2017-11-10T15:22:26-06:00 2016-12-31 ERNST & YOUNG US LLP 201 N FRANKLIN ST STE 2400 TAMPA FL 33602 990 2016-01-01 590594631 SOUTH FLORIDA BAPTIST HOSPITAL INC % JANICE POLO EVP & CFO SOUT 8137571245 301 North Alexander Street Plant City FL 33566 CARL TREMONTI CFO 8137571245 2017-11-09 true Melanie A McPeak P01346034 8132254800 164.57.159.254 58145420173145000009 2017-11-10 P 090DF3880695D33BA5F0896781DD7F1FFA4BF94E 090DF3880695D33BA5F0896781DD7F1FFA4BF94E 2016 2017-02-10 21:41:12Z CARL TREMONTI 301 North Alexander Street Plant City FL 33566 143983061 false X www.baycare.org/sfbh X 1945 FL SOUTH FLORIDA BAPTIST HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH QUALITY, COMPASSIONATE CARE. 20 19 978 248 10788 9401 527503 658383 130201813 142407232 -77907 500 1180289 916946 131831698 143983061 56460 14715 0 0 44862025 48158615 0 0 0 66883135 74204277 111801620 122377607 20030078 21605454 149165556 174428754 9417521 7118073 139748035 167310681 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. false false 105631267 14715 143304977 SOUTH FLORIDA BAPTIST HOSPITAL, INC. (SFBH) IS A FULL-SERVICE 147-BED COMMUNITY HOSPITAL. DURING 2016, SFBH PROVIDED INPATIENT CARE TO 7,451 PATIENTS, TREATED 38,767 PATIENTS IN THE EMERGENCY DEPARTMENT, AND DELIVERED 520 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 $14.1 MILLION. THE HOSPITAL ALSO PROVIDED OTHER COMMUNITY SERVICES TOTALING MORE THAN $480 THOUSAND. SOME OF THE PROGRAMS INCLUDED RELAY FOR LIFE, FAITH COMMUNITY NURSING, AND SAN JOSE MISSION. REFER TO SCHEDULE H FOR ADDITIONAL INFORMATION. 105631267 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 182 0 true 978 true false false false false false false false false false false X 20 19 true false false false true true true true true false false true true true true true true false false false X JANICE POLO EVP CFO 7278208021 2985 DREW STREET Clearwater FL 33759 X ROBERT BASKIN TRUSTEE 1.0 1.0 X 0 0 0 ROBERTA BRUNNER TRUSTEE 1.0 1.0 X 0 0 0 JANE CASTOR TRUSTEE 1.0 1.0 X 0 0 0 RICK COLON TRUSTEE/CHAIR 1.0 1.0 X X 0 0 0 BO DAVIS TRUSTEE 1.0 1.0 X 0 0 0 COLEMAN DAVIS TRUSTEE 1.0 1.0 X 0 0 0 RALPH GARCIA TRUSTEE/TREASURER 1.0 1.0 X X 0 0 0 RICHARD GLORIOSO TRUSTEE 1.0 1.0 X 0 0 0 TRACY HALME TRUSTEE 1.0 1.0 X 0 0 0 JONATHAN JENNEWEIN TRUSTEE/VICE CHAIR/SECRETARY 1.0 1.0 X X 0 0 0 DONNA JORDAN TRUSTEE 1.0 1.0 X 0 0 0 ANDRE KIRWAN TRUSTEE 1.0 1.0 X 0 0 0 JUDITH LISI TRUSTEE 1.0 1.0 X 0 0 0 DOUGLAS MCFADDEN TRUSTEE 1.0 1.0 X 0 0 0 WILLIAM MORROW TRUSTEE 1.0 1.0 X 0 0 0 ERIC OBECK TRUSTEE 1.0 1.0 X 0 0 0 DOMENICK REINA TRUSTEE 1.0 1.0 X 0 0 0 BRUCE RODWELL TRUSTEE 1.0 1.0 X 0 0 0 ELAINE SHIMBERG TRUSTEE 1.0 1.0 X 0 0 0 GLADYS SHARKEY TRUSTEE 1.0 1.0 X 0 0 0 PAT SHIRLEY TRUSTEE 1.0 1.0 X 0 0 0 GLENN WATERS TTEE/PRES/EVP BAYCARE HOSP DIV 1.0 45.0 X X 0 1341759 88360 CARL TREMONTI VP, CFO BAYCARE HOSP DIV 1.0 45.0 X 0 619350 24420 KAREN KERR PRES SOUTH FL BAPTIST HOSP 45.0 1.0 X 0 392529 31712 MERCY NINAN MANAGER PHARMACY 45.0 0.0 X 170585 0 33258 DARLENE SMITH CLINICAL NURSE III 45.0 0.0 X 139644 0 19142 ROBERT KAUFFMAN CLINICAL PHARMACIST 45.0 0.0 X 155265 0 27470 SEAN USTIC PHARMACY CLINICAL COORDINATOR 45.0 0.0 X 138648 0 14260 BETH TANCREDO DIRECTOR OPERATIONS - SFB 45.0 0.0 X 136894 0 19643 STEPHEN NIERMAN FORMER PRES S FL BAPTIST HOSP 0.0 45.0 X 0 507540 56749 CATHY YODER FORMER TREASURER 0.0 45.0 X 0 406417 47051 JACQUES VASCONCELLOS DIR OPRTINS S FL BAPTIST HOSP 0.0 45.0 X 0 198885 24330 741036 3466480 386395 36 true true false Willis A Smith Construction 5001 Lakewood Ranch Blvd N SARASOTA FL 34240 Construction svcs 1893872 Lockwood Steely MDs PA 301 N Alexander St PLANT CITY FL 33566 Anesthesiology svcs 891070 Bay Linen Inc 11525 47th St North CLEARWATER FL 33762 Laundry Services 673324 Bio-Medical Applications of FL 16343 Collection Center Dr CHICAGO IL 60693 Medical services 402924 Carastro Assoc Inc 2609 W De Leon St TAMPA FL 33609 Engineering services 375175 22 648633 9750 658383 HOSPITAL PATIENT CARE 621990 79659565 79659565 MEDICARE/MEDICAID PAYMENT 621990 62747667 62747667 142407232 0 0 0 8413 8413 0 8413 8413 500 500 500 500 0 0 0 0 0 0 0 0 0 CAFETERIA 523000 597106 597106 OTHER REVENUE 621990 311427 300639 10788 908533 143983061 142707871 10788 606019 14715 14715 0 0 0 0 0 40922770 40476657 446113 1337389 1322810 14579 2947457 2915326 32131 2950999 2919924 31075 0 0 538 538 2206 2206 0 0 5391227 5314169 77058 282485 266542 15943 1578474 756745 821729 293565 105537 188028 0 2003973 1995110 8863 87087 38449 48638 0 0 1294698 1294698 0 5272819 5242758 30061 2749222 2433261 315961 MEDICAL SUPPLIES 21267907 21267907 BAD DEBT EXPENSE 14209484 14209484 MANAGEMENT FEES 14500992 14500992 OTHER SERVICES 2092558 2082717 9841 3177042 2972252 204790 122377607 105631267 16746340 0 1150 1343 0 0 0 0 14188448 14794269 0 0 0 0 65534 69234 3082332 3062602 512056 715519 116785821 69621987 42983319 47163834 0 0 0 0 7432770 8051305 0 0 80899947 100570648 149165556 174428754 5752043 6983221 0 0 0 -2204 0 0 0 0 0 0 60310 0 0 0 3605168 137056 9417521 7118073 X 136271962 163717830 3476073 3592851 0 0 139748035 167310681 149165556 174428754 X 21605454 5957192 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2206 2206 false false Schedule C Part II - B, Line 1i, Supplemental Information Dues were paid to the Florida Society of Health-System Pharmacists and the American Society of Health-System Pharmacists. These association uses a portion of its dues to conduct lobbying activities. 2754751 2754751 69290601 37012434 32278167 59922 59922 43953058 32549631 11403427 727489 727489 47163834 DUE FROM AFFILIATES 99278066 EST THIRD PARTY SETTLEMENTS 804582 PPD PHYSICIAN RECRUITMENT LT 488000 100570648 0 DEPOSITS 118796 ASSET RETIREMENT OBLIGATION ST 18260 137056 129962262 129962262 14020799 14020799 143983061 108159112 108159112 14218495 14218495 122377607 SCHEDULE D SUPPLEMENTAL INFORMATION SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $14,209,484 REVENUES NETTED WITH EXPENSES $9,010 CONTRIBUTIONS IN NET ASSETS $658,383 CHANGE IN NET ASSETS OF FOUNDATION ($856,078) TOTAL $14,020,799 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $14,209,484 REVENUES NETTED WITH EXPENSES $9,011 TOTAL $14,218,495 true true X true X 250. false true true false true true 1 6459 5094815 5094815 0.04710 1 16298 20680500 13410965 7269535 0.06720 1 2004 2707452 1400604 1306848 0.01210 3 24761 28482767 14811569 13671198 0.12640 26 6428 161368 1160 160208 0.00150 13 746 294201 294201 0.00270 10 1083 25684 25684 0.00020 49 8257 481253 1160 480093 0.00440 52 33018 28964020 14812729 14151291 0.13080 1 4426 4426 3 11738 11738 0.00010 4 16164 16164 0.00010 true 14209484 9130400 20435736 21041496 -605760 X true true 1 1 South Florida Baptist Hospital Inc 301 N Alexander Street Plant City FL 33566 www.baycare.org/sfbh 4056 X X X South Florida Baptist Hospital Inc 1 false false true X X X X X X X X X 16 true true false true X See Part V Section C true 16 false See Part V Section C true false true X 250. 0. X X X X X X true true 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 SEC 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. Part V Sec B Lines 6a CHNA was conducted with the following hospital facilities: 1. ST. ANTHONY'S HOSPITAL 2. MORTON PLANT HOSPITAL ASSOCIATION 3. TRUSTEES OF MEASE 4. ST. JOSEPH'S HOSPITAL 5. SOUTH FLORIDA BAPTIST HOSPITAL Part V Sec B Line 7a https://baycare.org/sfbh/about-us/community-health-needs Part V Sec B Line 11 While 15 areas of opportunity were identified within South Florida Baptist Hospitals 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 & Weight Please 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 Hospitals leadership teams 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 Alzheimers Disease) South Florida Baptist Hospital has limited resources, services and expertise available to address Dementia (including Alzheimers Disease). While this is an important issue, 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 HIV/AIDS While 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. BayCares 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 & Violence South Florida Baptist Hospitals 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 Health While 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 available to 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 Conditions South Florida Baptist Hospitals 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 implementation plan 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 new action during the Cycle-2 period. Sexually Transmitted Diseases South Florida Baptist Hospitals 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. Part V Section B Line 13b Patients may be eligible for financial assistance on the portion of hospital bills exceeding 25% of annual income. Part V, Section B, Line 16 Line 16a https://baycare.org/about-us/financial-assistance Line 16b https://baycare.org/about-us/financial-assistance Line 16c https://baycare.org/about-us/financial-assistance Part V, Section B, Line 18e Lien action related to collections is limited to patients involving auto liability insurance. 3 SFB Outpatient Rehab Center 874 S Parsons Ave Brandon FL 33511 Rehabilitation services SFB Outpatient Rehab Center (Adults) 414 N Plant Avenue Plant City FL 33563 Rehabilitation services SFB Outpatient Rehab Center (Pediatrics) 1601 W Timberlane Dr Suite 800 Plant City FL 33566 Rehabilitation services 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 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. 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 LINE 7 COLUMN F Bad Debt expense of $17,209,484 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column. Part II South Florida Baptist Hospital supports the health of its community through coalition building with the Plant City Kiwanis Club which provides support to the local elementary and high schools by providing over 2,000 children with supplies and backpacks. PART III Lines 2 & 3 Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients 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 finance 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 4 The organization's financial statements include a footnote that describes bad debt expense on page 9 of the South Florida Baptist Hospital, Inc. and Subsidiary Notes to Consolidated 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 70% 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) ($605,760) - Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($1,986,353) - Total Surplus or (Shortfall) ($2,592,113) 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), patients' account balance would be written off completely to charity and not billed to the patients. PART VI LINE 2 - NEEDS ASSESSMENT 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 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 - COMMUNITY INFORMATION South Florida Baptist Hospital is in a rural setting serving parts of Hillsborough and Polk counties. The average income is falls below the state average and the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 20.3% of the population. 11.2% of households have annual household income below $15,000 per year.South Florida Baptist Hospital is part of BayCare Health System that serves west central Florida. The area served by South Florida Baptist has 3 hospitals. There is 1 federally designated underserved area and 2 federally designated medically underserved populations in South Florida Baptists service area. With the over 65 population expected to grow 18.9% 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 6.3% in the next 5 years. This is almost twice the expected growth rate for the United States. The fastest growing population segment is age 55+ with a growth rate of 14%. Based on Florida inpatient discharge data for the period of 01/01/2015-12/31/2015, the payer mix for the geographic area consists of 46.2% Medicare/Medicare HMO, 19.3% Medicaid/Medicaid HMO, 23.0% Commercial Insurance, 6.1% Self-pay, and 5.4% Other. PART VI LINE 5 - PROMOTION OF COMMUNITY HEALTH 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. During its inception, the entire Plant City community rallied behind the idea of building the city's first hospital in the post WWII years. Today, South Florida Baptist Hospital is a full-service 147-bed community hospital that offers high-tech services of a larger acute care hospital, but in a small, warm and friendly environment designed for personal attention and compassionate care. South Florida Baptist Hospital provides the surrounding Plant City community with services that include surgery, diagnostics, rehabilitation, acute and intensive care, pediatric care, obstetrics, interventional heart and vascular services, and emergency care. While much has changed during the past 60 years, our commitment to improve the health of our community through accessible, compassionate and family-focused health care services remains. Community Outreach & Partnerships Through education and a focus on prevention and early detection, we are building a healthier community while reducing suffering and total health care costs. South Florida Baptist Hospital participated in more than 100 community health improvement events, touching more than 6,400 lives in 2016. More than $490,000 was spent to support our strategic directions to foster and implement community relationships and partnerships to improve the health status of our community. We offer a variety of free services such as health screenings, physician lectures, support groups, health fairs and mobile clinics. To extend its reach, South Florida Baptist Hospital collaborates with several community partners. By sharing resources, we are able to find less expensive ways to make an even greater health impact without duplicating our efforts. The Faith Community Nursing program, sponsored by South Florida Baptist Hospital, was established to provide health and wellness information to members of local congregations of all denominations. The goal is to assist congregations in developing health ministries that compassionately and effectively address the emotional, physical and spiritual needs of individuals within the congregation and the people they reach out to in their communities. The hospital provides the infrastructure for the Faith Community Nurse Program and assists the faith community by providing recruitment, training, continuing nurse education and health screenings. In 2016, volunteer nurses worked with congregations in the Plant City, Brandon, Lithia, Zephyrhills and Lakeland areas. Through home and hospital visits, parish nurse office visits or other encounters at the church, educational programs, health fairs and other forms of correspondence, Faith Community Nurses directly touched the lives of 5,253 people. In total, 5,030 hours were served by South Florida Baptist Hospital. South Florida Baptist Hospital's Community Health team develops community partnerships with area agencies, creating collaborative efforts that bring health services directly into area neighborhoods. As a result, Community Health was able to promote better health to 6,428 people in 2016. Almost 50 percent of the events are outreach activities offered outside the hospital on the Wellness on Wheels mobile health unit. The 37-foot Winnebago is equipped to provide health screening that include cholesterol, blood sugar and blood pressure, body mass index and skin cancer checks, physical exams and wellness education. The unit was purchased through community fundraising. Annually, the DEX Children's Classic Golf Tournament is held to support children's health services provided on the Wellness on Wheels bus. Health Education provided by Community Health in 2016 included CPR and AED certifications, Germ-Busters (hand hygiene program) and safety education games for children. Community Health also provided diabetes education for adults and children, and nutrition education for children. Through a partnership with Hillsborough County Schools, Community Health helped facilitate more than 3,000 elementary and middle school vision, scoliosis and height and weight screenings on school aged children. South Florida Baptist Hospital participates in activities surrounding the community's largest event, the Plant City Strawberry Festival. Hospital team members often volunteer in various functions during the event, and the South Florida Baptist Hospital Wellness on Wheels health unit participates in both the Strawberry Festival Grand Parade and the Youth Parade. These two events kick off the festival celebrations and are heavily attended by Plant City residents. South Florida Baptist Hospital also actively supports the Plant City Chamber of Commerce, which promotes the commercial, industrial, agricultural, and civic interests of Greater Plant City and East Hillsborough County. As a not-for-profit hospital, South Florida Baptist Hospital provides many services to the community at no charge or at a reduced charge. For example, Ladies Night Out is a creative seminar series featuring different health topics for women of all ages presented by SFBH professionals and physicians. Participants enjoy a night out with friends, have a light dinner and learn about health-related topics from our experts. Medical Care South Florida Baptist Hospital is committed to investing in highly qualified people, new technology and modern facilities that promote healing. We extend medical staff privileges to all qualified physicians in our community. In 2015, the hospital expanded its Surgery Center by adding two new surgical suites and expanding the post-anesthesia care unit to increase total capacity and gain five private rooms. South Florida Baptist Hospital also works with Florida KidCare Insurance Outreach, Healthy Families Hillsborough, Family Support and Resource Centers and other organizations to help families find appropriate health care coverage. Community Needs Diabetes Management Every day, more than 4,000 people in the U.S. are diagnosed with diabetes. With nearly 26 million children and adults afflicted with the disease in the U.S., and an additional 79 million at risk for type 2 diabetes, diabetes has reached epidemic proportions. Understanding how to manage this complex disease begins with education. To meet the community's need for diabetes education, South Florida Baptist Hospital offers The Journey for Control, a series of diabetes classes that teaches participants to build an action plan to make changes in their lifestyle choices and behaviors. The course consists of a series of four classes. Content is geared toward adults who are diabetic, pre-diabetic or are a caregiver for a diabetic. Journey for Control Diabetes is led by South Florida Baptist Health dieticians. In 2015 the class was offered five times and has benefitted 26 participants. Smoking Cessation South Florida Baptist Hospital partners with Tobacco Free Florid to offer iQuit smoking cessation programs. This free monthly program is provided at the SFBH Cancer Resource Center to promote awareness for all cancer related diseases. Prescriptions We provide prescription medications to patients that cannot afford their prescriptions in conjunction with a local pharmacy who provides the medicine at cost (Family Care Pharmacy). It is managed by the Care Coordination department. In 2016, $8,740.75 was spent for indigent medications. Food and Nutrition Registered dietitians provide community education and counseling on a wide range of health-related topics. Free meal tickets also are provided for members of the Auxiliary. 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 Care South 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 more than 35,000 children and adults every year. South Florida Baptist Hospital provides care for every patient in the Emergency Center, regardless of their ability to pay. Professional Education and Training SFBH partnered with University of South Florida, University of Florida, Florida A & M University, Hillsborough Community College, St. Pete College, Polk State College, Erwin Technical College, LECOM University, Leary Technical, South University, Florida Southern, Sanford Brown, Concorde Career Institute, Tampa Bay Technical High School, Durant High School and Plant City High School to assist students in health-related fields fulfill their academic goals and requirements through internships with the hospital departments. More specifically in these areas: CNA, RN, EMT, Laboratory, Occu PART VI LINE 6 - AFFILIATED HEALTH CARE SYSTEM South Florida Baptist Hospital 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 region and West Central Florida. Inpatient and outpatient services include acute care, primary care, imaging, laboratory, behavioral health, home care and urgent care. BayCares annual report to the community can be viewed at https://baycare.org/annual-report. *BayCares hospitals are Bartow Regional Medical Center, Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthonys, South Florida Baptist, St. Josephs, St. Josephs Womens, St. Josephs Childrens, St. Josephs Hospital-North, St. Josephs Hospital-South, Winter Haven Hospital and Winter Haven Womens. BayCare was founded in 1997 when several of the areas not-for-profit hospitals came together, united by the common mission to improve the health of all they served. BayCare is now a $3.97 billion, integrated health delivery system and one of the largest employers in the Tampa Bay area with 26,900 employees. BayCare also plays an important role as an economic engine, generating a $6.6 billion impact on the region and the state. In 2016, BayCare used almost half of its total revenue to pay for the salary and benefits of its employees and spent $589 million for large projects to serve future community health care needs, technology, and new programs and facilities. BayCares centralization of administrative functions in several areas, including Finance, Business Office, Information Technology, Human Resources, Performance Improvement, Clinical Outcomes, Planning, Materials Management, and Marketing/Communications, has provided a management structure that helps its hospitals and service lines operate more efficiently and continue striving for clinical excellence. BayCares 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 health care that sets the standard for high-quality, compassionate care, regardless of ability to pay. In 2016, BayCare provided $346 million in total community benefit, which includes $110 million in traditional charity care for underinsured and uninsured patients, $217 million in Medicaid and other income-based programs, and $19 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 - STATE FILING SOUTH FLORIDA BAPTIST HOSPITAL, INC. OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC. true true false false false false false false false GLENN WATERS TTEE/PRES/EVP BAYCARE HOSP DIV 0 855648 0 324235 0 161876 0 57114 0 31246 0 1430119 0 0 CARL TREMONTI VP, CFO BAYCARE HOSP DIV 0 380105 0 115677 0 123568 0 13250 0 11170 0 643770 0 18141 KAREN KERR PRES SOUTH FL BAPTIST HOSP 0 231474 0 69797 0 91258 0 12546 0 19166 0 424241 0 26073 MERCY NINAN MANAGER PHARMACY 156882 0 12058 0 1645 0 8470 0 24788 0 203843 0 0 0 DARLENE SMITH CLINICAL NURSE III 113738 0 25359 0 547 0 3849 0 15293 0 158786 0 0 0 ROBERT KAUFFMAN CLINICAL PHARMACIST 145773 0 1440 0 8052 0 7842 0 19628 0 182735 0 0 0 SEAN USTIC PHARMACY CLINICAL COORDINATOR 135631 0 600 0 2417 0 2875 0 11385 0 152908 0 0 0 BETH TANCREDO DIRECTOR OPERATIONS - SFB 121188 0 14111 0 1595 0 6590 0 13053 0 156537 0 0 0 STEPHEN NIERMAN FORMER PRES S FL BAPTIST HOSP 0 323448 0 94322 0 89770 0 29390 0 27359 0 564289 0 0 CATHY YODER FORMER TREASURER 0 228201 0 82545 0 95671 0 30383 0 16668 0 453468 0 0 JACQUES VASCONCELLOS DIR OPRTINS S FL BAPTIST HOSP 0 171557 0 20590 0 6738 0 7041 0 17289 0 223215 0 0 SUPPLEMENTAL COMPENSATION INFORMATION 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 4a Cathy Yoder received a severance payment in the amount of $26,704 during 2016. Part I, Line 4b Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $142,556 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other Compensation. He had $40,877 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $59,802 in 2016. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $97,566 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $40,928 in 2016. Karen Kerr Participated in a supplemental nonqualified deferred compensation plan. She had $63,920 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. She became 100% vested in 2016. The plan made cash distribution of $26,814 in 2016. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $58,525 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. He had $9,809 of nonvested benefits accrue during 2016. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $24,551 in 2016. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $46,569 in benefits vest in 2016. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $19,536 in 2016. Form 990, Part VI, Line 2 Carl Tremonti and Glenn Waters are officers of the filing organization as well as board members of a taxable entity affiliated with the filing organization. Form 990, Part VI, 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, 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, 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, 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, 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. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. 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. c. 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 Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or 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 Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation. Form 990, Part VI, Line 15a & 15b 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 2015, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Form 990, Part VI, 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 Other changes in net assets CHANGE IN NET ASSETS OF FOUNDATION $1,062,574 NET ASSET TRANSFER $5,553,000 CHANGE IN PRIOR YEAR NET ASSETS $ (658,383) ROUNDING $ 1 Total $5,957,192 St Joseph's Hospital Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 590774199 Health Srvcs FL 501(C)(3) 3 na true John Knox Village of Tampa Bay Inc 4100 Fletcher Ave Tampa FL 33613 581377711 retire cmmnty FL 501(C)(3) 10 SJHCC true St Joseph's Health Care Center Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592593686 Support srvcs FL 501(C)(3) 11b na true 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 true St Joseph's Enterprises Inc 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 592822516 Health invest FL 501(C)(3) 12b SJHCC true St Joseph's Hospital of Tampa Found Inc 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 591100828 Fundraising FL 501(C)(3) 12c SJHCC true St Anthony's Professional Building & Se 1200 7th Avenue North St Petersburg FL 33705 592018848 Real Estate FL 501(C)(3) 10 SJHCC true BayCare Health System Inc 2985 Drew St Clearwater FL 33759 592796965 Support srvcs FL 501(C)(3) 12a na false South Florida Baptist Hospital Found Inc 301 N Alexander Street Plant City FL 33563 650598653 Fundraising FL 501(C)(3) 12a na false FRANCISCAN PROPERTIES 3001 W DR MARTIN LUTHER KING JR BL TAMPA FL 33607 592822519 SUPPORTS SJH FL 501(C)(3) 12b SJHCC true Carillon Surg Cntr 900 Carillon St Pet FL 33716 261116740 HEALTH SRVC FL NA N/A 0 0 false 0 false St Ant Phy Surg Ctr 705 16th St N St Pet FL 33705 010861245 HEALTH SRVC FL NA N/A 0 0 false 0 false Healthpoint Management Services Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 650645457 Billing/mgmt FL SJHCC C corp 0 0 0.00000 true Healthpoint Medical Group Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 593244268 Physician gro FL SJHCC C corp 0 0 0.00000 true false false true true false false false false false false true true true false true false false true true Franciscan Properties Inc k 63937 FMV St Joseph's Health Care Center Inc m 2443859 FMV St Joseph's Hospital Inc o 965562 FMV St Joseph's Hospital Inc r 1427661 FMV Franciscan Properties Inc s 75443 FMV