2018-08-14T11:10:07-05:00 2017-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2016-10-01 590657322 BAPTIST HOSPITAL INC % KAY BURNS BAPT 8504344714 POST OFFICE BOX 17500 PENSACOLA FL 32522 MICHAEL GLEASON SVP/CFO 2018-08-15 true Michael J Engle P00482834 8162216300 2016 2022-09-23 18:48:47Z Mark Faulkner 1717 N E ST STE 320 Pensacola FL 32501 564167939 false X www.ebaptisthealthcare.org/BaptistHospital X 1943 FL THE ORGANIZATION'S MISSION IS TO MEET THE HEALTH CARE NEEDS IN THE REGION. IT OPERATES TWO ACUTE CARE HOSPITALS THAT PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. 14 14 3685 311 2177861 782649 639997 765656 515522178 536529278 1535404 10725654 7679711 7765229 525377290 555785817 1185300 1194990 0 0 183179565 197604714 0 0 0 301825259 323046632 486190124 521846336 39187166 33939481 585435839 635394397 324208957 331023635 261226882 304370762 X SEE SCHEDULE O false false 420578230 541660280 General and specialized health care services including inpatient, primary care, long term and outpatient services. Baptist Hospital is a 492-bed tertiary care hospital, the largest in the Baptist Health Care network, that provides specialized care for oncology, heart and vascular, bariatrics, orthopaedics, neurology, trauma, surgery, diagnostic imaging, and psychiatric services. In addition, Baptist Hospital offers diagnostic, treatment and rehabilitation services. Gulf Breeze Hospital is a 77-bed general hospital providing acute and emergency care. Services include diagnostic imaging, surgery, laboratory and orthopaedics. 1901603 1194990 COMMUNITY BENEFIT ACTIVITIES INCLUDING FREE HEALTH SCREENINGS, DONATIONS TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH EDUCATION, MENTORING/SUPPORT GROUPS, CONTINUING MEDICAL EDUCATION, AND OTHER COMMUNITY OUTREACH SERVICES. 422479833 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true 5 0 true 3685 true true true false false false false false false false false false X 14 14 true false false false true true true true true false false true true true true true true true true true true X KAY BURNS 8504697643 1717 NORTH E STREET STE 321 Pensacola FL 32501 X Ronald E Jackson Chairman 1.0 1.0 X X 0 0 0 KIM JERNIGAN DMD VICE CHAIRMAN 1.0 2.0 X X 0 0 0 Ricky W Smith SECRETARY 1.0 1.0 X X 0 0 0 MICHAEL J MAZENKO TREASURER 1.0 1.0 X X 0 0 0 JOHN BAEHR MD MEMBER 1.0 1.0 X 0 0 0 JOHN HEER MEMBER 1.0 1.0 X 0 0 0 DAVID KELLEN MD MEMBER-TERM ENDED 3/17 1.0 1.0 X 0 0 0 ADM ROBERT KELLY MEMBER 1.0 1.0 X 0 0 0 JOHN KIZZIAH MEMBER 1.0 1.0 X 0 0 0 THOMAS F OWENS MEMBER 1.0 1.0 X 0 0 0 MARTHA SAUNDERS PHD MEMBER 1.0 1.0 X 0 0 0 DOUG SPRAGUE MEMBER-TERM START 4/17 1.0 1.0 X 0 0 0 LUTHER TAYLOR MEMBER 1.0 2.0 X 0 0 0 REV LONNIE WESLEY MEMBER 1.0 1.0 X 0 0 0 FRANK WHITE MEMBER-TERM ENDED 3/17 1.0 1.0 X 0 0 0 STEPHANIE WHITE MEMBER - TERM START 4/17 1.0 1.0 X 0 0 0 MARK FAULKNER CEO 10.0 40.0 X 0 741328 226877 MICHAEL GLEASON SENIOR VP/CFO 10.0 40.0 X 0 550954 105042 DAVID M JOYNER MD EXEC DIR&SVP-ANDREWS INSTITUTE 40.0 10.0 X 487041 0 21498 SHARON NOBLES VICE PRES - END DATE 2/17/17 40.0 10.0 X 450221 0 34465 BRYON SCOTT RAYNES PRESIDENT-BHI/EXEC VP-BHC 40.0 10.0 X 443604 0 106991 DANIEL SONTHEIMER MD PRESIDENT-BPE/SVP & CTO-BHC 30.0 20.0 X 442428 0 103919 CYD CADENA VICE PRESIDENT 40.0 0.0 X 217670 0 22466 JULIE CARDWELL VICE PRESIDENT 40.0 0.0 X 229532 0 30288 CYNDE GAMACHE VICE PRESIDENT 40.0 0.0 X 287816 0 29674 VICTOR HALL VICE PRESIDENT 40.0 0.0 X 251614 0 16998 PATSY MYERS VICE PRESIDENT 40.0 0.0 X 217777 0 22570 BRETT REICHWAGE MD PHYSICIAN 40.0 0.0 X 1229240 0 23307 JAMES F ADAMS MD PHYSICIAN 40.0 0.0 X 1165356 0 23262 JOSHUA A DAVIS MD PHYSICIAN 40.0 0.0 X 965344 0 22596 PHILIP C MAHER MD PHYSICIAN 40.0 0.0 X 948320 0 29110 MING ZHANG MD PHYSICIAN 40.0 0.0 X 844323 0 13336 8180286 1292282 832399 185 false true false BEGGS LANE PO BOX 12950 PENSACOLA FL 32591 LEGAL SERVICES 876821 PENSACOLA LUNG GROUP MD'S PA 4700 BAYOU BLVD STE 6 PENSACOLA FL 32503 ON CALL SERVICES 750000 BURWOOD GROUP 8582 SOLUTIONS CTR CHICAGO IL 60677 IT CONSULTING 720122 SANTA ROSA GASTROENTEROLOGY 3117 MERION DR MIRAMAR BEACH FL 32550 PHYSICIAN SERVICES 521867 RAY AND BRIAN LLC DBA BLUEPRINT 10016 OFFICE CENTER AVE STE 100 ST LOUIS MO 63128 ADVERTISING 355752 15 502916 150878 111862 765656 NET PATIENT SERVICE REVENUE 621400 522102056 522102056 LABORATORY SERVICES 621500 3149004 2211725 937279 340B PHARMACY REVENUE 900099 9419348 9419348 EHR REVENUE 541900 83009 83009 COMMUNITY WELLNESS PROGRAMS 900099 425769 425769 1350092 1350092 536529278 6368220 600945 5767275 0 350001 350001 9590159 8382122 1208037 0 1208037 1208037 3240659 1116775 3240659 1116775 4357434 4357434 0 0 0 0 0 0 0 0 0 PARTNERSHIP INCOME 621990 3890420 3890420 CAFETERIA & FOOD SALES 722210 47956 47956 MISCELLANEOUS REVENUE 900099 2268815 639637 1629178 2268815 639637 1629178 6207191 555785817 539482419 2177861 13359881 1102620 1102620 92370 92370 0 0 3272210 2617768 654442 111667 103056 8611 168546484 155288238 13258246 3872601 3573969 298632 10487117 9678413 808704 11314635 10442118 872517 43522304 43522304 563511 58109 505402 234389 234389 0 0 80735 80735 38637060 31465828 7171232 198100 69785 128315 11108858 4275808 6833050 1541241 1248804 292437 0 14078446 11724970 2353476 668370 503113 165257 0 130789 125034 5755 10258407 7316650 2941757 0 18836687 976014 17860673 1701788 1353574 348214 MEDICAL SUPPLIES 103482145 103482145 BAD DEBT EXPENSE 65453799 65453799 INDIGENT ASSESSMENT 4897566 4897566 FOOD COSTS 3702477 3554626 147851 3949960 3075456 874504 521846336 422479833 99366503 0 101211375 92734315 78689371 86029997 0 0 47238312 49687198 0 0 0 0 0 0 11080732 11379820 3135419 3251394 468277535 301971018 148684115 166306517 21240769 22764877 13134506 13761670 0 0 5945735 5981555 155075505 183497054 585435839 635394397 51487037 49650760 235250 486329 259717 627670 150129853 142410057 0 0 0 0 41944804 57810323 14845127 22333287 65307169 57705209 324208957 331023635 X 259927799 303051587 1299083 1319175 0 0 261226882 304370762 585435839 635394397 X 33939481 2660961 6543438 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 33830 246919 33830 246919 521812506 858435669 521846336 858682588 1000000 5141498 250000 1285376 1000000 1000000 1000000 1000000 4000000 6000000 111827 84612 232507 246919 675865 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 1449078 551191 91282 273802 1817749 1278691 554071 65256 448940 1449078 1252059 499595 -83187 389776 1278691 1364739 468161 61393 642234 1252059 1439912 853390 65148 993711 1364739 1.00000 false true true 11511636 11511636 186391567 78617512 107774055 11386924 10472913 914011 247763359 212230809 35532550 11224049 649784 10574265 166306517 DUE FROM AFFILIATES 168173021 DEBT SERVICE REVENUE 13390487 OTHER A/R 1691996 PHYSICIAN GUARENTEE 93750 DEPOSITS 147800 BOND ISSUANCE COST 0 183497054 0 ACCRUED BENEFIT LIABILITY 33008301 DUE TO THIRD PARTY PAYORS 7663622 MALPRACTICE RESERVE 6926463 LINE OF CREDIT 3269532 ASSET RETIREMENT OBLIGATIONS 1896161 MARKET VALUATION ON INT RATES 1063948 CAPITAL LEASE OBLIGATIONS 3358859 OTHER LIABILITIES 518323 57705209 SCHEDULE D, PART V, LINE 4 Restricted funds to be used for providing health care services to indigent care patients, to acquire hospital capital assets, and to provide educational services. SCHEDULE D, PART X, LINE 2 Financial accounting standards board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no uncertain tax positions as of September 30, 2017 and 2016. Central America and the Caribbean Investments 12190869 12190869 12190869 true false true true true false true true X true X false true true true false true true 15924888 15924888 0.03490 44044453 31052389 12992064 0.02850 59969341 31052389 28916952 0.06340 4 57409 756846 756846 0.00170 1144757 1144757 0.00250 4 57409 1901603 1901603 0.00420 4 57409 61870944 31052389 30818555 0.06760 false 65453799 11258053 176676456 182233268 -5556812 X true true Andrews Institute Ambulatory Surgery Center 0.52083 0.47917 ASC LLC 2 1 Baptist Hospital 1000 W Moreno Street Pensacola FL 32501 100093 X X X A 2 GULF BREEZE HOSPITAL 1110 GULF BREEZE PARKWAY GULF BREEZE FL 32561 110003 X X X A A 12 false false true X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X true 15 true WWW.EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA false true X 200. 0. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 The CHNA process was facilitated by The Partnership for a Healthy Community (PFAHC), a nonprofit tax-exempt organization whose mission is to sponsor community health status assessments for the two counties and to support and promote collaborative initiatives that address priority health problems. Collaborating partners in the completion of this report include representatives from the Florida Departments of Health in Escambia and Santa Rosa Counties, Baptist Health Care and its affiliates (including both Baptist and Gulf Breeze Hospital), Sacred Heart Health System, Escambia Community Clinics (a federally qualified health center) and the University of West Florida. With the Florida Department of Health as a partner, the Mobilizing for Action through Planning and Partnerships (MAPP) process was utilized to conduct the CHNA. The MAPP process is a community-driven strategic planning process for improving community health and is comprised of four individual assessments. In August 2015, twenty-two diverse stakeholders, representing the Northwest Florida Partnership for a Healthy Community, Baptist Health Care and its affiliates (including Baptist and Gulf Breeze Hospital), Sacred Heart Health System, the Florida Department of Health-Escambia, Florida Department of Health-Santa Rosa, Escambia and Santa Rosa Community Clinics, Santa Rosa Medical Center, Santa Rosa School District, Healthy Start of Santa Rosa County, SMI Consultants, United Way of Escambia County, the University of West Florida, Ascendant Healthcare Partners, Interfaith Ministries/Good Samaritan Clinic, non-profit organizations and others, served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the PFAHC's Board of Directors. PFAHC's Board of Directors provided oversight and input throughout the development of the assessment and establishment of priority health needs by way of discussions at Board meetings. These directors included representatives from the County's Department of Health and other organizations representing the broad interest of the community. Part V, Section B, Line 6A Baptist Health Care (Baptist Hospital and Gulf Breeze Hospitals parent company), Sacred Heart Health System, and Escambia Community Clinics, a federally qualified health center, were lead organizations and funders of the CHNA process. Senior leadership from Baptist Health Care, Sacred Heart Health System, the Florida Department of Health-Escambia, Florida Department of Health-Santa Rosa, Escambia and Santa Rosa Community Clinics, Santa Rosa Medical Center and Interfaith Ministries/Good Samaritan Clinic also served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the Partnership Board of Directors. SCHEDULE H, Part V, Section B, Line 6b Non-hospital stakeholders, including the University of West Florida, Santa Rosa School District, Healthy Start of Santa Rosa County, SMI Consultants, United Way of Escambia County, Ascendant Health Care Partners, as well as several non-profit and other organizations were part of the diverse PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the Partnership Board of Directors. SCHEDULE H, PART V, SECTION B, LINE 7 BAPTIST AND GULF BREEZE HOSPITAL CHNA WEBSITE: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA SCHEDULE H, Part V, Section B, Line 11 The Partnership completed this process with a holistic review of the data gathered in each of the assessments to identify overarching themes and health issues. The issues were discussed by the Partnership Board of Directors who represents a diverse group of community partners from each county. The discussion affirmed that the health issues selected in 2012 continue to be primary community health concerns. As such, the Board adopted as the 2016 Community Health Priorities for the communities of Escambia and Santa Rosa Counties the following health priorities: - Tobacco Use - Healthiest Weight - Access to Care Baptist and Gulf Breeze Hospital, working through their parent company, Baptist Health Care, in collaboration with other hospitals in the system, recognized that sustained community health improvement happens when organizations from all sectors of the community landscape take ownership of the communitys health and work together for improvement. Baptist Health Care affiliate hospitals and their partners organized work groups around each of the three health improvement priorities and provided broad community leadership, as well as commitment of resources to accomplish the following goals and achieve collective impact: Tobacco Use: - Implement community based tobacco cessation program by hosting on-site tobacco cessation classes - Participate in collaborative efforts lead by the Partnership for a Healthy Community to reduce tobacco use Healthy Weight: - Baptist Hospital will host free nutrition based cooking classes and the Northwest Florida YMCA - Both Baptist and Gulf Breeze Hospital will participate in collaborative efforts lead by the Partnership for a Healthy Community Access to Care: - Increase access to health education by providing opportunities for community health education - Develop passive education tool to improve understanding of access to care - Participate in collaborative efforts lead by the Partnership for a Healthy Community to increase access to health care SCHEDULE H, PART V, SECTION C, LINE 16A-C THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEB ADDRESS: HTTPS://WWW.EBAPTISTHEALTHCARE.ORG/PATIENTFINANCIALRESOURCES 44 Andrews Institute ASC LLC 1040 Gulf Breeze Pkwy Ste 100 Gulf Breeze FL 32561 Ambulatory Surgery Center Andrews Institute Rehabilitation 9400 University Pkwy Ste 104 PENSACOLA FL 32514 REHABILITATION SERVICES Baptist Physician Associates - Wound Car 1717 North E St Tower 3 Ground Flo PENSACOLA FL 32501 WOUND CARE ANDREWS INSTITUTE REHABILITATION 165 E INTENDENCIA ST STE 200 PENSACOLA FL 32501 Rehabilitation Services Andrews Institute Rehabilitation 8888 NAVARRE PKWY NAVARRE FL 32566 Rehabilitation Services Andrews Institute Rehabilitation 1040 GULF BREEZE PKWY STE 101 GULF BREEZE FL 32561 REHABILITATION SERVICES Andrews Institute Rehabilitation 12601 SORRENTO RD STE A PENSACOLA FL 32507 REHABILITATION SERVICES ANDREWS INSTITUTE REHABILITATION 3876 HWY 90 PACE FL 32571 REHABILITATION SERVICES Baptist Medical Group - NEUROSURGERY 1717 NORTH E ST STE 222 PENSACOLA FL 32501 NEUROSURGICAL SERVICES Baptist Medical Group - LADIES FIRST 3417 N 12TH AVE PENSACOLA FL 32504 OB/GYN SERVICES Baptist Medical Group - ENT 1717 NORTH E ST STE 239 PENSACOLA FL 32501 ENT SERVICES BAPTIST MEDICAL GROUP - GENERAL SURGERY 3874 HWY 90 STE 202 PACE FL 32571 SURGICAL SERVICES BAPTIST MEDICAL GROUP-PHYSICAL MED&REHAB 1717 NORTH E ST STE 530 PENSACOLA FL 32501 PHYSICAL MED/REHABILITATION BAPTIST MEDICAL GROUP-FAM MED&SPEC CTR 3874 HWY 90 PACE FL 32571 FAMILY MEDICINE Baptist Medical Group - UROLOGY 1717 N E ST STE 430 PENSACOLA FL 32501 UROLOGY SERVICES Baptist Medical Group-FAM MED WESTSID 6715 HWY 98 W PENSACOLA FL 32506 FAMILY MEDICINE BAPTIST SPEECH CLINIC 1717 N E ST STE236 PENSACOLA FL 32501 SPEECH THERAPY SERVICES Baptist Medical Group-FAM MED & WALK IN 8888 NAVARRE PKWY NAVARRE FL 32566 FAMILY MEDICINE/CLINIC Baptist Medical Group - ORTHO TRAUMA 1717 NORTH E ST STE 208 PENSACOLA FL 32501 ORTHO TRAUMA SERVICES BAPTIST MEDICAL GROUP-FAMILY PRACTICE 9400 UNIVERSITY PKWY STE 409 PENSACOLA FL 32514 FAMILY MEDICINE Baptist Medical Group - SENIOR HEALTH 1717 NORTH E ST STE 227 PENSACOLA FL 32501 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP - ONCOLOGY 1717 NORTH E ST STE 321 PENSACOLA FL 32501 ONCOLOGY SERVICES Baptist Medical Group - FAMILY MED PACE 3810 HWY 90 PACE FL 32571 FAMILY MEDICINE Baptist Medical Group-GUIDEWELL PRIMARY 1678 AIRPORT BLVD PENSACOLA FL 32504 PRIMARY CARE SERVICES Baptist Medical Group - NORTH HILL TOWER 1717 NORTH E ST STE 222 PENSACOLA FL 32501 PRIMARY CARE SERVICES ANDREWS INSTITUTE REHABILITATION 151 E REDSTONE AVE STE 390 CRESTVIEW FL 32536 REHABILITATION SERVICES Baptist Medical Group-RADIATION ONCOLOGY 1717 N E ST STE 134 PENSACOLA FL 32501 ONCOLOGY SERVICES BAPTIST MEDICAL GROUP-FAM MED GB EAST 1337 COUNTY CLUB RD GULF BREEZE FL 32563 FAMILY MEDICINE BAPTIST MEDICAL GROUP-PRIMARY CARE AIRPO 5100 N 12TH AVE STE 201 PENSACOLA FL 32504 PRIMARY CARE SERVICES Baptist Medical Group - LIVE OAK 2896 GULF BREEZE PKWY GULF BREEZE FL 32563 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP-FAMINTERNAL MED 9400 UNIVERSITY PKWY STE 210 PENSACOLA FL 32514 FAMILY/INTERNAL MEDICINE Baptist Medical Group - GASTROENTEROLOGY 5982 BERRYHILL RD STE B MILTON FL 32570 GASTROENTEROLOGY SERVICES Baptist Medical Group-INTERNAL MEDPEDS 8880 NAVARRE PKWY STE 101 NAVARRE FL 32566 INTERNAL MED/PEDIATRICS Baptist Medical Group-INTERNAL MEDICINE 1118 GULF BREEZE PKWY STE 101 GULF BREEZE FL 32561 INTERNAL MEDICINE BAPTIST MEDICAL GROUP-INTERNAL MEDICINE 1118 GULF BREEZE PKWY STE 100 GULF BREEZE FL 32561 INTERNAL MEDICINE MY HEALTHY BLUEPRINT 1901 NORTH E ST PENSACOLA FL 32501 HEALTH & WELLNESS CENTER BAPTIST MEDICAL GROUP - PERDIDO 12601 SORRENTO RD STE B PENSACOLA FL 32507 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP-RHEUMATOLOGY 1717 NORTH E ST STE 425 PENSACOLA FL 32501 RHEUMATOLOGY SERVICES BAPTIST MEDICAL GROUP-FAM MED GULF BREEZ 1118 GULF BREEZE PKWY STE 100 GULF BREEZE FL 32561 FAMILY MEDICINE BAPTIST MEDICAL GROUP - BAYBRIDGE 85 BAYBRIDGE DR GULF BREEZE FL 32561 PRIMARY CARE SERVICES BAPTIST HOSPITAL PRIMARY CARE LLC 9290 BALDRIDGE RD PENSACOLA FL 32514 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP-OPTIMIZATION CLINI 1717 NORTH E ST STE 113 PENSACOLA FL 32501 PRE-SURGICAL SERVICES BAPTIST MEDICAL GROUP-CARE COORD & WELL 9400 UNIVERSITY PARKWAY STE 200 PENSACOLA FL 32514 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP-ENDOCRINOLOGY 1717 NORTH E ST STE 422 PENSACOLA FL 32501 ENDOCRINOLOGY SERVICES SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDINGENCY, INSURANCE/UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING FREE CARE. SCHEDULE H, PART I, LINE 7 The costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions. SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $65,453,799 WAS SUBTRACTED FROM TOTAL EXPENSES PER FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7, COLUMN (F). SCHEDULE H, PART III, LINE 2 AND 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA. SCHEDULE H, PART III, LINE 3 BAD DEBT IS NOT INCLUDED AS PART OF THE ORGNANIZATIONS COMMUNITY BENEFIT. APPROXIMATELY 17.2% OF BAPTIST AND GULF BREEZE HOSPITALS PATIENTS QUALIFY FOR FREE CARE. THIS MEANS THAT APPROXIMATELY $11,258,053, OR 17.2%, OF THE ORGNANIZATIONS BAD DEBT EXPENSE COULD BE INCLUDED AS COMMUNITY BENEFIT HAD THOSE INDIVIDUALS GONE THROUGH THE FINANCIAL ASSISTANCE PROCESS. SCHEDULE H, PART III, LINE 8 THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE ORGANIZATIONS MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELIEVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES. SCHEDULE H, PART III, LINE 9B PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF (A) THEY ARE UNINSURSED OR UNDERINSURED AND (B) THEIR INCOME IS BELOW 200% OF FPL (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES). IF A PATIENT IS FOUND TO BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT, APPROPRITE FINANCIAL ASSISTANCE DISCOUNTS ARE APPLIED TO THE PATIENTS ACCOUNT. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. SCHEDULE H, PART VI, LINE 2 The organization's mission is helping people throughout lifes journey. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the hospital's Community Health Needs Assessment can be accessed using the following website: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA SCHEDULE H, PART VI, LINE 3 ALL EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. THE ORGANIZATION HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. THE ORGNANIZATION PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, THE ORGANIZATION HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE. SCHEDULE H, PART VI, LINE 4 BAPTIST HOSPITAL, INC. OPERATES IN ESCAMBIA AND SANTA ROSA COUNTIES IN FLORIDA. BAPTIST HOSPITAL, THE ORGANIZATIONS LARGEST FACILITY, OPERATES IN ESCAMBIA COUNTY. APPROXIMATELY 314,000 INDIVIDUALS RESIDE IN THIS COUNTY, 15.2% OF WHICH LIVE BELOW POVERTY LEVEL. FOUR HOSPITALS, INCLUDING BAPTIST HOSPITAL, ARE LOCATED IN ESCAMBIA COUNTY. SANTA ROSA COUNTY, FL IS THE LOCATION OF THE ORGANIZATIONS SECOND HOSPITAL, GULF BREEZE HOSPITAL. APPROXIMATELY 174,000 INDIVIDUALS RESIDE IN THIS COUNTY, 10.6% OF WHICH LIVE BELOW POVERTY LEVEL. THREE HOSPITALS, INCLUDING GULF BREEZE HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY. WITH A JOINT POPULATION OF APPROXIMATELY 488,000 RESIDENTS APPROXIMATELY 66,000 RESIDENTS (13.5%) COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE.THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITY LEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES.THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH. SCHEDULE H, PART VI, LINE 6 ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - BAPTIST HEALTH CARE CORPORATION - PARENT ORGANIZATION PROVIDING STRATEGIC MANAGEMENT AND SUPPORT SERVICES - JAY HOSPITAL, INC. - OPERATES JAY HOSPITAL - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - LAKEVIEW CENTER, INC. AND AFFILIATES - PROVIDE BEHAVIORAL HEALTH AND PROTECTIVE SERVICES, LOW-COST HOUSING, AS WELL AS VOCATIONAL SERVICES AND EMPLOYMENT FOR PEOPLE WITH DISABILITIES. - BAPTIST URGENT CARE, LLC DELIVER AMBULATORY CARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM. true Baptist Health Care Foundation Inc Post Office Box 17500 Pensacola FL 32522 590192265 501(C)(3) 284935 Employee Assistance Program Escambia Community Holdings Inc 2000 N Palafox St Pensacola FL 32501 371573135 501(C)(3) 537500 Healthcare assistance to uninsured AMERICAN CANCER SOCIETY 5401 CORPORATE WOODS DR 100 PENSACOLA FL 32504 131788491 501(c)(3) 44500 CANCER RESEARCH CENTER FOR CLERGY CARE AND EDUCATION INC 900 GARDENGATE CIRCLE PENSACOLA FL 32501 271658129 501(c)(3) 7500 PASTORAL EDUCATION YOUNG MEN'S CHRISTIAN ASSOCIATION (YMCA) 165 EINTENDENCIA ST Pensacola FL 32502 590624465 501(c)(3) 102500 Health & Wellness UNIVERSITY OF WEST FLORIDA FOUNDATION INC 11000 UNIVERSITY PKWY PENSACOLA FL 32514 596166292 501(C)(3) 42000 EDUCATION/RESEARCH PENSACOLA SPORTS ASSOCIATION INC PO BOX 12463 PENSACOLA FL 32591 590767953 501(C)(3) 6000 HEALTH & WELLNESS TEXAS HOSPITAL ASSOCIATION FOUNDATION PO BOX 95353 GRAPEVINE TX 760999733 260597324 501(C)(3) 10000 HURRICANE RELIEF 8 INDIGENT DRUG ASSISTANCE 497 42137 INDIGENT TRANSPORTATION 756 50233 Schedule I, Part I, Line 2 All assistance is paid in domestic currency and is restricted for specific uses. Payments to the clinics are in support of clinic operations to support healthcare in the community for the uninsured. X true true X X X X X false true false false false false false false false MARK FAULKNER CEO 0 702900 0 0 0 38428 0 206280 0 20597 0 968205 0 0 MICHAEL GLEASON SENIOR VP/CFO 0 515840 0 0 0 35114 0 86870 0 18172 0 655996 0 0 DAVID M JOYNER MD EXEC DIR&SVP-ANDREWS INSTITUTE 370754 0 0 0 116287 0 4294 0 17204 0 508539 0 0 0 SHARON NOBLES VICE PRES - END DATE 2/17/17 266594 0 179254 0 4373 0 16747 0 17718 0 484686 0 0 0 BRYON SCOTT RAYNES PRESIDENT-BHI/EXEC VP-BHC 422827 0 0 0 20777 0 87600 0 19391 0 550595 0 0 0 DANIEL SONTHEIMER MD PRESIDENT-BPE/SVP & CTO-BHC 392781 0 12900 0 36747 0 83795 0 20124 0 546347 0 0 0 CYD CADENA VICE PRESIDENT 193222 0 15818 0 8630 0 11637 0 10829 0 240136 0 0 0 JULIE CARDWELL VICE PRESIDENT 212260 0 12453 0 4819 0 13228 0 17060 0 259820 0 0 0 CYNDE GAMACHE VICE PRESIDENT 227001 0 54285 0 6530 0 14015 0 15659 0 317490 0 0 0 VICTOR HALL VICE PRESIDENT 220669 0 13165 0 17780 0 5873 0 11125 0 268612 0 7442 0 PATSY MYERS VICE PRESIDENT 161300 0 15457 0 41020 0 5037 0 17533 0 240347 0 10461 0 BRETT REICHWAGE MD PHYSICIAN 565801 0 663385 0 54 0 6625 0 16682 0 1252547 0 0 0 JAMES F ADAMS MD PHYSICIAN 586634 0 578584 0 138 0 6625 0 16637 0 1188618 0 0 0 JOSHUA A DAVIS MD PHYSICIAN 208559 0 756531 0 254 0 6625 0 15971 0 987940 0 0 0 PHILIP C MAHER MD PHYSICIAN 575511 0 372424 0 385 0 13250 0 15860 0 977430 0 0 0 MING ZHANG MD PHYSICIAN 285646 0 558619 0 58 0 0 0 13336 0 857659 0 0 0 SCHEDULE J, PART I, LINE 1A THE FOLLOWING OFFICERS/KEY EMPLOYEES RECEIVED TAX GROSS-UP PAYMENTS THAT WERE INCLUDED IN THEIR W-2 TAXABLE WAGES: CYD CADENA JULIE CARDWELL CYNDE GAMACHE VICTOR HALL PATSY MYERS SHARON NOBLES BRYON (SCOTT) RAYNES DANIEL SONTHEIMER, M.D. SCHEDULE J, PART I, LINE 4B ACCRUED VESTED ----------- ---------- CYD CADENA $ 6,779 - JULIE CARDWELL $ 7,472 - MARK FAULKNER $199,655 - CYNDE GAMACHE $ 8,015 - MICHAEL GLEASON $ 82,364 - VICTOR HALL - $ 7,711 PATSY MYERS - $10,461 SHARON NOBLES $ 10,122 - BRYON (SCOTT) RAYNES $ 80,975 - DANIEL SONTHEIMER, M.D. $ 77,170 - SCHEDULE J, PART II THE RELATED COMPENSATION REPORTED ON FORM 990, PART II, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATION: -BAPTIST HEALTH CARE CORPORATION SCHEDULE J, PART II, COLUMN F COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. A ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 2013-07-01 12295362 SEE PART VI false false false B Escambia County Health Facilities Authority 521378815 296110fq7 2010-02-11 154202856 SEE PART VI false false false A 4384665 0 12295362 0 0 0 0 0 0 0 12295362 0 true false true true B 16535000 0 154394419 13435646 8700429 0 3084057 0 9317219 39847769 80006845 0 2013 true false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00400 0.00000 0.00400 false true 0.02760 true true A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true PART I, LINES A&B, COLUMN F LINE A-(F): REISSUANCE OF ISSUE DATED 12/07/09 LINE B-(F): REFUNDING PRIOR ISSUES DATED 8/21/03 AND 08/01/09; NEW CAPITAL PROJECTS PART II, COLUMN B, LINE 3 THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND PART II, COLUMN B, LINE 11 THE TOTAL AMOUNT OF OTHER SPENT PROCEEDS INCLUDES THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. THE PROCEEDS ARE NOT LISTED ON LINE 6 SINCE THEY ARE NO LONGER IN A REFUNDING ESCROW. PART III, LINE 8 (A-C) IN AUGUST OF 2013 ASSETS RELATED TO A HOSPITAL THAT WAS LEAVING THE OBLIGATED GROUP WERE SOLD. PRIOR TO THE SALE BAPTIST HOSPITAL MET WITH COUNSEL TO ENSURE THE REQUIREMENTS OF 1.141-12 AND 1.141-2 WERE MET. SINCE THE SALE, BAPTIST HOSPITAL HAS ALLOCATED THE SALE PROCEEDS IN ACCORDANCE WITH SECTION 1.141-12 AND CONTINUES TO MONITOR THE RE-ALLOCATED PROCEEDS FOR PRIVATE BUSINESS USE. PART IV, COLUMN B, LINE 2C A REBATE CALCULATION WAS COMPLETED ON 02/11/2017 REBECCA HALL FAMILY MEMBER OF KEY EMPL 111667 COMPENSATION FOR SERVICES false SCHEDULE L, PART IV, LINES 1-4 (1)(d) Description of Transaction: REBECCA HALL received compensation and benefits for services rendered as an employee of the organization. Compensation was determined at fair market value. 990, PART III, LINE 1 BAPTIST HOSPITAL INC.'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE REGION. BAPTIST HOSPITAL, INC. OPERATES TWO ACUTE CARE HOSPITALS IN THE PENSACOLA AND GULF BREEZE, FL (492 BED & 77 BED FACILITIES, RESPECTIVELY). THE HOSPITALS PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWEST FLORIDA AND SOUTHEAST ALABAMA. THE HOSPITALS ARE THE NUCLEUS OF A REGIONAL MULTI-PROVIDER SYSTEM. 990 PART VI, LINE 2 MICHAEL GLEASON, BRYON (SCOTT) RAYNES, DAVID JOYNER, M.D., DANIEL SONTHEIMER M.D., SHARON NOBLES, AND MARK FAULKNER HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. KIM JERNIGAN, D.M.D., LUTHER TAYLOR, AND JOHN HOSMAN HAVE A BUSINESS RELATIONSHIP WITH MICHAEL GLEASON AND MARK FAULKNER. KIM JERNIGAN, D.M.D., LUTHER TAYLOR, AND JOHN HOSMAN ARE BOARD MEMBERS OF BAPTIST HEALTH CARE CORPORATION AND MICHAEL GLEASON AND MARK FAULKNER ARE EMPLOYED OFFICERS OF BAPTIST HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 BAPTIST HEALTH CARE CORPORATION, A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF BAPTIST HOSPITAL, INC. BAPTIST HEALTH CARE CORPORATION HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF BAPTIST HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF BAPTIST HOSPITAL, INC., HAS THE RIGHT TO ELECT THE GOVERNING BODY OF BAPTIST HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE CORPORATION, THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBER FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION GOVERNANCE COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $5,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED F. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION G. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $1,000,000 IN BOOK VALUE. H. UNRELATED PARTY REAL PROPERTY TRANSFERS IN VALUED IN EXCESS OF $1,000,000. FORM 990, PART VI, SECTION B, LINE 11 AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONNAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD OF BAPTIST HEALTH CARE CORPORATION REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A EACH YEAR THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE CORPORATION BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN MINIMUM PENSION LIABILITIY $ 6,020,466 BOOK-TO-TAX DIFFERENCES JOINT VENTURES $ 537,870 OTHER $ (14,898) ------------------ $ 6,543,438 Andrews Institute Rehabilitation LLC 1040 Gulf Breeze Parkway Gulf Breeze FL 32561 261307826 Rehab Svcs FL -157622 619176 BHI Baptist Hospital North Family Practice 1717 North E St PENSACOLA FL 32501 262977061 Physician Svc FL 0 0 BHI Baptist Medical Group LLC 1717 North E St PENSACOLA FL 32501 264800380 Physician Svc FL -30246618 55359818 BHI Baptist Physician Associates LLC 1717 North E St PENSACOLA FL 32501 200737321 Physician Svc FL -3977654 9189483 BHI BAPTIST HEALTH CARE CORPORATION 1717 N E STREET PENSACOLA FL 32501 592425151 HEALTHCARE FL 501(c)(3) 12c NA false BAPTIST HEALTH CARE FOUNDATION 1717 N E STREET PENSACOLA FL 32501 590192265 FUNDRAISING FL 501(c)(3) 7 BHC true LAKEVIEW CENTER INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 590737872 HEALTHCARE FL 501(c)(3) 7 BHC true CMHC HERNANDEZ HOUSE INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592041794 LOW COST APT FL 501(c)(3) 10 LCI true JAY HOSPITAL INC 14114 ALABAMA STREET JAY FL 32565 592425149 HEALTHCARE FL 501(c)(3) 3 BHC true LAKEVIEW PLACE INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592804577 LOW COST APT FL 501(c)(3) 10 LCI true LAKEVIEW VILLA INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 592842486 LOW COST APT FL 501(c)(3) 10 LCI true GLOBAL CONNECTIONS TO EMPLOYMENT INC 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 472592811 VOC TRAINING FL 501(C)(3) 7 LCI true BAPTIST MEDICAL PARK SURGERY CENTER LLC 9400 UNIVERSITY PKWY PENSACOLA FL 32514 593535262 AMBULATORY SU FL NA NONE 0 0 false 0 false ANDREWS INSTITUTE ASC LLC 1040 GULF BREEZE PKWY GULF BREEZE FL 32561 352274952 AMBULATORY SU FL BHI RELATED 3890420 3333439 false 0 false 0.52083 BAPTIST HEALTH VENTURES INC 1717 NORTH E ST PENSACOLA FL 32501 592415910 ADMINISTRATIVE FL BHC C CORP 0 0 true PENSACOLA POB INC 1717 NORTH E ST PENSACOLA FL 32501 592462399 LEASING AGENT FL BHV C CORP 0 0 true MOBILE DIAGNOSTICS INC 1717 NORTH E ST PENSACOLA FL 32501 592864191 MEDICAL SERVICES FL BHV C CORP 0 0 true MEDICAL PROFESSIONAL AGENCY INC 1717 NORTH E ST PENSACOLA FL 32501 592555835 MEDICAL SERVICES FL BHV C CORP 0 0 true THE TOWERS PHARMACY INC 1717 NORTH E ST PENSACOLA FL 32501 592667929 RETAIL SALES FL BHV C CORP 0 0 true LANGHORNE CARDIOLOGY CONSULTANTS INC 1717 NORTH E ST PENSACOLA FL 32501 592874324 MEDICAL SERVICES FL BHI C CORP -13510563 5648599 1.00000 true LAKEVIEW ASSOCIATED ENTERPRISES-PHASE I 1221 W LAKEVIEW AVE PENSACOLA FL 32501 611711170 FRANCHISING FL BHV C CORP 0 0 true LAKEVIEW ASSOCIATED ENTERPRISES-PHASE II 1221 WEST LAKEVIEW AVENUE PENSACOLA FL 32501 465458197 FRANCHISING FL BHV C CORP 0 0 true PARCEL 27 LAND CONDO ASSOC INC 1221 W LAKEVIEW AVE PENSACOLA FL 32501 821313799 CONDO ASSOCIATION FL LAE C CORP 0 0 true true true true true true false false false true true true true true true true true false true false BAPTIST HEALTH VENTURES INC A(I) 1478924 FMV BAPTIST HEALTH VENTURES INC A(IV) 598384 FMV LANGHORNE CARDIOLOGY CONSULTANTS INC A(I) 1824439 FMV LANGHORNE CARDIOLOGY CONSULTANTS INC A(IV) 753139 FMV THE TOWERS PHARMACY INC A(IV) 117941 FMV JAY HOSPITAL INC A(I) 126289 FMV BAPTIST HEALTH CARE FOUNDATION INC B 284935 FMV BAPTIST HEALTH CARE FOUNDATION INC C 502916 FMV MEDICAL PROFESSIONAL AGENCY INC D 1208645 FMV BAPTIST HEALTH CARE FOUNDATION INC D 140500 FMV BAPTIST HEALTH VENTURES INC D 60079382 FMV JAY HOSPITAL INC D 5931412 FMV LANGHORNE CARDIOLOGY CONSULTANTS INC D 83663980 FMV CMHC HERNANDEZ HOUSE INC D 163529 FMV LAKEVIEW PLACE INC D 191041 FMV MOBILE DIAGNOSTICS INC E 1397143 FMV PENSACOLA POB INC E 1123738 FMV THE TOWERS PHARMACY INC E 855653 FMV LAKEVIEW CENTER INC E 453257 FMV LAKEVIEW VILLA INC E 191984 FMV BAPTIST HEALTH VENTURES INC K 797616 FMV BAPTIST HEALTH VENTURES INC L 634536 FMV JAY HOSPITAL INC L 105076 FMV BAPTIST HEALTH CARE CORPORAT PO BOX 17500 PENSACOLA FL 325227500 592425151 X 0 121759 121759 59941685 60063444 1000000 250000 0 0 0 BAPTIST HEALTH CARE FOUNDATI PO BOX 17500 PENSACOLA FL 325227500 590192265 X 0 0 0 1058071 1058071 180807 45202 0 0 0 BAPTIST HOSPITAL INC PO BOX 17500 PENSACOLA FL 325227500 590657322 0 33830 33830 521812506 521846336 1000000 250000 0 0 0 CMHC HERNANDEZ HOUSE INC 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 592041794 0 0 0 37255 37255 7451 1863 0 0 0 JAY HOSPITAL INC PO BOX 17500 PENSACOLA FL 325227500 592425149 0 778 778 15109189 15109967 905498 226375 0 0 0 LAKEVIEW PLACE INC 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 592804577 0 0 0 91342 91342 18268 4567 0 0 0 LAKEVIEW VILLA INC 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 592842486 0 0 0 147370 147370 29474 7369 0 0 0 LAKEVIEW CENTER INC 1221 W LAKEVIEW AVENUE PENSACOLA FL 325011836 590737872 0 90552 90552 118055249 118145801 1000000 250000 0 0 0 GLOBAL CONNECTIONS TO EMPLOY 1221 WEST LAKEVIEW AVE PENSACOLA FL 32501 472592811 0 0 0 142183002 142183002 1000000 250000 0 0 0