BAPTIST HEALTH CARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST HEALTH CARE INC (EIN 59-0657322)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202242279349302279
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
- Affiliated Group Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T11:49:45-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590657322 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT TONKINSON | InCareOfNm |
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 8504344714 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 17500 | AddressLine1Txt |
| City | PENSACOLA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32522 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Gleason | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Phone | 8504697643 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Michael | PersonFirstNm |
| Person Last | Gleason | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE GLEASON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 N E ST STE 320 | AddressLine1Txt |
| City | Pensacola | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $764,624,449 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ebaptisthealthcare.org/BaptistHospital | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1943 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S MISSION IS TO MEET THE HEALTH CARE NEEDS IN THE REGION. IT OPERATES TWO ACUTE CARE HOSPITALS THAT PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 4314 | TotalEmployeeCnt |
| Total Volunteers | 190 | TotalVolunteersCnt |
| Total Gross UBI | $2,883,509 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $856,816 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,382,327 | PYContributionsGrantsAmt |
| CY Contributions Grants | $971,618 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $628,703,960 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $740,699,753 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,675,747 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,664,005 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,187,022 | PYOtherRevenueAmt |
| CY Other Revenue | $8,777,386 | CYOtherRevenueAmt |
| PY Total Revenue | $635,949,056 | PYTotalRevenueAmt |
| CY Total Revenue | $758,112,762 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $789,977 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $906,002 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $231,781,272 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $278,798,079 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $408,479,650 | PYOtherExpensesAmt |
| CY Other Expenses | $456,620,275 | CYOtherExpensesAmt |
| PY Total Expenses | $641,050,899 | PYTotalExpensesAmt |
| CY Total Expenses | $736,324,356 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,101,843 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,788,406 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,025,117,229 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,048,797,666 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,000,756,008 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $976,719,654 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,361,221 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $72,078,012 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $615,716,433 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $741,845,428 | RevenueAmt |
| Desc | General and specialized health care services including inpatient, primary care, long term and outpatient services. Baptist Hospital is a 492-bed tertiary care hospital, the largest in the Baptist Health Care network, that provides specialized care for oncology, heart and vascular, bariatrics, orthopaedics, neurology, trauma, surgery, diagnostic imaging, and psychiatric services. In addition, Baptist Hospital offers diagnostic, treatment and rehabilitation services. Gulf Breeze Hospital is a 77-bed general hospital providing acute and emergency care. Services include diagnostic imaging, surgery, laboratory and orthopaedics. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,286,586 | ExpenseAmt |
| Grant | $906,002 | GrantAmt |
| Revenue | $269,409 | RevenueAmt |
| Desc | COMMUNITY BENEFIT ACTIVITIES INCLUDING FREE HEALTH SCREENINGS, DONATIONS TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH EDUCATION, MENTORING/SUPPORT GROUPS, CONTINUING MEDICAL EDUCATION, AND OTHER COMMUNITY OUTREACH SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $618,003,019 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 289 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4314 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT TONKINSON | PersonNm |
| Phone | 8504697643 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 NORTH E STREET STE 321 | AddressLine1Txt |
| City | Pensacola | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| BRETT REICHWAGE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,683,065 | $0 | $38,369 | |||
| MARK FAULKNER | |||||||||
| CEO | 10.0 | 40.0 | $0 | $1,169,535 | $216,585 | Yes (X) | |||
| JAMES F ADAMS MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,298,410 | $0 | $37,311 | |||
| SHERIF IBRAHIM MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,183,877 | $0 | $33,481 | |||
| SAFWAN JAALOUK | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,063,721 | $0 | $57,864 | |||
| VERMA SUMIT | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $1,061,819 | $0 | $57,314 | |||
| MICHAEL GLEASON | |||||||||
| SENIOR VP/CFO | 15.0 | 35.0 | $0 | $771,909 | $119,878 | Yes (X) | |||
| BRYON SCOTT RAYNES | |||||||||
| PRESIDENT-BHI/EXEC VP-BHC | 30.0 | 20.0 | $745,806 | $0 | $130,344 | Yes (X) | |||
| DAVID M JOYNER MD | |||||||||
| EXEC DIR&SVP-ANDREWS INSTITUTE | 40.0 | 10.0 | $560,645 | $0 | $24,955 | Yes (X) | |||
| JULIE CARDWELL | |||||||||
| VICE PRESIDENT | 40.0 | 0.0 | $404,857 | $0 | $44,531 | Yes (X) | |||
| CYNDE GAMACHE | |||||||||
| VICE PRESIDENT | 40.0 | 0.0 | $391,925 | $0 | $29,807 | Yes (X) | |||
| CYD CADENA | |||||||||
| VICE PRESIDENT | 40.0 | 0.0 | $325,106 | $0 | $15,879 | Yes (X) | |||
| VICTOR HALL | |||||||||
| VICE PRESIDENT | 40.0 | 0.0 | $328,272 | $0 | $6,201 | Yes (X) | |||
| Ronald E Jackson | |||||||||
| Member/Chairman | 1.0 | 2.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KIM JERNIGAN DMD | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| Ricky W Smith | |||||||||
| MEMBER/SECRETARY | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MICHAEL J MAZENKO | |||||||||
| MEMBER/TREASURER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOHN HEER | |||||||||
| MEMBER | 1.0 | 2.0 | $0 | $0 | $0 | Yes (X) | |||
| JOHN M KIZZIAH | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| THOMAS F OWENS | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| DOUG SPRAGUE | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| KARA CARDONA | |||||||||
| MEMBER/ VICE CHAIRMAN | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| DAVID HAWKINS | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| SHIRLEY HENDERSON | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| BRIAN WYER | |||||||||
| MEMBER | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,047,503 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,941,444 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $812,519 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 272 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BEGGS LANE | |||||
| PO BOX 12950 | PENSACOLA | FL | 32591 | LEGAL SERVICES | $797,628 |
| AMS BAPTIST LLC | |||||
| PO BOX 9149374 | ORLANDO | FL | 32891 | ANESTHESIA SERVICES | $4,240,002 |
| GRESHAM SMITH | |||||
| PO BOX 306023 | NASHVILLE | TN | 37230 | ARCHITECTURAL | $7,105,847 |
| THE MCR GROUP | |||||
| PO BOX 51325 | KNOXVILLE | TN | 37950 | CONSULTING | $1,072,466 |
| MEADOWS OHLY | |||||
| 275 SCIENTIFIC DR 1000 | PEACHTREE CORNERS | GA | 30092 | CONSULTING | $977,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $832,165 | RelatedOrganizationsAmt |
| All Other Contributions | $139,453 | AllOtherContributionsAmt |
| Noncash Contributions | $243,344 | NoncashContributionsAmt |
| Total Contributions | $971,618 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $665,938,156 | $665,938,156 | |
| LABORATORY SERVICES | 621500 | $851,743 | $851,743 | |
| 340B PHARMACY REVENUE | 900099 | $58,071,252 | $58,071,252 | |
| COMMUNITY WELLNESS | 900099 | $269,409 | $269,409 | |
| COVID-19 RECOVERIES | 541900 | $12,851,291 | $12,851,291 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,717,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,717,902 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $740,699,753 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,786,097 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $23,782 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,762,315 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,000 | TotalRevenueColumnAmt |
| Exclusion | $200,000 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,534,396 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,511,687 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,022,709 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,022,709 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$9,703 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,032,412 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,911,536 | SecuritiesAmt |
| Other | $2,966,372 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,911,536 | SecuritiesAmt |
| Other | $2,966,372 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,877,908 | TotalRevenueColumnAmt |
| Exclusion | $5,877,908 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PARTNERSHIP INCOME | 621990 | $3,761,199 | $2,266,827 | $1,494,372 | |
| CAFETERIA & FOOD SALES | 722210 | $685,748 | $685,748 | ||
| SEVERE WEATHER EVENT | 900099 | $590,058 | $590,058 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,517,672 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $523,315 | UnrelatedBusinessRevenueAmt |
| Exclusion | $994,357 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,554,677 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $758,112,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $742,114,837 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,883,509 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,142,798 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,791 | TotalAmt |
| Program Services | $854,791 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,211 | TotalAmt |
| Program Services | $51,211 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,158,129 | TotalAmt |
| Program Services | $1,726,503 | ProgramServicesAmt |
| Management And General | $431,626 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,315,033 | TotalAmt |
| Program Services | $230,912,985 | ProgramServicesAmt |
| Management And General | $10,402,048 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,779,229 | TotalAmt |
| Program Services | $3,622,685 | ProgramServicesAmt |
| Management And General | $156,544 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,419,966 | TotalAmt |
| Program Services | $15,739,816 | ProgramServicesAmt |
| Management And General | $680,150 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,125,722 | TotalAmt |
| Program Services | $14,499,182 | ProgramServicesAmt |
| Management And General | $626,540 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,735,605 | TotalAmt |
| Management And General | $62,735,605 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,505 | TotalAmt |
| Program Services | $28,225 | ProgramServicesAmt |
| Management And General | $200,280 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,441 | TotalAmt |
| Management And General | $445,441 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,803 | TotalAmt |
| Management And General | $136,803 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,407,128 | TotalAmt |
| Program Services | $53,428,029 | ProgramServicesAmt |
| Management And General | $11,979,099 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,007 | TotalAmt |
| Program Services | $119,603 | ProgramServicesAmt |
| Management And General | $190,404 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,813,276 | TotalAmt |
| Program Services | $7,290,621 | ProgramServicesAmt |
| Management And General | $2,522,655 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,044,554 | TotalAmt |
| Program Services | $1,878,263 | ProgramServicesAmt |
| Management And General | $166,291 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,118,731 | TotalAmt |
| Program Services | $17,072,853 | ProgramServicesAmt |
| Management And General | $45,878 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $698,744 | TotalAmt |
| Program Services | $606,628 | ProgramServicesAmt |
| Management And General | $92,116 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,919 | TotalAmt |
| Program Services | $80,321 | ProgramServicesAmt |
| Management And General | $11,598 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,289,942 | TotalAmt |
| Program Services | $6,136,349 | ProgramServicesAmt |
| Management And General | $153,593 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,538,583 | TotalAmt |
| Program Services | $5,424,788 | ProgramServicesAmt |
| Management And General | $23,113,795 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,028,150 | TotalAmt |
| Program Services | $441,480 | ProgramServicesAmt |
| Management And General | $3,586,670 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $75,703,311 | $75,703,311 | |
| MEDICAL SUPPLIES | $160,156,911 | $160,156,911 | |
| INDIGENT ASSESSMENT | $10,544,684 | $10,544,684 | |
| FOOD COSTS | $3,141,982 | $3,085,374 | $56,608 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,185,999 | TotalAmt |
| Program Services | $8,598,406 | ProgramServicesAmt |
| Management And General | $587,593 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $736,324,356 | TotalAmt |
| Program Services | $618,003,019 | ProgramServicesAmt |
| Management And General | $118,321,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,988,935 | BOYAmt |
| EOY | $22,064,336 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,043,054 | BOYAmt |
| EOY | $156,749,336 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,103,493 | BOYAmt |
| EOY | $73,955,143 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,990,943 | BOYAmt |
| EOY | $14,272,762 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,718,987 | BOYAmt |
| EOY | $4,514,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $704,543,556 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $378,788,556 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,135,945 | BOYAmt |
| EOY | $325,755,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,379,812 | BOYAmt |
| EOY | $27,876,356 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,971,766 | BOYAmt |
| EOY | $21,657,460 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,785,244 | BOYAmt |
| EOY | $6,836,174 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $503,999,050 | BOYAmt |
| EOY | $395,116,717 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,117,229 | BOYAmt |
| EOY | $1,048,797,666 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,184,199 | BOYAmt |
| EOY | $105,132,717 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,451 | BOYAmt |
| EOY | $635,642 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,513 | BOYAmt |
| EOY | $515,626 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,273,239 | BOYAmt |
| EOY | $785,982,409 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,742,812 | BOYAmt |
| EOY | $3,740,585 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,612,794 | BOYAmt |
| EOY | $80,712,675 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,756,008 | BOYAmt |
| EOY | $976,719,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,094,079 | BOYAmt |
| EOY | $70,865,364 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,267,142 | BOYAmt |
| EOY | $1,212,648 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,361,221 | BOYAmt |
| EOY | $72,078,012 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,117,229 | BOYAmt |
| EOY | $1,048,797,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,788,406 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,701,750 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $19,226,635 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $29,172 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $133,152 | AffiliatedGroupTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $29,172 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $133,152 | AffiliatedGroupTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $736,295,184 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,171,578,477 | AffiliatedGroupTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $736,324,356 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,171,711,629 | AffiliatedGroupTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $1,000,000 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $250,000 | AffiliatedGroupTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $249,769 | CurrentYearMinus3Amt |
| Current Year Minus2 | $212,140 | CurrentYearMinus2Amt |
| Current Year Minus1 | $190,875 | CurrentYearMinus1Amt |
| Current Year | $133,152 | CurrentYearAmt |
| Total | $785,936 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $0 | CurrentYearMinus3Amt |
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,924,813 | BeginningYearBalanceAmt |
| Contributions | $241,685 | ContributionsAmt |
| Investment Earnings Or Losses | $192,274 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $218,274 | OtherExpendituresAmt |
| End Year Balance | $2,140,498 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,423,883 | BeginningYearBalanceAmt |
| Contributions | $616,228 | ContributionsAmt |
| Investment Earnings Or Losses | $55,810 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $171,108 | OtherExpendituresAmt |
| End Year Balance | $1,924,813 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,453,754 | BeginningYearBalanceAmt |
| Contributions | $5,703,080 | ContributionsAmt |
| Investment Earnings Or Losses | $46,881 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,779,832 | OtherExpendituresAmt |
| End Year Balance | $1,423,883 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,817,749 | BeginningYearBalanceAmt |
| Contributions | $872,125 | ContributionsAmt |
| Investment Earnings Or Losses | $61,832 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,297,952 | OtherExpendituresAmt |
| End Year Balance | $1,453,754 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,449,078 | BeginningYearBalanceAmt |
| Contributions | $551,191 | ContributionsAmt |
| Investment Earnings Or Losses | $91,282 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $273,802 | OtherExpendituresAmt |
| End Year Balance | $1,817,749 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,039,814 | OtherCostOrOtherBasisAmt |
| Book Value | $46,039,814 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,396,265 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,154,058 | DepreciationAmt |
| Book Value | $96,242,207 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,901,615 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,537,323 | DepreciationAmt |
| Book Value | $1,364,292 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $309,805,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $271,953,114 | DepreciationAmt |
| Book Value | $37,852,390 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,400,358 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,144,061 | DepreciationAmt |
| Book Value | $144,256,297 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $325,755,000 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER A/R | $1,529,922 |
| PHYSICIAN GUARENTEE | $109,274 |
| DEPOSITS | $2,800 |
| DUE FROM RELATED ORGANIZATIONS | $1,214,665 |
| CONSTRUCTION PROJECT FUNDS | $392,260,056 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $395,116,717 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED BENEFIT LIABILITY | $22,305,246 |
| DUE TO THIRD PARTY PAYORS | $33,776,487 |
| MALPRACTICE RESERVE | $11,773,587 |
| LINE OF CREDIT | $2,856,632 |
| ASSET RETIREMENT OBLIGATIONS | $1,667,487 |
| MARKET VALUATION ON INT RATES | $21,283 |
| CAPITAL LEASE OBLIGATIONS | $913,142 |
| DUE TO AFFILIATES | $6,765,797 |
| OTHER LIABILITIES | $633,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $80,712,675 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | Restricted funds to be used for providing health care services to indigent care patients, to acquire hospital capital assets, and to provide educational services. |
| SCHEDULE D, PART X, LINE 2 | Financial accounting standards board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no uncertain tax positions as of September 30, 2021 and 2020. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Central America and the Caribbean | Investments | $20,527,699 |
| Europe (Including Iceland and Greenland) | Investments | $17,880,982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $38,408,681 | SubtotalSpentAmt |
| Total Spent | $38,408,681 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, LINE 3, COLUMN F | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES THE ACCRUAL BASIS METHOD OF ACCOUNTING IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,920,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $580,732 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,340,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,045,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,416,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,629,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,966,699 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,997,206 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,969,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07540 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 106082 | PersonsServedCnt |
| Total Community Benefit Expns | $1,409,758 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,409,758 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $876,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $876,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 106082 | PersonsServedCnt |
| Total Community Benefit Expns | $2,286,586 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,286,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 106082 | PersonsServedCnt |
| Total Community Benefit Expns | $79,253,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,997,206 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,256,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07880 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $75,703,311 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $11,655,055 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $228,299,708 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $236,817,578 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,517,870 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| ANDREWS INSTITUTE | ||
| Ambulatory Surgery Center | 0.5051 | 0.4949 |
| ASC LLC | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| Baptist Hospital | ||||||||||
| 1 | 1000 W Moreno Street | Pensacola | FL | 32501 | www.ebaptisthealthcare.org/BaptistHospit | 100093 | Yes (X) | Yes (X) | Yes (X) | A |
| GULF BREEZE HOSPITAL | ||||||||||
| 2 | 1110 GULF BREEZE PARKWAY | GULF BREEZE | FL | 32561 | www.ebaptisthealthcare.org/BaptistHospit | 11003 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | The CHNA process was facilitated by The Live Well Partnership (Live Well), a nonprofit organization whose mission is to sponsor community health status assessments for Escambia and Santa Rosa Counties in Florida and to support and promote collaborative initiatives that address identified health priorities. An effort was made to involve individuals from many different sectors of the local economy in developing this CHNA. The Live Well Board of Directors, which includes health providers, social service organizations and business interests formed the backbone of the CHNA process. A Steering Committee, consisting of the Live Well Board and other community organizations, was established to provide guidance and input throughout data gathering and analysis. The Steering Committee provided input on their perceptions of health and health services, reviewed health outcomes, narrowed the focus to the top four priorities in each county, and approved this report. Below is a roster of both the CHNA Planning Committee and CHNA Steering Committee. CHNA Planning Committee - responsible for planning, data collection/analysis, communication and report writing. . Brett Aldridge, Baptist Health Care . Myesha Arrington, Community Health Northwest Florida . Amy Barron, Sacred Heart Health System . Nora Bailey, Live Well Partnership . Paula Bides, Ascension Florida . John Clark, Council on Aging . Carter Craddock, Baptist Health Care . Denice Curtis, University of West Florida, College of Health . Matt Dobson, Florida Department of Health - Santa Rosa . Krystle Fernandez, Baptist Health Care . John Hartman, University of West Florida, College of Health . Michelle Hill, Florida Department of Health - Santa Rosa . Bethany Miller, Sacred Heart Health System . Kimberly Pace, Florida Department of Health - Escambia . Ann Papadelias - Community Health Northwest Florida . Sandra Park-O'Hara, Florida Department of Health - Santa Rosa . Patrick Shehee - Florida Department of Health - Escambia . Chandra Smiley, Community Health Northwest Florida . Daudet Tshiswaka, University of West Florida, College of Health . Versilla Turner, Florida Department of Health - Escambia . Debra Vinci, University of West Florida, College of Health CHNA Steering Committee - responsible for guiding CHNA process, reviewing data, providing feedback and setting priorities. . Achieve Escambia . Ascension Florida . Baptist Health Care . Baptist Hospital . Children's Home Society of Florida . Community Health Northwest Florida . Community Drug & Alcohol Council . Council on Aging of Northwest Florida . Covenant Care . Emerald Coast Utility Authority . Escambia County School District . Ever'man Cooperative Grocery & Caf . Feeding the Gulf Coast . FL Department of Children & Families . FL Dept of Health - Escambia . FL Dept of Health - Santa Rosa . Good Samaritan Clinic . Gulf Breeze Hospital . Gulf Coast African American Chamber . Health & Hope Clinic . Jay Hospital . J L Maygarden Company . Lakeview Center . Live Well Partnership . Manna Food Pantries . Open Doors NW FL . Pensacola Bay Baptist Association . Pensacola News Journal . Sacred Heart Health System . Santa Rosa County . Santa Rosa County School District . Santa Rosa Medical Center . Town of Century . United Way of Escambia . University of West Florida . Walmart . Waterfront Mission . YMCA of Northwest Florida |
| Part V, Section B, Line 6A | The CHNA process was facilitated by The Live Well Partnership (Live Well), a nonprofit organization whose mission is to sponsor community health status assessments for Escambia and Santa Rosa Counties in Florida and to support and promote collaborative initiatives that address identified health priorities. The CHNA Planning Committee and Steering Committee included representation from Baptist Health Care and its affiliates (including both Baptist and Gulf Breeze Hospital), Ascension Sacred Heart and Santa Rosa Medical Center. |
| SCHEDULE H, Part V, Section B, Line 6b | Non-hospital stakeholder members of the CHNA Planning Committee and Steering Committee included representatives from the Florida Departments of Health in Escambia and Santa Rosa Counties, Community Health Northwest Florida (a federally qualified health center), the University of West Florida as well as a variety of community organizations including business, social service organizations, school districts, local utility companies, county government, to name a few. |
| SCHEDULE H, PART V, SECTION B, LINE 7 | BAPTIST AND GULF BREEZE HOSPITAL CHNA WEBSITE: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA |
| SCHEDULE H, Part V, Section B, Line 11 | Baptist Health Care recognized that sustained community health improvement happens when organizations from all sectors of the community landscape take ownership of the community's health and work together for improvement. While health providers can lead the charge, all sectors of the community must be engaged and committed to alignment of resources across sectors to better serve families. Following the completion of the 2019 CHNA, Baptist worked with other community partners who had together formed the Live Well Partnership for Healthy Communities to begin working toward an expanded, more comprehensive model for approaching health and wellness in the community. There are two parts in this enhanced collaborative approach: 1. Expansion of the former approach to a true cross-sector collective impact effort that engages others outside of the traditional health provider partners. Health partner meetings led to a convening of cross- sector community leaders to determine if there was an interest among other sectors to engage in this work. With over 75 thought leaders from the community in attendance at a convening in April of 2019, the response was overwhelmingly positive for moving forward with this new approach to health and wellness in the community. Learning from the efforts of Achieve Escambia, a collective impact effort focused on educational outcomes, the group began the process to launch Achieve Healthy EscaRosa, with a purpose of working together to improve the health and well-being of Escambia and Santa Rosa counties so that all can thrive. The Mission of this new organization is to unite and align resources to achieve a healthy community where all can thrive. The Vision is a community where everyone lives well and thrives. 2. Convening community partners in focus groups for each prioritized areas of focus from the 2019 CHNA. The health departments have led the charge on the implementation of these sessions with the purpose of gaining additional insights from partners and developing strategic goals and objectives to truly "move the needle" toward improvement in these areas of focus. In late 2019, in light of additional insights from the community, to be more aligned with the Florida Community Health Improvement Plan (CHIP), and to be more effective with community health improvement efforts, the partners determined it was imperative to align the prioritized areas of focus across counties. Therefore, the updated, aligned prioritized focus areas are: Diabetes Mental health (substance abuse is now a component of this focus area) Child health (infant health is now a component of this focus area) Multiple focus group sessions for each of these focus areas were held in 2019 with hundreds of stakeholders attending the sessions. Feedback has been gathered to identify underlying causes, community concerns and promising practices that can be considered in Community Health Improvement Plans. Achieve Healthy EscaRosa creation hosted a community convening in February of 2020, during which hundreds of community members were introduced to the priority focus areas and other health metrics through a data walk. Participants were encouraged to engage in the effort. Input received at the convening was incorporated into a plan for the formal creation of Achieve Healthy EscaRosa (AHER.) AHER has now become the governing body for the implementation of community health improvement actions as well as future CHNAs in this community. With University of West Florida serving as the backbone convener and fiscal agent for AHER, nearly 60 partners in the community have begun engaging in the work of this collective impact effort. Baptist Health Care serves as a leader and convener of these efforts, and is actively engaged in multiple ways in this enhanced approached to health and wellness in the communities we serve. Jennifer Grove, VP External Relations of Baptist Health Care, serves as the Chair of Achieve Healthy EscaRosa, and various other team members participate in the Data, Communications, and CHNA Committees of AHER. |
| SCHEDULE H, PART V, SECTION C, LINE 16A-C | THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEB ADDRESS: HTTPS://WWW.EBAPTISTHEALTHCARE.ORG/PATIENTFINANCIALRESOURCES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 100 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (100 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Andrews Institute ASC LLC | ||||
| 1040 Gulf Breeze Pkwy Ste 100 | Gulf Breeze | FL | 32561 | Ambulatory Surgery Center |
| Andrews Institute Rehabilitation | ||||
| 9400 University Pkwy Ste 104 | PENSACOLA | FL | 32514 | REHABILITATION SERVICES |
| Andrews Institute Orthopedic Sports Med | ||||
| 1040 Gulf Breeze Parkway Ste 206 | Gulf Breeze | FL | 32561 | Ortho Sports Medicine |
| Baptist Physician Associates - Wound Car | ||||
| 1717 North E St Tower 3 Ground Flo | Pensacola | FL | 32501 | Wound Care |
| Andrews Institute Physical Medicine & Re | ||||
| 5100 North 12th Avenue Ste 102 | PENSACOLA | FL | 32504 | Physical Medicine/Rehab |
| Baptist Hospital Neurosurgery | ||||
| 1717 N E St Ste 534 | PENSACOLA | FL | 32501 | Neurosurgical Services |
| Baptist Hospital Ladies First OBGYN | ||||
| 3417 N 12th Ave | PENSACOLA | FL | 32504 | OB/Gyn Services |
| Baptist Hospital Family Medicine & Walk- | ||||
| 3874 Hwy 90 Pace 32571 | PACE | FL | 32571 | Family Medicine |
| Baptist Hospital ENT | ||||
| 1717 North E Street Ste 239 | PENSACOLA | FL | 32501 | ENT Services |
| Baptist Hospital Family Medicine Nine Mi | ||||
| 9400 University Pkwy Suite 409 | PENSACOLA | FL | 32514 | Family Medicine |
| Baptist Hospital Hematology Oncology | ||||
| 1717 North E St Suite 231 | PENSACOLA | FL | 32501 | Oncology Services |
| Baptist Hospital Urology | ||||
| 1717 North E St Suite 430 | PENSACOLA | FL | 32501 | Urology Services |
| Andrews Institute Nonsurgical Sports Med | ||||
| 9400 University Parkway Ste 101B | Pensacola | FL | 32514 | Nonsurgical Sports Medicine |
| Baptist Hospital Family Medicine Pace | ||||
| 3810 Hwy 90 | Pace | FL | 32571 | Family Medicine |
| Baptist Hospital Family Medicine Westsid | ||||
| 6715 Hwy 98 W | Pace | FL | 32571 | Family Medicine |
| Baptist Medical Group - Senior Health | ||||
| 1717 North E Street Ste 227 | Pensacola | FL | 32501 | Primary Care Services |
| Baptist Medical Group - Guidewell | ||||
| 1678 Airport Blvd | Pensacola | FL | 32504 | Family Medicine |
| Baptist Hospital Primary Care Airport | ||||
| 5100 North 12th Ave Suite 201 | Pensacola | FL | 32504 | Primary Care Services |
| Baptist Hospital General Surgery | ||||
| 1717 N E St Ste 205 | Pensacola | FL | 32501 | Surgical Services |
| Baptist Hospital Gastroenterology | ||||
| 1717 N E St Ste 401 | Pensacola | FL | 32501 | Gastroenterology Services |
| Baptist Hospital Primary Care North Hill | ||||
| 1717 North E St Suite 222 | Pensacola | FL | 32501 | Primary Care Services |
| Baptist Hospital Primary Care Live Oak | ||||
| 2896 Gulf Breeze Parkway | Gulf Breeze | FL | 32563 | Primary Care Services |
| Baptist Hospital Family Medicine & Walk- | ||||
| 8888 Navarre Pkwy | Navarre | FL | 32566 | Family Medicine/Clinic |
| Baptist Speech Clinic | ||||
| 1717 North E St Suite 236 | Pensacola | FL | 32501 | Speech Therapy Services |
| Baptist Hospital Cardiology | ||||
| 1717 N E Street Ste 331 | Pensacola | FL | 32501 | Cardiology Services |
| Baptist Hospital ENT | ||||
| 1040 Gulf Breeze Parkway Ste 210 | Gulf Breeeze | FL | 32561 | ENT Services |
| Andrews Institute Orthopedic Sports Med | ||||
| 1040 Gulf Breeze Parkway Ste 203 | Gulf Breeze | FL | 32563 | Ortho Sports Medicine |
| Baptist Hospital ENT | ||||
| 1040 Gulf Breeze Parkway Ste 208 | Gulf Breeze | FL | 32561 | ENT Services |
| Baptist Hospital Gastroenterology | ||||
| 1118 Gulf Breeze Ste 101 | Gulf Breeze | FL | 32561 | Gastroenterology Services |
| Andrews Institute Orthopedic Trauma & F | ||||
| 1717 North E St Suite 208 | Pensacola | FL | 32501 | Ortho Trauma Services |
| Baptist Hospital Rheumatology | ||||
| 1717 North E St Suite 425 | Pensacola | FL | 32501 | Rheumatology Services |
| Baptist Hospital Primary Care Nine Mile | ||||
| 9400 University Pkwy Suite 210 | Pensacola | FL | 32514 | Family/Internal Medicine |
| Andrews Institute Orthopedic Sports Med | ||||
| 1040 Gulf Breeze Parkway Ste 204 | Gulf Breeze | FL | 32561 | Ortho Sports Medicine |
| Baptist Hospital Cardiology | ||||
| 1717 N E Street Ste 434 | Pensacola | FL | 32501 | Cardiology Services |
| Baptist Hospital ENT | ||||
| 9400 University Parkway Ste 200 | Pensacola | FL | 32514 | ENT Services |
| Baptist Hospital Primary Care Gulf Breez | ||||
| 1200 Gulf Breeze Pkwy Ste B | Gulf Breeze | FL | 32563 | Family Medicine |
| Baptist Hospital Gastroenterology | ||||
| 9400 University Parkway Ste 200 | Pensacola | FL | 32514 | Gastroenterology Services |
| Andrews Institute Nonsurgical Sports Med | ||||
| 8880 Navarre Parkway Ste 201 | Navarre | FL | 32566 | Nonsurgical Sports Medicine |
| Baptist Hospital Family Medicine | ||||
| 1337 Country Club Road | Gulf Breeze | FL | 32563 | Family Medicine |
| Baptist Hospital Cardiology | ||||
| 1717 N E Street Ste 435 | Pensacola | FL | 32501 | Cardiology Services |
| Baptist Hospital Hematology Oncology | ||||
| 1114 Gulf Breeze Pkwy | Gulf Breeze | FL | 32561 | Oncology Services |
| Andrews Institute Orthopedic Trauma & F | ||||
| 1040 Gulf Breeze Pkwy Ste 205 | Gulf Breeze | FL | 32561 | Ortho Trauma Services |
| Baptist Hospital Cardiology | ||||
| 9400 University Pkwy Ste 103 | Pensacola | FL | 32514 | Cardiology Services |
| Baptist Hospital Internal Medicine | ||||
| 8880 Navarre Pkwy Suite 206 | Navarre | FL | 32566 | Internal Medicine & Pediatrics |
| Baptist Hospital ENT | ||||
| 1118 Gulf Breeze Ste 100-B | Gulf Breeze | FL | 32563 | ENT Services |
| Baptist Hospital Endocrinology | ||||
| 1717 North E Street Suite 422 | Pensacola | FL | 32501 | Endocrinology Services |
| Baptist Hospital Ladies First OBGYN | ||||
| 3874 Hwy 90 | Pace | FL | 32571 | OB/Gyn Services |
| Baptist Hospital Neurology And Palliativ | ||||
| 1717 North E Street | Pensacola | FL | 32501 | Neurosurgical Services |
| Andrews Institute Orthopedic Sports Med | ||||
| 9400 University Parkway Ste 101B | Pensacola | FL | 32514 | Ortho Sports Medicine |
| Baptist Hospital Convenient Care | ||||
| 190 E Intendencia St Ste A-28 | Pensacola | FL | 32501 | Family Medicine/Clinic |
| Andrews Institute Physical Medicine | ||||
| 1717 North E Street Ste 530 | Pensacola | FL | 32501 | Physical Medicine/Rehab |
| Baptist Hospital Cardiology | ||||
| 1118 GB Pkwy Suite 102 | Gulf Breeze | FL | 32561 | Cardiology Services |
| Baptist Hospital General Surgery | ||||
| 3874 Hwy 90 Suite 202 | Pace | FL | 32571 | Surgical Services |
| Andrews Institute Physical Medicine | ||||
| 9400 University Parkway Ste 101B | Pensacola | FL | 32514 | Physical Medicine/Rehab |
| Baptist Hospital Internal Medicine | ||||
| 1118 Gulf Breeze Pkwy Suite 100-A | Gulf Breeze | FL | 32561 | Internal Medicine |
| Baptist Hospital Cardiology | ||||
| 5100 North 12th Ave Ste 202 | Pensacola | FL | 32504 | Cardiology Services |
| Baptist Hospital Primary Care Perdido | ||||
| 12601 Sorrento Rd Ste B | Pensacola | FL | 32507 | Primary Care Services |
| Baptist Hospital Urology | ||||
| 1118 Gulf Breeze Pkwy Ste 200 | Gulf Breeze | FL | 32561 | Urology Services |
| Baptist Hospital Hematology Oncology | ||||
| 9400 University Pkwy Ste 408 | Pensacola | FL | 32514 | Oncology Services |
| Baptist Hospital Cardiology | ||||
| 1121 Belleville Ave | Brewton | AL | 36426 | Cardiology Services |
| Baptist Hospital Urology | ||||
| 9400 University Pkwy Ste 408 | Pensacola | FL | 32514 | Urology Services |
| Baptist Hospital General Surgery | ||||
| 9400 University Parkway Ste 200 | Pensacola | FL | 32514 | Surgical Services |
| Andrews Institute Orthopedic Sports Med | ||||
| 5100 North 12th Avenue Ste 102 | Pensacola | FL | 32504 | Ortho Sports Medicine |
| Baptist Hospital General Surgery | ||||
| 5100 North 12th Avenue Ste 201 | Pensacola | FL | 32504 | Surgical Services |
| Baptist Hospital Cardiology | ||||
| 1200 Henley Lane | Baker | FL | 32531 | Cardiology Services |
| Andrews Institute Nonsurgical Sports Med | ||||
| 1717 N E St Ste 534 | Pensacola | FL | 32501 | Nonsurgical Sports Medicine |
| Baptist Medical Group Optimization Clini | ||||
| 1717 North E St Suite 113 | Pensacola | FL | 32501 | Pre-surgical Services |
| Baptist Hospital Ladies First OBGYN | ||||
| 1118 Gulf Breeze Pkwy Ste 101 | Gulf Breeze | FL | 32561 | OB/Gyn Services |
| Baptist Hospital Radiation Oncology | ||||
| 1717 North E St Suite 134 | Pensacola | FL | 32501 | Oncology Services |
| Baptist Hospital General Surgery | ||||
| 3874 Highway 90 Pace Fl Ste 202 | Pensacola | FL | 32571 | Surgical Services |
| Baptist Hospital Gastroenterology | ||||
| 3874 Highway 90 Pace Fl Ste 202 | Pace | FL | 32571 | Gastroenterology Services |
| Andrews Institute Orthopedic Sports Med | ||||
| 1040 Gulf Breeze Parkway Ste 208 | Gulf Breeze | FL | 32561 | Ortho Sports Medicine |
| Baptist Hospital General Surgery | ||||
| 6715 Hwy 98 West | Pensacola | FL | 32506 | Surgical Services |
| Baptist Hospital General Surgery | ||||
| 1118 Gulf Breeze Ste 203 | Gulf Breeze | FL | 32561 | Surgical Services |
| Baptist Hospital Gastroenterology | ||||
| 8880 Navarre Pkwy Suite 101 | Navarre | FL | 32566 | Gastroenterology Services |
| Baptist Hospital Cardiology | ||||
| 9400 University Pkwy Ste 306 | Pensacola | FL | 32514 | Cardiology Services |
| Baptist Hospital Cardiology | ||||
| 2010 Lewis Turner Blvd | Ft Walton Beach | FL | 32547 | Cardiology Services |
| Baptist Hospital Primary Care | ||||
| 2115 West 9 Mile Rd Unit 2 | Pensacola | FL | 32514 | Primary Care Services |
| Baptist Hospital Cardiology | ||||
| 5907 Berryhill Rd Ste 100 | Milton | FL | 32570 | Cardiology Services |
| Baptist Hospital Oncology Screening | ||||
| 1717 N E St Ste 231 | Pensacola | FL | 32501 | Oncology Screening Services |
| Baptist Hospital General Surgery | ||||
| 8880 Navarre Parkway Ste 101 | Navarre | FL | 32566 | Surgical Services |
| Baptist Hospital Neurosurgery | ||||
| 5907 Berryhill Rd Ste 200 | Milton | FL | 32570 | Neurosurgical Services |
| Baptist Hospital Cardiology | ||||
| 8880 Navarre Parkway Ste 101 | Navarre | FL | 32566 | Cardiology Services |
| Baptist Hospital Wellness Clinic | ||||
| 1717 North E Street | Pensacola | FL | 32501 | Primary Care Services |
| Baptist Hospital Cardiology | ||||
| 12601 Sorrento Rd Ste B | Pensacola | FL | 32507 | Cardiology Services |
| Baptist Hospital Cardiology | ||||
| 14114 S Alabama St | Jay | FL | 32565 | Cardiology Services |
| Andrews Institute Physical Medicine | ||||
| 1118 Gulf Breeze Ste 203 | Gulf Breeze | FL | 32561 | Physical Medicine/Rehab |
| Baptist Hospital Oncology Screening | ||||
| 9400 University Pkwy Ste 408 | Pensacola | FL | 32514 | Oncology Screening Services |
| Baptist Hospital Cardiology | ||||
| 1600 North McKenzie St | Foley | AL | 36535 | Cardiology Services |
| Baptist Hospital Oncology Screening | ||||
| 1114 Gulf Breeze Pkwy | Gulf Breeze | FL | 32561 | Oncology Screening Services |
| Baptist Hospital Neurosurgery | ||||
| 1040 Gulf Breeze Pkwy Ste 205 | Gulf Breeze | FL | 32561 | Neurosurgical Services |
| Baptist Hospital Neurosurgery | ||||
| 8880 Navarre Pkwy Ste 101 | Navarre | FL | 32566 | Neurosurgical Services |
| Andrews Institute Nonsurgical Sports Med | ||||
| 1040 Gulf Breeze Parkway Ste 204 | Gulf Breeze | FL | 32561 | Nonsurgical Sports Medicine |
| Andrews Institute Physical Medicine | ||||
| 3874 Highway 90 Pace Fl Ste 202 | Pace | FL | 32571 | Physical Medicine/Rehab |
| Baptist Hospital Urology | ||||
| 5907 Berryhill Rd Ste 200 | Milton | FL | 32570 | Urology Services |
| Baptist Hospital Urology | ||||
| 5100 N 12th Ave Ste 201 | Pensacola | FL | 32504 | Urology Services |
| Andrews Institute Orthopedic Sports Med | ||||
| 6715 Hwy 98 West | Pensacola | FL | 32506 | Ortho Sports Medicine |
| Baptist Hospital Neurosurgery | ||||
| 9400 University Pkwy Ste 200 | Pensacola | FL | 32514 | Neurosurgical Services |
| Andrews Institute Nonsurgical Sports Med | ||||
| 5100 North 12th Avenue Ste 102 | Pensacola | FL | 32504 | Nonsurgical Sports Medicine |
| Baptist Hospital Family Medicine | ||||
| 1118 Gulf Breeze Pkwy Suite 100-B | Gulf Breeze | FL | 32561 | Family Medicine |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDINGENCY, INSURANCE/UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR PROVIDING FREE CARE. |
| SCHEDULE H, PART I, LINE 7 | The costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions. |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) | BAD DEBT EXPENSE IN THE AMOUNT OF $75,703,311 WAS SUBTRACTED FROM TOTAL EXPENSES PER FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7, COLUMN (F). |
| SCHEDULE H, PART III, LINE 2 AND 4 | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA. |
| SCHEDULE H, PART III, LINE 3 | BAD DEBT IS NOT INCLUDED AS PART OF THE ORGNANIZATION'S COMMUNITY BENEFIT. APPROXIMATELY 15.4% OF BAPTIST AND GULF BREEZE HOSPITAL'S PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. THIS MEANS THAT APPROXIMATELY $11,655,055, OR 15.4% OF THE ORGNANIZATION'S BAD DEBT EXPENSE COULD BE INCLUDED AS COMMUNITY BENEFIT HAD THOSE INDIVIDUALS GONE THROUGH THE FINANCIAL ASSISTANCE PROCESS. |
| SCHEDULE H, PART III, LINE 8 | THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELIEVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES. |
| SCHEDULE H, PART III, LINE 9B | PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF (A) THEY ARE UNINSURSED OR UNDERINSURED AND (B) THEIR INCOME IS BELOW 300% OF FPL (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES). IF A PATIENT IS FOUND TO BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT, APPROPRIATE FINANCIAL ASSISTANCE DISCOUNTS ARE APPLIED TO THE PATIENT'S ACCOUNT. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. |
| SCHEDULE H, PART VI, LINE 2 | The organization's mission is helping people throughout life's journey. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the hospital's Community Health Needs Assessment can be accessed using the following website: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA |
| SCHEDULE H, PART VI, LINE 3 | ALL EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE ORGANIZATION HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. THE ORGNANIZATION PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, THE ORGANIZATION HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE. |
| SCHEDULE H, PART VI, LINE 4 | BAPTIST HOSPITAL, INC. OPERATES IN ESCAMBIA AND SANTA ROSA COUNTIES IN FLORIDA. BAPTIST HOSPITAL, THE ORGANIZATION'S LARGEST FACILITY, OPERATES IN ESCAMBIA COUNTY. APPROXIMATELY 322,000 INDIVIDUALS RESIDE IN THIS COUNTY, 13.5% OF WHICH LIVE BELOW POVERTY LEVEL. FOUR HOSPITALS, INCLUDING BAPTIST HOSPITAL, ARE LOCATED IN ESCAMBIA COUNTY. SANTA ROSA COUNTY, FL IS THE LOCATION OF THE ORGANIZATION'S SECOND HOSPITAL, GULF BREEZE HOSPITAL. APPROXIMATELY 194,000 INDIVIDUALS RESIDE IN THIS COUNTY, 9.4% OF WHICH LIVE BELOW POVERTY LEVEL. THREE HOSPITALS, INCLUDING GULF BREEZE HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY. WITH A JOINT POPULATION OF APPROXIMATELY 516,000 RESIDENTS, APPROXIMATELY 60,888 RESIDENTS (11.8%) COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. |
| SCHEDULE H, PART VI, LINE 5 | THE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE. THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITY LEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES. THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH. |
| SCHEDULE H, PART VI, LINE 6 | ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - BAPTIST HEALTH CARE CORPORATION - PARENT ORGANIZATION PROVIDING STRATEGIC MANAGEMENT AND SUPPORT SERVICES - JAY HOSPITAL, INC. - OPERATES JAY HOSPITAL - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - LAKEVIEW CENTER, INC. AND AFFILIATES - PROVIDE BEHAVIORAL HEALTH AND PROTECTIVE SERVICES, LOW-COST HOUSING, AS WELL AS VOCATIONAL SERVICES AND EMPLOYMENT FOR PEOPLE WITH DISABILITIES. - BAPTIST URGENT CARE, LLC - DELIVER AMBULATORY CARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Escambia Community Holdings Inc | |||||||
| 2000 N Palafox St | Pensacola | FL | 32501 | 371573135 | 501(C)(3) | $537,500 | Healthcare |
| AMERICAN CANCER SOCIETY | |||||||
| 5401 CORPORATE WOODS DR 100 | PENSACOLA | FL | 32504 | 131788491 | 501(c)(3) | $50,000 | CANCER RESEARCH |
| AMERICAN HEART ASSOCIATION | |||||||
| 155 OFFICE PLAZA DR STE A | TALLAHASSEE | FL | 32301 | 135613797 | 501(c)(3) | $10,000 | MEDICAL RESEARCH |
| YOUNG MEN'S CHRISTIAN ASSOCIATION (YMCA) | |||||||
| 165 EINTENDENCIA ST | Pensacola | FL | 32502 | 590624465 | 501(c)(3) | $72,500 | Health & Wellness |
| UNIVERSITY OF WEST FLORIDA FOUNDATION INC | |||||||
| 11000 UNIVERSITY PKWY | PENSACOLA | FL | 32514 | 596166292 | 501(C)(3) | $50,750 | UWF ATHLETICS |
| PENSACOLA SPORTS ASSOCIATION INC | |||||||
| PO BOX 12463 | PENSACOLA | FL | 32591 | 590767953 | 501(C)(3) | $14,000 | HEALTH & WELLNESS |
| UNITED WAY OF WEST FLORIDA | |||||||
| 1301 W GOVERNMENT ST | PENSACOLA | FL | 32502 | 590651076 | 501(C)(3) | $25,000 | COMMUNITY SERVICES |
| SOUTHERN YOUTH SPORTS ASSOCIATION | |||||||
| 1320 W GREGORY ST | PENSACOLA | FL | 32502 | 270116180 | 501(C)(3) | $7,500 | HEALTH & WELLNESS |
| STUDER COMMUNITY INSTITUTE | |||||||
| 350 W CEDAR ST 300 | PENSACOLA | FL | 32502 | 475657008 | 501(C)(3) | $12,500 | COMMUNITY SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| INDIGENT DRUG ASSISTANCE | 191 | $21,845 |
| INDIGENT TRANSPORTATION | 644 | $29,366 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | All assistance is paid in domestic currency and is restricted for specific uses. Payments to the clinics are in support of clinic operations to support healthcare in the community for the uninsured. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK FAULKNER | ||||||||||||
| CEO | $0 | $840,137 | $0 | $282,575 | $0 | $46,823 | $0 | $180,333 | $0 | $36,252 | $0 | $1,386,120 |
| MICHAEL GLEASON | ||||||||||||
| SENIOR VP/CFO | $0 | $590,067 | $0 | $142,109 | $0 | $39,733 | $0 | $99,301 | $0 | $20,577 | $0 | $891,787 |
| DAVID M JOYNER MD | ||||||||||||
| EXEC DIR&SVP-ANDREWS INSTITUTE | $409,174 | $0 | $94,974 | $0 | $56,497 | $0 | $6,683 | $0 | $18,272 | $0 | $585,600 | $0 |
| BRYON SCOTT RAYNES | ||||||||||||
| PRESIDENT-BHI/EXEC VP-BHC | $593,718 | $0 | $129,249 | $0 | $22,839 | $0 | $97,143 | $0 | $33,201 | $0 | $876,150 | $0 |
| CYD CADENA | ||||||||||||
| VICE PRESIDENT | $252,885 | $0 | $54,010 | $0 | $18,211 | $0 | $3,497 | $0 | $12,382 | $0 | $340,985 | $0 |
| JULIE CARDWELL | ||||||||||||
| VICE PRESIDENT | $322,530 | $0 | $72,269 | $0 | $10,058 | $0 | $14,448 | $0 | $30,083 | $0 | $449,388 | $0 |
| CYNDE GAMACHE | ||||||||||||
| VICE PRESIDENT | $315,208 | $0 | $64,687 | $0 | $12,030 | $0 | $12,912 | $0 | $16,895 | $0 | $421,732 | $0 |
| VICTOR HALL | ||||||||||||
| VICE PRESIDENT | $234,112 | $0 | $55,509 | $0 | $38,651 | $0 | $2,500 | $0 | $3,701 | $0 | $334,473 | $0 |
| JAMES F ADAMS MD | ||||||||||||
| PHYSICIAN | $610,719 | $0 | $687,423 | $0 | $268 | $0 | $7,125 | $0 | $30,186 | $0 | $1,335,721 | $0 |
| SHERIF IBRAHIM MD | ||||||||||||
| PHYSICIAN | $484,684 | $0 | $679,509 | $0 | $19,684 | $0 | $7,125 | $0 | $26,356 | $0 | $1,217,358 | $0 |
| BRETT REICHWAGE | ||||||||||||
| PHYSICIAN | $716,489 | $0 | $966,514 | $0 | $62 | $0 | $7,125 | $0 | $31,244 | $0 | $1,721,434 | $0 |
| SAFWAN JAALOUK | ||||||||||||
| PHYSICIAN | $686,700 | $0 | $376,383 | $0 | $638 | $0 | $0 | $0 | $57,864 | $0 | $1,121,585 | $0 |
| VERMA SUMIT | ||||||||||||
| PHYSICIAN | $862,780 | $0 | $198,772 | $0 | $267 | $0 | $0 | $0 | $57,314 | $0 | $1,119,133 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | THE FOLLOWING OFFICERS/KEY EMPLOYEES RECEIVED TAX GROSS-UP PAYMENTS THAT WERE INCLUDED IN THEIR W-2 TAXABLE WAGES: CYD CADENA JULIE CARDWELL CYNDE GAMACHE VICTOR HALL BRYON (SCOTT) RAYNES |
| SCHEDULE J, PART I, LINE 4B | CONTRIBUTED ----------- JULIE CARDWELL $9,868 MARK FAULKNER $173,208 CYNDE GAMACHE $9,589 MICHAEL GLEASON $92,176 BRYON (SCOTT) RAYNES $90,018 |
| SCHEDULE J, PART II | THE RELATED COMPENSATION REPORTED ON FORM 990, PART II, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATION: --BAPTIST HEALTH CARE CORPORATION |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY | ||||||||
| A | 521378815 | 296110FO7 | 2010-02-11 | $154,202,856 | SEE PART VI | false | false | false |
| ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY | ||||||||
| B | 521378815 | 296110GF0 | 2020-02-12 | $614,061,428 | SEE PART VI | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $33,525,000 | $0 | $154,394,419 | $13,623,377 | $8,700,429 | $0 | $3,084,057 | $0 | $9,317,219 | $39,847,769 | $80,006,845 | $0 | 2013 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $617,031,161 | $0 | $0 | $0 | $7,567,364 | $0 | $0 | $100,971,647 | $5,219,224 | $503,272,926 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | 0.00300 | 0.00000 | 0.00300 | false | Yes (true) | 0.02760 | Yes (true) | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | false | 0.00000 | 0.00000 | 0.00000 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN F | LINE A-(F): REFUNDING PRIOR ISSUES DATES 08/21/03 AND 06/01/98; NEW CAPITAL PROJECTS |
| PART I, LINE B, COLUMN F | LINE B-(F): REFUND PRIOR ISSUE DATED 12/07/2009; CONSTRUCT A NEW HEALTHCARE FACILITY. |
| PART II, COLUMN A, LINE 3 | THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND |
| PART II, COLUMN B, LINE 3 | THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND. |
| PART II, COLUMN A, LINE 11 | THE TOTAL AMOUNT OF OTHER SPENT PROCEEDS INCLUDES THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. THE PROCEEDS ARE NOT LISTED ON LINE 6 SINCE THEY ARE NO LONGER IN A REFUNDING ESCROW. |
| PART II, COLUMN B, LINE 11 | THE TOTAL AMOUNT OF OTHER SPENT PROCEEDS INCLUDES THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. |
| PART IV, COLUMN A, LINE 2C | A REBATE CALCULATION WAS COMPLETED ON 02/11/2019 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $97,287 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | MEALS FOR EMPLOYEES | 7 | $18,845 | FAIR MARKET VALUE |
| Yes (X) | MISCELLANEOUS | 36 | $127,212 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | BAPTIST HOSPITAL INC.'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE REGION. BAPTIST HOSPITAL, INC. OPERATES TWO ACUTE CARE HOSPITALS IN THE PENSACOLA AND GULF BREEZE, FL (492 BED & 77 BED FACILITIES, RESPECTIVELY). THE HOSPITALS PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWEST FLORIDA AND SOUTHEAST ALABAMA. THE HOSPITALS ARE THE NUCLEUS OF A REGIONAL MULTI-PROVIDER SYSTEM. |
| FORM 990 PART III, LINE 3 | Like other healthcare providers, Baptist Hospital experienced significant operational changes due to the COVID-19 pandemic. This included extreme increases in the cost of personal protective equipment, temporary alterations to facilities, staffing challenges, the rapid implementation of telehealth and staff telecommuting, and changes in safety protocols to protect patients, the staff and the community. During the pandemic, our organization followed the emerging and rapidly changing guidance of the CDC and other health experts to serve the needs of COVID-19 patients through inpatient care, outpatient care, telehealth, and COVID-19 testing and vaccine clinics. |
| FORM 990, PART VI, LINE 2 | MARK FAULKNER, MICHAEL GLEASON AND BRYON (SCOTT) RAYNES HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. RONALD E. JACKSON AND JOHN HEER HAVE A BUSINESS RELATIONSHIP WITH MICHAEL GLEASON AND MARK FAULKNER. RONALD E. JACKSON AND JOHN HEER ARE BOARD MEMBERS OF BAPTIST HEALTH CARE CORPORATION AND MICHAEL GLEASON AND MARK FAULKNER ARE OFFICERS OF BAPTIST HEALTH CARE CORPORATION, CREATING AN EMPLOYER/EMPLOYEE RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | BAPTIST HEALTH CARE CORPORATION, A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF BAPTIST HOSPITAL, INC. BAPTIST HEALTH CARE CORPORATION HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF BAPTIST HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF BAPTIST HOSPITAL, INC., HAS THE RIGHT TO ELECT THE GOVERNING BODY OF BAPTIST HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE CORPORATION, THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBER FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION GOVERNANCE COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $5,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED F. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION G. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $1,000,000 IN BOOK VALUE. H. UNRELATED PARTY REAL PROPERTY TRANSFERS IN VALUED IN EXCESS OF $1,000,000. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY A FLORIDA LICENSED CPA WHO IS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION, BAPTIST HEALTH CARE CORPORATION, AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. WHEN A CONFLICT DOES EXIST, THE INTERESTED PERSON MUST SUBMIT A DISCLOSURE NOTICE TO THE BOARD AND ABSTAIN FROM MAKING MOTIONS, VOTING, NEGOTIATING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER DIRECT ACTION ON BEHALF OF THE ORGANIZATION WHERE THE CONFLICT MIGHT PERTAIN. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | EACH YEAR THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE CORPORATION BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGE IN MINIMUM PENSION LIABILITY $ 15,172,350 BOOK-TO-TAX DIFFERENCES - JOINT VENTURES $ (461,793) EQUITY TRANSFER $ (8,003,000) INCOME ON DISCONTINUED OPERATIONS $ 15,611,000 OTHER $ (3,091,922) -------------- $ 19,226,635 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Andrews Institute Rehabilitation LLC | |||||||||
| 1040 Gulf Breeze Parkway | Gulf Breeze | FL | 32561 | 261307826 | Rehab Svcs | FL | $505,146 | $116,980 | BHI |
| Baptist Hospital North Family Practice | |||||||||
| 1717 North E St | PENSACOLA | FL | 32501 | 262977061 | Physician Svc | FL | $0 | $0 | BHI |
| Baptist Medical Group LLC | |||||||||
| 1717 North E St | PENSACOLA | FL | 32501 | 264800380 | Physician Svc | FL | $62,399,825 | $10,452,964 | BHI |
| Baptist Physician Associates LLC | |||||||||
| 1717 North E St | PENSACOLA | FL | 32501 | 200737321 | Physician Svc | FL | $3,409,816 | $4,941,985 | BHI |
| BAPTIST BRENT LANE PROPERTIES LLC | |||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 590657322 | REAL ESTATE | FL | $0 | $35,797,459 | BHI |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH CARE CORPORATION | ||||||||||
| 1717 N E STREET | PENSACOLA | FL | 32501 | 592425151 | HEALTHCARE | FL | 501(c)(3) | 12c | NA | false |
| BAPTIST HEALTH CARE FOUNDATION | ||||||||||
| 1717 N E STREET | PENSACOLA | FL | 32501 | 590192265 | FUNDRAISING | FL | 501(c)(3) | 7 | BHC | Yes (true) |
| LAKEVIEW CENTER INC | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 590737872 | HEALTHCARE | FL | 501(c)(3) | 7 | BHC | Yes (true) |
| CMHC HERNANDEZ HOUSE INC | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 592041794 | LOW COST HOUS | FL | 501(c)(3) | 10 | LCI | Yes (true) |
| JAY HOSPITAL INC | ||||||||||
| 14114 ALABAMA STREET | JAY | FL | 32565 | 592425149 | HEALTHCARE | FL | 501(c)(3) | 3 | BHC | Yes (true) |
| LAKEVIEW PLACE INC | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 592804577 | LOW COST HOUS | FL | 501(c)(3) | 10 | LCI | Yes (true) |
| LAKEVIEW VILLA INC | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 592842486 | LOW COST HOUS | FL | 501(c)(3) | 10 | LCI | Yes (true) |
| GLOBAL CONNECTIONS TO EMPLOYMENT INC | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 472592811 | VOC TRAINING | FL | 501(C)(3) | 7 | LCI | Yes (true) |
| LCI II Inc | ||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 591469145 | COUNSELING | FL | 501(C)(3) | 7 | LCI | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST MEDICAL PARK SURGERY CENTER LLC | ||||||||||||||
| 9400 UNIVERSITY PKWY | PENSACOLA | FL | 32514 | 593535262 | AMBULATORY SU | FL | NA | N/A | ||||||
| ANDREWS INSTITUTE ASC LLC | ||||||||||||||
| 1040 GULF BREEZE PKWY | GULF BREEZE | FL | 32561 | 352274952 | AMBULATORY SU | FL | BHI | RELATED | $2,827,697 | $4,450,264 | false | $0 | false | 0.52080 |
| LIGHTHOUSE HEALTH PLAN LLC | ||||||||||||||
| 1717 NORTH E ST STE 320 | PENSACOLA | FL | 32501 | 823182832 | HEALTH INS. P | FL | BHI | UNRELATED | $1,494,372 | $15,690,709 | false | $0 | false | 0.60000 |
| BHI-INTUITIVE HEALTH OF ESCAMBIA COUNTY | ||||||||||||||
| 5700 GRANITE PARKWAY SUITE 455 | PLANO | TX | 75024 | 843637126 | FREESTANDING | FL | BHI | RELATED | -$546,046 | $1,304,591 | false | $0 | false | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH VENTURES INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592415910 | ADMINISTRATIVE | FL | NA | C CORP | Yes (true) | |||
| PENSACOLA POB INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592462399 | LEASING AGENT | FL | NA | C CORP | Yes (true) | |||
| MOBILE DIAGNOSTICS INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592864191 | MEDICAL SERVICES | FL | NA | C CORP | Yes (true) | |||
| THE TOWERS PHARMACY INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592667929 | RETAIL SALES | FL | NA | C CORP | Yes (true) | |||
| LCC HOLDING COMPANY INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592874324 | MEDICAL SERVICES | FL | BHI | C CORP | Yes (true) | $7,938,371 | $0 | 1.00000 |
| LAKEVIEW ASSOCIATED ENTERPRISES-PHASE I | ||||||||||||
| 1221 W LAKEVIEW AVE | PENSACOLA | FL | 32501 | 611711170 | franchising | FL | NA | C CORP | Yes (true) | |||
| LAKEVIEW ASSOCIATED ENTERPRISES-PHASE II | ||||||||||||
| 1221 WEST LAKEVIEW AVENUE | PENSACOLA | FL | 32501 | 465458197 | FRANCHISING | FL | NA | C CORP | Yes (true) | |||
| PARCEL 27 LAND CONDO ASSOC INC | ||||||||||||
| 1221 W LAKEVIEW AVE | PENSACOLA | FL | 32501 | 821313799 | CONDO ASSOCIATION | FL | NA | C CORP | Yes (true) | |||
| MEDICAL PROFESSIONAL AGENCY INC | ||||||||||||
| 1717 NORTH E ST | PENSACOLA | FL | 32501 | 592555835 | MEDICAL SERVICES | FL | NA | C CORP | Yes (true) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE TOWERS PHARMACY INC | ||
| A(I) | $23,782 | FMV |
| BAPTIST HEALTH CARE CORPORATION INC | ||
| A(IV) | $1,343,450 | FMV |
| THE TOWERS PHARMACY INC | ||
| A(IV) | $100,856 | FMV |
| GLOBAL CONNECTIONS TO EMPLOYMENT INC | ||
| A(IV) | $43,615 | FMV |
| BAPTIST HEALTH CARE FOUNDATION INC | ||
| C | $772,989 | FMV |
| THE TOWERS PHARMACY INC | ||
| D | $3,373,780 | FMV |
| BHI-INTUITIVE HEALTH OF ESCAMBIA COUNTY LLC | ||
| D | $2,117,210 | FMV |
| BAPTIST MEDICAL PARK SURGERY CENTER LLC | ||
| E | $12,909,051 | FMV |
| BAPTIST HEALTH VENTURES INC | ||
| K | $2,495,127 | FMV |
| BAPTIST HEALTH VENTURES INC | ||
| L | $396,642 | FMV |
| JAY HOSPITAL INC | ||
| L | $183,972 | FMV |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedScheduleGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Electing OrganizationElectingOrganizationInd | Total Grassroots LobbyTotalGrassrootsLobbyAmt | Total Direct LobbyTotalDirectLobbyAmt | Total Lobby ExpenditureTotalLobbyExpenditureAmt | Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt | Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt | Lobby NontxLobbyNontxAmt | Grassroots NontxGrassrootsNontxAmt | Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt | Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt | Share Excess Lobby ExpendShareExcessLobbyExpendAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH CARE CORPORAT | |||||||||||||||
| PO BOX 17500 | PENSACOLA | FL | 325227500 | 592425151 | Yes (X) | $0 | $101,972 | $101,972 | $77,042,613 | $77,144,585 | $1,000,000 | $250,000 | $0 | $0 | $0 |
| BAPTIST HEALTH CARE FOUNDATI | |||||||||||||||
| PO BOX 17500 | PENSACOLA | FL | 325227500 | 590192265 | Yes (X) | $0 | $0 | $0 | $1,306,690 | $1,306,690 | $205,669 | $51,417 | $0 | $0 | $0 |
| BAPTIST HOSPITAL INC | |||||||||||||||
| PO BOX 17500 | PENSACOLA | FL | 325227500 | 590657322 | $0 | $29,172 | $29,172 | $736,295,184 | $736,324,356 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| CMHC HERNANDEZ HOUSE INC | |||||||||||||||
| 1221 W LAKEVIEW AVENUE | PENSACOLA | FL | 325011836 | 592041794 | $0 | $0 | $0 | $49,258 | $49,258 | $9,852 | $2,463 | $0 | $0 | $0 | |
| JAY HOSPITAL INC | |||||||||||||||
| PO BOX 17500 | PENSACOLA | FL | 325227500 | 592425149 | $0 | $2,008 | $2,008 | $16,936,333 | $16,938,341 | $996,917 | $249,229 | $0 | $0 | $0 | |
| LAKEVIEW PLACE INC | |||||||||||||||
| 1221 W LAKEVIEW AVENUE | PENSACOLA | FL | 325011836 | 592804577 | $0 | $0 | $0 | $98,712 | $98,712 | $19,742 | $4,936 | $0 | $0 | $0 | |
| LAKEVIEW VILLA INC | |||||||||||||||
| 1221 W LAKEVIEW AVENUE | PENSACOLA | FL | 325011836 | 592842486 | $0 | $0 | $0 | $140,876 | $140,876 | $28,175 | $7,044 | $0 | $0 | $0 | |
| LAKEVIEW CENTER INC | |||||||||||||||
| 1221 W LAKEVIEW AVENUE | PENSACOLA | FL | 325011836 | 590737872 | $0 | $0 | $0 | $152,272,093 | $152,272,093 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| GLOBAL CONNECTIONS TO EMPLOY | |||||||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 472592811 | $0 | $0 | $0 | $187,280,130 | $187,280,130 | $1,000,000 | $250,000 | $0 | $0 | $0 | |
| LCI II INC | |||||||||||||||
| 1221 WEST LAKEVIEW AVE | PENSACOLA | FL | 32501 | 591469145 | $0 | $0 | $0 | $156,588 | $156,588 | $31,318 | $7,830 | $0 | $0 | $0 | |
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