2022-08-15T11:49:45-05:00 2021-09-30 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2020-10-01 590657322 BAPTIST HOSPITAL INC % ROBERT TONKINSON BAPT 8504344714 POST OFFICE BOX 17500 PENSACOLA FL 32522 Michael Gleason SVP/CFO 8504697643 2022-08-15 true Michael Gleason XXX-XX-XXXX Michael J Engle P00482834 8162216300 3 2020 2022-09-23 18:48:47Z MIKE GLEASON 1717 N E ST STE 320 Pensacola FL 32501 764624449 false X www.ebaptisthealthcare.org/BaptistHospital X 1943 FL 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. 12 12 4314 190 2883509 856816 1382327 971618 628703960 740699753 2675747 7664005 3187022 8777386 635949056 758112762 789977 906002 0 0 231781272 278798079 0 0 0 408479650 456620275 641050899 736324356 -5101843 21788406 1025117229 1048797666 1000756008 976719654 24361221 72078012 X SEE SCHEDULE O false true 615716433 0 741845428 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. 2286586 906002 269409 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. 618003019 true true false true false false false false false true true false false true true true false true false false true false false false false false true true true true true true false false false false false false false false false false true false false false true true true true false false true 289 0 true 4314 true true true false false false false false false false false false false false X 12 12 false false false false true true true true true false false true true true true true true true true true true X ROBERT TONKINSON 8504697643 1717 NORTH E STREET STE 321 Pensacola FL 32501 X BRETT REICHWAGE PHYSICIAN 40.0 0.0 X 1683065 0 38369 MARK FAULKNER CEO 10.0 40.0 X 0 1169535 216585 JAMES F ADAMS MD PHYSICIAN 40.0 0.0 X 1298410 0 37311 SHERIF IBRAHIM MD PHYSICIAN 40.0 0.0 X 1183877 0 33481 SAFWAN JAALOUK PHYSICIAN 40.0 0.0 X 1063721 0 57864 VERMA SUMIT PHYSICIAN 40.0 0.0 X 1061819 0 57314 MICHAEL GLEASON SENIOR VP/CFO 15.0 35.0 X 0 771909 119878 BRYON SCOTT RAYNES PRESIDENT-BHI/EXEC VP-BHC 30.0 20.0 X 745806 0 130344 DAVID M JOYNER MD EXEC DIR&SVP-ANDREWS INSTITUTE 40.0 10.0 X 560645 0 24955 JULIE CARDWELL VICE PRESIDENT 40.0 0.0 X 404857 0 44531 CYNDE GAMACHE VICE PRESIDENT 40.0 0.0 X 391925 0 29807 CYD CADENA VICE PRESIDENT 40.0 0.0 X 325106 0 15879 VICTOR HALL VICE PRESIDENT 40.0 0.0 X 328272 0 6201 Ronald E Jackson Member/Chairman 1.0 2.0 X X 0 0 0 KIM JERNIGAN DMD MEMBER 1.0 1.0 X 0 0 0 Ricky W Smith MEMBER/SECRETARY 1.0 1.0 X X 0 0 0 MICHAEL J MAZENKO MEMBER/TREASURER 1.0 1.0 X X 0 0 0 JOHN HEER MEMBER 1.0 2.0 X 0 0 0 JOHN M KIZZIAH MEMBER 1.0 1.0 X 0 0 0 THOMAS F OWENS MEMBER 1.0 1.0 X 0 0 0 DOUG SPRAGUE MEMBER 1.0 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1364292 309805504 271953114 37852390 145400358 1144061 144256297 325755000 OTHER A/R 1529922 PHYSICIAN GUARENTEE 109274 DEPOSITS 2800 DUE FROM RELATED ORGANIZATIONS 1214665 CONSTRUCTION PROJECT FUNDS 392260056 395116717 0 ACCRUED BENEFIT LIABILITY 22305246 DUE TO THIRD PARTY PAYORS 33776487 MALPRACTICE RESERVE 11773587 LINE OF CREDIT 2856632 ASSET RETIREMENT OBLIGATIONS 1667487 MARKET VALUATION ON INT RATES 21283 CAPITAL LEASE OBLIGATIONS 913142 DUE TO AFFILIATES 6765797 OTHER LIABILITIES 633014 80712675 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. Central America and the Caribbean Investments 20527699 Europe (Including Iceland and Greenland) Investments 17880982 38408681 38408681 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN F THE ORGANIZATION USES THE ACCRUAL BASIS METHOD OF ACCOUNTING IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. true true X true X 300. false true true true false true true 21920795 580732 21340063 0.03220 55045904 26416474 28629430 0.04320 76966699 26997206 49969493 0.07540 5 106082 1409758 1409758 0.00210 876828 876828 0.00130 5 106082 2286586 2286586 0.00340 5 106082 79253285 26997206 52256079 0.07880 false 75703311 11655055 228299708 236817578 -8517870 X true true ANDREWS INSTITUTE Ambulatory Surgery Center 0.5051 0.4949 ASC LLC 2 1 Baptist Hospital 1000 W Moreno Street Pensacola FL 32501 www.ebaptisthealthcare.org/BaptistHospit 100093 X X X A 2 GULF BREEZE HOSPITAL 1110 GULF BREEZE PARKWAY GULF BREEZE FL 32561 www.ebaptisthealthcare.org/BaptistHospit 11003 X X X A A 12 false false true X X X X X X X X X 18 true true true true X SEE PART V, SECTION C X true 18 true WWW.EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA false true X 300. 0. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 100 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 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. true Escambia Community Holdings Inc 2000 N Palafox St Pensacola FL 32501 371573135 501(C)(3) 537500 Healthcare AMERICAN CANCER SOCIETY 5401 CORPORATE WOODS DR 100 PENSACOLA FL 32504 131788491 501(c)(3) 50000 CANCER RESEARCH AMERICAN HEART ASSOCIATION 155 OFFICE PLAZA DR STE A TALLAHASSEE FL 32301 135613797 501(c)(3) 10000 MEDICAL RESEARCH YOUNG MEN'S CHRISTIAN ASSOCIATION (YMCA) 165 EINTENDENCIA ST Pensacola FL 32502 590624465 501(c)(3) 72500 Health & Wellness UNIVERSITY OF WEST FLORIDA FOUNDATION INC 11000 UNIVERSITY PKWY PENSACOLA FL 32514 596166292 501(C)(3) 50750 UWF ATHLETICS PENSACOLA SPORTS ASSOCIATION INC PO BOX 12463 PENSACOLA FL 32591 590767953 501(C)(3) 14000 HEALTH & WELLNESS UNITED WAY OF WEST FLORIDA 1301 W GOVERNMENT ST PENSACOLA FL 32502 590651076 501(C)(3) 25000 COMMUNITY SERVICES SOUTHERN YOUTH SPORTS ASSOCIATION 1320 W GREGORY ST PENSACOLA FL 32502 270116180 501(C)(3) 7500 HEALTH & WELLNESS STUDER COMMUNITY INSTITUTE 350 W CEDAR ST 300 PENSACOLA FL 32502 475657008 501(C)(3) 12500 COMMUNITY SERVICES 9 INDIGENT DRUG ASSISTANCE 191 21845 INDIGENT TRANSPORTATION 644 29366 Schedule I, Part I, Line 2 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. X true true X X X X X false true false false false false false false false MARK FAULKNER CEO 0 840137 0 282575 0 46823 0 180333 0 36252 0 1386120 MICHAEL GLEASON SENIOR VP/CFO 0 590067 0 142109 0 39733 0 99301 0 20577 0 891787 DAVID M JOYNER MD EXEC DIR&SVP-ANDREWS INSTITUTE 409174 0 94974 0 56497 0 6683 0 18272 0 585600 0 BRYON SCOTT RAYNES PRESIDENT-BHI/EXEC VP-BHC 593718 0 129249 0 22839 0 97143 0 33201 0 876150 0 CYD CADENA VICE PRESIDENT 252885 0 54010 0 18211 0 3497 0 12382 0 340985 0 JULIE CARDWELL VICE PRESIDENT 322530 0 72269 0 10058 0 14448 0 30083 0 449388 0 CYNDE GAMACHE VICE PRESIDENT 315208 0 64687 0 12030 0 12912 0 16895 0 421732 0 VICTOR HALL VICE PRESIDENT 234112 0 55509 0 38651 0 2500 0 3701 0 334473 0 JAMES F ADAMS MD PHYSICIAN 610719 0 687423 0 268 0 7125 0 30186 0 1335721 0 SHERIF IBRAHIM MD PHYSICIAN 484684 0 679509 0 19684 0 7125 0 26356 0 1217358 0 BRETT REICHWAGE PHYSICIAN 716489 0 966514 0 62 0 7125 0 31244 0 1721434 0 SAFWAN JAALOUK PHYSICIAN 686700 0 376383 0 638 0 0 0 57864 0 1121585 0 VERMA SUMIT PHYSICIAN 862780 0 198772 0 267 0 0 0 57314 0 1119133 0 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 A ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 296110FO7 2010-02-11 154202856 SEE PART VI false false false B ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 296110GF0 2020-02-12 614061428 SEE PART VI false false false A 33525000 0 154394419 13623377 8700429 0 3084057 0 9317219 39847769 80006845 0 2013 true false true true B 0 0 617031161 0 0 0 7567364 0 0 100971647 5219224 503272926 true false false true A false true true true false 0.00300 0.00000 0.00300 false true 0.02760 true true B false true true true false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true 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 X 3 97287 FAIR MARKET VALUE X MEALS FOR EMPLOYEES 7 18845 FAIR MARKET VALUE X MISCELLANEOUS 36 127212 FAIR MARKET VALUE false true false SCHEDULE M, PART I, COLUMN B THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. 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 Andrews Institute Rehabilitation LLC 1040 Gulf Breeze Parkway Gulf Breeze FL 32561 261307826 Rehab Svcs FL 505146 116980 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 62399825 10452964 BHI Baptist Physician Associates LLC 1717 North E St PENSACOLA FL 32501 200737321 Physician Svc FL 3409816 4941985 BHI BAPTIST BRENT LANE PROPERTIES LLC 1717 NORTH E ST PENSACOLA FL 32501 590657322 REAL ESTATE FL 0 35797459 BHI 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 true LAKEVIEW CENTER INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 590737872 HEALTHCARE FL 501(c)(3) 7 BHC true CMHC HERNANDEZ HOUSE INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592041794 LOW COST HOUS FL 501(c)(3) 10 LCI true JAY HOSPITAL INC 14114 ALABAMA STREET JAY FL 32565 592425149 HEALTHCARE FL 501(c)(3) 3 BHC true LAKEVIEW PLACE INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592804577 LOW COST HOUS FL 501(c)(3) 10 LCI true LAKEVIEW VILLA INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592842486 LOW COST HOUS FL 501(c)(3) 10 LCI true GLOBAL CONNECTIONS TO EMPLOYMENT INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 472592811 VOC TRAINING FL 501(C)(3) 7 LCI true LCI II Inc 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 591469145 COUNSELING FL 501(C)(3) 7 LCI true 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 2827697 4450264 false 0 false 0.52080 LIGHTHOUSE HEALTH PLAN LLC 1717 NORTH E ST STE 320 PENSACOLA FL 32501 823182832 HEALTH INS. 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