plan. She had $54,305 in benefits vest in 2010. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $19,794 in 2010. 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 I, Line 3 The filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. MFP Inc dba Financial Credit Servi See Part V 113060 Fees for Collection Services Relationship between interested person and the organization Stephen Mason is a director of the filing organization as well as a board member of MFP, Inc. Part VI Form 990, Part VI, Question 2 - Description of Family or Business Relationship William Ulbricht, Susan Olds, Patricia Sizemore, Ronald Colaguori, Rebecca Arseneau and Denton Crockett are board members of the organization, as well as board members of a taxable entity, which is an affiliate of the filing organization. Form 990, Part VI, Question 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. Form 990, Part VI, Question 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). Form 990, Part VI, Question 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). Form 990, Part VI, Question 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. Form 990, Part VI, Question 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 VII Form 990, Part VI, Question 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, the last review occurring in 2009, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, Question 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 their review is a review for compliance with relevant tax laws. Form 990, Part VI, Question 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 Health Services, Inc. - 1 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 Catherine Karl - BayCare Health System, 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 - St. Joseph's Health Care Center, 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 Tapp - BayCare Health System, Inc. - 1 William Ulbricht - St. Anthony's Professional Buildings & Services, Inc. - 1 Part XI, Line 5 Other changes in Net Assets: Contributions in income, not on books $83,748 Swap net asset balance transfer $1,031,587 Total $1,115,335 St Anthony's Primary Care LLC 1200 Seventh Ave North St Petersburg FL 33705 030575868 Health srvcs FL 6216997 1758444 na St Anthony's Specialists LLC 1200 Seventh Ave North St Petersburg FL 33705 743168197 Health srvcs FL 3357919 632605 na BayCare Health System Inc 16255 Bay Vista Dr Clearwater FL 33760 592796965 Support srvcs FL 501(C)(3) 11A na Mark Sheppard Trust Fund 1200 Seventh Ave North St Petersburg FL 33705 592223579 Educ support FL 501(C)(3) 11A SAHC Found St Anthony's Health Care Found Inc 1200 Seventh Ave North St Petersburg FL 33705 592128991 Fundraising FL 501(C)(3) 11C SAH St Anthony's Hospital Auxiliary Inc 1200 Seventh Ave North St Petersburg FL 33705 590201974 Volunteer srv FL 501(C)(3) 11C na St Anthony's Professional Build & Srvs 1200 Seventh Ave North St Petersburg FL 33705 592018848 Owns property FL 501(C)(3) 11A SAH Carillon Surgery Center LLC 900 Carillon Pkwy St Petersburg FL 33773 261116740 Health servs FL na n/a St Anthony's Physicians Surgery Center 705 16th Street North St Petersburg FL 33705 010861245 Health servcs FL na n/a Gulfcoast Cancer Institute LLC 1200 Seventh Ave North St Petersburg FL 33705 061761933 Leasing comp FL na related 15179 15617 false 0 true 0.50000 St Anthony's Ancillary Services Inc 1200 Seventh Ave North St Petersburg FL 33705 592128990 inactive FL na C corp 0 0 1.00000 false false true false false false false false false true true true true true false false true true Gulfcoast Cancer Institute LLC R 1941500 ST ANTHONYS PROFESSIONAL BUILDING & SERVICES A 34056 ST ANTHONYS HEALTH CARE FOUNDATION C 124650 ST ANTHONYS PROFESSIONAL BUILDING & SERVICES J 1095931 ST ANTHONYS PROFESSIONAL BUILDING & SERVICES R 642104