Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
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OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
BCheck if applicable:
CName of organization
St Joseph's Hospital Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3003 W Dr Martin Luther King Blvd
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Tampa, FL33607
D Employer identification number

59-0774199
E Telephone number

G Gross receipts $ 1,363,694,251
F Name and address of principal officer:
Glenn Waters
3003 W Dr Martin Luther King Blvd
Tampa,FL33607
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BAYCARE.ORG/SJH
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1963
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: St. Joseph's Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 19
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 7,993
6 Total number of volunteers (estimate if necessary) ............. 6 829
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,906,613
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,400,728 60,890,740
9 Program service revenue (Part VIII, line 2g) ......... 1,349,493,472 1,284,993,312
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -23,465 17,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,121,541 17,793,199
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,373,992,276 1,363,694,251
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,000 1,804,623
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 451,705,884 461,501,420
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 706,093,458 720,325,740
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,157,805,342 1,183,631,783
19 Revenue less expenses. Subtract line 18 from line 12....... 216,186,934 180,062,468
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,147,893,434 2,403,237,230
21 Total liabilities (Part X, line 26)............. 75,638,295 153,143,893
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,072,255,139 2,250,093,337
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2020)
Form 990 (2020)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: St. Joseph's Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 944,557,225 including grants of $ 1,804,623 ) (Revenue $ 1,296,582,096 )
St. Joseph's hospital, inc. (SJH) is a full-service 1,385-bed community hospital. During 2020, SJH Provided inpatient care to 46,771 Patients, treated 193,458 patients in the emergency department, and delivered 6,530 babies. Through efforts of the medical assistance program and the hospital's charity care program, SJH saw a net community benefit expense of over $152 million. The hospital also provided other community Services totaling nearly $15.5 million. Some of the programs included wellness on wheels, faith Community nursing, and st. Joseph's children's advocacy center. Refer to schedule h for additional Information.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet944,557,225
Form 990 (2020)
Form 990 (2020)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,993
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
21
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
FL
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJANICE POLO2985 Drew Street   Clearwater,FL33759 (727) 820-8021
Form 990 (2020)
Form 990 (2020)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) GLENN WATERS
 
TRUSTEE/EVP, COO BAYCARE
 1.0
.................
64.0 		X   X       0 1,922,051 65,058
(2) RALPH GARCIA
 
TRUSTEE/VICE CHAIR/SECRETARY/TREASURER
 1.0
.................
2.0 		X   X       0 0 0
(3) TRACY HALME
 
TRUSTEE/CHAIR
 1.0
.................
3.0 		X   X       0 0 0
(4) AVRIL CHIN FATT
 
TRUSTEE
 1.0
.................
3.0 		X           0 0 0
(5) BRUCE RODWELL
 
TRUSTEE
 1.0
.................
3.0 		X           0 0 0
(6) COLEMAN DAVIS
 
TRUSTEE
 1.0
.................
3.0 		X           0 0 0
(7) CR HALL
 
TRUSTEE Until June 2020
 1.0
.................
2.0 		X           0 0 0
(8) DIPA SHAH
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(9) DONNA JORDAN
 
TRUSTEE
 1.0
.................
3.0 		X           0 0 0
(10) DOUGLAS MCFADDEN
 
TRUSTEE
 1.0
.................
2.0 		X           0 33,194 0
(11) JENNIFER BROWN KING
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(12) JERILYN REED
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(13) JONATHAN JENNEWEIN
 
TRUSTEE/IMMEDIATE PAST CHAIR
 1.0
.................
4.0 		X           0 0 0
(14) LAUREN WEINER
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(15) LORI YARBROUGH
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(16) MATTHEW RICE
 
TRUSTEE
 1.0
.................
2.0 		X           0 0 0
(17) PAT SHIRLEY
 
TRUSTEE
 1.0
.................
4.0 		X           0 0 0
Form 990 (2020)
Form 990 (2020)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) RENA UPSHAW FRAZIER
 
TRUSTEE
 1.0
.......................2.0 		X           0 0 0
(19) RICHARD GLORIOSO
 
TRUSTEE
 1.0
.......................2.0 		X           0 0 0
(20) SEAN BUTLER
 
TRUSTEE
 1.0
.......................2.0 		X           0 0 0
(21) STEPHEN MENDOZA
 
TRUSTEE
 1.0
.......................2.0 		X           0 0 0
(22) YVONNE FRY
 
TRUSTEE
 1.0
.......................3.0 		X           0 0 0
(23) RONALD BEAMON
 
VP, CFO BAYCARE HOSP DIV
 1.0
.......................52.0 		    X       0 547,066 100,109
(24) KIMBERLY GUY
 
PRES SJH/SVP MARKET LEADER HILLSB
 1.0
.......................47.0 		      X     0 811,756 76,026
(25) PAULA MCGUINESS
 
PRES ST JOSEPH'S HOSP NORTH
 1.0
.......................45.0 		      X     0 403,294 79,927
(26) PHILIP MINDEN
 
PRES ST JOSEPH'S HOSP SOUTH
 1.0
.......................45.0 		      X     0 400,034 80,942
(27) SARAH NAUMOWICH
 
PRESIDENT MP NORTH BAY/SJWH & SJCH
 1.0
.......................45.0 		      X     0 356,967 92,006
(28) THOMAS GARTHWAITE
 
PRESIDENT SJH NORTH
 25.0
.......................20.0 		      X     43,709 225,480 56,385
(29) JIMMY BAUMGARTNER
 
DIRECTOR OPERATIONS - SJCH & SJWH
 45.0
.......................0 		        X   213,556 0 25,976
(30) LISSA HAYS
 
DIRECTOR EMERGENCY/TRAUMA SERVICES
 45.0
.......................0 		        X   210,380 0 35,919
(31) LYDIA BOUTROS
 
CLINICAL PHARMACIST
 45.0
.......................0 		        X   243,855 0 17,708
(32) MARY ROBINSON
 
DIRECTOR SURGICAL SERVICES - SJH
 45.0
.......................0 		        X   231,816 0 37,143
(33) MICHAEL HANCE
 
DIR OPERATIONS ST JOSEPH'S HOSP SOUTH
 45.0
.......................0 		        X   236,367 0 28,892
(34) CARL TREMONTI
 
FORMER VP, CFO BAYCARE HOSP DIV
 0.0
.......................52.0 		          X 0 705,965 53,264
(35) JOANNE MAYERS
 
FORMER KEY/VP, PATIENT SVCS/CNO - EAST
 0.0
.......................45.0 		          X 0 372,862 80,250
(36) LORRAINE SARGENT
 
FORMER KEY/DIRECTOR IMAGING EAST REGION
 0.0
.......................45.0 		          X 0 217,775 19,572
(37) MATTHEW NOVAK
 
FORMER PRES SJH SOUTH
 0.0
.......................50.0 		          X 0 432,492 94,796
(38) MICHAEL SMITH
 
FORMER PRES SJH SOUTH
 0.0
.......................45.0 		          X 0 559,386 85,563
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,179,683 6,988,322 1,029,536
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet411
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ROBINS & MORTON GROUP

400 SHADES CREEK PKWY
BIRMINGHAM,AL35209 		construction services 32,747,206
BARTON MALOW COMPANY

26500 AMERICAN DR
SOUTHFIELD,MI48034 		construction services 26,333,140
CHILDRENS HOSPITAL PITTSBURGH

4401 PENN AVE
ATTN GREG KEEGAN 5TH FLR AOB
PITTSBURGH,PA15224 		physician services 7,677,865
WEHR CONSTRUCTORS INC

4425 N LOIS AVE
TAMPA,FL33614 		construction services 6,762,196
BAY LINEN INC

11525 47TH ST N
CLEARWATER,FL33762 		laundry services 5,660,982
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet174
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 2,468,999
e Government grants (contributions)1e 56,336,327
f All other contributions, gifts, grants, and similar amounts not included above1f 2,085,414
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 60,890,740
Program Service RevenueAmt Business Code
2a HOSPITAL PATIENT CARE 622110 808,406,411 805,668,636 2,737,775  
b MEDICARE/MEDICAID PMNT 622110 476,269,778 476,269,778    
c RENTAL INCOME FROM AFFILIATES 531190 317,123 317,123    
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 1,284,993,312
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   204,328 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 204,328 6c
d Net rental income or (loss).......MediumBullet 204,328     204,328
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 17,000   7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss) 17,000 0 7c
d Net gain or (loss).........MediumBullet 17,000     17,000
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a OTHER HEALTH SVCS REVENUE 621990 11,757,622 11,588,784 168,838  
b CAFETERIA 722514 5,831,249     5,831,249
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 17,588,871
12 Total revenue. See instructions.....MediumBullet 1,363,694,251 1,293,844,321 2,906,613 6,052,577
Form 990 (2020)
Form 990 (2020)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,804,623 1,804,623
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 43,709   43,709  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 92,179 92,179    
7 Other salaries and wages........ 386,156,221 382,221,018 3,935,203  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 15,920,905 15,758,660 162,245  
9 Other employee benefits ....... 31,955,636 31,629,986 325,650  
10 Payroll taxes ........... 27,332,770 27,044,166 288,604  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 56,274   56,274  
c Accounting ........... 1,851   1,851  
d Lobbying ........... 42,009 42,009    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 68,402,921 67,934,854 468,067 0
12 Advertising and promotion .... 600,574 600,574    
13 Office expenses ....... 15,199,300 6,745,185 8,454,115  
14 Information technology ...... 2,125,905 1,209,283 916,622  
15 Royalties ..        
16 Occupancy ........... 18,340,377 15,698,355 2,642,022  
17 Travel ............ 1,942,656 1,719,136 223,520  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 15,814,027 15,814,027    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 68,589,532 67,915,575 673,957  
23 Insurance ... 16,701,540 16,701,540    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 230,037,679 230,037,679    
b MANAGEMENT FEES 176,150,634   176,150,634  
c PHYSICIAN FEES 46,282,620 4,695,031 41,587,589  
d BAD DEBT EXPENSE 918,041 918,041    
e All other expenses 59,119,800 55,975,304 3,144,496 0
25 Total functional expenses. Add lines 1 through 24e 1,183,631,783 944,557,225 239,074,558 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2020)
Form 990 (2020)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 22,085 1 16,825
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 134,387,255 4 139,665,442
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 982,023 7 1,257,875
8 Inventories for sale or use ............ 29,565,101 8 31,911,307
9 Prepaid expenses and deferred charges ...... 5,888,669 9 6,201,962
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,752,219,602
b Less: accumulated depreciation 10b 915,230,990 784,558,051 10c 836,988,612
11 Investments—publicly traded securities .   11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 5,324,850 13 5,545,504
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,187,165,400 15 1,381,649,703
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,147,893,434 16 2,403,237,230
Liabilities 17 Accounts payable and accrued expenses ..... 70,900,384 17 90,612,111
18 Grants payable ...   18  
19 Deferred revenue ......... 208,191 19 171,572
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 3,513,067 23 3,480,665
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,016,653 25 58,879,545
26 Total liabilities. Add lines 17 through 25.. 75,638,295 26 153,143,893
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,072,255,139 27 2,248,294,635
28 Net assets with donor restrictions ...........   28 1,798,702
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,072,255,139 32 2,250,093,337
33 Total liabilities and net assets/fund balances ........ 2,147,893,434 33 2,403,237,230
Form 990 (2020)
Form 990 (2020)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,363,694,251
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,183,631,783
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
180,062,468
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,072,255,139
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-2,224,270
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,250,093,337
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2020)
Form 990 (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in 11a above?
11b
 
 
c
A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2020 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2020 		(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2020:
a From 2015.......  
b From 2016.......  
c From 2017.......  
d From 2018.......  
e From 2019.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2020 distributable amount  
i Carryover from 2015 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2020 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2020 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2020, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2020. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2021. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2016.....  
b Excess from 2017.....  
c Excess from 2018.....  
d Excess from 2019.....  
e Excess from 2020.....  
Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Name of organization
St Joseph's Hospital Inc
  		Employer identification number
59-0774199
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 3
Name of organization
St Joseph's Hospital Inc
  		Employer identification number

59-0774199
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Page 4
Name of organization
St Joseph's Hospital Inc
  		Employer identification number

59-0774199
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2020

Schedule C (Form 990 or 990-EZ) 2020
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2020


Schedule C (Form 990 or 990-EZ) 2020
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
1,900
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
42,009
j
Total. Add lines 1c through 1i ....................................................................................................
43,909
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lines 1b, 1g, 1i. Lobbying activities performed by employees concerning healthcare issues. Line 1i. - Dues were paid to American Health Information Management Association, Greater Tampa Chamber of Commerce, Florida Society of Health System Pharmacists, American College of Cardiology, American Association of Cardiovascular and Pulmonary Rehabilitation, American Academy of Sleep Medicine, American Nurses Credentialing Center, American Hospital Association, American Society of Health System Pharmacists, Florida Medical Association, Greater Tampa Chamber of Commerce, National Association of Children's Hospital, 340B Health, American Association of Healthcare Administration Management, and American College of Surgeons. These associations use a portion of their respective dues to conduct lobbying activities.
Schedule C (Form 990 or 990EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .......................
3a(i)
 
 
(ii) Related organizations .......................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   6,037,223 6,037,223
b Buildings ....   1,216,916,792 515,856,566 701,060,226
c Leasehold improvements   1,312,923 1,017,451 295,472
d Equipment ....   505,221,238 398,263,707 106,957,531
e Other .....   22,731,426 93,266 22,638,160
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 836,988,612
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DEPOSITS  
(2)PPD PHYSICIAN RECRUITMENT  
(3)Est Third Party Settlements  
(4)DUE FROM AFFILIATES  
(5)Due From Affiliates 1,381,405,954
(6)Deposits 243,749
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,381,649,703
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 58,879,545
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,353,772,912
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 1,353,772,912
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 9,921,339
c Add lines 4a and 4b.................... 4c 9,921,339
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,363,694,251
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 1,176,179,443
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 1,176,179,443
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 7,452,340
c Add lines 4a and 4b..................... 4c 7,452,340
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,183,631,783
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The majority of the affiliates within the System are not-for-profit organizations described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code, and are also exempt from state taxes. The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management has determined that no material unrecognized tax benefits or liabilities exist as of December 31, 2020.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements GRANTS - 6851731 CONTRIBUTIONS RECORDED IN NET ASSETS - 2468999 G/L ON SALE OF ASSETS - 33109 IC EXPENSE REDISTRIBUTED - 567500
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements GRANTS - 6851731 GAIN ON SALE OF ASSETS - 33109 IC EXPENSE REDISTRIBUTED - 567500
Schedule D (Form 990) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    32,060,514 15,739,700 16,320,814 1.38 %
b Medicaid (from Worksheet 3, column a) . . . . .     239,334,999 111,192,199 128,142,800 10.83 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     12,621,628 5,035,675 7,585,953 0.64 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 284,017,141 131,967,574 152,049,567 12.86 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,890,048   4,890,048 0.41 %
f Health professions education (from Worksheet 5) . . .     2,341,650   2,341,650 0.20 %
g Subsidized health services (from Worksheet 6) . . . .     5,993,853   5,993,853 0.51 %
h Research (from Worksheet 7) .     197,165   197,165 0.02 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,066,034   2,066,034 0.17 %
j Total. Other Benefits . . 0 0 15,488,750 0 15,488,750 1.31 %
k Total. Add lines 7d and 7j . 0 0 299,505,891 131,967,574 167,538,317 14.17 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support     17,666   17,666 0 %
4 Environmental improvements     33,580   33,580 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development     380   380 0 %
9 Other         0 0 %
10 Total 0 0 51,626 0 51,626 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
918,041
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
371,465
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
152,428,852
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
168,489,764
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-16,060,912
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL INC
3001 W DR MARTIN LUTHER KING JR BLV
D
TAMPA,FL33615
WWW.BAYCARE.ORG/SJH
4292 		X X X       X      
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST JOSEPH'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://baycare.org/hospitals/st-josephs-hospital/about-us/community-health-needs
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST JOSEPH'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://baycare.org/billing-and-insurance/financial-assistance
b
https://baycare.org/billing-and-insurance/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
ST JOSEPH'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST JOSEPH'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ST. JOSEPH'S HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 55 COMMUNITY STAKEHOLDERS IN THE ST. JOSEPH'S HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 11 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. CHNA was conducted with the following hospital facilities: 1. Advent Health (Florida Hospital) 2. Johns Hopkins All Children's Hospital 3. Moffitt Cancer Center 4. Tampa General Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. CHNA WAS CONDUCTED WITH THE FOLLOWING NON-HOSPITAL FACILITY: Florida Department of Health in Hillsborough County
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. St. Joseph's Hospital is concentrating efforts during the 2020-2022 time period to address the following significant health needs of our community as identified in the most recent CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight ST. JOSEPH'S HOSPITAL, INC.'S implementation plan DESCRIBES specific activities that are underway to address these significant health needs during the 2020-2022 time period. Although the majority of the overarching goals, objectives and efforts will focus on these top three focus areas, St. Joseph's Hospital remains committed to supporting positive advancements in addressing diabetes, heart disease and stroke, while addressing the focus area of exercise, nutrition and weight. There were five additional health focus areas identified through the CHNA. These were: * Cancer * Immunization and infectious disease * Maternal, fetal and infant health * Oral health * Respiratory disease These remaining health needs are significant, but they're not directly addressed in 2020-2022 health improvement plan strategies. However, they'll continue to be impacted through existing hospital strategies for clinical excellence and St. Joseph's Hospital partnerships within the community, including the Florida Department of Health and community organizations who may be in a better position to address these health issues.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - ST. JOSEPH'S HOSPITAL, INC.. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address Type of Facility (describe)
1 TAMPA CARE CLINIC
4600 NORTH HABANA AVE SUITE 15
TAMPA,FL33614 		OUTPATIENT CLINIC (HIV CLINIC)
2 SJH CHILDREN'S SPECIALTY CENTER-N TAMPA
15045 BRUCE B DOWNS BLVD
TAMPA,FL33647 		OUTPATIENT REHABILITATION FOR CHILDREN AND ADOLESCENTS
3 SJH CHILDREN'S SPECIALTY CENTER-BRANDON
10817 BLOOMINGDALE AVE
RIVERVIEW,FL33578 		OUTPATIENT REHABILITATION FOR CHILDREN AND ADOLESCENTS
4 SJH PHYSICAL THERAPY & SPORTS REHABILITATION
310 S MACDILL AVE
TAMPA,FL33609 		OUTPATIENT REHABILITATION
5 SJH BEHAVIORAL HEALTH CENTER
4918 N HABANA AVE
TAMPA,FL33614 		IP PSYCH UNIT
6 SJH CHILDREN'S SPECIALTY CENTER-MEASE
3253 N MCMULLEN BOOTH RD SUITE 100
CLEARWATER,FL33761 		OUTPATIENT REHABILITATION SERVICES FOR CHILDREN AND ADOLESCENTS
7 ST JOSEPH PINELLAS CARE CLINIC
3050 1ST AVE SOUTH
ST PETERSBURG,FL33713 		OUTPATIENT CLINIC
8 ST JOSEPH'S OUTPATIENT REHABILITATION CENTER
3003 W DR MLK JR BLVD 2ND FLOOR
TAMPA,FL33607 		OUTPATIENT REHABILITATION
9 ST JOSEPH'S SLEEP DISORDER CENTER
3001 W DR MLK JR BLVD
TAMPA,FL33607 		SLEEP LAB
10 ST JOSEPH'S OUTPATIENT INFUSION CENTER
3003 W DR MLK JR BLVD
TAMPA,FL33607 		INFUSION CENTER
11 ST JOSEPH'S WOUND CARE
3003 W DR MLK JR BLVD
TAMPA,FL33607 		URGENT CARE
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part VI, Line 7 State filing of community benefit report ST. JOSEPH'S HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC.
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued) ST. JOSEPH'S WOMEN'S HOSPITAL *THE HINKS AND ELAINE SHIMBERG BREAST CENTER AT ST. JOSEPH'S WOMEN'S HOSPITAL REACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). ACCREDITATION BY THE NAPBC IS ONLY GIVEN TO THOSE CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE HIGHEST LEVEL OF QUALITY BREAST CARE AND UNDERGO A RIGOROUS EVALUATION PROCESS AND PERFORMANCE REVIEW. *SELECTED AS A TOP 100 HOSPITAL BY WATSON HEALTH FOR THE THIRD CONSECUTIVE YEAR. IT WAS THE FOURTH TIME OVERALL THAT THE HOSPITAL RECEIVED THIS PRESTIGIOUS HONOR. ST. JOSEPH'S HOSPITAL-NORTH *SELECTED AS A TOP 100 HOSPITAL BY WATSON HEALTH FOR THE THIRD CONSECUTIVE YEAR. IT WAS THE FOURTH TIME OVERALL THAT THE HOSPITAL RECEIVED THIS PRESTIGIOUS HONOR. *EARNED THE FLORIDA STROKE REGISTRY'S CERTIFICATE OF ACHIEVEMENT FOR ITS ABILITY TO RAPIDLY DETERMINE THE SEVERITY AND POSSIBLE LOCATION OF A STROKE. THE STROKE REGISTRY ALSO NOTIFIED THE HOSPITAL THAT IT RANKED AS THE BEST AMONG 121 FLORIDA STROKE REGISTRY HOSPITALS THAT SUBMITTED "MOST COMPLETENESS" DATA. *EARNED PRIMARY STROKE CENTER CERTIFICATION BY DNV GL HEALTHCARE, A PRESTIGIOUS INTERNATIONAL ACCREDITING BODY THAT EMPHASIZES CLINICAL BEST PRACTICES AND A DISCIPLINED MANAGEMENT SYSTEM. *EARNED THE "GOLD" DESIGNATION AND THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING AWARD FOR MEETING AND EXCEEDING SPECIFIC STANDARDS OF PERFORMANCE FOR QUICK AND APPROPRIATE TREATMENT OF PATIENTS SUFFERING HEART ATTACKS. ST. JOSEPH'S HOSPITAL-SOUTH *SELECTED AS A TOP 100 HOSPITAL BY WATSON HEALTH FOR THE THIRD CONSECUTIVE YEAR. IT WAS THE FOURTH TIME OVERALL THAT THE HOSPITAL RECEIVED THIS PRESTIGIOUS HONOR. *EARNED PRIMARY STROKE CERTIFICATION BY DNV GL HEALTHCARE, A PRESTIGIOUS INTERNATIONAL ACCREDITING BODY THAT EMPHASIZES CLINICAL BEST PRACTICES AND A DISCIPLINED MANAGEMENT SYSTEM. *NAMED 2020 BUSINESS OF THE YEAR BY THE GREATER RIVERVIEW CHAMBER OF COMMERCE FOR BUSINESSES WITH MORE THAN 25 EMPLOYEES. BAYCARE RECOGNITION INCLUDES: *BAYCARE WAS NAMED ONE OF THE BEST COMPANIES TO WORK FOR IN THE COUNTRY BY GREAT PLACE TO WORK AND FORTUNE FOR THE THIRD YEAR IN A ROW. IN 2020, WE RANKED 37 OUT OF 100 COMPANIES. BAYCARE WAS ALSO NAMED: *FORTUNE BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020 *FORTUNE BEST WORKPLACES FOR MILLENNIALS 2020 *FORTUNE BEST WORKPLACES FOR WOMEN 2020 *GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020 *BAYCARE WAS ALSO NAMED BY THE REGIONAL NEWSPAPER, TAMPA BAY TIMES, AS A TOP WORKPLACE. WE RANKED 17 OUT OF 25 LARGE COMPANIES, MAKING IT THE SIXTH YEAR IN A ROW ON THIS RESPECTED LOCAL LIST. *FOR THE SECOND YEAR IN A ROW, IBM WATSON HEALTH LISTED BAYCARE IN THE TOP 20% OF LARGE HEALTH SYSTEMS IN THE COUNTRY. *IN SEPTEMBER 2020, BAYCARE MADE THE PEOPLE 2020 COMPANIES THAT CARE LIST. THIS LIST RECOGNIZED COMPANIES THAT SUPPORTED TEAM MEMBERS AND THE COMMUNITY DURING THE COVID-19 PANDEMIC. *IN LATE 2020, BAYCARE WAS GRANTED INITIAL ACCREDITATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AS A SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION. RESPONDING TO NEEDS: THE COVID-19 PANDEMIC HAS REAFFIRMED THE GREAT PRIVILEGE AND RESPONSIBILITY BAYCARE HAS AS WEST CENTRAL FLORIDA'S LARGEST COMMUNITY-OWNED, NOT-FOR-PROFIT HEALTH SYSTEM. THE DISRUPTIONS TO THE HEALTH CARE INDUSTRY WERE IMMEDIATE AND ACUTE. ONE OF THE MOST IMMEDIATE WAS THE COLLAPSE OF SUPPLY LINES FOR PERSONAL PROTECTIVE EQUIPMENT (PPE). WHILE U.S. HEALTH CARE SYSTEMS SCRAMBLED TO FIND NEW SUPPLIERS, BAYCARE TEAM MEMBERS VOLUNTEERED TO MAKE MASKS AND FACE SHIELDS BY HAND IN A LARGE SEWING ROOM SET UP AT SYSTEM HEADQUARTERS. THE PANDEMIC PUSHED HEALTH CARE SYSTEMS INTO AN ARENA PREVIOUSLY OCCUPIED PRIMARILY BY GOVERNMENT AND LOCAL HEALTH DEPARTMENTS: PUBLIC HEALTH. BAYCARE STOOD UP SOME OF THE FIRST DRIVE-THROUGH TESTING FACILITIES IN THE REGION, CREATED WEBBASED SYMPTOM CHECKERS AND CALL CENTERS SO PEOPLE COULD ASK QUESTIONS ABOUT THE VIRUS, LAUNCHED VACCINE CLINICS, AND ADVISED SCHOOLS AND BUSINESSES ABOUT HOW TO SAFELY REOPEN. ST. JOSEPH'S HOSPITALS ARE COMMITTED TO PROVIDING FINANCIAL AND OTHER SUPPORT TO NOT-FORPROFIT ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. IN 2020, ST. JOSEPH'S HOSPITALS PROVIDED FUNDING TO COMMUNITY-BASED ORGANIZATIONS INCLUDING: *GRACEPOINT - IN 2020, ST. JOSEPH'S HOSPITAL AND SOUTH FLORIDA BAPTIST HOSPITAL AWARDED GRACEPOINT $37,500 TO FACILITATE COMMUNITY COORDINATION OF PARTICIPATING AGENCIES AND COORDINATED CARE FOR TARGETED HIGH-UTILIZERS OF EMERGENCY DEPARTMENT AND LAW ENFORCEMENT SERVICES WHO SUFFER FROM HOMELESSNESS AND BEHAVIORAL HEALTH CHALLENGES. *JUDEO CHRISTIAN CLINIC - ST. JOSEPH'S HOSPITAL AWARDED JUDEO CHRISTIAN CLINIC- $90,000 TO FUND AN ADVANCED REGISTERED NURSE PRACTITIONER (ARNP) AT JUDEO CHRISTIAN CLINIC TO PROVIDE ACCESS TO HEALTHCARE TO MEDICALLY INDIGENT RESIDENTS OF THE TAMPA BAY AREA. *NORTHSIDE BEHAVIORAL HEALTH - IN 2020, ST. JOSEPH'S HOSPITAL AWARDED NORTHSIDE BEHAVIORAL HEALTH $450,000 TO ADDRESS CRITICAL GAPS IN THE ACCESSIBILITY OF COMMUNITY BEHAVIORAL HEALTH SERVICES IN HILLSBOROUGH COUNTY, FLORIDA. NORTHSIDE BEHAVIORAL HEALTH PROVIDES THE PATHWAYS PROGRAM AT ITS FACILITY, WHICH INCLUDES QUALITY AND CONVENIENT BEHAVIORAL HEALTH TRIAGE AND SCREENING, BRIEF INTERVENTION, AND SYSTEM NAVIGATION SERVICES FOR FAMILIES AND INDIVIDUALS. *REACHUP, INC. - ST. JOSEPH'S HOSPITALS AWARDED REACHUP $18,210 IN 2020 TO SUPPORT EXPECTING MOTHERS AND MOTHERS WHOSE INFANTS ARE CONSIDERED HIGH-RISK FOR POOR HEALTH, SOCIAL AND/OR COGNITIVE OUTCOMES BY PROVIDING A DOULA FOR EDUCATIONAL SUPPORT, SKILLS TRAINING AND RESOURCES. *SALVATION ARMY - ST. JOSEPH'S HOSPITALS PROVIDED APPROXIMATELY $125,000 TO THE SALVATION ARMY TO PROVIDE EMERGENCY SHELTER SERVICES INCLUDING 3 MEALS A DAY FOR 30 NIGHTS TO THE HOMELESS TO ENSURE ACCESS TO A SAFE, SUPPORTIVE ENVIRONMENT FOR SUBSTANCE MISUSE PATIENTS. *TAMPA BAY THRIVES - IN RESPONSE TO ADDRESSING MENTAL HEALTH AND SUBSTANCE USE ISSUES ACROSS THE REGION, ST. JOSEPH'S HOSPITALS PROVIDED OVER $960,000 TO SUPPORT THE WORK OF TAMPA BAY THRIVES IN 2020. THE AREAS OF FOCUS FOR TAMPA BAY THRIVES INCLUDE: *NAVIGATION: 24/7 PHONE ACCESS TO BEHAVIORAL HEALTH NAVIGATION STAFFED BY MENTAL HEALTH PROFESSIONALS WHO WILL ASSESS NEEDS AND DIRECT PEOPLE TO GET THE RIGHT HELP. *ACCESS: VIRTUAL SHORT-TERM COUNSELING WITH LICENSED MENTAL HEALTH PROFESSIONALS FOR THOSE WHO NEED IMMEDIATE ATTENTION AS THEY WAIT FOR FUTURE APPOINTMENTS WITH LOCAL PROVIDERS. *AWARENESS: REMOVING THE STIGMA OF SEEKING MENTAL HEALTH TREATMENT SO THOSE IN NEED FEEL AS COMFORTABLE SEEKING TREATMENT AS THEY WOULD FOR PHYSICAL HEALTH CONCERNS. IN 2020 ACROSS BAYCARE, OUR FINANCIAL ASSISTANCE TEAM MEMBERS WORKED HARD TO OVERCOME THE CHALLENGES THE COVID PANDEMIC PRESENTED. DESPITE LOWER VOLUMES IN ALL OF OUR FACILITIES, OUR TEAM COMPLETED APPROXIMATELY 35,000 APPLICATIONS FOR OUR UNINSURED PATIENTS AND ASSISTED APPROXIMATELY 56,000 INDIVIDUALS, PROVIDING SUPPORT IN OVERCOMING BARRIERS TO ACCESSING HEALTH CARE. THROUGH BAYCARE'S PARTNERSHIP WITH UBER TECHNOLOGIES, A NON-EMERGENCY TRANSPORTATION SOLUTION IS PROVIDED FOR LOW-INCOME PATIENTS ACROSS BAYCARE'S FOUR-COUNTY SERVICE AREA. IN 2020, THE PROGRAM PROVIDED 9,792 RIDES TO DISCHARGED PATIENTS. IN 2020, ST. JOSEPH'S HOSPITALS COORDINATION TEAMS PROVIDED APPROXIMATELY $500,000 IN SERVICES. THIS PROGRAM INCLUDES PHARMACY, TRANSPORTATION, SKILLED NURSING FACILITIES, ASSISTED LIVING FACILITIES AND OTHER DISCHARGE NEEDS FOR PATIENTS. MANY PATIENTS ARE EITHER UNINSURED, UNABLE TO APPROPRIATELY CARE FOR THEMSELVES OR DO NOT HAVE A CAREGIVER. (CONTINUED)
Schedule H, Part VI, Line 5 Promotion of Community Health (Continued) Children's Services (St. Joseph's Children's Hospital) * St. Joseph's Children's Hospital is well known throughout the southeast United States as a leader in pediatric heart and cancer care. With 80 pediatric physician specialists representing 25 medical and surgical disciplines, the staff offers the care St. Joseph's Children's Hospital is known for. Specialized pediatric services offered are further strengthened by St. Joseph's Hospital full-service medical center, including the 24-hour Steinbrenner Emergency/Trauma Center for Children. At St. Joseph's Children's Hospital, we treat more children than any other hospital in Tampa Bay. St. Joseph's Children's Hospital is proud to offer specialized in-patient and outpatient pediatric care to children and their families in multiple locations throughout west central Florida. * Our 76-bed NICU provides the highest level of care as designated by the American Academy of Pediatrics. A Level IV NICU can provide the most complex level of neonatal care including surgical repair of congenital or acquired conditions and immediate on-site access to pediatric medical and surgical subspecialists and pediatric anesthesiologists. A highly skilled and experienced nursing team and physicians board-certified in neonatology provide care around the clock 24/7 for premature newborns and those born with conditions requiring special care. * The Daniel J. Plasencia, MD Children's Chronic Complex Clinic at St. Joseph's Children's Hospital is a Patient-Centered Medical Home that treats children with extraordinarily special needs. Our young patients cope with a variety of complex medical issues simultaneously, some of which include premature birth, cancer and blood diseases, congenital disorders, cerebral palsy and heart conditions. As a result, these children may also experience developmental delays in speech, motor and cognitive development. As a Patient-Centered Medical Home, our patients can grow up receiving all their necessary health care in one place. * For more than 20 years, BayCare's Children's Wellness and Safety Center has been committed to keeping kids and families healthy, safe and informed through a multifaceted outreach approach focusing on community education, unintentional injury prevention, children's health and wellness, and legislative advocacy. In 2020, the BayCare's Wellness and Safety Center educated more than 76,741 children and their families through community programs and events across BayCare's footprint. * The Mobile Medical Clinic was established in 2004, with the goal of addressing the community-wide problem of reduced immunization compliance among young children. Services include immunizations, well child physicals, vaccine record checks, developmental screening, hearing screenings, vision screenings, and fluoride varnish treatments along with health and safety education. In 2020, the Mobile Medical Clinic provided services to 2,200 medically needy children. Designed to serve the unique health care needs of women and newborns in a caring, family-centered environment, St. Joseph's Women's Hospital has served Tampa Bay families for more than 30 years. St. Joseph's Women's Hospital offers complete obstetrical, perinatal, surgical, gynecological and oncological services for women through every stage of life. St. Joseph's Women's Hospital includes the Shimberg Breast Center, where women of all ages, race and backgrounds can receive the most advanced testing and treatment available. St. Joseph's Cancer Institute offers specialized cancer care with board-certified cancer specialists, advanced technology and cutting-edge cancer research. In addition, they provide various classes and support resources to cancer survivors. St. Joseph's Cancer HelpLine serves as a free, confidential resource for information about the disease as well as referrals to community programs and hospital services. Strong partnerships with community organizations provide prevention and early detection services including, free breast and cervical cancer risk assessments. Indigent patients turn to the St. Joseph's Community Care Clinic for primary care services, which helps reduce the use of emergency services for basic health care needs. A not-for-profit organization owned by St. Joseph's Hospital, the clinic provides care for patients participating in the Hillsborough County Health Care Plan, access to a specialty panel for specialty services, acute care services through St. Joseph's Hospital and St. Joseph's Women's Hospital and a variety of outpatient services through St. Joseph's Hospital. 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 clinic is supported by St. Joseph's Hospital, St. Anthony's Hospital, federal funding through the Ryan White Program, state funding and others. St. Joseph's Hospital recognizes the strong community need for psychiatric care. The St. Joseph's Hospital Behavioral Health Center is the only freestanding inpatient Baker Act-receiving private psychiatric hospital in Hillsborough County. The facility promotes healing through architectural design elements and an atmosphere focused on meeting the needs of the patient. The facility includes 40 adult beds and 20 child/adolescent beds. Recognizing that behavioral health needs among hospital patients are varied and that hospitalization itself is stressful, BayCare hired Behavioral Health Liaisons in many hospitals across our system. Behavioral Health Liaisons are trained therapists who work with a wide variety of patients to offer care and connect them to resources beyond their hospital stay. Our liaisons help patients with issues from anxiety over a new diagnosis to complex substance use disorders, often facilitating follow up care with outpatient providers. The liaisons also provide care for our team members, which was a crucial support during the high stress months of COVID-19 peak volumes. In 2020, BayCare launched the Gun Shop Project to address the local suicide crisis. Research we participated in from 2018 showed that suicide rates were higher than the national average in much of the Tampa Bay region and that guns were used in about 50% of those suicide deaths. The goal of the program is to work with local firearms retailers, ranges and others to increase community awareness of risk factors for suicide and how to find help. In 2020, St. Joseph's Hospitals and South Florida Baptist Hospital provided Mental Health First Aid trainings to staff, caregivers and volunteers from the Boys and Girls Club of Tampa Bay to enhance early recognition and intervention of individuals in crisis and connect those in need to community resources. BayCare's Community Health team develops community partnerships with area agencies, creating collaborative efforts that bring health services directly into area neighborhoods. As a result, Community Health participated in 416 events and programs in 2020 and was able to promote better health to more than 2,600 people. In 2018, BayCare launched the Healthy Living Coach program with 6 free clinics/federally qualified health centers located in high-risk neighborhoods within the region. Through the program, BayCare continues to provide funding support for 6 trained Healthy Living Coaches that are responsible for providing in-person, telehealth, and telephonic coaching for those living with diabetes or pre-diabetes. Coaches provide support in decision making, motivation, and resource navigation in managing their diagnosis. Faith Community Nursing offers a unique partnership between St. Joseph's Hospitals and the faith communities in Hillsborough County. Our Faith Community Nurses and Health Ministers work to improve the health of their faith community by encouraging preventive care and referring members to the appropriate health resources. In 2020 across BayCare, our Faith Community Nursing team of 320 nurses and 69 community health promoters had direct contact with 57,317 faith community members, provided 2,564 referrals and volunteered more than 48,000 hours. St. Joseph's Hospitals in partnership with Catholic Charities provide support for San Jose Mission Clinic and La Esperanza clinic. Both clinics provide free services to uninsured patients who are below the 200% poverty threshold. In 2020, St. Joseph's Hospitals provided part-time nurse care coordinators, a nurse practitioner and resource assistants to support the clinics as well as diabetes, hypertension and other clinic supplies. In addition, dental services, behavioral health services, staff trainings and the lease costs for La Esperanza are paid for through St. Joseph's Hospitals funding support. (CONTINUED)
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (CONTINUED) IN 2019, BAYCARE CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE RESULTS OF THIS ASSESSMENT WERE USED TO GUIDE THE DEVELOPMENT OF A 3-YEAR STRATEGIC PLAN FOR EACH OF OUR 15 HOSPITALS. ONE OF THE MOST COMPELLING DATA POINTS TO ARISE FROM THE COMMUNITY SURVEY COMPONENT OF THE CHNA WAS THAT OF THE NEARLY 20,000 RESPONDENTS WHO ANSWERED QUESTIONS RELATED TO FOOD INSECURITY 30% INDICATED THAT IN THE PAST YEAR THEY HAD BEEN FOOD INSECURE. IN RESPONSE TO THESE FINDINGS, BAYCARE LAUNCHED THE FOLLOWING INITIATIVES: *BAYCARE, AS A REGIONAL ANCHOR INSTITUTION WAS POSITIONED AND COMMITTED TO DEVELOPING INNOVATIVE STRATEGIES TO ADDRESS FOOD INSECURITY. PARTNERING WITH FEEDING TAMPA BAY, BAYCARE WORKED TO ENGAGE HIGH RISK PATIENTS WHO WERE ALSO FOOD INSECURE AND CONNECT THEM WITH A HEALING BAG OF 2-3 DAYS OF NON-PERISHABLE FOOD UPON DISCHARGE. THE HEALING BAGS ALSO CONTAINED SIMPLE TO READ RESOURCES TO ASSIST PATIENTS IN FINDING HELP WITHIN THEIR COMMUNITY. THIS SUCCESSFUL PROJECT IS THE FIRST OF ITS KIND REGIONALLY AND WILL BE EXPANDED ON IN 2021. *BAYCARE ALSO BEGAN THE PROCESS OF DEVELOPING A MEDICALLY TAILORED MEAL (MTM) PROGRAM. AS A MEMBER OF THE FIRST COHORT OF AGENCIES TO PARTICIPATE IN THE FEEDING AMERICA FOOD IS MEDICINE ACCELERATOR PROGRAM, BAYCARE ALONG WITH FEEDING TAMPA BAY RECEIVED GUIDANCE AND TECHNICAL ASSISTANCE FROM THE ACCELERATOR WITH THE INTENT TO PILOT A MTM PROJECT IN LATE 2021. *IN COLLABORATION WITH FEEDING TAMPA BAY, BAYCARE PARTNERED WITH 16 SCHOOLS IN HILLSBOROUGH, PINELLAS, PASCO AND POLK COUNTIES TO PROVIDE STUDENTS AND THEIR FAMILIES FOOD THROUGH THE FEEDING MINDS SCHOOL PANTRY PROGRAM. IN 2020, ST. JOSEPH'S HOSPITALS PROVIDED $125,000 TO LAUNCH THIS INITIATIVE IN LOCAL SCHOOLS. BAYCARE'S CLINICAL RESEARCH OPERATIONS TEAMS PROVIDE SPECIALIZED STAFFING SUPPORT TO PRINCIPAL INVESTIGATORS ACROSS BAYCARE HEALTH SYSTEM IN THE CONDUCT OF CLINICAL RESEARCH INVOLVING HUMAN SUBJECTS. THE PRIMARY PURPOSE IS TO INCREASE ACCESS OPPORTUNITIES FOR PARTICIPATION IN CLINICAL RESEARCH BY BOTH CLINICIANS AND PATIENTS IN AN EFFORT TO PROVIDE LIFE-CHANGING CARE FOR PATIENTS TODAY AND TO ADVANCE THE SCIENCE OF MEDICINE FOR FUTURE GENERATIONS. CUTTING-EDGE INPATIENT AND OUTPATIENT STUDIES FOCUS ON PHARMACEUTICAL AND DEVICE TRIALS, INFECTIOUS DISEASES INCLUDING COVID-19, AND PEDIATRIC AND ADULT TRIALS INCLUDING INVESTIGATIONAL RESEARCH IN HEMATOLOGY, ONCOLOGY, CARDIOLOGY AND TISSUE BANKING STUDIES. IN 2020, BAYCARE WORKED ALONGSIDE OTHER LOCAL NOT-FOR-PROFIT HOSPITALS AND COUNTY DEPARTMENTS OF HEALTH TO DEVELOP THE ALL4HEALTHFL COLLABORATIVE. THE PURPOSE OF THE ALL4HEALTHFL COLLABORATIVE IS TO IMPROVE HEALTH BY LEADING REGIONAL, OUTCOME-DRIVEN HEALTH INITIATIVES THAT HAVE BEEN PRIORITIZED THROUGH COMMUNITY HEALTH ASSESSMENTS. MEMBERS OF THE COLLABORATIVE ALIGNED EFFORTS TO PROVIDE MENTAL HEALTH FIRST AID TRAINING TO ORGANIZATIONS IN HILLSBOROUGH, PASCO, PINELLAS, AND POLK COUNTIES. ADDITIONALLY, AS A RESPONSE TO THE COVID -19 PANDEMIC, THE COLLABORATIVE CONDUCTED A KEY INFORMANT SURVEY WITHIN COUNTIES SERVED TO GATHER FEEDBACK ON POTENTIAL CHANGES IN COMMUNITY HEALTH NEEDS. RESULTS OF THE SURVEY WERE USED TO UPDATE IMPLEMENTATION PLANS TO ACCOMMODATE NEWLY IDENTIFIED OR MORE ACUTE COMMUNITY NEED. VOLUNTEER ACTIVITIES: IN 2020, 540 VOLUNTEERS CONTRIBUTED 36,925 HOURS OF SERVICE TO ST. JOSEPH'S HOSPITAL, ST. JOSEPH'S WOMEN'S HOSPITAL, ST. JOSEPH'S CHILDREN'S HOSPITAL, ST. JOSEPH'S HOSPITAL-NORTH AND ST. JOSEPH'S HOSPITAL-SOUTH. A FAVORITE ANNUAL TRADITION FOR THE TEAM AT ST. JOSEPH'S HOSPITAL IS A HOLIDAY GIFT DRIVE TO BENEFIT FAMILIES OF DOZENS OF PATIENTS WHO WERE HOSPITALIZED DURING THE 12 PREVIOUS MONTHS. FOR THIS "MISSION BASKET" EVENT, HOSPITAL DEPARTMENTS ADOPT FAMILIES AND PROVIDE PERSONALIZED GIFTS AND FOOD TO MAKE THE HOLIDAY SEASON A JOYOUS ONE. TEAM MEMBERS CONTRIBUTED TO THE HEALTH OF THE COMMUNITY BY: *PARTICIPATING IN A VIRTUAL FOOD DRIVE TO RAISE FUNDS FOR FEEDING TAMPA BAY. OVERALL, 658 DONORS CONTRIBUTED $30,416 IN FUNDS TO PROVIDE FOOD TO THOSE IN NEED ACROSS THE REGION. IN ADDITION, 22 DONORS SIGNED UP FOR MONTHLY RECURRING DONATIONS FOR ONGOING SUPPORT. *PARTNERING WITH ONEBLOOD TO HOST TEAM MEMBER BLOOD DRIVES AT BAYCARE HOSPITALS IN PASCO, PINELLAS AND HILLSBOROUGH COUNTIES. *HOLDING THE ANNUAL TEAM MEMBER GIVING CAMPAIGN. ACROSS THE SYSTEM, TEAM MEMBERS DONATED $818,528 TO BAYCARE HOSPITAL FOUNDATIONS AND THE UNITED WAY.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care 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 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. JOSEPH'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 AUTOMATICALLY 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. Presumptive financial assistance decisions for uninsured ER patients may be determined based on third party analytics, using a credit inquiry process, under the following circumstances: * Uninsured accounts of patients not seen by the Financial Assistance team or without a current financial assistance application on file * The reported federal poverty level (FPL) of the patient meets the criteria for financial assistance (250%)
Schedule H, Part I, Line 6a Community benefit report prepared by related organization BAYCARE HEALTH SYSTEM, INC.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 918041
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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.
Schedule H, Part II Community Building Activities ST. JOSEPH'S HOSPITALS SUPPORT ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. THIS INCLUDES: - TEAM MEMBER TIME DEDICATED TO SUPPORTING THOSE DISADVANTAGED - RECYCLING COSTS FOR DISPOSABLE ITEMS - TEAM MEMBER TIME DEDICATED TO WORKING WITH HEALTH CARE OBSERVERS, INTERESTED IN PURSUING A CAREER IN THE MEDICAL FIELD
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY 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 FINANCIAL 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE NARRATIVE TO PART III, LINE 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 65% 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. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. LINE 7 SURPLUS OR (SHORTFALL) ($16,060,912) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($27,953,736) TOTAL SURPLUS OR (SHORTFALL) ($44,014,648)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE ON PATIENT BILLING STATEMENTS, 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), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions.
Schedule H, Part V, Section B, Line 16a FAP website - ST. JOSEPH'S HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website - ST. JOSEPH'S HOSPITAL, INC.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. JOSEPH'S HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment ST. JOSEPH'S HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. ST. JOSEPH'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. ST. JOSEPH'S HOSPITAL, INC. RECOGNIZES THE IMPORTANCE OF HEARING FROM THOSE THEY SERVE. ALONG WITH COLLECTING GENERALLY AVAILABLE DATA, ST. JOSEPH'S HOSPITAL, INC. CONDUCTS A COMMUNITY-BASED SURVEY TO ALLOW FOR COMMUNITY RESIDENTS' VOICES TO BE HEARD AS WELL AS INFORMED DECISION MAKING RELATED TO HEALTH PRIORITIES. IN ADDITION, ST. JOSEPH'S HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS 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. JOSEPH'S HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. JOSEPH'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 BAYCARE HEALTH SYSTEM, 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. JOSEPH'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 STATEMENTS 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.
Schedule H, Part VI, Line 4 Community information The St. Joseph's Hospitals are acute care facilities serving all of Hillsborough county and parts of several surrounding counties. This grouping includes St. Joseph's Main, St. Joseph's Children's, St. Joseph's Women's, St. Joseph's North and St. Joseph's South. The median household income of $64,201 in this area is $8,541 higher than the state median income and $4,502 less than the national median income. 10.0% of the households have annual household income below $15,000 per year. The population served is predominantly Caucasian and 88.9% are high-school graduates or higher educated. Hispanics are the second largest ethnic group representing 24.1% of the population. St. Joseph's Hospitals are part of BayCare Health System that serves west central Florida. The area served by the St. Joseph's Hospitals has 24 acute care hospitals (16 Not-for-Profit), 4 psychiatric hospitals (2 Not-for-Profit), 4 long term acute care hospitals (2 Not-for-Profit) and 2 For-Profit rehabilitation hospitals. There are 4 federally designated medically underserved areas and 10 federally designated medically underserved populations in the St. Joseph's Hospitals' service area. With the service area expanding and the over 65 population expected to grow 17.6% in the next five years, the health care needs of our service area are expanding and changing. The population served by St. Joseph's Hospitals is expected to grow 6.6% in the next 5 years. This is higher than the expected growth rate of 5.9% for Florida and 2.9% for the United States Based on Florida inpatient discharge data for the period of 10/01/19 - 9/30/20, the payer mix for the geographic area consists of 48.8% Medicare/Medicare HMO, 16.2% Medicaid/Medicaid HMO, 21.3% Commercial Insurance, 7.7% Self pay/Non-pay, and 6.0% Other.
Schedule H, Part VI, Line 5 Promotion of community health OUR MISSION AT ST. JOSEPH'S HOSPITALS AS PART OF BAYCARE HEALTH SYSTEM IS TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGHQUALITY COMPASSIONATE CARE. BY FOCUSING ON EDUCATION AND PREVENTION, WE STRIVE TO CREATE A HEALTHIER COMMUNITY AND LOWER HEALTH CARE EXPENDITURES. FOUNDED BY THE FRANCISCAN SISTERS OF ALLEGANY IN 1934, THE MISSION OF ST. JOSEPH'S HOSPITAL HAS ALWAYS CENTERED AROUND SERVICE, COMPASSIONATE CARE AND TREATING INDIVIDUALS WITH DIGNITY AND RESPECT. PAIR THOSE VALUES WITH THE ADVANCED MEDICAL TECHNOLOGIES AND OUTSTANDING PHYSICIANS YOU WILL FIND AT ST. JOSEPH'S TODAY AND THE RESULT IS THE EXCEPTIONAL CARE WE DELIVER TO OUR PATIENTS EVERY DAY. ST. JOSEPH'S HOSPITALS IS COMPRISED OF 5 HOSPITALS IN HILLSBOROUGH COUNTY, FLORIDA INCLUDING ST. JOSEPH'S HOSPITAL, ST. JOSEPH'S WOMEN'S HOSPITAL, ST. JOSEPH'S CHILDREN'S HOSPITAL, ST. JOSEPH'S HOSPITAL-NORTH AND ST. JOSEPH'S HOSPITAL-SOUTH. WHETHER IT IS FINANCIAL ASSISTANCE FOR MEDICAL CARE FOR THE UNINSURED OR UNDERINSURED, DONATED RESOURCES TO LOCAL NON-PROFITS OR EDUCATION CLASSES AND SUPPORT GROUPS HOSTED BY OUR TEAM, WE SELFLESSLY GIVE BACK TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT SURROUNDS THE HOSPITALS. COMMUNITY INVOLVEMENT: The majority of the Board of Trustees is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. THE BOARD OF TRUSTEES IS COMPRISED OF A DIVERSE SET OF COMMUNITY MEMBERS WHO BELIEVE IN THE MISSION, VALUES, AND VISION OF ST. JOSEPH'S HOSPITAL AND WHO DONATE THEIR TIME, TALENTS AND SUPPORT. THE PRIMARY RESPONSIBILITY OF THE BOARD IS TO FOCUS ON QUALITY OUTCOMES, COMMUNITY HEALTH AND OVERSIGHT BY ENSURING DECISION AND ACTIONS CONFORM TO ST. JOSEPH'S HOSPITAL'S STRATEGIC PLANS AND BUDGETS AND PRODUCE INTENDED RESULTS, ASSURING WE FULFILL OUR MISSION. The organization extends medical staff privileges to all qualified physicians in its community. CONDUIT FOR USING DONATED FUNDS: BAYCARE HAS RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE CAPACITY AND SUPPORT TO OUR FAITH COMMUNITY NURSING PROGRAM TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE HEALTH OUTCOMES FOR PARTICIPANTS. FUNDING OF $110,000 AWARDED IN 2020 SUPPORTS THIS WORK ACROSS BAYCARE HEALTH SYSTEM. BAYCARE HAS ALSO RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE ASSISTANCE TO THOSE WHO FACE FINANCIAL BARRIERS IN GETTING THEIR NEEDED PRESCRIPTION MEDICATIONS. MEDICATION ASSISTANCE COORDINATORS WORK WITH PATIENTS TO DETERMINE IF THERE ARE VOUCHERS AVAILABLE OR WORK WITH THE PATIENT'S DOCTOR TO SEE IF A MORE COST EFFECTIVE, ALTERNATIVE MEDICATION IS AVAILABLE. ANNUAL FUNDING OF $65,000 PROVIDES SUPPORT FOR THIS PROGRAM ACROSS BAYCARE HEALTH SYSTEM. THE FLORIDA DEPARTMENT OF HEALTH PROVIDES FUNDING SUPPORT FOR THE GETTIN' REAL PROGRAM THAT EMPLOYS A COMPREHENSIVE, COLLABORATIVE COMMUNITY-BASED APPROACH TO ADDRESS DISPARITIES IN THE HEALTH OUTCOMES OF MINORITY POPULATIONS RELATED TO DIABETES AND CARDIOVASCULAR DISEASE ACROSS PINELLAS AND HILLSBOROUGH COUNTIES. THROUGH FUNDING SUPPORT, BAYCARE PROVIDED SCREENINGS TO 911 INDIVIDUALS, LIFESTYLE-CHANGE PROGRAMMING FOR 128 ADULTS (GET INTO FITNESS TODAY, NATIONAL DIABETES PREVENTION PROGRAM, OR DIABETES EDUCATION EMPOWERMENT PROGRAM) AND INSTRUCTOR-LED PHYSICAL ACTIVITY TO ACHIEVE THE BEST POSSIBLE RESULTS FOR THE MOST VULNERABLE. ST. JOSEPH'S CHILDREN'S HOSPITAL RECEIVES FUNDING FROM THE FLORIDA ASSOCIATION OF FREE AND CHARITABLE CLINICS. GRANT FUNDS ARE USED TO SUPPORT THE OPERATIONS OF THE MOBILE MEDICAL CLINIC, WHICH REDUCES BARRIERS TO CARE BY BRINGING HIGH-QUALITY, WELL CHILD SERVICES TO THE MOST UNDERSERVED AREAS IN OUR COMMUNITY. SERVICES INCLUDE PROVIDING PHYSICAL EXAMINATIONS, IMMUNIZATIONS, AND ADDRESSING GENERAL HEALTH CONCERNS AT NO CHARGE TO THE FAMILIES UTILIZING OUR MOBILE MEDICAL CLINIC SERVICES. ST. JOSEPH'S CHILDREN'S HOSPITAL RECEIVES FUNDING FROM THE CHILDREN'S BOARD OF HILLSBOROUGH COUNTY FOR MOBILE HEALTH AND SAFETY EDUCATION WHICH PROVIDES SERVICES AND OUTCOME MEASURES THAT IMPACT PARTICIPANTS AT THE PREVENTION LEVEL. THE PROGRAM PROVIDES SERVICES TO RESIDENTS OF HILLSBOROUGH COUNTY AT SEVEN CHILDREN'S BOARD FAMILY RESOURCE CENTERS AND COMMUNITY-BASED LOCATIONS. IT PROVIDES EDUCATIONAL CLASSES WITH A FOCUS ON EDUCATING CHILDREN IN AN AGE-APPROPRIATE WAY THAT MAKES LEARNING ABOUT HEALTH, SAFETY, AND OBESITY PREVENTION FUN AND SUPPORTS CHILDREN AND FAMILIES BY EMPOWERING CHILDREN AND THEIR CAREGIVERS TO DEVELOP HEALTHY AND SAFE PRACTICES INCLUDING CPR/ FIRST AID CERTIFICATION. IN ADDITION, THE PROGRAM SUPPORTS CHILDREN AND FAMILIES BY PROVIDING OPPORTUNITIES FOR CAREGIVERS AND THEIR CHILDREN TO PARTICIPATE IN DEVELOPMENTAL SCREENINGS, MOBILE/MEDICAL PEDIATRIC HEALTH SERVICES (INCLUDING WELL CHILD VISITS AND IMMUNIZATIONS), HEARING SCREENINGS, AND STRUCTURED PHYSICAL ACTIVITY. ST. JOSEPH'S WOMEN'S HOSPITAL RECEIVES FUNDING FROM THE CHILDREN'S BOARD OF HILLSBOROUGH COUNTY FOR THE SUPPORTING MOTHERHOOD AND MORE PROGRAM. THE PROGRAM PROVIDES PERINATAL MENTAL HEALTH SERVICES FOR PARENTS AND CAREGIVERS IN HILLSBOROUGH COUNTY. THIS INCLUDES SUPPORT GROUPS AND ONE-TO-ONE VIRTUAL COUNSELING TO UNDERSERVED MOTHERS RESIDING IN HILLSBOROUGH COUNTY. THE PROGRAM SUPPORTS CHILDREN AND FAMILIES BY PROVIDING STRUCTURED PSYCHOEDUCATIONAL GROUP SESSIONS AND INDIVIDUALIZED COUNSELING BY LICENSED THERAPISTS FOR UNDERSERVED MOTHERS CHALLENGED BY PERINATAL DEPRESSION. ST. JOSEPH'S WOMEN'S HOSPITAL RECEIVES FUNDING FROM THE HEALTHY START COALITION OF HILLSBOROUGH COUNTY FOR THE HEALTHY FAMILIES FLORIDA (HFF) PROGRAM, A NATIONALLY ACCREDITED COMMUNITY-BASED, VOLUNTARY HOME VISITATION PROGRAM THAT IS PROVEN TO PREVENT CHILD ABUSE AND NEGLECT AND OTHER POOR CHILDHOOD OUTCOMES BY PROMOTING POSITIVE PARENTCHILD RELATIONSHIPS AND CHILD HEALTH AND DEVELOPMENT. HOME VISITING SERVICES BEGIN PRENATALLY OR SOON AFTER THE BIRTH OF THE BABY AND CAN LAST UP TO FIVE YEARS DEPENDING ON THE UNIQUE NEEDS OF THE FAMILY. FAMILIES ARE ALSO LINKED TO A MEDICAL PROVIDER AND OTHER FAMILY SUPPORT SERVICES THEY NEED DURING THEIR PARTICIPATION IN HFF. HFF IS BASED ON A SET OF RESEARCH-BASED CRITICAL PROGRAM ELEMENTS AND STANDARDS OF THE HFA MODEL. ST. JOSEPH'S CHILDREN'S HOSPITAL RECEIVES FUNDING SUPPORT FROM THE STATE OF FLORIDA, DEPARTMENT OF HEALTH TO SUPPORT THE OPERATIONS OF THE CHRONIC COMPLEX CLINIC A PATIENTCENTERED MEDICAL HOME THAT TREATS CHILDREN WITH EXTRAORDINARILY SPECIAL NEEDS. ECONOMIC IMPACT: THERE ARE 6,449 EXTRAORDINARY ST. JOSEPH'S TEAM MEMBERS AND MORE THAN 1,512 PHYSICIANS, WHO TOGETHER BRING THE ST. JOSEPH'S MISSION TO LIFE. BY INVITING THE NEXT GENERATION OF HEALTH CARE WORKERS TO LEARN FROM THE SKILL AND EXPERTISE OF OUR CURRENT TEAM MEMBERS, ST. JOSEPH'S PROVIDES VALUABLE BENEFIT TO THE COMMUNITY. ST. JOSEPH'S HOSPITAL PARTNERS WITH NUMEROUS UNIVERSITIES, COLLEGES AND HIGH SCHOOLS TO HELP STUDENTS IN VARIOUS HEALTH-RELATED FIELDS FULFILL THEIR ACADEMIC GOALS AND REQUIREMENTS THROUGH INTERNSHIPS. IN TOTAL, MORE THAN 1,300 STUDENTS STUDIED AT ST. JOSEPH'S HOSPITALS IN 2020. RECOGNITION: INDIVIDUAL HOSPITAL ACCOMPLISHMENTS INCLUDE: ST. JOSEPH'S HOSPITAL *EARNED THE "GOLD PLUS" DESIGNATION AND THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI RECEIVING AWARD FOR MEETING AND EXCEEDING SPECIFIC STANDARDS OF PERFORMANCE FOR QUICK AND APPROPRIATE TREATMENT OF PATIENTS SUFFERING HEART ATTACKS. *EARNED COMPREHENSIVE STROKE CENTER CERTIFICATION BY DNV GL HEALTHCARE, A PRESTIGIOUS INTERNATIONAL ACCREDITING BODY THAT EMPHASIZES CLINICAL BEST PRACTICES AND A DISCIPLINED MANAGEMENT SYSTEM. *SELECTED AS A TOP 100 HOSPITAL BY WATSON HEALTH FOR THE THIRD CONSECUTIVE YEAR. IT WAS THE FOURTH TIME OVERALL THAT THE HOSPITAL RECEIVED THIS PRESTIGIOUS HONOR. ST. JOSEPH'S HOSPITAL ALSO WAS RECOGNIZED AS THE ONLY HOSPITAL IN FLORIDA TO EARN THE "100 TOP EVEREST AWARD." *EARNED ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGERY FOR ST. JOSEPH'S HOSPITAL'S CANCER INSTITUTE. *EARNED ADULT ECHOCARDIOGRAPHY REACCREDITATION AND ADDITIONAL ADULT TRANSESOPHAGEAL AND EXERCISE STRESS ECHOCARDIOGRAPHY ACCREDITATION FROM THE INTERSOCIETAL ACCREDITATION COMMISSION. *NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY FORTUNE AND IBM WATSON HEALTH. ST. JOSEPH'S CHILDREN'S HOSPITAL *EARNED CERTIFICATION AS AN ASTHMA-FRIENDLY HOSPITAL FROM THE FLORIDA ASTHMA COALITION FOR ITS ABILITY TO CREATE A SAFE AND HEALTHY ENVIRONMENT FOR THEIR PATIENTS WITH ASTHMA. *ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) IN ECHOCARDIOGRAPHY IN THE AREAS OF PEDIATRIC TRANSTHORACIC, PEDIATRIC TRANSESOPHAGEAL, FETAL ECHOCARDIOGRAPHY. *SELECTED AS A TOP 100 HOSPITAL BY WATSON HEALTH FOR THE THIRD CONSECUTIVE YEAR. IT WAS THE FOURTH TIME OVERALL THAT THE HOSPITAL RECEIVED THIS PRESTIGIOUS HONOR. (CONTINUED)
Schedule H, Part VI, Line 6 Affiliated health care system BAYCARE HEALTH SYSTEM, HEADQUARTERED IN CLEARWATER, FLORIDA, IS A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 15 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY AND WEST CENTRAL FLORIDA REGIONS. INPATIENT AND OUTPATIENT SERVICES INCLUDE ACUTE CARE, PRIMARY CARE, IMAGING, LABORATORY, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S 2020 REPORT TO THE COMMUNITY CAN BE VIEWED AT BAYCARE.ORG/ANNUALREPORT. BAYCARE'S 15 HOSPITALS ARE BAYCARE ALLIANT, BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, ST. JOSEPH'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S-NORTH, ST. JOSEPH'S-SOUTH, SOUTH FLORIDA BAPTIST, WINTER HAVEN AND WINTER HAVEN WOMEN'S. (IN CERTAIN CASES, HOSPITAL LOCATIONS WITH THE SAME TAX IDENTIFICATION AND STATE LICENSE NUMBER ARE LISTED AS ONE FACILITY ON FORM 990, SCHEDULE H, CONSISTENT WITH IRS REPORTING GUIDELINES.) BAYCARE WAS FOUNDED IN 1997 AFTER LEADERS OF SEVERAL OF THE AREA'S INDEPENDENT, NOT-FOR-PROFIT HOSPITALS BEGAN DISCUSSING WAYS TO ENSURE THAT HIGH-QUALITY, NOT-FOR-PROFIT HEALTH CARE WOULD REMAIN A VIABLE OPTION FOR THE TAMPA BAY COMMUNITY FOR DECADES TO COME. THE FOUNDING HOSPITALS AGREED TO SACRIFICE SOME OF THEIR AUTONOMY TO BE OPERATED BY A NEW ENTITY, BAYCARE. WITH $4.4 BILLION IN OPERATING REVENUE IN 2020, BAYCARE IS NOW A FULLY INTEGRATED HEALTH SYSTEM DEDICATED TO PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO ALL WE SERVE, REGARDLESS OF THEIR ABILITY TO PAY. BAYCARE HAS 3,805 HOSPITAL BEDS, 19 URGENT CARE CENTERS, 4 SURGERY CENTERS, 13 OUTPATIENT IMAGING FACILITIES, 162 PHYSICIAN PRACTICE LOCATIONS AND 36 WALK-IN CARE STATIONS IN PUBLIX SUPERMARKETS. BAYCARE ANNUALLY GENERATES $8.5 BILLION IN ECONOMIC IMPACT IN THE REGION AND STATE. BAYCARE IS ONE OF THE LARGEST EMPLOYERS IN THE TAMPA BAY AREA, WITH 28,357 TEAM MEMBERS. DURING 2020, BAYCARE PROVIDED $618.9 MILLION IN BENEFITS FOR ITS EMPLOYEES, INCLUDING MORE THAN $198.7 MILLION IN RETIREMENT, $165.6 MILLION IN HEALTH INSURANCE, $157.7 MILLION IN PAID TIME OFF AND $42.2 MILLION IN EDUCATION AND DEVELOPMENT. IN 2020, BAYCARE WAS NAMED AMONG PEOPLE COMPANIES THAT CARE BY GREAT PLACE TO WORK AND PEOPLE MAGAZINE FOR SUPPORTING TEAM MEMBERS AND THE COMMUNITY DURING THE PANDEMIC. BAYCARE ALSO RECEIVED THESE NATIONAL AND LOCAL WORKPLACE AWARDS: FORTUNE MAGAZINE'S 100 BEST COMPANIES TO WORK FOR 2020, BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020, BEST WORKPLACES FOR MILLENNIALS 2020, AND BEST WORKPLACES FOR WOMEN 2020; GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020; AND FOR THE SIXTH YEAR IN A ROW, BAYCARE MADE THE TOP WORKPLACES LIST OF THE TAMPA BAY TIMES NEWSPAPER. IN 2020, BAYCARE PROVIDED $445 MILLION IN TOTAL COMMUNITY BENEFIT, INCLUDING $306 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, $83 MILLION IN TRADITIONAL CHARITY CARE AND $56 MILLION IN UNBILLED COMMUNITY SERVICES, ALL MEASURED IN UNREIMBURSED COSTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2019 IDENTIFIED FOOD INSECURITY AS ONE OF THE TOP ISSUES FACED BY INDIVIDUALS AND FAMILIES ACROSS TAMPA BAY AND WEST CENTRAL FLORIDA. IN ADDRESSING THIS NEED, WHICH WAS EXACERBATED BY THE PANDEMIC, BAYCARE BEGAN A PARTNERSHIP WITH NOT-FOR-PROFIT FEEDING TAMPA BAY. IN 2020, BAYCARE COMMITTED $400,000 TO LOCATING FOOD PANTRIES IN 16 SCHOOLS WHERE HUNGER IS AN ISSUE. BAYCARE HOSPITAL CARE COORDINATORS ALSO BEGAN ASKING PATIENTS IF THEY WOULD HAVE ACCESS TO HEALTHY FOOD AFTER DISCHARGE. IF THEY SAY NO, BAYCARE PROVIDES A TWO- TO THREE-DAY SUPPLY OF NON-PERISHABLE FOOD ALONG WITH CONTACT INFORMATION FOR NEARBY FOOD PANTRIES. BAYCARE ALSO JOINED THE FOODRX PROGRAM OF FEEDING TAMPA BAY, WHICH GIVES FOOD-INSECURE PATIENTS WITH CERTAIN CHRONIC CONDITIONS THE OPPORTUNITY TO SHOP FOR HEALTHY FOODS IN A MOBILE GROCERY STORE. BAYCARE'S FINANCIAL STRENGTH, THE EFFICIENCIES GAINED FROM ITS OPERATING MODEL, ITS VISIONARY LEADERSHIP, THE HARD WORK OF ITS TEAM MEMBERS, AND ITS DETERMINATION TO PROVIDE EXCEPTIONAL CARE TO ITS PATIENTS HELPED BAYCARE IN 2020 RETAIN ITS RANKING IN THE TOP 20% OF LARGE U.S. HEALTH SYSTEMS BY IBM WATSON HEALTH. TWENTY-FOUR YEARS AFTER IT WAS CREATED, BAYCARE IS ACHIEVING THE GOAL OF ITS FOUNDERS TO PRESERVE NOT-FOR-PROFIT HEALTH CARE FOR THE COMMUNITIES OF TAMPA BAY AND WEST CENTRAL FLORIDA, AND IT IS FULFILLING ITS MISSION AS AN ORGANIZATION TO "IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE."
Schedule H (Form 990) 2020
Additional Data


Software ID: 20011424
Software Version: 2020v4.0

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number
59-0774199
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Hemophilia Foundation of Greater Florida
1350 Orange Ave
Suite 227
Winter Park,FL32789 		59-3418827 501(c)(3) 15,000       Access to Healthcare
(2) Judeo Christian Health Clinic Inc
4118 N MacDill Ave
Tampa,FL33607 		59-1605647 501(c)(3) 76,049       Access to Healthcare
(3) The Salvation Army
1514 N Florida Avenue
Tampa,FL33602 		58-0660607 501(c)(3) 91,508       Access to Healthcare
(4) Feeding Tampa Bay Inc
4702 Transport Drive
Bldg 6
Tampa,FL33605 		59-2116576 501(c)(3) 125,000       Food Insecurity
(5) Ronald McDonald House Charities of Tampa Bay
35 Davis Blvd
Tampa,FL33606 		59-1835985 501(c)(3) 7,500       Access to Healthcare
(6) Northside Behavioral Health Center
12512 Bruce B Downs Blvd
Tampa,FL33612 		59-1641327 501(c)(3) 529,961       Access to Mental Health Services
(7) WEST CENTRAL FLORIDA MENTAL WELLNESS COALITION
1002B SChurch Ave
PO Box 18051
Tampa,FL33679 		84-3036723 501(c)(3) 959,605       Access to Mental Health Services
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
7
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. ST. JOSEPH'S HOSPITAL, INC. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS.
Schedule I (Form 990) 2020



Additional Data


Software ID: 20011424
Software Version: 2020v4.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1GLENN WATERS
 
TRUSTEE/EVP, COO BAYCARE 		(i)

(ii)		 0
-------------
1,007,493 		0
-------------
503,000 		0
-------------
411,558 		0
-------------
20,889 		0
-------------
44,169 		0
-------------
1,987,109 		0
-------------
95,961
2CARL TREMONTI
 
FORMER VP, CFO BAYCARE HOSP DIV 		(i)

(ii)		 0
-------------
428,393 		0
-------------
157,910 		0
-------------
119,662 		0
-------------
39,343 		0
-------------
13,921 		0
-------------
759,229 		0
-------------
0
3RONALD BEAMON
 
VP, CFO BAYCARE HOSP DIV 		(i)

(ii)		 0
-------------
394,315 		0
-------------
142,745 		0
-------------
10,006 		0
-------------
69,342 		0
-------------
30,767 		0
-------------
647,175 		0
-------------
0
4JOANNE MAYERS
 
FORMER KEY/VP, PATIENT SVCS/CNO - EAST 		(i)

(ii)		 0
-------------
277,104 		0
-------------
86,727 		0
-------------
9,030 		0
-------------
58,430 		0
-------------
21,820 		0
-------------
453,112 		0
-------------
0
5MATTHEW NOVAK
 
FORMER PRES SJH SOUTH 		(i)

(ii)		 0
-------------
292,785 		0
-------------
107,807 		0
-------------
31,901 		0
-------------
68,332 		0
-------------
26,464 		0
-------------
527,289 		0
-------------
0
6LORRAINE SARGENT
 
FORMER KEY/DIRECTOR IMAGING EAST REGION 		(i)

(ii)		 0
-------------
186,361 		0
-------------
24,141 		0
-------------
7,273 		0
-------------
9,979 		0
-------------
9,592 		0
-------------
237,346 		0
-------------
0
7MICHAEL SMITH
 
FORMER PRES SJH SOUTH 		(i)

(ii)		 0
-------------
364,572 		0
-------------
128,613 		0
-------------
66,201 		0
-------------
48,821 		0
-------------
36,742 		0
-------------
644,949 		0
-------------
0
8THOMAS GARTHWAITE
 
PRESIDENT SJH NORTH 		(i)

(ii)		 23,188
-------------
146,226 		0
-------------
26,915 		20,521
-------------
52,339 		0
-------------
18,420 		0
-------------
37,965 		43,709
-------------
281,865 		0
-------------
0
9KIMBERLY GUY
 
PRES SJH/SVP MARKET LEADER HILLSB 		(i)

(ii)		 0
-------------
522,004 		0
-------------
177,110 		0
-------------
112,643 		0
-------------
41,414 		0
-------------
34,612 		0
-------------
887,782 		0
-------------
0
10PAULA MCGUINESS
 
PRES ST JOSEPH'S HOSP NORTH 		(i)

(ii)		 0
-------------
86,300 		0
-------------
108,583 		0
-------------
208,411 		0
-------------
75,271 		0
-------------
4,656 		0
-------------
483,221 		0
-------------
114,204
11PHILIP MINDEN
 
PRES ST JOSEPH'S HOSP SOUTH 		(i)

(ii)		 0
-------------
294,943 		0
-------------
90,902 		0
-------------
14,189 		0
-------------
66,699 		0
-------------
14,243 		0
-------------
480,976 		0
-------------
0
12SARAH NAUMOWICH
 
PRESIDENT MP NORTH BAY/SJWH & SJCH 		(i)

(ii)		 0
-------------
273,765 		0
-------------
75,729 		0
-------------
7,473 		0
-------------
58,475 		0
-------------
33,530 		0
-------------
448,973 		0
-------------
0
13JIMMY BAUMGARTNER
 
DIRECTOR OPERATIONS - SJCH & SJWH 		(i)

(ii)		 168,136
-------------
0 		18,909
-------------
0 		26,512
-------------
0 		10,655
-------------
0 		15,321
-------------
0 		239,532
-------------
0 		0
-------------
0
14LYDIA BOUTROS
 
CLINICAL PHARMACIST 		(i)

(ii)		 174,700
-------------
0 		60,427
-------------
0 		8,728
-------------
0 		10,152
-------------
0 		7,556
-------------
0 		261,563
-------------
0 		0
-------------
0
15MICHAEL HANCE
 
DIR OPERATIONS ST JOSEPH'S HOSP SOUTH 		(i)

(ii)		 205,427
-------------
0 		22,600
-------------
0 		8,340
-------------
0 		11,085
-------------
0 		17,808
-------------
0 		265,259
-------------
0 		0
-------------
0
16LISSA HAYS
 
DIRECTOR EMERGENCY/TRAUMA SERVICES 		(i)

(ii)		 178,004
-------------
0 		23,685
-------------
0 		8,692
-------------
0 		9,874
-------------
0 		26,046
-------------
0 		246,300
-------------
0 		0
-------------
0
17MARY ROBINSON
 
DIRECTOR SURGICAL SERVICES - SJH 		(i)

(ii)		 203,559
-------------
0 		24,981
-------------
0 		3,275
-------------
0 		11,063
-------------
0 		26,080
-------------
0 		268,958
-------------
0 		0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan BayCare Health System provides two nonqualified deferred compensation plans to executive level employees: Executive Nonqualified Defined Contribution Plan The plan provides for annual credits of a specified percentage of an eligible participant's eligible compensation paid in a plan year and interest credits. Plan participants vest in increasing percentages based on years of service. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Payments made during employment are made for required tax withholding and reduce the participant's account balance. Distribution of the vested account balance occurs upon termination of employment. The plan is frozen for the participants hired after 1.1.2018. Supplemental Executive Retirement Plan The plan provides for annual credits to the participant's company contribution account of a specified percentage of an eligible participant's eligible compensation paid in a plan year and investment income credits. Plan participants vest on January 1 of the fifth Plan Year following the Plan Year for which the contribution was made. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Distribution of the vested amounts shall be made no later than the earlier of 90 days following the date the amounts become vested or the March 15th following the Plan Year in which the participant became vested. Amounts accrued, vested and distributed for plan participants are provided below. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $348,372 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $137,085 in 2020. Kimberly Guy - Participated in a supplemental nonqualified deferred compensation plan. She had $81,699 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $32,148 in 2020. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $72,191 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $28,407 in 2020. Ron Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $55,092 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Michael Smith - Participated in a supplemental nonqualified deferred compensation plan. He had $36,634 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. He had $34,571 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $14,416 in 2020. Matthew Novak - Participated in a supplemental nonqualified deferred compensation plan. He had $52,223 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Paula McGuiness - Participated in a supplemental nonqualified deferred compensation plan. She had $173,127 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $494,552 in 2020. Philip Minden - Participated in a supplemental nonqualified deferred compensation plan. He had $52,449 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Joanne Mayers - Participated in a supplemental nonqualified deferred compensation plan. She had $50,978 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation. Sarah Naumowich - Participated in a supplemental nonqualified deferred compensation plan. She had $44,287 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation.
Schedule J (Form 990) 2020

Additional Data


Software ID: 20011424
Software Version: 2020v4.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2020
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) TIMOTHY SARGENT
  		FAMILY MEMBER OF LORRAINE SARGENT 92,179 TIMOTHY SARGENT IS A FAMILY MEMBER OF LORRAINE SARGENT, A FORMER KEY EMPLOYEE OF THE FILING ORGANIZATION. TIMOTHY SARGENT WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Return Reference Explanation
Form 990, Part V, Line 1a Number in Box 3 of Form 1096 THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN.
Form 990, Part VI, Line 15a Process for determining compensation THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT FOLLOWS THE COMPENSATION POLICY OF THE 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 OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2019, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.
Form 990, Part VI, Line 15b Process for determining compensation SEE NARRATIVE FOR PART VI, LINE 15A
Form 990, Part VI, Line 6 Classes of members or stockholders TRINITY HEALTH, AN INDIANA NONPROFIT CORPORATION IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE APPOINTED BY THE MEMBER TRINITY HEALTH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. TRINITY HEALTH 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 TRINITY HEALTH AND, IF SUCH CHANGE, AS A RESULT OF TRINITY HEALTH BEING A CATHOLIC ENTITY, MUST BE APPROVED BY TRINITY HEALTH, SUCH CHANGE, REGARDLESS OF WHETHER IT IS SUBSTANTIVE AS A MATTER OF CIVIL LAW, SHALL BE SUBJECT TO THE APPROVAL OF 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, Line 11b Review of form 990 by governing body The form 990 is prepared by the organization and reviewed by the CFO as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the form 990 is made available to the entire Board.
Form 990, Part VI, Line 12c Conflict of interest policy ST. JOSEPH'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. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. 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. 4. 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 BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/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 BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE 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.
Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATE, BAYCARE HEALTH SYSTEM, INC. THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. ARE AVAILABLE THROUGH EMMA FOR BOND INVESTORS. THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE FLORIDA DEPARTMENT OF STATE AND CAN BE LOCATED AT SUNBIZ.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN MINIMUM PENSION OBLIGATION - 244729; CONTRIBUTIONS IN NET ASSETS - -2468999;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID: 20011424
Software Version: 2020v4.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
St Joseph's Hospital Inc
 
Employer identification number

59-0774199
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BAYCARE HEALTH SYSTEM INC
2985 DREW ST

CLEARWATER,FL337593012
59-2796965 		SUPPORT SRVCS FL 501(c)(3) Type I NA
 
 
No
(2)FRANCISCAN PROPERTIES INC
3001 W
DR MARTIN LUTHER KING JR BLVD
TAMPA,FL336076307
59-2822519 		SUPPORTS SJH FL 501(c)(3) Type II SJHCC
 
 
No
(3)JOHN KNOX VILLAGE OF TAMPA BAY INC
4100 FLETCHER AVE

TAMPA,FL336134864
58-1377711 		RETIRE CMMNTY FL 501(c)(3) 10 SJHCC
 
 
No
(4)SOUTH FLORIDA BAPTIST HOSPITAL INC
301 N ALEXANDER STREET

PLANT CITY,FL335634303
59-0594631 		MEDICAL SRVCS FL 501(c)(3) 3 NA
 
 
No
(5)ST ANTHONY'S PROF BUILDING & SERVICES
3001 W
DR MARTIN LUTHER KING JR BLVD
TAMPA,FL336076307
59-2018848 		REAL ESTATE FL 501(c)(3) 10 SJHCC
 
 
No
(6)ST JOSEPH'S COMMUNITY CARE INC
3001 W
DR MARTIN LUTHER KING JR BLVD
TAMPA,FL336076307
59-3152608 		MEDICAL ASST FL 501(c)(3) 10 SJHCC
 
 
No
(7)ST JOSEPH'S ENTERPRISES INC
3001 W
DR MARTIN LUTHER KING JR BLVD
TAMPA,FL336076307
59-2822516 		HEALTH INVEST FL 501(c)(3) Type II SJHCC
 
 
No
(8)ST JOSEPH'S HEALTH CARE CENTER INC
3001 W
DR MARTIN LUTHER KING
TAMPA,FL336076307
59-2593686 		SUPPORT SRVCS FL 501(c)(3) Type II NA
 
 
No
(9)ST JOSEPH'S HOSPITAL AUXILIARY INC
3001 W
DR MARTIN LUTHER KING
TAMPA,FL336076307
59-2131207 		SUPPORTS SJH FL 501(c)(3) Type III-FI NA
 
 
No
(10)ST JOSEPH'S HOSPITAL OF TAMPA FOUND INC
3001 W
DR MARTIN LUTHER KING JR BLVD
TAMPA,FL336076307
59-1100828 		FUNDRAISING FL 501(c)(3) Type III-FI SJHCC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) CARILLON SURG CNTR

900 CARILLON
ST PETE,FL337161121
26-1116740 		HEALTH SRVC FL NA
  		N/A       No     No  
(2) ST ANT PHY SURG CNTR

705 16TH ST N
ST PETE,FL337051334
01-0861245 		HEALTH SRVC FL NA
  		N/A       No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTHPOINT MEDICAL GROUP INC

4902 EISENHOWER BLVD SUITE 300
TAMPA,FL336346344
59-3244268 		PHYSICIAN GRO FL NA
  		C Corporation         No












Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2020

Additional Data


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Software Version: 2020v4.0