BAPTIST HEALTH SYSTEM INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST HEALTH SYSTEM INC (EIN 63-0312913)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201643199349307119
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T14:10:40-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Warren Averett LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 Acton Road | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35243 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630312913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 2057154631 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 830605 | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352830605 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY D JOHNSTON | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 2057154631 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JC Rouse | PreparerPersonNm |
| PTIN | P00081132 | PTIN |
| Phone | 2059794100 | PhoneNum |
| Preparation | 2016-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | amy allen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 830605 | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352830605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $752,161,335 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bhsala.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | "AS A WITNESS TO THE LOVE OF GOD, REVEALED THROUGH JESUS CHRIST, THE BAPTIST HEALTH SYSTEM IS COMMITTED TO MINISTRIES THAT ENHANCE THE HEALTH, DIGNITY, AND WHOLENESS OF THOSE WE SERVE, THROUGH INTEGRITY, COMPASSION, ADVOCACY, RESOURCEFULNESS, AND EXCELLENCE." | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 5076 | TotalEmployeeCnt |
| Total Volunteers | 261 | TotalVolunteersCnt |
| Total Gross UBI | -$446,413 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$446,413 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,580,178 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,076,640 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $481,394,570 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $390,065,860 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,524,292 | PYInvestmentIncomeAmt |
| CY Investment Income | $143,142,013 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,545,471 | PYOtherRevenueAmt |
| CY Other Revenue | -$8,612,907 | CYOtherRevenueAmt |
| PY Total Revenue | $521,044,511 | PYTotalRevenueAmt |
| CY Total Revenue | $527,671,606 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $231,187,139 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $176,991,120 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $265,875,889 | PYOtherExpensesAmt |
| CY Other Expenses | $204,108,868 | CYOtherExpensesAmt |
| PY Total Expenses | $497,063,028 | PYTotalExpensesAmt |
| CY Total Expenses | $381,099,988 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,981,483 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $146,571,618 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $767,579,002 | TotalAssetsBOYAmt |
| Total Assets EOY | $436,912,197 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $559,650,610 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $90,322,605 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $207,928,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $346,589,592 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | "AS A WITNESS TO THE LOVE OF GOD, REVEALED THROUGH JESUS CHRIST, THE BAPTIST HEALTH SYSTEM IS COMMITTED TO MINISTRIES THAT ENHANCE THE HEALTH, DIGNITY, AND WHOLENESS OF THOSE WE SERVE, THROUGH INTEGRITY, COMPASSION, ADVOCACY, RESOURCEFULNESS, AND EXCELLENCE." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $232,609,481 | ExpenseAmt |
| Revenue | $310,946,910 | RevenueAmt |
| Desc | Patient Services -- Baptist Health System, Inc. ("BHS"), continues in its charitable mission, which began in 1922, of providing medical and educational services to the community through its five hospitals and other patient care facilities. two of the hospitals are located within the city limits of Birmingham, AL, which enables BHS to provide services to areas of the city which might otherwise be underserved. The other three hospitals are located in Talladega, Jasper, and Alabaster, AL. Several of these hospitals serve rural communities which, prior to BHS' involvement, were in need of stable health care facilities. These rural hospitals provide much needed services (such as obstetrics), to areas of Alabama that would otherwise be underserved. BHS experiences losses from the operations of some of these hospitals, which further demonstrates its commitment to serving these communities. From January 1, 2015 until October 1, 2015, BHS directly operated four hospitals. Pursuant to the joint venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated five hospitals through its ownership in the Brookwood Baptist Health joint venture.EACH HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS and EXPERIENCES LARGE CONTRACTUAL ADJUSTMENTS DUE TO THE LIMITED REIMBURSEMENT PROVIDED BY THE GOVERNMENTAL PROGRAMS. THE FOLLOWING CHART IS A BREAKDOWN OF TOTAL PATIENT DAYS INCLUDING THESE GOVERNMENTAL PROGRAMS:PROGRAM PATIENT DAYS PERCENTAGEMEDICARE 68,237 38.78%MEDICARE HMO 42,642 24.24%MEDICAID 22,674 12.89%TRICARE 660 0.37%OTHER 41,738 23.72%TOTAL 175,951 100.00%ADDITIONALLY, EACH HOSPITAL PARTICIPATES IN VARIOUS OTHER STATE AND LOCAL MEDICAL PROGRAMS. THIS PARTICIPATION IMPROVES ACCESS TO PATIENT CARE FOR THE COMMUNITIES SERVED BY BHS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,989,087 | ExpenseAmt |
| Revenue | $4,117,550 | RevenueAmt |
| Desc | CHARITY CARE -- THE BHS HOSPITALS PROVIDE A SIGNIFICANT AMOUNT OF CHARITY CARE TO THEIR COMMUNITIES. NOTICES ARE POSTED IN EACH HOSPITAL TO INFORM PATIENTS THAT QUALITY HEALTH CARE SERVICES ARE AVAILABLE REGARDLESS OF A PERSON'S ABILITY TO PAY. CHARITY CARE REVENUE IS MADE UP OF AN ALLOCATION OF DSH PAYMENTS. From January 1, 2015 until October 1, 2015, BHS directly operated four hospitals. Pursuant to the joint venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated five hospitals through its ownership in the Brookwood Baptist Health joint venture. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $72,637,119 | ExpenseAmt |
| Revenue | $62,150,231 | RevenueAmt |
| Desc | GOVERNMENT SPONSORED HEALTHCARE -- GOVERNMENT SPONSORED HEALTHCARE INCLUDES UNPAID COSTS OF PUBLIC PROGRAMS, WHICH REPRESENTS THE SHORTFALL CREATED WHEN REIMBURSEMENTS ARE LESS THAN COSTS OF PROVIDING SERVICES. From January 1, 2015 until October 1, 2015, BHS directly operated four hospitals. Pursuant to the joint venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated five hospitals through its ownership in the Brookwood Baptist Health joint venture. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $7,500,162 | $0 | $4,475,381 | EDUCATION AND RESEARCH -- BHS IS ACTIVELY INVOLVED IN MEDICAL EDUCATION AND CLINICAL PASTORAL EDUCATION. BHS CURRENTLY HAS APPROXIMATELY 96 RESIDENCY POSITIONS IN TRANSITIONAL YEAR, INTERNAL MEDICINE, PATHOLOGY, RADIOLOGY, AND GENERAL SURGERY PROGRAMS. BHS'S MEDICAL EDUCATION PROGRAM ALSO PROVIDES CONTINUING EDUCATION TO LICENSED PHYSICIANS. THE CLINICAL PASTORAL EDUCATION PROVIDES TRAINING FOR 10 RESIDENTS AS WELL AS NUMEROUS PART-TIME STUDENTS. THIS TRAINING EQUIPS STUDENTS TO PROVIDE A BETTER LEVEL OF SPIRITUAL CARE TO PATIENTS. IN ADDITION, BHS, IN CONJUNCTION WITH SEVERAL COLLEGES AND UNIVERSITIES OF NURSING, PROVIDES TRAINING FOR NURSES THAT ARE HIRED THROUGHOUT THE SOUTHEASTERN UNITED STATES. From January 1, 2015 until October 1, 2015, BHS directly operated the medical education program and clinical pastoral education program. Pursuant to the joint venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated the medical education program and clinical pastoral education program through its ownership in the Brookwood Baptist Health joint venture. |
| $617,440 | $0 | $0 | BHS CONTINUALLY PROVIDES MANY SERVICES IN HEALTH PROMOTION AND SCREENING TO THE PUBLIC FREE OF CHARGE, OR AT A NOMINAL COST. SUCH SERVICES ARE PROVIDED THROUGH SCHOOLS, EMPLOYERS, AND FACILITIES THAT ARE EASILY ACCESSIBLE BY THE GENERAL PUBLIC. EMPLOYEES ARE ENCOURAGED TO DEVOTE SERVICES TO OTHER CHARITABLE ORGANIZATIONS IN THE COMMUNITY, AS WELL AS TO PROVIDE FINANCIAL SUPPORT. EMPLOYEES AND OTHER COMMUNITY MEMBERS HAVE ALSO PROVIDED SIGNIFICANT SUPPORT OF BHS' CHARITABLE ACTIVITIES--EVIDENCING THE COMMUNITIES' WILLINGNESS TO ACKNOWLEDGE AND SUPPORT THE MISSION OF BAPTIST HEALTH SYSTEM, INC. From January 1, 2015 until October 1, 2015, BHS directly operated four hospitals. Pursuant to the joint venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated five hospitals through its ownership in the Brookwood Baptist Health joint venture. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $8,117,602 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $4,475,381 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $327,353,289 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 898 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5076 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eric Jeffries | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2057154631 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1130 22nd street s | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| keiTH PARROTT | |||||||||
| PRESIDENT AND CEO (PRIOR TO 10/2) | 40.00 | 0.00 | Yes (X) | Yes (X) | $1,528,698 | $0 | $17,074 | ||
| JIM AVERETT | |||||||||
| TRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CLEMENT COTTER MD MBA | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL DECKER MDIV | |||||||||
| TRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM EMACK | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD FARRAR | |||||||||
| TRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN HAMILTON | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HOLCOMB III | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Wayne pate | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDy westmoreland edd | |||||||||
| tRUSTEE | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY FISHER DMIN | |||||||||
| ex-officio, voting | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| bill stone | |||||||||
| ex-officio, voting | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| mike mclemore dd | |||||||||
| ex-officio, non-voting | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSEVELT MORRIS | |||||||||
| ex-officio, voting | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GREGORY D JOHNSTON | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $943,781 | $0 | $24,544 | |||
| amy s allen | |||||||||
| PRESIDENT AND CEO (AFTER 10/2) | 40.00 | 0.00 | Yes (X) | $686,289 | $0 | $15,311 | |||
| ERIC JEFFRIES | |||||||||
| EXECUTIVE DIRECTOR OF FINANCE | 40.00 | 0.00 | Yes (X) | $190,951 | $0 | $4,152 | |||
| david coleman wilson | |||||||||
| aDMINISTRATOR | 40.00 | 0.00 | $326,179 | $0 | $5,766 | Yes (X) | |||
| elIZABETH postlethwait | |||||||||
| ADMINISTRATOR | 40.00 | 0.00 | $545,192 | $0 | $24,091 | Yes (X) | |||
| robert Phillips | |||||||||
| aDMINISTRATOR | 40.00 | 0.00 | $499,619 | $0 | $17,300 | Yes (X) | |||
| joel Taylor | |||||||||
| adMINISTRATOR | 40.00 | 0.00 | $354,691 | $0 | $13,320 | Yes (X) | |||
| GEORGE SCOTT FENN | |||||||||
| CHIEF INTEGRATION OFFICER | 40.00 | 0.00 | $786,064 | $0 | $17,260 | Yes (X) | |||
| elizabeth d ennis | |||||||||
| chief medical officer | 40.00 | 0.00 | $849,960 | $0 | $7,534 | Yes (X) | |||
| ELIZABETH FRANCIS | |||||||||
| CHIEF HR OFFICER | 40.00 | 0.00 | $513,219 | $0 | $18,623 | Yes (X) | |||
| johN DAVIS | |||||||||
| chief information officer | 40.00 | 0.00 | $584,312 | $0 | $11,706 | Yes (X) | |||
| valeta neal | |||||||||
| administRATOR | 40.00 | 0.00 | $380,188 | $0 | $13,739 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,189,143 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,420 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| A B M HEALTHCARE SUPPORT SERVICES INC | |||||
| P O BOX 935695 | atlaNTA | GA | 31193 | facility services | $4,412,318 |
| GENERAL ELECTRIC HEALTHCARE | |||||
| P O BOX 96483 | chicago | IL | 60693 | medical supply services | $3,468,027 |
| ANESTHESIOLOGISTS ASSOCIATED PC | |||||
| 3104 BLUE LAKE DRIVE suite 110 | BIRMINGHAM | AL | 35243 | meDICAL SERVICES | $3,395,429 |
| ROBINS AND MORTON GROUP | |||||
| P O BOX 59289 | bIRMINGHAM | AL | 35259 | construction services | $2,913,778 |
| MAYNARD COOPER AND GALE P C | |||||
| 1901 6TH AVE N | bIRMINGHAM | AL | 35203 | legal services | $2,271,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 88 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $3,076,640 | AllOtherContributionsAmt |
| Total Contributions | $3,076,640 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $386,734,902 | $386,734,902 | |
| bbh, llc partnership revenue | 621990 | $3,330,958 | $3,378,756 | -$47,798 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $390,065,860 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $978,193 | TotalRevenueColumnAmt |
| Exclusion | $978,193 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,677,756 | RealAmt |
| Personal | $20,301 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,527,344 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $150,412 | RealAmt |
| Personal | $20,301 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,713 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$38,581 | UnrelatedBusinessRevenueAmt |
| Exclusion | $209,294 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,818,948 | SecuritiesAmt |
| Other | $349,971,952 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,783,712 | SecuritiesAmt |
| Other | $208,843,368 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,035,236 | SecuritiesAmt |
| Other | $141,128,584 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $142,163,820 | TotalRevenueColumnAmt |
| Exclusion | $142,163,820 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $328,013 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $335,305 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,292 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$7,292 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICAID MEANInGFUL USE INCENTIVE | 621990 | $3,716,188 | $3,716,188 | |
| dIETARY/CAFETERIA | 621990 | $1,075,597 | $1,075,597 | |
| REFERENCE LABORATORY | 621500 | -$360,034 | -$360,034 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,208,079 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$13,208,079 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$8,776,328 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $527,671,606 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $381,690,072 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$446,413 | UnrelatedBusinessRevenueAmt |
| Exclusion | $143,351,307 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,075,400 | TotalAmt |
| Management And General | $5,075,400 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,894,187 | TotalAmt |
| Program Services | $121,524,764 | ProgramServicesAmt |
| Management And General | $21,369,423 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,021,533 | TotalAmt |
| Program Services | $21,828,613 | ProgramServicesAmt |
| Management And General | $7,192,920 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,472,990 | TotalAmt |
| Program Services | $10,231,901 | ProgramServicesAmt |
| Management And General | $5,241,089 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,598,328 | TotalAmt |
| Program Services | $8,833,768 | ProgramServicesAmt |
| Management And General | $1,764,560 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,866,929 | TotalAmt |
| Program Services | $14,035,573 | ProgramServicesAmt |
| Management And General | $5,831,356 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES AND OTHER EXPE | $149,252,383 | $143,817,777 | $5,434,606 |
| LEASE EXPENSE | $8,918,238 | $7,080,893 | $1,837,345 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,099,988 | TotalAmt |
| Program Services | $327,353,289 | ProgramServicesAmt |
| Management And General | $53,746,699 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,738,980 | BOYAmt |
| EOY | $1,254,936 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,730,923 | BOYAmt |
| EOY | $14,056,151 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,207,572 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,224,176 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,466,799 | BOYAmt |
| EOY | $311,524 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,673,571 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,537,137 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,171,562 | BOYAmt |
| EOY | $12,136,434 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,823,589 | BOYAmt |
| EOY | $73,677,662 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,328,946 | BOYAmt |
| EOY | $334,896,167 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,754,458 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,131,997 | BOYAmt |
| EOY | $579,323 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,579,002 | BOYAmt |
| EOY | $436,912,197 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,812,271 | BOYAmt |
| EOY | $1,689,814 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,214,271 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,354,003 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,960,945 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,309,120 | BOYAmt |
| EOY | $88,632,791 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,650,610 | BOYAmt |
| EOY | $90,322,605 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,807,693 | BOYAmt |
| EOY | $317,920,972 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,809,921 | BOYAmt |
| EOY | $2,616,513 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,310,778 | BOYAmt |
| EOY | $26,052,107 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,928,392 | BOYAmt |
| EOY | $346,589,592 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,579,002 | BOYAmt |
| EOY | $436,912,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $146,571,618 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$191,016 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,719,402 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $77,249 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $77,249 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $381,022,739 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $381,099,988 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $70,760 | CurrentYearMinus3Amt |
| Current Year Minus2 | $72,255 | CurrentYearMinus2Amt |
| Current Year Minus1 | $74,055 | CurrentYearMinus1Amt |
| Current Year | $77,249 | CurrentYearAmt |
| Total | $294,319 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,148,765 | OtherCostOrOtherBasisAmt |
| Book Value | $9,148,765 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,489,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,537,137 | DepreciationAmt |
| Book Value | $2,952,631 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,459 | OtherCostOrOtherBasisAmt |
| Book Value | $6,459 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,579 | OtherCostOrOtherBasisAmt |
| Book Value | $28,579 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,136,434 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS IN SUBSIDIARIES | Desc |
| Book Value | $334,896,167 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $334,896,167 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| MINIMUM PENSION LIABILITY | $58,361,213 |
| malpractice/workers comp liability | $28,272,965 |
| LEASE CONTINGENCY | $1,371,000 |
| OTHER | $627,613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $88,632,791 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,989,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,117,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,871,537 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,637,119 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,150,231 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,486,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02280 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,626,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,267,781 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,358,425 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $354,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $354,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,500,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,475,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,024,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $262,886 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $262,886 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,117,602 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,475,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,642,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,743,808 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,743,162 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,000,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05230 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,722 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,495 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,475 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,504 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,088 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,284 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,284 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,174,565 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $140,275,164 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $147,407,510 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,132,346 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 SSG REAL ESTATE | |||
| OWNS LAND AND REAL ESTATE | 0.30000 | 0.00000 | 0.70000 |
| 2 SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC | |||
| OPERATED AMBULATORY SURGERY CENTER | 0.51000 | 0.00000 | 0.49000 |
| 3 alabama digestive health endoscopy center llc | |||
| operated digestive health center | 0.51000 | 0.00000 | 0.49000 |
| 4 medplex outpatient surgery center ltd | |||
| opeRATED outpatient SURGERY CENTER | 0.29000 | 0.00000 | 0.48600 |
| 5 avc building group llc | |||
| real estate | 0.07500 | 0.00000 | 0.92210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|
| PRINCETON BAPTIST MEDICAL CENTER | ||||||||
| 1 | 701 PRINCETON AVENUE SW | BIRMINGHAM | AL | 35211 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| SHELBY BAPTIST MEDICAL CENTER | ||||||||
| 2 | 1000 FIRST STREET NORTH | ALABASTER | AL | 35007 | Yes (X) | Yes (X) | Yes (X) | |
| WALKER BAPTIST MEDICAL CENTER | ||||||||
| 3 | 3400 US HIGHWAY 78 EAST | JASPER | AL | 35501 | Yes (X) | Yes (X) | Yes (X) | |
| CITIZENS BAPTIST MEDICAL CENTER | ||||||||
| 4 | 604 STONE AVENUE | TALLADEGA | AL | 35161 | Yes (X) | Yes (X) | Yes (X) | |
| brookwood baptist medical center | ||||||||
| 5 | 2010 brookwood medical center drive | birminGHAM | AL | 35209 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Provided Nonprofit ContactProvidedNonprofitContactInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRINCETON BAPTIST MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/PRINCETON | Yes (X) | Yes (1) | 13 | Yes (1) | WWW.BAPTISTHEALTHALABAMA.COM/PRINCETON | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/PRINCETON | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/PRINCETON | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/PRINCETON | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | 0 | ||
| SHELBY BAPTIST MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/SHELBY | Yes (X) | Yes (1) | 13 | Yes (1) | WWW.BAPTISTHEALTHALABAMA.COM/SHELBY | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/SHELBY | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/SHELBY | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/SHELBY | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | 0 | ||
| WALKER BAPTIST MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/WALKER | Yes (X) | Yes (1) | 13 | Yes (1) | WWW.BAPTISTHEALTHALABAMA.COM/WALKER | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/WALKER | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/WALKER | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/WALKER | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | 0 | ||
| CITZENS BAPTIST MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/CITIZENS | Yes (X) | Yes (1) | 13 | Yes (1) | WWW.BAPTISTHEALTHALABAMA.COM/CITIZENS | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/CITIZENS | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/CITIZENS | Yes (X) | WWW.BAPTISTHEALTHALABAMA.COM/CITIZENS | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | 0 | 0 | ||
| brookwood baptist medical center | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.bwmc.com | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | ||||||||||||||||||||||||||||
Supplemental Information SupplementalInformationGrp (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PRINCETON BAPTIST MEDICAL CENTER | Part V, Section B, Line 5: The hospital facility gathered input from persons who represent the broad interests of the community serviced, as well as from individuals who have special knowledge or expertise in public health. Interviews were conducted by telephone and interviewers followed the same process for each interview, which included documenting the interviewee's expertise and experience related to the community served by the hospital facility.As the basis for discussion, interviewers used questions focused on the community's healthcare strengths, concerns, assets and available resources, capacity utilization, barriers to service, potential areas for improvement, and community trends in healthcare.The hospital facility obtained input from the following persons:Rosemary Blackmon, Executive Director, Alabama Hospital AssociationJoe Acker, Executive Director, Birmingham Emergency Medical ServicesNena Sanders, Dean, Ida V. Moffett School of Nursing, Samford UniversityAma Shambulia, Director, WE Community Gardens Urban MinistryRG Lyons, Minister, Urban MinistriesJanice Tyson, Counselor, Hemphill Elementary SchoolMichael Wesley, Pastor, Greater Shiloh Baptist ChurchNaomi Truman, Executive Director, Housing Authority of BirminghamCedric Sparks, Executive Director, Division of Youth ServicesShauntice Allen, Associate, Clarus Consulting GroupGus Heard-Hughes, Director of Initiatives, Community Foundation of Greater Birmingham |
| SHELBY BAPTIST MEDICAL CENTER | Part V, Section B, Line 5: The hospital facility gathered input from persons who represent the broad interests of the community serviced, as well as from individuals who have special knowledge or expertise in public health. Interviews were conducted by telephone and interviewers followed the same process for each interview, which included documenting the interviewee's expertise and experience related to the community served by the hospital facility.As the basis for discussion, interviewers used questions focused on the community's healthcare strengths, concerns, assets and available resources, capacity utilization, barriers to service, potential areas for improvement, and community trends in healthcare.The hospital facility obtained input from the following persons:RICKY COLQUITT, COORDINATOR, SHELBY CO COOP EXTENSION SYSTEMMIMI WILLIAMS, SHELBY CO LEGISLATIVE DELEGATIONJACK GRAY, CHAIRMAN, CITY OF HELENA PLANNING BOARDDON MURPHY, MAYOR, CITY OF PELHAMJOEL BEARDEN, COMMISSIONER, SHELBY COSPRUCE MCREE, CHIEF, BRIERFIELD VOLUNTEER FIRE DEPTSTEVE MARTIN, BOARD MEMBER, SHELBY CO BOARD OF EDUCATIONLANE VINES, DIRECTOR, PELHAM YMCA |
| WALKER BAPTIST MEDICAL CENTER | Part V, Section B, Line 5: The hospital facility gathered input from persons who represent the broad interests of the community serviced, as well as from individuals who have special knowledge or expertise in public health. Interviews were conducted by telephone and interviewers followed the same process for each interview, which included documenting the interviewee's expertise and experience related to the community served by the hospital facility.As the basis for discussion, interviewers used questions focused on the community's healthcare strengths, concerns, assets and available resources, capacity utilization, barriers to service, potential areas for improvement, and community trends in healthcare.The hospital facility obtained input from the following persons:GREG REED, SENATOR, STATE SENATE, DISTRICT 5HARRY ELLIS, MAYOR, CITY OF SUMITONPAUL KENNEDY, EXECUTIVE DIRECTOR, WALKER AREA COMMUNITY FOUNDATIONPENNE MOTT, DEAN, BEVILL STATE COMMUNITY COLLEGEDIANE BLACK, CLINIC SUPERVISOR, WALKER COUNTY HEALTH DEPTDANNY CAIN, COORDINATOR, WALKER COUNTY ALABAMA COOPERATIVE EXTENSION SYSTEM |
| CITZENS BAPTIST MEDICAL CENTER | Part V, Section B, Line 5: The hospital facility gathered input from persons who represent the broad interests of the community serviced, as well as from individuals who have special knowledge or expertise in public health. Interviews were conducted by telephone and interviewers followed the same process for each interview, which included documenting the interviewee's expertise and experience related to the community served by the hospital facility.As the basis for discussion, interviewers used questions focused on the community's healthcare strengths, concerns, assets and available resources, capacity utilization, barriers to service, potential areas for improvement, and community trends in healthcare.The hospital facility obtained input from the following persons:MARK FERGUSON, CTZ-HACAVERY EMBRY, SCHOOL CFO, TALLADEGA CO BOARD OF EDUCATIONMARY TUBERVILLE, ADMINISTRATOR, TALLADEGA HEALTH CARE CENTERCLAY SPENCER, COMFORT CARE HOSPICE OF TALLADEGALLOYD GIBBS, PASTOR, LINCOLN UNITED METHODIST CHURCHLAURA DALTON, EXECUTIVE DIRECTOR, FIRST FAMILY SERVICES OF TALLADEGAWANDA JURIAANS, COORDINATOR, TALLADEGA CO ALABAMA COOP EXTENSION SYSTEMMARGARET MORTON, EXECUTIVE DIRECTOR, SAFE FAMILY SERVICES CENTER |
| PRINCETON BAPTIST MEDICAL CENTER | Part V, Section B, Line 6a: SHELBY BAPTIST MEDICAL CENTERWALKER BAPTIST MEDICAL CENTERCITIZENS BAPTIST MEDICAL CENTER |
| SHELBY BAPTIST MEDICAL CENTER | Part V, Section B, Line 6a: PRINCETON BAPTIST MEDICAL CENTERWALKER BAPTIST MEDICAL CENTERCITIZENS BAPTIST MEDICAL CENTER |
| WALKER BAPTIST MEDICAL CENTER | Part V, Section B, Line 6a: PRINCETON BAPTIST MEDICAL CENTERSHELBY BAPTIST MEDICAL CENTERCITIZENS BAPTIST MEDICAL CENTER |
| CITZENS BAPTIST MEDICAL CENTER | Part V, Section B, Line 6a: PRINCETON BAPTIST MEDICAL CENTERSHELBY BAPTIST MEDICAL CENTERWALKER BAPTIST MEDICAL CENTER |
| brookwood baptist medical center | Part V, Section B, Line 2: EFFECTIVE WITH THE CREATION OF THE BROOKWOOD BAPTIST HEALTH JOINT VENTURE ON OCTOBER 2, 2015, THE SHARE OF OPERATIONS OWNED BY BHS WILL BE TAX-EXEMPT GOING FORWARD AS A TAX-EXEMPT controlled PARTNERSHIP. |
| PRINCETON BAPTIST MEDICAL CENTER | Part V, Section B, Line 11: Following a comprehensive review of the Community Health Needs Assessment, the Princeton Baptist Medical Center leadership team developed an Implementation Strategy to address the identified health priorities. The resulting Implementation Strategy links specific activities to achieving targeted outcomes for each priority's specified goals and objectives. These activities include existing programs and partnerships as well as new activities aimed at enhancing the benefits Princeton Baptist Medical Center provides to the community. Additionally, the Implementation Strategy provides rationale for any health priorities not addressed (if applicable). The complete Community Health Needs Assessment and Implementation Strategy for Princeton Baptist Medical Center are available on the facility web site at www.baptisthealthalabama.org/princeton. |
| SHELBY BAPTIST MEDICAL CENTER | Part V, Section B, Line 11: Following a comprehensive review of the Community Health Needs Assessment, the SHELBY Baptist Medical Center leadership team developed an Implementation Strategy to address the identified health priorities. The resulting Implementation Strategy links specific activities to achieving targeted outcomes for each priority's specified goals and objectives. These activities include existing programs and partnerships as well as new activities aimed at enhancing the benefits SHELBY Baptist Medical Center provides to the community. Additionally, the Implementation Strategy provides rationale for any health priorities not addressed (if applicable). The complete Community Health Needs Assessment and Implementation Strategy for SHELBY Baptist Medical Center are available on the facility web site at www.baptisthealthalabama.org/SHELBY. |
| WALKER BAPTIST MEDICAL CENTER | Part V, Section B, Line 11: Following a comprehensive review of the Community Health Needs Assessment, the WALKER Baptist Medical Center leadership team developed an Implementation Strategy to address the identified health priorities. The resulting Implementation Strategy links specific activities to achieving targeted outcomes for each priority's specified goals and objectives. These activities include existing programs and partnerships as well as new activities aimed at enhancing the benefits WALKER Baptist Medical Center provides to the community. Additionally, the Implementation Strategy provides rationale for any health priorities not addressed (if applicable). The complete Community Health Needs Assessment and Implementation Strategy for WALKER Baptist Medical Center are available on the facility web site at www.baptisthealthalabama.org/WALKER. |
| CITZENS BAPTIST MEDICAL CENTER | Part V, Section B, Line 11: Following a comprehensive review of the Community Health Needs Assessment, the CITIZENS Baptist Medical Center leadership team developed an Implementation Strategy to address the identified health priorities. The resulting Implementation Strategy links specific activities to achieving targeted outcomes for each priority's specified goals and objectives. These activities include existing programs and partnerships as well as new activities aimed at enhancing the benefits CITIZENS Baptist Medical Center provides to the community. Additionally, the Implementation Strategy provides rationale for any health priorities not addressed (if applicable). The complete Community Health Needs Assessment and Implementation Strategy for CITIZENS Baptist Medical Center are available on the facility web site at www.baptisthealthalabama.org/CITIZENS. |
| PRINCETON BAPTIST MEDICAL CENTER | Part V, Section B, Line 13h: In 2015, in order to comply with the ACA 501r regulations, the hospital adjusts private pay accounts at time of bill using the Medicare lookback methodology. |
| SHELBY BAPTIST MEDICAL CENTER | Part V, Section B, Line 13h: In 2015, in order to comply with the ACA 501r regulations, the hospital adjusts private pay accounts at time of bill using the Medicare lookback methodology. |
| WALKER BAPTIST MEDICAL CENTER | Part V, Section B, Line 13h: In 2015, in order to comply with the ACA 501r regulations, the hospital adjusts private pay accounts at time of bill using the Medicare lookback methodology. |
| CITZENS BAPTIST MEDICAL CENTER | Part V, Section B, Line 13h: In 2015, in order to comply with the ACA 501r regulations, the hospital adjusts private pay accounts at time of bill using the Medicare lookback methodology. |
| PRINCETON BAPTIST MEDICAL CENTER | Part V, Section B, Line 22d: All private pay accounts are adjusted to Medicare lookback discount rates. In addition, families with income between 200 - 300 FPL are additionally adjusted on a sliding scale from 25% - 75% on top of the Medicare lookback discount. We also screen for medical indigency on private pay and residual self pay (i.e. patient balance after insurance) accounts. Medical indigency is determined by limiting the patient payment obligation to a maximum of 20% of the household income. |
| SHELBY BAPTIST MEDICAL CENTER | Part V, Section B, Line 22d: All private pay accounts are adjusted to Medicare lookback discount rates. In addition, families with income between 200 - 300 FPL are additionally adjusted on a sliding scale from 25% - 75% on top of the Medicare lookback discount. We also screen for medical indigency on private pay and residual self pay (i.e. patient balance after insurance) accounts. Medical indigency is determined by limiting the patient payment obligation to a maximum of 20% of the household income. |
| WALKER BAPTIST MEDICAL CENTER | Part V, Section B, Line 22d: All private pay accounts are adjusted to Medicare lookback discount rates. In addition, families with income between 200 - 300 FPL are additionally adjusted on a sliding scale from 25% - 75% on top of the Medicare lookback discount. We also screen for medical indigency on private pay and residual self pay (i.e. patient balance after insurance) accounts. Medical indigency is determined by limiting the patient payment obligation to a maximum of 20% of the household income. |
| CITZENS BAPTIST MEDICAL CENTER | Part V, Section B, Line 22d: All private pay accounts are adjusted to Medicare lookback discount rates. In addition, families with income between 200 - 300 FPL are additionally adjusted on a sliding scale from 25% - 75% on top of the Medicare lookback discount. We also screen for medical indigency on private pay and residual self pay (i.e. patient balance after insurance) accounts. Medical indigency is determined by limiting the patient payment obligation to a maximum of 20% of the household income. |
| brookwood baptist medical center | Part V, Section B, Line 22d: $100 flat rate for emergency department patients & outpatients$200 per day for inpatient admissions capped at $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - PRISON HEALTHCARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 FIRST STREET NORTH | AddressLine1Txt |
| City | ALABASTER | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | PROVIDES INPATIENT, OUTPATIENT, ER, SPECIALTY CARE TO DETAINEES | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Ln 7 Col(f): | A COST TO CHARGE RATIO WAS DERIVED USING THE WORKSHEETS PROVIDED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE NET COMMUNITY BENEFIT EXPENSE OF CHARITY CARE. THE UNREIMBURSED MEDICAID CALCULATION WAS DETERMINED BY USING A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS, INCLUDING BUT NOT LIMITED TO INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF PAY. AMOUNTS FOR OTHER COMMUNITY BENEFITS WERE COMPILED USING THE CBISA PROGRAM AT A FACILITY LEVEL. |
| Part II, Community Building Activities: | COMMUNITY BUILDING ACTIVITIES ADDRESS THE CAUSES OF COMMUNITY HEALTH PROBLEMS BY OFFERING THE SYSTEM'S HEALTH CARE EXPERTISE AND RESOURCES. EXAMPLES OF SUCH ACTIVITIES INCLUDE:LN 2. ECONOMIC DEVELOPMENT - watch 2020; talladega business associates; birmingham business allianceLN 3. COMMUNITY SUPPORT - Various Chambers of Commerce; Rotary Club; YMCA Board; Family Connections Board; Jasper Area Ministerial Emergency Services; Citizens Hospital Association; Gideons; Grief Support; Kiwanis; March of Dimes; United WayLN 5. LEADERSHIP DEVELOPMENT AND LEADERSHIP TRAINING - LEADERSHIP SHELBY county BOARD; Talladega City School Foundation; Leadership BirminghamLN 6. COALITION BUILDING - explorers health programsLN 7. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS - ham radio training and certification |
| Part III, Line 2: | Bad debt expense is derived by applying the patient cost to charge ratio to gross charges of bad debts attributable to patient accounts. This amount is reduced by any offsetting revenues allocated to bad debts. |
| Part III, Line 3: | BHS HAS IMPLEMENTED A TOOL KNOWN AS THE "PAYMENT ASSISTANCE RANK ORDER" (PARO) WITH THE PURPOSE OF IDENTIFYING PATIENTS WHO HAVE FAILED TO APPLY FOR CHARITY CARE THAT MAY BE ELIGIBLE TO RECEIVE FINANCIAL ASSISTANCE. AS A RESULT OF THIS IMPLEMENTATION, A PORTION OF PATIENT CARE REVENUE THAT WOULD OTHERWISE BE REPORTED AS BAD DEBT IS NOW BEING REPORTED AS CHARITY CARE. We have also implemented PARO scoring on residual self pay (i.e. patient balance after insurance.) |
| Part III, Line 4: | THE CORPORATION RECORDS BAD DEBT EXPENSE AS ITS ESTIMATE OF THE AMOUNT OF GROSS CHARGES DUE FROM PATIENTS THAT WILL NOT ULTIMATELY BE COLLECTED. FROM OCTOBER 2, 2015 THROUGH DECEMBER 31, 2015 BHS'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN BROOKWOOD BAPTIST HEALTH 2, LLC IS REPORTED ON SCHEDULE H, PART III, LINE 2. PLEASE REFER TO PAGE 8 OF THE ATTACHED PRIOR YEAR AUDIT REPORT FOR THE CHANGE IN POLICY. THE ORGANIZATION HAS HIRED AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT AN AUDIT FOR CALENDAR YEAR 2015 BUT IT WILL NOT BE COMPLETED BY THE FINAL EXTENDED DUE DATE OF FORM 990 OF NOVEMBER 15, 2016. THE ALLOWANCE FOR BAD DEBTS IS ESTABLISHED FOR ACCOUNTS DEEMED POTENTIALLY UNCOLLECTIBLE BY MANAGEMENT BASED ON CONTRACT TERMS AND HISTORICAL COLLECTION EXPERIENCE. ACCOUNTS ARE WRITTEN OFF ONCE COLLECTION EFFORTS HAVE BEEN EXHAUSTED. |
| Part III, Line 8: | THIS DATA IS A COMPILATION OF MEDICARE COST REPORTS FILED FOR THE YEAR ENDED DECEMBER 31, 2015. THE MEDICARE COST REPORT USES THE WORKING TRIAL BALANCE AS A STARTING POINT AND APPLIES MEDICARE COST REPORTING PRINCIPALS TO DETERMINE TOTAL ALLOWABLE COSTS ON A COST CENTER BASIS. MEDICARE COST REPORTING PRINCIPALS ARE ALSO USED TO DETERMINE TOTAL PATIENT REVENUE ON A COST CENTER BASIS IN ORDER TO COMPUTE A RATIO OF COST TO CHARGES. |
| Part III, Line 9b: | THE FOLLOWING IS FOUND IN THE CHARITY CARE POLICY REGARDING BILLING AND COLLECTIONS:1. BHS ENSURES THAT ALL PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY 2. BHS HAS IMPLEMENTED WRITTEN POLICIES FOR DEFINING AND DELINEATING THE CIRCUMSTANCES UNDER WHICH AND UNDER WHOSE AUTHORITY A PATIENT ACCOUNT IS ADVANCED FOR COLLECTION TO A THIRD-PARTY COLLECTION AGENCY. 3. BHS DEFINES THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS ACTING ON ITS BEHALF SUCH THAT ANY STANDARDS AND SCOPE OF PRACTICES, AT A MINIMUM, ARE CONSISTENT WITH THE BHS MISSIONS AND VALUES. BHS OBTAINS WRITTEN AGREEMENTS FROM EACH THIRD-PARTY COLLECTION AGENT TO ENSURE ADHERENCE TO SUCH MISSION AND VALUES.4. AT THE TIME OF BILLING BHS PROVIDES TO ALL LOW-INCOME UNINSURED PATIENTS THE SAME INFORMATION CONCERNING SERVICES AND CHARGES PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE CARE AT BHS. 5. WHEN SENDING A BILL TO A PATIENT, BHS INCLUDES A) A STATEMENT THAT INDICATES IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM (I.E. MEDICAID) OR FOR FINANCIAL ASSISTANCE FROM BHS; AND B) A STATEMENT THAT PROVIDES THE PATIENT WITH THE NAME AND TELEPHONE NUMBER OF A BHS FINANCIAL COUNSELOR OR THE CENTRAL BUSINESS OFFICE FROM WHOM OR WHERE THE PATIENT MAY OBTAIN INFORMATION ABOUT BHS'S FINANCIAL ASSISTANCE POLICIES FOR PATIENTS AND HOW TO APPLY FOR SUCH ASSISTANCE. 6. ANY PATIENT OR PATIENT'S LEGAL REPRESENTATIVE SEEKING FINANCIAL ASSISTANCE FROM BHS WILL COMPLETE A FINANCIAL NEEDS ASSESSMENT (FNA). A COMPLETED FNA PROVIDES BHS INFORMATION CONCERNING A PATIENT'S INSURANCE COVERAGE, FINANCIAL STATUS AND ANY OTHER INFORMATION THAT IS NECESSARY FOR BHS TO MAKE A DETERMINATION REGARDING THE PATIENT'S STATUS RELATIVE TO BHS'S CHARITY CARE POLICY, DISCOUNTED PAYMENT POLICY OR ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS (I.E. MEDICAID). 7. FOR PATIENTS WHO HAVE AN FNA PENDING FOR EITHER GOVERNMENT-SPONSORED COVERAGE OR FOR BHS'S OWN CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAM, BHS DOES NOT SEND THAT PATIENT'S ACCOUNT TO A COLLECTION AGENCY PRIOR TO 120 DAYS FROM THE TIME OF INITIAL BILLING. 8. IF A PATIENT QUALIFIES FOR ASSISTANCE UNDER BHS'S FINANCIAL ASSISTANCE POLICY AND IS REASONABLY COOPERATING WITH BHS IN AN EFFORT TO SETTLE AN OUTSTANDING ACCOUNT, BHS DOES NOT SEND THE ACCOUNT TO ANY OUTSIDE COLLECTION AGENCY.9. BHS OR OUTSIDE COLLECTION AGENCIES OPERATING ON BEHALF OF BHS DO NOT, IN DEALING WITH LOW-INCOME UNINSURED PATIENTS, USE LIENS ON PRIMARY RESIDENCES AS MEANS OF COLLECTING AN UNPAID PATIENT ACCOUNT. BHS INSTRUCTS BOTH ITS ASSOCIATES AND OUTSIDE COLLECTION AGENCIES THAT TACTICS SUCH AS CHARGING INTEREST, REQUIRING PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S PERSONAL OR REAL PROPERTY ASSETS (RECOURSE INDEBTEDNESS) OR SO CALLED "BODY ATTACHMENTS" (I.E. THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES) ARE STRICTLY PROHIBITED. 10. ELIGIBILITY FOR CHARITY CARE AND DISCOUNT PAYMENTS MAY BE DETERMINED AT ANY TIME BHS IS IN RECEIPT OF ALL INFORMATION (I.E. COMPLETED FNA) NEEDED TO DETERMINE THE PATIENT'S ELIGIBILITY FOR ITS FINANCIAL ASSISTANCE PROGRAMS. ALL UNINSURED PATIENTS, PRIOR TO PLACEMENT WITH A BAD DEBT COLLECTION AGENCY, ARE SCREENED FOR CHARITY QUALIFICATION USING THE "PAYMENT ASSISTANCE RANK ORDER" (PARO), REFERENCED ABOVE.11. Patient payments made prior to financial assistance eligibility determination for qualifying accounts will be refunded to the patient if the patient qualifies for the BHS free care financial assistance program. |
| Part VI, Line 2: | AS A NOT-FOR-PROFIT HEALTH CARE PROVIDER, BAPTIST HEALTH SYSTEM (BHS) IS COMMITTED TO MINISTERING QUALITY HEALTH CARE - PHYSICALLY, MENTALLY, AND SPIRITUALLY - WHILE SERVING AS A WITNESS TO THE LOVE OF GOD AS REVEALED THROUGH CHRIST JESUS. IN ORDER TO ACHIEVE THIS COMMITMENT, IT IS IMPORTANT TO IDENTIFY THE NEEDS OF THE COMMUNITY TO WHICH WE ARE MINISTERING. DURING VARIOUS PLANNING MEETINGS, BHS MANAGEMENT CONSULTS A VARIETY OF MARKET EXPERTS, PHYSICIANS, LOCAL HEALTH OFFICIALS, AS WELL AS HISTORICAL DATA TRENDS BASED ON INTERNAL/EXTERNAL DATA IN ORDER TO DETERMINE EMERGING NEEDS IN THE COMMUNITY. INFORMATION REGARDING THE COMMUNITY IS COMPILED THROUGH HEALTH SCREENINGS, QUESTIONNAIRES, AND PATIENT INTERVIEWS OFFERED TO THE PUBLIC. |
| Part VI, Line 3: | COMMUNICATION OF BHS FINANCIAL ASSISTANCE POLICIES WITH PATIENTS AND THE PUBLIC: ALL NOTIFICATIONS OF OUR FINANCIAL ASSISTANCE POLICIES ARE IN BOTH ENGLISH AND SPANISH, INCLUDING SIGNAGE, STATEMENTS, WEB SITES, AND ETC. BHS POSTS NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE FACILITY INCLUDING PATIENT ACCESS/REGISTRATION, THE CASHIER/BILLING OFFICE, THE EMERGENCY DEPARTMENT AND OTHER APPROPRIATE SETTINGS. EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE CONTAINS A STATEMENT INDICATING THAT THE FACILITY HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND BRIEF INSTRUCTIONS REGARDING HOW TO APPLY FOR CHARITY CARE OR A DISCOUNTED BILL. THE NOTICES INCLUDE A CONTACT NAME AND TELEPHONE NUMBER THAT CAN BE USED BY A PATIENT OR FAMILY MEMBER WHO IS REQUESTING ADDITIONAL INFORMATION. BHS ENSURES THAT STAFF MEMBERS IN THE PATIENT ACCESS/REGISTRATION AREAS AND IN THE CENTRAL BUSINESS OFFICE ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR BILLS FOR HEALTH CARE SERVICES. IN COMMUNICATION WITH PATIENTS AND FAMILIES REGARDING FINANCIAL ASSISTANCE POLICIES, BHS ATTEMPTS TO COMMUNICATE IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE. THIS IS DONE IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. A WRITTEN NOTICE ON THE BILLING STATEMENT INFORMS THE PATIENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE EITHER FROM A GOVERNMENT PROGRAM OR THROUGH THE BHS FINANCIAL ASSISTANCE POLICY.AT THE TIME OF BILLING, BHS WILL PROVIDE TO ALL UNINSURED PATIENTS THE SAME INFORMATION ON SERVICES AND CHARGES THAT IS PROVIDED TO ALL OTHER PATIENTS RECEIVING CARE AT A BHS ENTITY. WHEN SENDING A BILL TO AN UNINSURED PATIENT, THE FOLLOWING INFORMATION IS INCLUDED WITH THE BILL: * A STATEMENT THAT INDICATES THAT IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FOR FINANCIAL ASSISTANCE FOR HELP IN PAYING FOR THE SERVICES THAT WERE PROVIDED; AND*A STATEMENT THAT PROVIDES THE PATIENT WITH A CONTACT RESOURCE ABOUT THE BHS FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS AND HOW TO APPLY FOR SUCH ASSISTANCE FOR THE PAYMENT OF SERVICES THAT WERE PROVIDED. BHS WILL PROVIDE INFORMATION TO ALL PATIENTS INFORMING THEM OF THEIR RESPONSIBILITY TO PROVIDE DOCUMENTATION FOR VERIFICATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| Part VI, Line 4: | Prior to October 2, 2015, the Baptist Health System directly operated four hospitals. Pursuant to the Joint Venture (described in greater detail in Schedule N and O), from October 2, 2015 through December 31, 2015, BHS indirectly operated five hospitals through its ownership in the Brookwood Baptist Health joint venture. The hospitals are located in Jefferson, Shelby, Talladega and Walker counties. These counties account for approximately 76% of inpatient admissions. Additionally, other counties which provide a significant amount of admissions but are not considered to be part of the primary service area include Chilton, Winston, Bibb, Cullman and Marion counties. Admissions from Jefferson (Princeton Baptist Medical Center and Brookwood Baptist Medical Center) and Shelby (Shelby Baptist Medical Center) accounted for 48.6% of total admissions in FY 2015. The major competitors in the market include UAB Hospital (University of Alabama System), Grandview Hospital (Community Health) and St. Vincent's (Ascension Healthcare).Each hospital is located in an area that has been designated as a medically underserved area/population by the Health Resources and Service Administration (HRSA). This is primarily due to low income designations given to the surrounding populations. Furthermore, all facilities except Shelby Medical Center reside in an area designated by the HRSA as a "primary health care professional shortage area and a "mental health professional shortage area".Based on the payor data from FY 2015, Medicare/Medicare HMO was the Corporation's largest source of patient revenue at 52% of gross charges. Other significant sources of patient revenue included Blue Cross at 21% and Medicaid at 11%. |
| Part VI, Line 5: | THE BOARD OF DIRECTORS FOR BAPTIST HEALTH SYSTEM IS COMPRISED OF INDEPENDENT COMMUNITY LEADERS WHO RESIDE IN THE SYSTEM'S PRIMARY SERVICE AREA. IN ADDITION, BHS OPERATES AN OPEN MEDICAL STAFF AND ACTIVELY RECRUITS PHYSICIAN SPECIALTIES BASED ON THE NEEDS OF THE COMMUNITY. ALL SURPLUS FUNDS received by bhs ARE USED TO IMPROVE PATIENT CARE THROUGH IMPROVEMENTS IN FACILITIES, SERVICE OFFERINGS, AND TRAINING MEDICAL STAFF. EACH HOSPITAL OPERATES A FULL-TIME EMERGENCY ROOM OPEN TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ACTIVE INVOLVEMENT IN COMMUNITY SERVICE IS ONE OF THE MANY WAYS BHS LIVES TRUE TO ITS MISSION OF BEING COMMITTED TO MINISTRIES THAT ENHANCE THE HEALTH, DIGNITY, AND WHOLENESS OF THOSE WE SERVE. EXAMPLES OF THIS INCLUDE OPPORTUNITIES FOR STUDENTS TO SPEND TIME SHADOWING CLINICIANS AT BHS FACILITIES, INTERNSHIP PROGRAMS, FREE HEALTH SCREENINGS, PARTNERING WITH LOCAL CHURCHES TO PROVIDE MEDICAL CARE TO THOSE EXPERIENCING DIFFICULT CIRCUMSTANCES, AND PROVIDING AID TO BHS EMPLOYEES WHO ARE INVOLVED IN MISSION RELATED VOLUNTEER ACTIVITIES. |
| Part VI, Line 6: | BHS, AS REPORTED IN SCHEDULE H, FURTHERS ITS FAITH-BASED MISSION THROUGH ITS AFFILIATION WITH THE BAPTIST HEALTH CENTERS (BHC) AND THE BAPTIST HEALTH FOUNDATION (BHF). BAPTIST HEALTH CENTERS, INC. IS A WHOLLY OWNED SUBSIDIARY OF BAPTIST HEALTH SYSTEM, INC. THAT SPECIALIZES IN PHYSICIAN PRACTICE MANAGEMENT. BHC WAS FORMED AND OPERATES TO EXPAND ACCESS TO QUALITY HEALTHCARE ACROSS ALABAMA.THE BAPTIST HEALTH FOUNDATION EXISTS TO SUPPORT THE FAITH-BASED MISSION OF BHS BY WORKING TO PROVIDE THE CHARITABLE AND COMMUNITY RESOURCES NECESSARY FOR ITS OPERATION. THE FOUNDATION SUPPORTS A WIDE ARRAY OF HEALTH RELATED ACTIVITIES INCLUDING PASTORAL CARE MINISTRIES, MEDICAL EDUCATION, MEDICAL RESEARCH AND CHARITY CARE AS WELL AS CLINICAL PROGRAMS SUCH AS HEART AND CANCER CARE, OBSTETRICS, WOMEN'S SERVICES AND ORTHOPEDIC REHABILITATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| keiTH PARROTT | ||||||||||||||
| PRESIDENT AND CEO (PRIOR TO 10/2) | $525,017 | $0 | $1,002,315 | $0 | $1,366 | $0 | $6,555 | $0 | $11,404 | $0 | $1,546,657 | $0 | $0 | $0 |
| GREGORY D JOHNSTON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $313,733 | $0 | $530,014 | $0 | $100,034 | $0 | $24,395 | $0 | $917 | $0 | $969,093 | $0 | $0 | $0 |
| amy s allen | ||||||||||||||
| PRESIDENT AND CEO (AFTER 10/2) | $382,588 | $0 | $289,814 | $0 | $13,887 | $0 | $6,395 | $0 | $9,464 | $0 | $702,148 | $0 | $0 | $0 |
| ERIC JEFFRIES | ||||||||||||||
| EXECUTIVE DIRECTOR OF FINANCE | $169,084 | $0 | $21,751 | $0 | $116 | $0 | $3,292 | $0 | $1,085 | $0 | $195,328 | $0 | $0 | $0 |
| david coleman wilson | ||||||||||||||
| aDMINISTRATOR | $144,007 | $0 | $181,622 | $0 | $550 | $0 | $2,505 | $0 | $3,492 | $0 | $332,176 | $0 | $0 | $0 |
| elIZABETH postlethwait | ||||||||||||||
| ADMINISTRATOR | $245,516 | $0 | $296,064 | $0 | $3,612 | $0 | $24,091 | $0 | $600 | $0 | $569,883 | $0 | $0 | $0 |
| robert Phillips | ||||||||||||||
| aDMINISTRATOR | $218,208 | $0 | $280,835 | $0 | $576 | $0 | $6,377 | $0 | $11,474 | $0 | $517,470 | $0 | $0 | $0 |
| joel Taylor | ||||||||||||||
| adMINISTRATOR | $153,720 | $0 | $200,648 | $0 | $323 | $0 | $4,470 | $0 | $9,234 | $0 | $368,395 | $0 | $0 | $0 |
| GEORGE SCOTT FENN | ||||||||||||||
| CHIEF INTEGRATION OFFICER | $303,327 | $0 | $481,670 | $0 | $1,067 | $0 | $6,288 | $0 | $11,727 | $0 | $804,079 | $0 | $0 | $0 |
| elizabeth d ennis | ||||||||||||||
| chief medical officer | $337,094 | $0 | $320,750 | $0 | $192,116 | $0 | $7,534 | $0 | $691 | $0 | $858,185 | $0 | $190,635 | $0 |
| ELIZABETH FRANCIS | ||||||||||||||
| CHIEF HR OFFICER | $255,480 | $0 | $256,554 | $0 | $1,185 | $0 | $14,240 | $0 | $4,950 | $0 | $532,409 | $0 | $0 | $0 |
| johN DAVIS | ||||||||||||||
| chief information officer | $333,244 | $0 | $250,043 | $0 | $1,025 | $0 | $7,524 | $0 | $4,889 | $0 | $596,725 | $0 | $0 | $0 |
| valeta neal | ||||||||||||||
| administRATOR | $215,203 | $0 | $163,978 | $0 | $1,007 | $0 | $5,773 | $0 | $8,465 | $0 | $394,426 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Travel for Companions: The BHS travel policy does not allow for reimbursement of travel expenses for companions. However, the Corporation will make exceptions for instances in which executive spouses are required to attend seminars/training on a very limited basis. In accordance with IRS Regulation section 1.162(c), BHS pays reasonable travel expenses if the attendance of the spouses is required in order to perform the substantive duties of the employee's business. |
| Part I, Line 4b | KEITH PARROTT - $6,555 GREGORY D. JOHNSTON - $24,395 DAVID coleman WILSON - $2,505 elizabeth postlethwait - $24,091 ROBERT PHILLIPS - $6,377 JOEL TAYLOR - $4,470 VALETA NEAL - $5,773 GEORGE SCOTT FENN - $6,288 ELIZABETH ENNIS - $7,534 ELIZABETH FRANCIS - $14,240 JOHN DAVIS - $7,524 amy s. allen - $6,395 ERIC JEFFRIES - $3,292 |
| Part I, Line 6 | BHS OFFERS AN ANNUAL INCENTIVE PLAN TO MEMBERS OF THE MANAGEMENT TEAM. PAYOUT UNDER THE INCENTIVE PLAN IS APPROVED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES USING THE FOLLOWING CRITERIA: 1.) OVERALL SYSTEM AND FACILITY SPECIFIC TARGETS. 2.) CRITICAL SUCCESS FACTORS INCLUDING FINANCIAL TARGETS, QUALITY METRICS, PATIENT SATISFACTION, OPERATIONAL GROWTH, COST EFFICIENCIES, AS WELL AS INDIVIDUAL GOALS AND OBJECTIVES. TO ENSURE THERE ARE FUNDS AVAILABLE FOR DISTRIBUTION, THE PLAN IS TRIGGERED BY THE ACHIEVEMENT OF A THRESHOLD FINANCIAL PERFORMANCE. THE ACTUAL DISTRIBUTIONS ARE CALCULATED BY THE ACHIEVEMENT OF TARGETS RELATED TO EXPANDING OUR SERVICES TO ADDITIONAL PATIENTS, ACHIEVING PATIENT SATISFACTION GOALS, ACHIEVING HIGH LEVELS OF CLINICAL QUALITY AND MAINTAINING A COMPETITIVE COST STRUCTURE. |
| schedule j, part ii: | On 10/2/15, the Baptist Health System entered into a Joint Venture agreement with Tenet Healthcare. As part of the transaction, BHS paid out its annual incentive plan prior to the Joint Venture closing. Therefore, compensation included in the 2015 Form 990 includes 1.75 times the normal amount of annual incentives to its executives (the CY 2014 plan was paid out in early 2015 and 9 months of the 2015 plan was paid out prior to the Joint Venture closing). In addition, BHS also has a Long Term Incentive Plan where its executives are compensated over a period of three years based on meeting long-term objectives set forth by its Board of Trustees. Annually, BHS performs a look back over the prior three years to determine what goals were achieved. Compensation in FY 2015 from this Long Term Incentive Plan was roughly three times a normal payout as all goals achieved over the prior three years were paid at one time and the plan was terminated just prior to the new Joint Venture. Additionally, certain key employees and executives were provided a retention bonus to incentiviSe them to continue their employment through the due diligence phase up through the Joint Venture closing date. Also, certain executives were paid out their ETO (earned time off) prior to the closing of the Joint Venture. Finally, Baptist Health System had supplemental retirement programs that had been in place for its executives. These supplemental executive retirement plans were terminated and paid out prior to the creation of the Joint Venture. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | all operating assets of baptist health system, inc. | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2015-10-02 | DistributionDt |
| Fair Market Value Of Asset | $577,600,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | fairness opinion | MethodOfFMVDeterminationTxt |
| EIN | 474384965 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKWOOD BAPTIST HEALTH 2 LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1445 ROSS AVENUE SUITE 1400 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | LLC | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II, Line 2e: | Person(s) Involved: KEITH PARROT, RICHARD FARRAR, BRIAN HAMILTON, JOHN HOLCOMB, III, ANDY WESTMORELAND, ED.D., GARY FISHER, D.MIN., GREGORY D. JOHNSTON, ELIZABETH POSTLETHWAIT, ROBERT PHILLIPS, JOEL TAYLOR |
| Part II, Line 2e: | Explanation of Involvement: THE ABOVE MENTIONED OFFICERS, KEY EMPLOYEES AND TRUSTEES BECAME OFFICERS, KEY EMPLOYEES AND TRUSTEES OF THE SUCCESSOR ORGANIZATION, BROOKWOOD BAPTIST HEALTH, LLC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | Effective October 2, 2015, a business combination (the "Joint Venture") was entered into between BHS and Tenet Healthcare Corporation ("Tenet"). The combination of capital and other healthcare assets by BHS and Tenet into the Joint Venture will enable BHS to further its primary charitable purposes of providing high quality healthcare to the residents of the Birmingham and Central Alabama markets while also enhancing access to a wide range of healthcare resources for these communities. As a result of certain financing arrangements that Tenet is subject to, the Joint Venture was structured as three separate limited liability companies with BHS and Tenet participating as a member in each LLC. This arrangement makes the Joint Venture more complicated but nevertheless protects BHS from any liability from Tenet's existing financing arrangements. Further, a condition of the transaction was the requirement that Tenet pay sufficient funds at closing to allow BHS to fully fund its obligations under its pension plan and to pay off all outstanding debt obligations (in the aggregate, the "BHS Obligations"). Collectively, the LLCs own and operate the hospitals and other healthcare facilities previously owned by BHS and Brookwood Medical Center (previously owned by Tenet) located in the State of Alabama. As a result of the payment by Tenet that funded the payment of the BHS Obligations, Tenet owns a sixty percent ownership interest in each LLC, and BHS owns a forty percent ownership interest. In addition, the parties have an equal number of directors appointed for the Joint Venture. Nonetheless, BHS retains certain additional powers (described further below) to ensure the Joint Venture will continue to further BHS' charitable purposes. The management board of each LLC includes a block voting mechanism for each member's appointed directors. An affiliate of Tenet ("Tenet Manager") was engaged to manage the assets owned by the joint venture pursuant to a management agreement (the "Management Agreement") and, except for the current management of BHS, former BHS employees became Tenet employees. The Management Agreement is for a term of 10 years, with two automatic 10 year renewals. The terms of the Management Agreement require that the Tenet Manager manage the Joint Venture pursuant to the requirements of Code Section 501(c)(3) and the charitable principles as set forth in the LLC Agreement. In the event the Tenet Manager fails to comply with these requirements, the Management Agreement and LLC Agreements provide certain termination rights. These protections of BHS are further supported through pledge and security agreements in favor of BHS. |
| PART IV, LINE 12A: | THE ORGANIZATION HAS HIRED AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT AN AUDIT FOR CALENDAR YEAR 2015 BUT IT WILL NOT BE COMPLETED BY THE FINAL EXTENDED DUE DATE OF FORM 990 OF NOVEMBER 15, 2016. |
| PART IV, LINE 20B: | THE ORGANIZATION HAS HIRED AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT AN AUDIT FOR CALENDAR YEAR 2015 BUT IT WILL NOT BE COMPLETED BY THE FINAL EXTENDED DUE DATE OF FORM 990 OF NOVEMBER 15, 2016. |
| Form 990, Part VI, Section A, line 4 | In connection with the Joint Venture (described in greater detail on Schedule N and O), the Bylaws of BHS were amended and restated to further enumerate the powers of the Board of Trustees, change the committee structure, delete certain no longer operative advisory councils, clarify officer titles, and delete the Medical Staff Bylaws references that are now part of the Joint Venture Structure. |
| Form 990, Part VI, Section A, line 7a | PURSUANT TO THE RESTATED ARTICLES OF INCORPORATION OF BAPTIST HEALTH SYSTEM, INC., THE BIRMINGHAM BAPTIST ASSOCIATION, AN ALABAMA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ELECTS THE BOARD OF TRUSTEES OF BAPTIST HEALTH SYSTEM, INC. FROM A SLATE PRESENTED BY BAPTIST HEALTH SYSTEM, INC. |
| Form 990, Part VI, Section A, line 7b | ANY AMENDMENT TO THE BAPTIST HEALTH SYSTEM, INC. ARTICLES OF INCORPORATION MUST BE APPROVED BY THE BIRMINGHAM BAPTIST ASSOCIATION AND ANY MORTGAGE PLACED ON ANY PART OR PORTION OF REAL PROPERTY OWNED BY BAPTIST HEALTH SYSTEM, INC. MUST BE APPROVED BY THE BIRMINGHAM BAPTIST ASSOCIATION. |
| Form 990, Part VI, Section B, line 11 | THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | THE CORPORATION, DEDICATED TO ITS FAITH BASED HEALTH CARE MINISTRY, HAS DEMONSTRATED THE VALUE OF INTEGRITY BY SETTING FORTH A POLICY PROHIBITING CONFLICT OF INTEREST AND PROVIDING A MECHANISM FOR REPORTING POTENTIAL CONFLICT OF INTEREST SITUATIONS. THE PURPOSE OF THIS CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, BOARD COMMITTEE MEMBER, OFFICER, DIRECTOR, OR MANAGER OF BHS. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL OR ALABAMA LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. THE CORPORATION CONDUCTS AN ANNUAL CONFLICT OF INTEREST SURVEY FOR ALL OF ITS BOARD MEMBERS, OFFICERS, DIRECTORS, AND MANAGERS TO ENSURE THAT ALL POTENTIAL CONFLICTS ARE REPORTED AND ADDRESSED. THE CORPORATION ALSO HAS A TRAVEL POLICY IN PLACE THAT ALLOWS FOR THE REIMBURSEMENT OF TRAVEL EXPENSES THAT ARE REASONABLE IN AMOUNT AND ARE CONSIDERED ORDINARY, NECESSARY, AND APPROPRIATE TO THE CONDUCT OF THE CORPORATION'S BUSINESS. THE REIMBURSEMENT GUIDELINES ARE IN ACCORDANCE WITH INTERNAL REVENUE SERVICE REGULATIONS. THE AMOUNT OF FUNDS EXPENDED EACH YEAR RELATED TO TRAVEL IS BUDGETED. EMPLOYEES AND TRUSTEES OF THE CORPORATION ARE NOT COMPENSATED THROUGH EXPENSE ALLOWANCES. TO BE REIMBURSED FOR TRAVEL, EMPLOYEES AND TRUSTEES MUST SUBMIT A SIGNED EXPENSE REPORT FORM AND PROVIDE DOCUMENTATION IN THE FORM OF RECEIPTS FOR ANY EXPENSE OF $20 OR MORE. |
| Form 990, Part VI, Section B, line 15 | THE ANNUAL PROCESS OF REVIEWING COMPENSATION FOR EXECUTIVES CLASSIFIED AS DISQUALIFIED PERSONS UNDER IRS INTERMEDIATE SANCTIONS GUIDELINES INCLUDES THE FOLLOWING STEPS: THE GOVERNANCE COMMITTEE (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) REVIEWS AND APPROVES BASE SALARY, INCENTIVES, FRINGE AND OTHER BENEFITS, AND RETIREMENT AND/OR DEFERRED COMPENSATION BENEFITS. THE GOVERNANCE COMMITTEE EMPLOYS A THIRD PARTY CONSULTANT TO PROVIDE THE INDEPENDENT MARKET DATA AND UTILIZES A DOCUMENTED TOTAL COMPENSATION PHILOSOPHY TO GUIDE IN THE DECISION MAKING. PEER GROUP MARKET DATA AND ANALYSIS IS UTILIZED FOR COMPARISON OF THE TOTAL COMPENSATION PACKAGE. MEETING MINUTES ARE MAINTAINED WHICH REFLECT THE CONSIDERATION OF PHILOSOPHY, PERFORMANCE, AND MARKET DATA. THE ANNUAL PROCESS FOR EXECUTIVES NOT CLASSIFIED AS DISQUALIFIED PERSONS UNDER IRS INTERMEDIATE SANCTIONS GUIDELINES INCLUDE THE FOLLOWING: THE BHS PRESIDENT AND CEO REVIEWS AND APPROVES ALL COMPENSATION DECISIONS. THIRD PARTY CONSULTANTS AND TOTAL COMPENSATION SURVEYS ARE UTILIZED TO PROVIDE INDEPENDENT MARKET DATA. A DOCUMENTED TOTAL COMPENSATION PHILOSOPHY IS UTILIZED TO GUIDE IN THE DECISION MAKING. PEER GROUP MARKET DATA AND ANALYSIS IS UTILIZED FOR COMPARISON OF THE TOTAL COMPENSATION PACKAGE. THE GOVERNANCE COMMITTEE REVIEWS AND APPROVES INCENTIVES, FRINGE BENEFITS, AND RETIREMENT AND/OR DEFERRED COMPENSATION BENEFITS. |
| Form 990, Part VI, Section C, line 19 | AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. |
| FORM 990, PART VIII, LINE 2A: | EFFECTIVE JANUARY 1, 2012, THE CORPORATION ADOPTED ACCOUNTING STANDARDS REGARDING THE PROVISION FOR BAD DEBTS RELATED TO PATIENT SERVICE REVENUE. AS A RESULT, THE PROVISION FOR BAD DEBTS IS DISPLAYED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN UNRESTRICTED NET ASSETS. |
| Form 990, Part XI, line 9: | Decrease in Minimum Pension Liability -3,538,210. increase in investment in affiliate - temporarily restricted -1,194,269. increase in investment in affiliate - permanently restricted -1,257,046. reclassification of contributions and subsidiary income/loss -3,019,443. other changes 1,289,566. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST AFFINITY LLC | |||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 203150646 | HOLDING COMPANY | AL | $0 | $0 | BHS AFFINITY INC | ||||
| HOOVER BAPTIST MEDICAL CENTER LLC | |||||||||||||
| pO BOX 830605 | BIRMINGHAM | AL | 352830605 | 205417206 | LEASE MEDICAL FACILITIES | AL | $122,094 | $5,910,000 | baptist health system inc | ||||
| WALKER BAPTIST AFFINITY LLC | |||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 203864809 | HOLDING COMPANY | AL | $0 | $0 | BHS AFFINITY INC | ||||
| PRISON HEALTHCARE LLC | |||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 203437722 | HEALTHCARE SERVICES FOR PRISONERS | AL | $343 | $0 | baptist health system inc | ||||
| BHC-TALLADEGA PEDIATRICS LLC | |||||||||||||
| pO BOX 830605 | BIRMINGHAM | AL | 352830605 | 331178239 | PEDIATRIC HEALTHCARE SERVICE | AL | $0 | $0 | BAPTIST HEALTH CENTERS INC | ||||
| BAPTIST PHYSICIAN ALLIANCE LLC | |||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 611656513 | PHYSICIANS NETWORK | AL | $560,000 | $0 | baptist health system inc | ||||
| REGENCY HOLDINGS LLC | |||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 205136737 | HOLDING COMPANY | AL | $0 | $0 | BHS AFFINITY INC | ||||
| ALABAMA RISK SERVICES LTD | |||||||||||||
| 981158037 | FOREIGN INSURANCE COMPANY | $2,431,229 | $0 | baptist health system inc | GOVERNERS SQ 2ND FLRBLDG 323 LI | GRAND CAYMAN | CJ | CJ | |||||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAPTIST PARTNERSHIP HOLDINGS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 830605 | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352830605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630963324 | EIN |
| Primary Activities | HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 9 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | baptist health system inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC | |||||||||||||
| 1010 FIRST STREET NORTH | ALABASTER | AL | 35007 | 203150946 | MEDICAL CLINIC | AL | SHELBY BAPTIST AFFINITY LLC | UNRELATED | 0 | 0 | |||
| brookwood baptist health 1 llc | |||||||||||||
| 1445 ross avenue suite 1400 | dallas | TX | 75202 | 477384935 | owns and operates 5 hospitals in alabama | TX | baptist health system inc | related | 0 | 0 | $39,745,103 | $122,010,405 | 0.40000 |
| brookwood baptist health 2 llc | |||||||||||||
| 1445 ross avenue suite 1400 | dallas | TX | 75202 | 474384965 | owns and operates 5 hospitals in alabama | TX | baptist health system inc | related | 0 | 0 | $64,250,310 | $194,771,773 | 0.40000 |
| brookwood baptist health 3 llc | |||||||||||||
| 1445 ross avenue suite 1400 | dallas | TX | 75202 | 474263033 | owns and operates 5 hospitals in alabama | TX | baptist health system inc | related | 0 | 0 | $2,543,305 | $997,119 | 0.40000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BHS AFFINITY INC | ||||||||||||
| PO BOX 830605 | BIRMINGHAM | AL | 352830605 | 631111454 | HOLDING COMPANY | AL | baptist health system inc | C | $48,951,240 | $26,821,923 | 1.00000 | 0 |
| BAPTIST HEALTH CENTERS INC | ||||||||||||
| pO BOX 830605 | BIRMINGHAM | AL | 352830605 | 630925859 | PHYSICIANS PRACTICES | AL | BHS AFFINITY INC | C | 1.00000 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| baptist partnership holdings inc | ||
| A | $81,788 | FMV |
| shelBY BAPTIST AMBULATORY SURGERY CENTER LLC | ||
| A | $498,744 | FMV |
| baptist HEALTH CENTERS INC | ||
| A | $388,319 | FMV |
| BAPTIST HEALTH CENTERS INC | ||
| C | $1,357,858 | FMV |
| baptist HEALTH CENTERS INC | ||
| L | $5,718,999 | FMV |
| baptist HEALTH CENTERS INC | ||
| O | $11,346,425 | FMV |
| BAPTIST HEALTH CENTERS INC | ||
| Q | $3,876,965 | FMV |
| baptist HEALTH CENTERS INC | ||
| R | $2,720,000 | FMV |
| bhs affinity inc | ||
| B | $40,473 | FMV |
| bhs affinity inc | ||
| C | $720,554 | fMV |
| brookwood baptist health 2 llc | ||
| K | $4,520 | fmv |
| brookwood baptist health 2 llc | ||
| P | $283,166 | fmV |
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