SOUTH FLORIDA BAPTIST HOSPITAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH FLORIDA BAPTIST HOSPITAL INC (EIN 59-0594631)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-13
- IRS object ID
- 201923179349309612
- Schema version
- 2018v3.1
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-13T19:22:16-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 NORTH FRANKLIN STREET SUITE | AddressLine1Txt |
| Address Line2 | 2400 | AddressLine2Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590594631 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH FLORIDA BAPTIST HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 8137571245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 N ALEXANDER ST | AddressLine1Txt |
| City | PLANT CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33566 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD BEAMON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8137571245 | PhoneNum |
| Signature | 2019-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 8132254800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.184.197.104 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-13 | IPDt |
| IP Tm | 09:06:24 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 66FC02D03DBAC7EA2C5C7B5513D8D7164FCFC484 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GLENN WATERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 N ALEXANDER ST | AddressLine1Txt |
| City | PLANT CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $157,101,959 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BAYCARE.ORG/SFBH | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | SOUTH FLORIDA BAPTIST HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH QUALITY, COMPASSIONATE CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1003 | TotalEmployeeCnt |
| Total Volunteers | 323 | TotalVolunteersCnt |
| Total Gross UBI | $12,441 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $57,168 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $615,491 | PYContributionsGrantsAmt |
| CY Contributions Grants | $316,496 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $157,471,778 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $155,755,039 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,130 | CYInvestmentIncomeAmt |
| PY Other Revenue | $785,074 | PYOtherRevenueAmt |
| CY Other Revenue | $1,009,294 | CYOtherRevenueAmt |
| PY Total Revenue | $158,872,343 | PYTotalRevenueAmt |
| CY Total Revenue | $157,101,959 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,557 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,980,386 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,858,682 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,942,177 | PYOtherExpensesAmt |
| CY Other Expenses | $89,014,014 | CYOtherExpensesAmt |
| PY Total Expenses | $135,922,563 | PYTotalExpensesAmt |
| CY Total Expenses | $142,890,253 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $22,949,780 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,211,706 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $193,849,844 | TotalAssetsBOYAmt |
| Total Assets EOY | $197,126,988 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,499,534 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,336,625 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $187,350,310 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $190,790,363 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SOUTH FLORIDA BAPTIST HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $120,570,808 | ExpenseAmt |
| Grant | $17,557 | GrantAmt |
| Revenue | $156,069,210 | RevenueAmt |
| Desc | SOUTH FLORIDA BAPTIST HOSPITAL, INC. (SFBH) IS A FULL-SERVICE 147-BED COMMUNITY HOSPITAL. DURING 2018, SFBH PROVIDED INPATIENT CARE TO 59,931 PATIENTS, TREATED 255,424 PATIENTS IN THE EMERGENCYDEPARTMENT, AND DELIVERED 8,212 BABIES. THROUGH EFFORTS OF THE MEDICAL ASSISTANCE PROGRAM AND THE HOSPITAL'S CHARITY CARE PROGRAM, SFBH SAW A NET COMMUNITY BENEFIT EXPENSE TOTALING MORE THAN $20.4 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING OVER $997 THOUSAND. SOME OF THE PROGRAMS INCLUDED RELAY FOR LIFE, FAITH COMMUNITY NURSING, AND SAN JOSE MISSION. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. | Desc |
| Total Program Service Expenses | $120,570,808 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1003 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANICE POLO EVP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7278208021 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2985 DREW STREET | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33759 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT BASKIN | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HUGH CAMPBELL | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BETTY CASTOR | ||||||||||
| TRUSTEE TILL SEPTEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| AVRIL CHIN FATT | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICK COLON | ||||||||||
| TRUSTEE/PAST CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| COLEMAN DAVIS | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RALPH GARCIA | ||||||||||
| TRUSTEE/TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| RICHARD GLORIOSO | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CR HALL | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TRACY HALME | ||||||||||
| TRUSTEE/VICE CHAIR/SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JONATHAN JENNEWEIN | ||||||||||
| TRUSTEE/CHAIRMAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DONNA JORDAN | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLAS MCFADDEN | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $19,935 | $0 | ||||
| STEPHEN MENDOZA | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JERILYN REED | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOMENICK REINA | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW RICE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE RODWELL | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAT SHIRLEY | ||||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GLENN WATERS | ||||||||||
| TRUSTEE/EVP, COO BAYCARE | 1.00 | 60.00 | Yes (X) | $0 | $1,549,036 | $59,994 | Yes (X) | |||
| LAUREN WEINER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARL TREMONTI | ||||||||||
| VP, CFO BAYCARE HOSP DIV TILL MAY | 1.00 | 63.00 | $0 | $698,208 | $26,327 | Yes (X) | ||||
| RONALD BEAMON | ||||||||||
| VP, CFO BAYCARE HOSP DIV EFF MAY | 1.00 | 58.00 | $0 | $310,364 | $21,585 | Yes (X) | ||||
| KAREN KERR | ||||||||||
| PRES, SOUTH FL BAPTIST HOSP | 1.00 | 46.00 | $0 | $398,366 | $44,845 | Yes (X) | ||||
| BETH TANCREDO | ||||||||||
| DIR, OPERATIONS SOUTH FL BAPTIST HOSP | 45.00 | 0.00 | $152,742 | $0 | $17,848 | Yes (X) | ||||
| MERCY NINAN | ||||||||||
| MANAGER PHARMACY | 45.00 | 0.00 | $180,104 | $0 | $38,104 | Yes (X) | ||||
| ROBERT KAUFFMAN | ||||||||||
| CLINICAL PHARMACIST | 45.00 | 0.00 | $155,866 | $0 | $32,121 | Yes (X) | ||||
| GAYA SALYER | ||||||||||
| CLINICAL PHARMACIST | 45.00 | 0.00 | $162,106 | $0 | $33,628 | Yes (X) | ||||
| JUNE RAMSEY | ||||||||||
| DIR, PATIENT SERVICES | 45.00 | 0.00 | $145,126 | $0 | $6,726 | Yes (X) | ||||
| SEAN USTIC | ||||||||||
| CLINICAL PHARMACIST | 45.00 | 0.00 | $144,659 | $0 | $23,487 | Yes (X) | ||||
| STEPHEN NIERMAN | ||||||||||
| FORMER PRES SOUTH FL BAPTIST HOSP | 1.00 | 45.00 | $0 | $563,446 | $62,899 | Yes (X) | ||||
| JACQUES VASCONCELLOS | ||||||||||
| FORMER DIR OPERATIONS SOUTH FL BAPTIST HOSP | 1.00 | 45.00 | $0 | $210,342 | $31,425 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $940,603 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,749,697 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $398,989 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LOCKWOOD & STEELY MDS PA | |||||
| 301 N ALEXANDER ST | PLANT CITY | FL | 33566 | ANESTHESIOLOGY SERVICES | $968,400 |
| HARPER LIMBACH LLC | |||||
| 5102 W LAUREL ST | TAMPA | FL | 33607 | REPAIR SERVICES | $784,797 |
| BAY LINEN INC | |||||
| 11525 47TH ST N | CLEARWATER | FL | 33762 | LAUNDRY SERVICES | $761,909 |
| BIO-MEDICAL APPLICATIONS OF | |||||
| 7721 S WESTERN AVE | CHICAGO | IL | 60693 | MEDICAL SERVICES | $539,238 |
| ADVANCED CARE HOSPITALISTS PL | |||||
| PO BOX 4707 | PLANT CITY | FL | 33563 | PHYSICIAN SERVICES | $527,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $316,496 | RelatedOrganizationsAmt |
| Total Contributions | $316,496 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL PATIENT CARE | 621990 | $88,728,074 | $88,728,074 |
| MEDICARE/MEDICAID PMNT | 621990 | $67,026,965 | $67,026,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $155,755,039 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,400 | TotalRevenueColumnAmt |
| Exclusion | $17,400 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,318 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $26,318 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,318 | TotalRevenueColumnAmt |
| Exclusion | $26,318 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,730 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,730 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,730 | TotalRevenueColumnAmt |
| Exclusion | $3,730 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA | 722514 | $656,364 | $656,364 | ||
| OTHER REVENUE | 621990 | $326,612 | $314,171 | $12,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $982,976 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,101,959 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,069,210 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,441 | UnrelatedBusinessRevenueAmt |
| Exclusion | $703,812 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,557 | TotalAmt |
| Program Services | $17,557 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,590 | TotalAmt |
| Management And General | $170,590 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,936,126 | TotalAmt |
| Program Services | $44,520,123 | ProgramServicesAmt |
| Management And General | $416,003 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600,636 | TotalAmt |
| Program Services | $1,585,818 | ProgramServicesAmt |
| Management And General | $14,818 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,904,519 | TotalAmt |
| Program Services | $3,868,372 | ProgramServicesAmt |
| Management And General | $36,147 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,246,811 | TotalAmt |
| Program Services | $3,213,253 | ProgramServicesAmt |
| Management And General | $33,558 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,851 | TotalAmt |
| Management And General | $11,851 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,523 | TotalAmt |
| Management And General | $6,523 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220 | TotalAmt |
| Program Services | $220 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,494,565 | TotalAmt |
| Program Services | $6,381,997 | ProgramServicesAmt |
| Management And General | $112,568 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,645 | TotalAmt |
| Program Services | $80,700 | ProgramServicesAmt |
| Management And General | $15,945 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,996 | TotalAmt |
| Program Services | $868,538 | ProgramServicesAmt |
| Management And General | $1,205,458 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,510 | TotalAmt |
| Program Services | $143,870 | ProgramServicesAmt |
| Management And General | $179,640 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,342,570 | TotalAmt |
| Program Services | $2,333,968 | ProgramServicesAmt |
| Management And General | $8,602 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,539 | TotalAmt |
| Program Services | $102,755 | ProgramServicesAmt |
| Management And General | $71,784 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,567,059 | TotalAmt |
| Program Services | $1,567,059 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,942,230 | TotalAmt |
| Program Services | $5,904,330 | ProgramServicesAmt |
| Management And General | $37,900 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,941,441 | TotalAmt |
| Program Services | $4,941,441 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UBI TAXES | $6,600 | $6,600 | $0 |
| MEDICAL SUPPLIES | $22,099,909 | $22,095,577 | $4,332 |
| MANAGEMENT FEES | $16,986,822 | $16,986,822 | |
| BAD DEBT EXPENSES | $16,366,058 | $16,366,058 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,579,476 | TotalAmt |
| Program Services | $6,572,572 | ProgramServicesAmt |
| Management And General | $3,006,904 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,890,253 | TotalAmt |
| Program Services | $120,570,808 | ProgramServicesAmt |
| Management And General | $22,319,445 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,299 | BOYAmt |
| EOY | $1,223 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,883,358 | BOYAmt |
| EOY | $13,189,650 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,766 | BOYAmt |
| EOY | $55,560 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,497,141 | BOYAmt |
| EOY | $4,482,871 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $835,804 | BOYAmt |
| EOY | $1,054,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $123,448,986 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,800,494 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,967,606 | BOYAmt |
| EOY | $43,648,492 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,911,244 | BOYAmt |
| EOY | $8,388,606 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,690,626 | BOYAmt |
| EOY | $126,306,557 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,849,844 | BOYAmt |
| EOY | $197,126,988 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,364,682 | BOYAmt |
| EOY | $6,108,370 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,204 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,056 | BOYAmt |
| EOY | $228,255 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,499,534 | BOYAmt |
| EOY | $6,336,625 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,992,434 | BOYAmt |
| EOY | $187,585,008 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,357,876 | BOYAmt |
| EOY | $3,205,355 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,350,310 | BOYAmt |
| EOY | $190,790,363 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,849,844 | BOYAmt |
| EOY | $197,126,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,211,706 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$10,771,653 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $220 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $220 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHED C, PART II - B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | DUES WERE PAID TO 340B HEALTH AND THE FLORIDA SOCIETY OF HEALTH-SYSTEM PHARMACISTS. THESE ASSOCIATIONS USE A PORTION OF THEIR DUES TO CONDUCT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,754,751 | OtherCostOrOtherBasisAmt |
| Book Value | $2,754,751 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,098,487 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,179,605 | DepreciationAmt |
| Book Value | $27,918,882 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,922 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,898,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,560,967 | DepreciationAmt |
| Book Value | $11,337,246 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,637,613 | OtherCostOrOtherBasisAmt |
| Book Value | $1,637,613 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,648,492 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $125,744,779 |
| PPD PHYSICIAN RECRUITMENT LT | $561,778 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $126,306,557 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER RESOURCE FUND | $209,995 |
| ASSET RETIREMENT OBLIGATION ST | $18,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $228,255 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $140,398,275 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $36,791 | OtherRevenueAmt |
| Revenue Not Reported | $36,791 | RevenueNotReportedAmt |
| Revenue Subtotal | $140,361,484 | RevenueSubtotalAmt |
| Other Revenues Not Included | $16,740,475 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $16,740,475 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $157,101,959 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $126,520,463 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $126,520,463 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $16,369,790 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $16,369,790 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $142,890,253 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT BELIEVES THAT ALL TAX POSITIONS TAKEN WITH RESPECT TO EXEMPT STATUS ISSUES AND UBTI ISSUES, IF EXAMINED BY THE IRS WITH FULL KNOWLEDGE OF ALL MATERIAL FACTS, ARE MORE LIKELY THAN NOT TO BE SUSTAINED. THEREFORE, THE FULL BENEFITS OF THE TAX POSITIONS TAKEN ARE RECOGNIZED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FOUNDATION EARNINGS 23,923. GRANTS 12,868. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 16,366,058. OTHER INCOME 41,323. GRANTS 12,868. CONTRIBUTIONS RECORDED IN NET ASSETS 316,496. TAX GAIN/LOSS 3,730. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 16,366,058. TAX GAIN/LOSS 3,730. ROUNDING 2. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,065,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,065,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,902,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,876,023 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,026,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09510 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,702,537 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,298,150 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,404,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,670,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,174,173 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,496,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $446,218 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $446,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $518,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $518,206 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,063 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $997,487 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $997,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,668,095 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,174,173 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,493,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,648 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,846 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,366,058 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $12,773,435 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,745,205 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,061,135 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,315,930 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH FLORIDA BAPTIST HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 N ALEXANDER STREET | AddressLine1Txt |
| City | PLANT CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BAYCARE.ORG/SFBH | WebsiteAddressTxt |
| State License | 4056 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH FLORIDA BAPTIST HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.000000000000 | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://BAYCARE.ORG/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SOUTH FLORIDA BAPTIST HOSPITAL, INC. | PART V, SECTION B, LINE 5: TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SOUTH FLORIDA BAPTIST HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 32 COMMUNITY STAKEHOLDERS IN THE SOUTH FLORIDA BAPTIST HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 8 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS. |
| SOUTH FLORIDA BAPTIST HOSPITAL, INC. | PART V, SECTION B, LINE 6A: CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:1. ST. ANTHONY'S HOSPITAL2. MORTON PLANT HOSPITAL ASSOCIATION3. TRUSTEES OF MEASE4. ST. JOSEPH'S HOSPITAL5. SOUTH FLORIDA BAPTIST HOSPITAL |
| SOUTH FLORIDA BAPTIST HOSPITAL, INC. | PART V, SECTION B, LINE 11: WHILE 15 AREAS OF OPPORTUNITY WERE IDENTIFIED WITHIN SOUTH FLORIDA BAPTIST HOSPITAL'S SERVICE AREA, CONCENTRATED EFFORTS WILL BE DEDICATED DURING THE 2017-2019 TIME PERIOD TO ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF OUR COMMUNITY AS IDENTIFIED IN THE MOST RECENT CHNA: - ACCESS TO HEALTHCARE SERVICES - CANCER - DIABETES - HEART DISEASE & STROKE - INFANT HEALTH - MENTAL HEALTH - SUBSTANCE ABUSE - NUTRITION, PHYSICAL ACTIVITY & WEIGHTPLEASE SEE THE ATTACHED IMPLEMENTATION PLAN FOR SPECIFIC ACTIVITIES THAT ARE UNDERWAY TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS DURING THE 2017-2019 TIME PERIOD.BASED ON THE SCOPE/SCALE OF THE ISSUE, SOUTH FLORIDA BAPTIST HOSPITAL'S LEADERSHIP TEAM'S PERCEIVED ABILITY TO IMPACT THE ISSUE, THE AVAILABILITY OF EXISTING COMMUNITY RESOURCES ALREADY IN PLACE TO ADDRESS THE ISSUE AND CONSIDERING COMMUNITY STAKEHOLDER FEEDBACK, THE SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE 2016 ASSESSMENT THAT ARE NOT DIRECTLY REFERENCED IN THE 2017-2019 CHNA IMPLEMENTATION STRATEGY ARE LISTED BELOW:DEMENTIA (INCLUDING ALZHEIMER'S DISEASE)SOUTH FLORIDA BAPTIST HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS DEMENTIA (INCLUDING ALZHEIMER'S DISEASE). WHILE THIS IS AN IMPORTANT ISSUE, OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITEDRESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.HIV/AIDSWHILE NO NEW ACTIVITIES ARE NOTED WITHIN THE CYCLE-2 CHNA IMPLEMENTATION PLAN SPECIFICALLY RELATED TO HIV/AIDS, SOUTH FLORIDA BAPTIST HOSPITAL REMAINS COMMITTED TO SUPPORTING THOSE AFFECTED BY HIV/AIDS. BAYCARE'S CONTINUED OPERATION OF HIV CLINICS IS ONE OF THE SPECIFIC WAYS IN WHICH THAT COMMITMENT TO OUR COMMUNITY IS DEMONSTRATED ON A DAILY BASIS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR NEW ACTION DURING THE CYCLE-2 PERIOD.INJURY & VIOLENCESOUTH FLORIDA BAPTIST HOSPITAL'S LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY ORGANIZATIONS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.ORAL HEALTHWHILE SOUTH FLORIDA BAPTIST HOSPITAL CONTINUES TO COLLABORATE WITH SUNCOAST COMMUNITY CARE CLINICS TO SUPPORT THEIR PEDIATRIC DENTAL HEALTH PROGRAM FOR DENTAL STUDENTS REQUIRING HOSPITAL EXPERIENCE, SOUTH FLORIDA BAPTIST HOSPITAL HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLETO ADDRESS ORAL HEALTH. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.POTENTIALLY DISABLING CONDITIONSSOUTH FLORIDA BAPTIST HOSPITAL'S LEADERSHIP BELIEVES THAT EFFORTS OUTLINED HEREIN TO IMPROVE ACCESS TO HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON AIDING THOSE WITH POTENTIALLY DISABLING CONDITIONS AND THAT A SEPARATE SET OF INITIATIVES WAS NOT NECESSARY AT THIS TIME.RESPIRATORY DISEASES WHILE NO NEW ACTIVITIES ARE NOTED WITHIN THE CYCLE-2 CHNA IMPLEMENTATIONPLAN SPECIFICALLY RELATED TO RESPIRATORY DISEASES, SOUTH FLORIDA BAPTIST HOSPITAL REMAINS COMMITTED TO SUPPORTING THOSE AFFECTED BY THESE CONDITIONS THROUGH VARIOUS INITIATIVES (SPECIFICALLY COPD, CLRD AND ASTHMA). LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.SEXUALLY TRANSMITTED DISEASESSOUTH FLORIDA BAPTIST HOSPITAL'S LEADERSHIP BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. |
| SOUTH FLORIDA BAPTIST HOSPITAL, INC. | PART V, SECTION B, LINE 13B: PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME. |
| SOUTH FLORIDA BAPTIST HOSPITAL, INC. | PART V, SECTION B, LINE 18E: LIEN ACTION RELATED TO COLLECTIONS IS LIMITED TO PATIENTS INVOLVING AUTO LIABILITY INSURANCE. |
| PART V, SECTION B, LINE 7A | HTTPS://BAYCARE.ORG/HOSPITALS/SOUTH-FLORIDA-BAPTIST-HOSPITAL/ABOUT-US/COMMUNITY-HEALTH-NEEDS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SFB OUTPATIENT REHAB CENTER | ||||
| 874 S PARSONS AVE | BRANDON | FL | 33511 | REHABILITATION SERVICES |
| 2 - SFB OUTPATIENT REHAB CENTER (ADULTS) | ||||
| 414 N PLANT AVENUE | PLANT CITY | FL | 33563 | REHABILITATION SERVICES |
| 3 - SFB OUTPATIENT REHAB CENTER (PEDIATRICS) | ||||
| 1601 W TIMBERLANE DR SUITE 800 | PLANT CITY | FL | 33566 | REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. SOUTH FLORIDA BAPTIST HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS.PRESUMPTIVE FINANCIAL ASSISTANCE DECISIONS FOR UNINSURED ER PATIENTS MAY BE DETERMINED BASED ON THIRD PARTY ANALYTICS, USING A CREDIT INQUIRY PROCESS, UNDER THE FOLLOWING CIRCUMSTANCES: - UNINSURED ACCOUNTS OF PATIENTS NOT SEEN BY THE FINANCIAL ASSISTANCE TEAM OR WITHOUT A CURRENT FINANCIAL ASSISTANCE APPLICATION ON FILE - THE REPORTED FEDERAL POVERTY LEVEL (FPL) OF THE PATIENT MEETS THE SOUTH FLORIDA BAPTIST HOSPITAL CRITERIA FOR FINANCIAL ASSISTANCE (250%) |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS AVAILABLE TO THE PUBLIC AND WAS PREPARED BY BAYCARE HEALTH SYSTEM INC, A RELATED ORGANIZATION. |
| PART I, LINE 7: | FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $16,366,058 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | SOUTH FLORIDA BAPTIST HOSPITAL SUPPORTS THE COMMUNITY THROUGH ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS, AND COALITION BUILDING. THIS INCLUDES: - LEADERSHIP TIME DEDICATED TO THE ECONOMIC DEVELOPMENT COUNCIL AND CHAMBER OF COMMERCE.- RECYCLING COSTS FOR DISPOSABLE ITEMS- TEAM MEMBER TIME DEDICATED TO COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS TO IMPROVE ECONOMIC STABILITY AND PROSPERITY IN THE COMMUNITY. COMMUNITY GROUPS INCLUDE ROTARY CIVIC CLUB, LIONS CIVIC CLUB, AND KIWANIS CLUB. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE IS CALCULATED AS A CHARGE RATIO, DERIVED FROM DATA SAMPLING. THE RESULTING CHARGE RATIO IS THEN APPLIED TO TOTAL BAD DEBT ACCOUNTS OF THE ORGANIZATION, WHICH CALCULATES THE BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE. THE STATE OF FLORIDA REQUIRES THE PATIENT TO PROVIDE CERTAIN DOCUMENTATION IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE. IN CASES WHERE THE PATIENT HAS NOT RESPONDED TO HOSPITAL REQUESTS OR BILLING STATEMENT ALERTS, THOSE ACCOUNTS ARE PROCESSED AS BAD DEBT, IF UNPAID. |
| PART III, LINE 3: | SEE PART III, LINE 2 |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | COST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. - LINE 7 SURPLUS OR (SHORTFALL) ($2,315,930) - ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($2,498,574) - TOTAL SURPLUS OR (SHORTFALL) ($4,814,504) |
| PART III, LINE 9B: | PATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE, ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), THE PATIENT'S ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. |
| PART VI, LINE 2: | SOUTH FLORIDA BAPTIST HOSPITAL, INC. IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS IN THE COMMUNITIES IT SERVES. SOUTH FLORIDA BAPTIST HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS.IN ADDITION, SOUTH FLORIDA BAPTIST HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEED STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST SOUTH FLORIDA BAPTIST HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES. |
| PART VI, LINE 3: | SOUTH FLORIDA BAPTIST HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE SOUTH FLORIDA BAPTIST HOSPITAL, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS.IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, SOUTH FLORIDA BAPTIST HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE. |
| PART VI, LINE 4: | SOUTH FLORIDA BAPTIST HOSPITAL IS AN ACUTE CARE FACILITY SERVING PARTS OF HILLSBOROUGH AND POLK COUNTIES. THE AVERAGE HOUSEHOLD INCOME IN THIS AREA FALLS $3,962 BELOW THE STATE AVERAGE AND $13,706 BELOW THE NATIONAL AVERAGE. 10.6% OF HOUSEHOLDS HAVE ANNUAL HOUSEHOLD INCOME BELOW $15,000 PER YEAR. THE POPULATION SERVED IS PREDOMINANTLY CAUCASIAN AND HIGH-SCHOOL OR HIGHER EDUCATED. HISPANICS ARE THE SECOND LARGEST ETHNIC GROUP REPRESENTING 21.9% OF THE POPULATION. SOUTH FLORIDA BAPTIST HOSPITAL IS PART OF BAYCARE HEALTH SYSTEM THAT SERVES WEST CENTRAL FLORIDA. THE PRIMARY AND SECONDARY SERVICE AREA SERVED BY SOUTH FLORIDA BAPTIST HAS 6 HOSPITALS. ALL BUT ONE ARE NOT-FOR-PROFIT. THERE ARE 3 FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS POPULATIONS IN SOUTH FLORIDA BAPTIST'S SERVICE AREA. WITH THE OVER 65 POPULATION EXPECTED TO GROW 20.0% IN THE NEXT FIVE YEARS, THE HEALTH CARE NEEDS OF OUR SERVICE AREA ARE EXPANDING AND CHANGING. THE POPULATION SERVED BY SOUTH FLORIDA BAPTIST HOSPITAL IS EXPECTED TO GROW 7.3% IN THE NEXT 5 YEARS. THIS IS HIGHER THAN THE EXPECTED GROWTH RATE FOR BOTH FLORIDA (6.7%) AND THE UNITED STATES (3.5%). BASED ON FLORIDA INPATIENT DISCHARGE DATA FOR THE PERIOD OF 10/01/2017-9/30/2018, THE PAYER MIX FOR THE GEOGRAPHIC AREA CONSISTS OF 46.2% MEDICARE/MEDICARE HMO, 18.9% MEDICAID/MEDICAID HMO, 20.7% COMMERCIAL INSURANCE, 9.0% SELF PAY/NON-PAY, AND 5.2% OTHER. |
| PART VI, LINE 5: | OUR MISSION AT SOUTH FLORIDA BAPTIST HOSPITAL AS PART OF THE BAYCARE HEALTH SYSTEM IS TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY COMPASSIONATE CARE. BY FOCUSING ON EDUCATION AND PREVENTION, WE STRIVE TO CREATE A HEALTHIER COMMUNITY AND LOWER HEALTH CARE EXPENDITURES. SOUTH FLORIDA BAPTIST HOSPITAL WAS FOUNDED IN 1953 AS A RESULT OF A PARTNERSHIP BETWEEN MANY GENEROUS, CIVIC-MINDED CITIZENS OF PLANT CITY AND THE DEDICATED FINANCIAL SUPPORT OF THE FLORIDA BAPTIST CHURCH CONVENTION. ITS MISSION HAS ALWAYS CENTERED ON SERVICE, COMPASSIONATE CARE AND TREATING INDIVIDUALS WITH DIGNITY AND RESPECT. PAIR THOSE VALUES WITH THE ADVANCED MEDICAL TECHNOLOGIES AND OUTSTANDING PHYSICIANS YOU'LL FIND AT SOUTH FLORIDA BAPTIST HOSPITAL TODAY AND THE RESULT IS THE EXCEPTIONAL CARE WE DELIVER TO OUR PATIENTS EVERY DAY. WHETHER IT IS FINANCIAL ASSISTANCE FOR MEDICAL CARE FOR THE UNINSURED OR UNDERINSURED, DONATED RESOURCES TO LOCAL NON-PROFITS OR EDUCATION CLASSES AND SUPPORT GROUPS HOSTED BY OUR TEAM AT SOUTH FLORIDA BAPTIST HOSPITAL, WE SELFLESSLY GIVE BACK TO IMPROVE THE HEALTH OF THE COMMUNITY THAT SURROUNDS THE HOSPITAL.COMMUNITY INVOLVEMENTSOUTH FLORIDA BAPTIST HOSPITAL INVOLVES COMMUNITY MEMBERS AS AN ESSENTIAL COMPONENT OF THE BOARD OF TRUSTEES. IN ADDITION, A DIVERSE GROUP OF LEADERS SERVE ON A HOSPITAL-SPECIFIC BOARD OFFERING LOCAL INPUT AND OVERSIGHT TO HOSPITAL OPERATIONS. IN 2018, SOUTH FLORIDA BAPTIST HOSPITAL PROVIDED NUMEROUS FREE COMMUNITY EDUCATION OPPORTUNITIES IN THE FORM OF SUPPORT GROUPS ON A VARIETY OF HEALTH TOPICS. CONDUIT FOR USING DONATED FUNDSFLORIDA BLUE UBER GRANT - BAYCARE HAS RECEIVED FUNDING FROM FLORIDA BLUE TO PARTNER WITH UBER TO REDUCE TRANSPORTATION BARRIERS IN ACCESSING HEALTH CARE. THE APPROXIMATELY $120,000 IN GRANT SPENDING SUPPORTED 5,848 PEOPLE ACROSS BAYCARE HEALTH SYSTEM IN 2018.ALLEGANY FRANCISCAN MINISTRIES (FAITH COMMUNITY NURSING GRANT)BAYCARE HAS RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE CAPACITY AND SUPPORT TO OUR FAITH COMMUNITY NURSING PROGRAM TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE HEALTH OUTCOMES FOR PARTICIPANTS. ANNUAL FUNDING OF $160,000 SUPPORTS THIS WORK ACROSS BAYCARE HEALTH SYSTEM. ALLEGANY FRANCISCAN MINISTRIES (MEDICATION ASSISTANCE PROGRAM)BAYCARE HAS RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE ASSISTANCE TO THOSE WHO FACE FINANCIAL BARRIERS IN GETTING THEIR NEEDED PRESCRIPTION MEDICATIONS. MEDICATION ASSISTANCE COORDINATORS WORK WITH PATIENTS TO DETERMINE IF THERE ARE VOUCHERS AVAILABLE OR WORK WITH THE PATIENT'S DOCTOR TO SEE IF A MORE COST EFFECTIVE, ALTERNATIVE MEDICATION IS AVAILABLE. ANNUAL FUNDING OF $65,000 PROVIDES SUPPORT FOR THIS PROGRAM ACROSS BAYCARE HEALTH SYSTEM.ECONOMIC IMPACTTHERE ARE 825 EXTRAORDINARY SOUTH FLORIDA BAPTIST TEAM MEMBERS AND 372 PHYSICIANS, WHO TOGETHER BRING THE SFBH MISSION TO LIFE. BY INVITING THE NEXT GENERATION OF HEALTH CARE WORKERS TO LEARN FROM THE SKILL AND EXPERTISE OF OUR CURRENT TEAM MEMBERS, SFBH PROVIDES VALUABLE BENEFIT TO THE COMMUNITY. IN 2018, 237 STUDENTS FROM SEVERAL LOCAL HIGH SCHOOLS, COMMUNITY COLLEGES AND UNIVERSITIES EARNED REQUIRED INTERNSHIP HOURS THROUGH OUR HEALTH CARE PROFESSIONALS' PARTNERSHIPS.GOOD NEIGHBORSSFBH PROVIDES FREE MEETING SPACE FOR A WIDE VARIETY OF COMMUNITY GROUPS AND IS AN ACTIVE PARTICIPANT IN THE PLANT CITY'S ANNUAL STRAWBERRY FESTIVAL, PROVIDING VOLUNTEER SUPPORT FOR THIS COMMUNITY'S SIGNATURE EVENT. RECOGNITIONSOUTH FLORIDA BAPTIST HOSPITAL EARNED PATHWAYS TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSE'S CREDENTIALING CENTER. IN ADDITION, THE HOSPITAL IS PART OF THE BAYCARE HEALTH SYSTEM THAT HAS BEEN NAMED A "BEST PLACE TO WORK" BY BOTH FORTUNE MAGAZINE AND THE TAMPA BAY TIMES. THE HOSPITAL ALSO RANKED IN TRUVEN'S TOP DECILE FOR PATIENT SATISFACTION IN 2018.RESPONDING TO NEEDSTHROUGH OUR FAITH COMMUNITY NURSING PROGRAM, HEALING HAPPENS THROUGH A UNIQUE PARTNERSHIP BETWEEN SFBH AND LOCAL FAITH COMMUNITIES. THESE REGISTERED NURSES OFFER EDUCATION, ADVOCACY, PREVENTATIVE CARE AND REFERRALS TO HEALTH CARE PROVIDERS BY COLLABORATING WITH COMMUNITY AGENCIES TO FIND ASSISTANCE IN MEETING THE NEEDS OF CLIENTS AND CAREGIVERS. IN 2018, FAITH COMMUNITY NURSES SERVED 6,071 HOURS AND DIRECTLY TOUCHED THE LIVES OF 6,139 PEOPLE. BAYCARE HEALTH SYSTEM AND SFBH HAVE TAKEN THE TREATMENT OF CRITICALLY ILL PATIENTS TO THE NEXT LEVEL WITH VIRTUAL ICU, A TELEMEDICINE-BASED PROGRAM. COMBINING MEDICAL EXPERTISE, TECHNOLOGY AND EXPERIENCED CRITICAL CARE NURSES AND DOCTORS, VIRTUAL ICU IS AN ELECTRONIC PATIENT MONITORING SYSTEM THAT USES REMOTE COMPUTER TECHNOLOGY, EXPERIENCED CRITICAL CARE NURSES AND BOARD CERTIFIED PHYSICIANS TO ENHANCE THE CARE OF CRITICALLY ILL PATIENTS.TO MEET THE COMMUNITY'S NEED FOR DIABETES EDUCATION, SOUTH FLORIDA BAPTIST HOSPITAL OFFERS A SERIES OF DIABETES CLASSES THAT TEACHES PARTICIPANTS TO BUILD AN ACTION PLAN TO MAKE CHANGES IN THEIR LIFESTYLE CHOICES AND BEHAVIORS. IN 2018, THE CLASS WAS OFFERED FOUR TIMES AND BENEFITTED 16 PARTICIPANTS. SOUTH FLORIDA BAPTIST HOSPITAL PARTNERS WITH TOBACCO FREE FLORIDA TO OFFER "IQUIT SMOKING CESSATION" PROGRAMS. THIS FREE MONTHLY PROGRAM IS PROVIDED AT THE SOUTH FLORIDA BAPTIST HOSPITAL CANCER RESOURCE CENTER TO PROMOTE AWARENESS FOR ALL CANCER RELATED DISEASES.REGISTERED DIETITIANS PROVIDE COMMUNITY EDUCATION AND COUNSELING ON A WIDE RANGE OF HEALTH-RELATED TOPICS. IN ADDITION, FOOD DONATIONS ARE MADE TO THE MEALS ON WHEELS PROGRAM OF PLANT CITY AS WELL AS PLANT CITY CHURCH OF GOD. THE HOSPITAL ALSO PROVIDES MONETARY AND FOOD SUPPORT AND FLU VACCINES TO THE PLANT CITY FOOD BANK.EMERGENCY CARESOUTH FLORIDA BAPTIST HOSPITAL'S EMERGENCY CENTER IS THE LARGEST AND MOST TECHNOLOGICALLY ADVANCED IN EASTERN HILLSBOROUGH COUNTY, WITH AN OUTSTANDING TEAM OF BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS, NURSES AND PARAMEDICS PROVIDING CARE TO NEARLY 40,000 CHILDREN AND ADULTS EVERY YEAR. SOUTH FLORIDA BAPTIST HOSPITAL PROVIDES CARE FOR EVERY PATIENT IN THE EMERGENCY CENTER, REGARDLESS OF THEIR ABILITY TO PAY. VOLUNTEER ACTIVITIESIN 2018, 44,820 HOURS OF VOLUNTEER HOURS WERE DONATED TO SFBH BY 133 VOLUNTEERS CONTRIBUTED 44,820 HOURS OF SERVICE. SERVICES PROVIDED INCLUDE ASSISTANCE TO PATIENTS AND VISITORS AT THE INFORMATION DESKS AND IN THE GIFT SHOP, WHEELCHAIR ASSISTANCE AND SERVING AS PATIENT LIAISONS IN THE WAITING ROOMS. |
| PART VI, LINE 6: | SOUTH FLORIDA BAPTIST HOSPITAL, INC IS PART OF BAYCARE HEALTH SYSTEM, INC. ("BAYCARE"), A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 14 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY AND WEST CENTRAL FLORIDA REGIONS. INPATIENT AND OUTPATIENT SERVICES INCLUDE ACUTE CARE, PRIMARY CARE, IMAGING, LABORATORY, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S ANNUAL "REPORT TO THE COMMUNITY" CAN BE VIEWED AT HTTPS://BAYCARE.ORG/ANNUAL-REPORT-2018.BAYCARE'S HOSPITALS ARE BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, ST. JOSEPH'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S HOSPITAL-NORTH, ST. JOSEPH'S HOSPITAL-SOUTH, SOUTH FLORIDA BAPTIST, WINTER HAVEN AND WINTER HAVEN WOMEN'S.*BAYCARE WAS FOUNDED IN 1997 WHEN SEVERAL OF THE AREA'S NOT-FOR-PROFIT HOSPITALS CAME TOGETHER TO CREATE A HEALTH SYSTEM THAT WOULD ENSURE HIGH-QUALITY HEALTH CARE FOR EVERYONE IN THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. TODAY, BAYCARE IS A $4.2 BILLION, INTEGRATED HEALTH DELIVERY SYSTEM WITH 28,400 EMPLOYEES. IT PLAYS AN IMPORTANT ROLE AS AN ECONOMIC ENGINE, ANNUALLY GENERATING A $6.62 BILLION IMPACT ON THE REGION AND THE STATE. IN 2018, BAYCARE SPENT $2.09 BILLION TO PAY FOR THE SALARY AND BENEFITS OF ITS EMPLOYEES AND INVESTED $309 MILLION IN CAPITAL RESOURCES.BAYCARE'S CENTRALIZATION OF ADMINISTRATIVE FUNCTIONS IN A NUMBER OF AREAS, INCLUDING FINANCE, BUSINESS OFFICE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, PERFORMANCE IMPROVEMENT, CLINICAL OUTCOMES, CARE MANAGEMENT, PLANNING, SUPPLY CHAIN AND MARKETING/COMMUNICATIONS, HAS PROVIDED A MANAGEMENT STRUCTURE THAT HELPS ITS HOSPITALS AND SERVICE LINES OPERATE MORE EFFICIENTLY AND CONTINUE STRIVING FOR CLINICAL EXCELLENCE. BAYCARE'S FINANCIAL STABILITY ALSO HELPS ENSURE THAT ITS HOSPITALS REMAIN FOCUSED ON THEIR SHARED MISSION TO IMPROVE THE HEALTH OF ALL THEY SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE, REGARDLESS OF PATIENTS' ABILITY TO PAY.IN 2018, BAYCARE PROVIDED $462 MILLION IN TOTAL COMMUNITY BENEFIT, 11% OF BAYCARE'S REVENUES, WHICH INCLUDES $117 MILLION IN TRADITIONAL CHARITY CARE FOR UNINSURED PATIENTS, $311 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, AND $34 MILLION IN UNBILLED COMMUNITY SERVICES. ALL OF THESE ARE MEASURED IN UNREIMBURSED COST.*IN CERTAIN CASES, HOSPITAL LOCATIONS WITH THE SAME TAX IDENTIFICATION AND STATE LICENSE NUMBER ARE LISTED AS ONE FACILITY ON FORM 990, SCHEDULE H, CONSISTENT WITH IRS REPORTING GUIDELINES. |
| PART VI, LINE 7 | SOUTH FLORIDA BAPTIST HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE A COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENN WATERS | ||||||||||||||
| TRUSTEE/EVP, COO BAYCARE | $0 | $922,335 | $0 | $352,137 | $0 | $274,564 | $0 | $18,822 | $0 | $41,172 | $0 | $1,609,030 | $0 | $14,747 |
| CARL TREMONTI | ||||||||||||||
| VP, CFO BAYCARE HOSP DIV TILL MAY | $0 | $404,412 | $0 | $128,903 | $0 | $164,893 | $0 | $13,750 | $0 | $12,577 | $0 | $724,535 | $0 | $49,498 |
| RONALD BEAMON | ||||||||||||||
| VP, CFO BAYCARE HOSP DIV EFF MAY | $0 | $220,342 | $0 | $54,022 | $0 | $36,000 | $0 | $7,903 | $0 | $13,682 | $0 | $331,949 | $0 | $0 |
| KAREN KERR | ||||||||||||||
| PRES, SOUTH FL BAPTIST HOSP | $0 | $246,341 | $0 | $82,641 | $0 | $69,384 | $0 | $17,512 | $0 | $27,332 | $0 | $443,210 | $0 | $0 |
| BETH TANCREDO | ||||||||||||||
| DIR, OPERATIONS SOUTH FL BAPTIST HOS | $136,293 | $0 | $15,345 | $0 | $1,104 | $0 | $7,330 | $0 | $10,518 | $0 | $170,590 | $0 | $0 | $0 |
| MERCY NINAN | ||||||||||||||
| MANAGER PHARMACY | $165,232 | $0 | $13,122 | $0 | $1,750 | $0 | $8,992 | $0 | $29,112 | $0 | $218,208 | $0 | $0 | $0 |
| ROBERT KAUFFMAN | ||||||||||||||
| CLINICAL PHARMACIST | $145,973 | $0 | $1,589 | $0 | $8,304 | $0 | $8,024 | $0 | $24,097 | $0 | $187,987 | $0 | $0 | $0 |
| GAYA SALYER | ||||||||||||||
| CLINICAL PHARMACIST | $140,473 | $0 | $14,829 | $0 | $6,804 | $0 | $8,004 | $0 | $25,624 | $0 | $195,734 | $0 | $0 | $0 |
| JUNE RAMSEY | ||||||||||||||
| DIR, PATIENT SERVICES | $135,254 | $0 | $9,244 | $0 | $628 | $0 | $3,682 | $0 | $3,044 | $0 | $151,852 | $0 | $0 | $0 |
| SEAN USTIC | ||||||||||||||
| CLINICAL PHARMACIST | $141,957 | $0 | $745 | $0 | $1,957 | $0 | $7,524 | $0 | $15,963 | $0 | $168,146 | $0 | $0 | $0 |
| STEPHEN NIERMAN | ||||||||||||||
| FORMER PRES SOUTH FL BAPTIST HOSP | $0 | $343,802 | $0 | $103,148 | $0 | $116,496 | $0 | $34,210 | $0 | $28,689 | $0 | $626,345 | $0 | $14,581 |
| JACQUES VASCONCELLOS | ||||||||||||||
| FORMER DIR OPERATIONS SOUTH FL BAPTI | $0 | $180,548 | $0 | $21,153 | $0 | $8,641 | $0 | $9,969 | $0 | $21,455 | $0 | $241,766 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | RONALD BEAMON RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $12,000 DURING 2018 WHICH WAS INCLUDED IN HIS TAXABLE WAGES. |
| PART I, LINE 3 | THE FILING ORGANIZATION DOES NOT USE ANY OF THE OPTIONS LISTED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR. HOWEVER, THE RELATED ORGANIZATION, BAYCARE HEALTH SYSTEM INC, USES COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS A MEANS TO ESTABLISH THE CEO'S COMPENSATION OF THE FILING ORGANIZATION. |
| PART I, LINE 4B | GLENN WATERS - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $237,944 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $93,631 IN 2018. CARL TREMONTI - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $137,675 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $54,175 IN 2018. KAREN KERR - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $41,916 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $16,494 IN 2018. STEPHEN NIERMAN - PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. HE HAD $91,412 IN BENEFITS VEST IN 2018. THIS AMOUNT IS INCLUDED IN PART II (B)(III) OTHER COMPENSATION. THE PLAN MADE CASH DISTRIBUTION OF $35,971 IN 2018. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A | EFFECTIVE 2018, THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. THIS IS A CHANGE FROM THE PRIOR YEAR REPORTING AS IT BETTER ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF SOUTH FLORIDA BAPTIST HOSPITAL, INC. CONSIST OF TWENTY-ONE PERSONS, WHO SHALL BE MEMBERS OF MISSIONARY BAPTIST CHURCHES IN FLORIDA, AFFILIATED WITH THE FLORIDA BAPTIST CONVENTION AND THE SOUTHERN BAPTIST CONVENTION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SOUTH FLORIDA BAPTIST HOSPITAL, INC (SFBH) IS A HOSPITAL PARTICIPANT IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006 AS AMENDED (THE "JOA"). PER THE AGREEMENT, SFBH IS ORGANIZED INTO THE ST. JOSEPH'S-BAPTIST COMMUNITY HEALTH ALLIANCE AND GOVERNED BY ITS BOARD. THE GOVERNING BOARD OF THE ST. JOSEPH'S BAPTIST COMMUNITY HEALTH ALLIANCE WILL CONSIST OF TWENTY MEMBERS, FIFTEEN APPOINTED BY TRINITY HEALTH AND FIVE APPOINTED BY SOUTH FLORIDA. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. THE FOLLOWING ARE RIGHTS GRANTED TO THE MEMBERS OF SOUTH FLORIDA BAPTIST HOSPITAL: SECTION 2. MEMBER RESERVED RIGHTS. THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF DIRECTORS OF THE CORPORATION EXCEPT THAT THE MEMBER RESERVES TO ITSELF IN ITS CAPACITY AS THE CORPORATE MEMBER OF THE CORPORATION THE FOLLOWING TWO CATEGORIES OF ACTIONS: A. CLASS I MEMBER RESERVED RIGHTS. 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION. 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION. 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION. 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER). 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION. 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS. 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION. 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION. 10. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER. 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION. 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION. 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER. B. CLASS II MEMBER RESERVED RIGHTS. 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 2. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 3. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION. 4. CHANGE IN THE NAME OF THE HOSPITAL FACILITY OF THE CORPORATION. 5. APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION OF THE CORPORATION AND THESE AMENDED AND RESTATED BYLAWS. 6. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES). |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE CFO, AS WELL AS THE ORGANIZATION'S PAID PREPARER. PRIOR TO FILING WITH THE IRS, A FINAL COPY OF THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD VIA A WEB PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | SOUTH FLORIDA BAPTIST HOSPITAL, INC. HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS USED FOR COMPENSATION REVIEW AND APPROVAL THE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT ALSO FOLLOWS THE COMPENSATION POLICY OF THE COMPENSATION COMMITTEE. THE INDEPENDENT COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEES MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURRING IN 2017, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOUTH FLORIDA BAPTIST HOSPITAL, INC. PUBLISHES ITS FINANCIAL STATEMENTS WITH THE AGENCY FOR HEALTH CARE ADMINISTRATION. GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA SUNBIZ.ORG. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF FOUNDATION -14,157. NET ASSET TRANSFER PER JOA -10,441,000. CONTRIBUTIONS RECORDED IN NET ASSETS -316,497. ROUNDING 1. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN KNOX VILLAGE OF TAMPA BAY INC | |||||||||||
| 4100 FLETCHER AVE | TAMPA | FL | 33613 | 581377711 | RETIRE CMMNTY | FL | 501(C)(3) | 10 | SJHCC | Yes (1) | |
| ST JOSEPH'S COMMUNITY CARE INC | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR | TAMPA | FL | 33607 | 593152608 | MEDICAL ASST | FL | 501(C)(3) | 10 | SJHCC | Yes (1) | |
| ST ANTHONY'S PROFESSIONAL BUILDING & SE | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 592018848 | REAL ESTATE | FL | 501(C)(3) | 10 | SJHCC | Yes (1) | |
| ST JOSEPH'S HEALTH CARE CENTER INC | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 592593686 | SUPPORT SRVCS | FL | 501(C)(3) | 12B | Yes (1) | N/A | |
| BAYCARE HEALTH SYSTEM INC | |||||||||||
| 2985 DREW ST | CLEARWATER | FL | 33759 | 592796965 | SUPPORT SRVCS | FL | 501(C)(3) | 12A | 0 | N/A | |
| SOUTH FLORIDA BAPTIST HOSPITAL FOUND INC | |||||||||||
| 301 N ALEXANDER STREET | PLANT CITY | FL | 33563 | 650598653 | FUNDRAISING | FL | 501(C)(3) | 12A | 0 | N/A | |
| ST JOSEPH'S ENTERPRISES INC | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 592822516 | HEALTH INVEST | FL | 501(C)(3) | 12B | SJHCC | Yes (1) | |
| FRANCISCAN PROPERTIES | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 592822519 | SUPPORTS SJH | FL | 501(C)(3) | 12B | SJHCC | Yes (1) | |
| ST JOSEPH'S HOSPITAL OF TAMPA FOUND INC | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 591100828 | FUNDRAISING | FL | 501(C)(3) | 12C | SJHCC | Yes (1) | |
| ST JOSEPH'S HOSPITAL INC | |||||||||||
| 3001 W DR MARTIN LUTHER KING JR BLV | TAMPA | FL | 33607 | 590774199 | HEALTH SRVCS | FL | 501(C)(3) | 3 | Yes (1) | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CARILLON SURGERY CENTER | ||||||||||
| 900 CARILLON | ST PETERSBURG | FL | 33716 | 261116740 | HEALTH SRVC | FL | N/A | N/A | 0 | 0 |
| ST ANTHONY'S PHYSICIAN SURGERY CENTER | ||||||||||
| 705 16TH ST N | ST PETERSBURG | FL | 33705 | 010861245 | HEALTH SRVC | FL | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHPOINT MEDICAL GROUP INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4902 EISENHOWER BLVD SUITE 300 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33634 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593244268 | EIN |
| Primary Activities | PHYSICIAN GRO | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJHCC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH'S HOSPITAL INC | ||
| L | $106,963 | FMV |
| ST JOSEPH'S HEALTH CARE CENTER INC | ||
| M | $2,950,975 | FMV |
| ST JOSEPH'S HOSPITAL INC | ||
| O | $697,091 | FMV |
| FRANCISCAN PROPERTIES | ||
| R | $94,414 | FMV |
| ST JOSEPH'S HOSPITAL INC | ||
| S | $757,245 | FMV |
| ST JOSEPH'S HEALTH CARE CENTER INC | ||
| S | $5,866,860 | FMV |
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