2016-08-15T13:09:26-05:00 2015-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2014-10-01 590657322 BAPTIST HOSPITAL INC % WILLIAM J ROBERTS BAPT 8504344714 POST OFFICE BOX 17500 PENSACOLA FL 32522 MICHAEL GLEASON SVP/CFO 8504344714 2016-08-15 true Michael J Engle P00482834 8162216300 2016-08-15 2014 2016-09-27 15:27:22Z Mark Faulkner 1717 N E ST STE 320 Pensacola FL 32501 494720541 false X www.ebaptisthealthcare.org/BaptistHospital X 1943 FL THE ORGANIZATION'S MISSION IS TO MEET THE HEALTHCARE NEEDS IN THE REGION, AND IT OPERATES TWO ACUTE CARE HOSPITALS THAT PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 15 15 3423 270 1812498 782524 661610 2030667 452866178 472824715 7125759 5850502 4757635 5975138 465411182 486681022 929689 1066663 0 0 152431590 168352493 0 0 0 281747093 290895792 435108372 460314948 30302810 26366074 507961326 526277862 296995764 307182849 210965562 219095013 X SEE SCHEDULE O false false 370386847 0 476376526 General and specialized health care services including inpatient, primary care, long term and outpatient services. Baptist Hospital is a 492-bed tertiary care hospital, the largest in the Baptist Health Care network, that provides specialized care for oncology, heart and vascular, bariatrics, orthopaedics, neurology, trauma, surgery, diagnostic imaging, and psychiatric services. In addition, Baptist Hospital offers diagnostic, treatment and rehabilitation services. Gulf Breeze Hospital is a 77-bed general hospital providing acute and emergency care. Services include diagnostic imaging, surgery, laboratory and orthopaedics. 1375128 1064663 0 COMMUNITY BENEFIT ACTIVITIES INCLUDING FREE HEALTH SCREENINGS, DONATIONS TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH EDUCATION, MENTORING/SUPPORT GROUPS, CONTINUING MEDICAL EDUCATION, AND OTHER COMMUNITY OUTREACH SERVICES. 371761975 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false true true true true false false true 5 0 true 3423 true true true false false false false false false false false false X 15 15 true false false false true true true true true false false true true true true true true true true true true X WILLIAM J ROBERTS 8504697643 1717 NORTH E STREET STE 321 Pensacola FL 32501 Ronald E Jackson Chairman 1.0 1.0 X X 0 0 0 Larry K Hicks Vice Chairman 1.0 1.0 X X 0 0 0 Ricky W Smith Board Member 1.0 1.0 X 0 0 0 John Hosman Board Member 1.0 1.0 X 0 0 0 Kim Jernigan DMD Board Member 1.0 1.0 X 0 0 0 Michael J Mazenko Board Member 1.0 1.0 X 0 0 0 Thomas F Owens Board Member 1.0 1.0 X 0 0 0 Margaret T Stopp BOARD MEMBER 1.0 1.0 X 0 0 0 John J Baehr III MD Board Member 1.0 1.0 X 0 0 0 John M Kizziah SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 Rev Lonnie Wesley Board Member 1.0 1.0 X 0 0 0 Frank White Board Member 1.0 1.0 X 0 0 0 David Kellen MD Board Member 1.0 1.0 X 0 0 0 Adm Robert Kelley Board Member 1.0 1.0 X 0 0 0 Luther Taylor Board Member 1.0 1.0 X 0 0 0 REVEREND LUTIMOTHY MAY BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL GLEASON Senior VP/CFO 4.0 46.0 X 0 0 0 Sharon Nobles VP/CFO-ACUTE CARE SERVICES 40.0 10.0 X 381527 0 29281 Bryon Scott Raynes SVP/PRESIDENT BAPTIST HOSPITAL 40.0 10.0 X 511253 0 83391 Mark Faulkner PRESIDENT/CEO 10.0 40.0 X 0 811284 188068 DANIEL SONTHEIMER MD SVP-BHC/PRESIDENT BMG 30.0 20.0 X 466438 0 14918 DAVID JOYNER MD SVP/ANDREWS INSTITUTE 50.0 0.0 X 0 0 0 Cyd Cadena Vice President 40.0 0.0 X 230622 0 19684 Patsy Myers Vice President 40.0 0.0 X 229181 0 29050 Kenneth Casey Sorrell Vice President 40.0 0.0 X 183983 0 5480 CYNDE GAMACHE VICE PRESIDENT 40.0 0.0 X 238151 0 22356 JULIE CARDWELL VICE PRESIDENT 40.0 0.0 X 248389 0 31841 VICTOR HALL VICE PRESIDENT 40.0 0.0 X 254333 0 10667 James Adams MD Physician 40.0 0.0 X 1168594 0 28908 Margaret Speeker-Cruit MD Physician 40.0 0.0 X 646887 0 26707 BRETT REICHWAGE MD PHYSICIAN 40.0 0.0 X 1218874 0 20038 JASON ROCHA MD PHYSICIAN 40.0 0.0 X 709648 0 22273 JOSHUA DAVIS MD PHYSICIAN 40.0 0.0 X 912713 0 28242 7400593 811284 560904 136 false true false The Neurosurgical Group Trauma Svcs 318761 Pensacola Lung Group MD's PA ON CALL SERVICES 568750 George C Reese MD Med Director/Med Svc 299623 Beggs Lane LLP Legal Services 453496 EXECUTIVE HEALTH RESOURCES EHR APPEALS 349970 16 1815908 196283 18476 2030667 NET PATIENT SERVICE REVENUE 621400 461361398 461361398 LABORATORY SERVICES 621500 3894454 3214238 680216 340B PHARMACY REVENUE 900099 4494175 4494175 HOME HEALTH SERVICES 900099 451646 451646 EHR REVENUE 541900 2174421 2174421 448621 448621 472824715 4526146 642757 3883389 0 0 9238102 8039519 1198583 0 1198583 1198583 1308274 16082 1308274 16082 1324356 1324356 0 0 0 PARTNERSHIP INCOME 621990 2419529 2419529 CAFETERIA & FOOD SALES 722210 42706 42706 MISCELLANEOUS REVENUE 900099 2314320 489525 1824795 2314320 489525 1824795 4776555 486681022 474564028 1812498 8273829 979223 979223 87440 87440 0 0 2999257 2399406 599851 0 143016499 131022822 11993677 2706754 2484422 222332 9926195 9110861 815334 9703788 8906723 797065 36326365 36326365 395911 395911 209454 209454 0 0 56459 56459 33468138 25301716 8166422 338374 108117 230257 9108503 4154700 4953803 1612182 1089913 522269 0 12942577 10810369 2132208 745680 387745 357935 0 120208 117185 3023 14177207 12596878 1580329 0 16648956 912361 15736595 3657253 1185488 2471765 MEDICAL SUPPLIES 93366733 93366733 BAD DEBT EXPENSE 57395154 57395154 INDIGENT ASSESSMENT 4396848 4396848 FOOD COSTS 3326534 3182295 144239 2603256 1765576 837680 460314948 371761975 88552973 0 57592573 81422984 73292873 72447814 0 0 57555851 48326882 0 0 0 0 0 0 11860387 11531872 3283372 3213303 435861704 297687838 138837292 138173866 20274423 20129483 13310422 13930022 0 0 6185735 5945735 125768398 131155901 507961326 526277862 52643815 45508655 0 7800 162341 399492 157643794 154061436 0 0 0 0 28217705 34591437 10368579 9900000 47959530 62714029 296995764 307182849 X 209713504 217836368 1252058 1258645 0 0 210965562 219095013 507961326 526277862 X 26366074 -18236623 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 34989 84612 34989 84612 460279959 747955307 460314948 748039919 1000000 4380108 250000 1095029 1000000 1000000 1000000 1000000 4000000 6000000 213915 117438 111827 84612 527792 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 1252059 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SCHEDULE D, PART X, LINE 2 Financial accounting standards board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no uncertain tax positions as of September 30, 2015 and 2014. Central America and the Caribbean Investments 5808026 5808026 5808026 false false true true false false true true X true X true X true true true false false 16072438 16072438 0.03990 38982859 31978614 7004245 0.01740 55055297 31978614 23076683 0.05730 5 52416 360718 360718 0.00090 1014410 1014410 0.00250 5 52416 1375128 1375128 0.00340 5 52416 56430425 31978614 24451811 0.06070 false 8980505 166841169 166890848 -49679 X true true Andrews Institute Ambulatory Surgery Center 0.54954 0.00000 0.45055 ASC LLC 2 1 Baptist Hospital 1000 W Moreno Street Pensacola FL 32501 4456 X X X A 2 Gulf Breeze Hospital 1110 Gulf Breeze Parkway Gulf Breeze FL 32562 4456 X X X A A 12 false false true X X X X X X X X 12 true true true true X SEE PART V, SECTION C X true 12 false true false true X 200. 400. X X X X true true X X X X true X WWW.EBAPTISTHEALTHCARE.ORG X WWW.EBAPTISTHEALTHCARE.ORG X WWW.EBAPTISTHEALTHCARE.ORG X X X true false X X X X true X false false PART V, SECTION B, LINE 5 The CHNA process was facilitated by The Partnership for a Healthy Community (PFAHC), a nonprofit tax-exempt organization whose mission is to sponsor community health status assessments for the two counties and to support and promote collaborative initiatives that address priority health problems. Senior leadership from Baptist Health Care and its affiliates (including BOTH BAPTIST AND GULF BREEZE HOSPITAL), Sacred Heart Health System, the Florida Department of Health-Escambia County and the University of West Florida also served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the PFAHC's Board of Directors. The results were also shared with and reviewed by the Florida Department of Health-Santa Rosa County. PFAHC's Board of Directors provided oversight and input throughout the development of the assessment and establishment of priority health needs by way of discussions at Board meetings. These directors included representatives from the County's Department of Health and other organizations representing the broad interest of the community. In December 2012, a Community Forum was held to share and discuss the results of the assessment with the public. Approximately 75 people representing community constituencies attended the Forum. In addition, the Forum was recorded for public viewing on the PFAHC website. In May 2013, a Community Health Summit was held to involve the key organizations and community leaders whose participation is essential to the development of plans to effectively improve the health status of residents of Escambia and Santa Rosa Counties. Baptist and Gulf Breeze Hospital representatives participated in the Summit. Hospital representatives participated in the Summit. Part V, Section B, Line 6 Baptist Health Care (Baptist Hospital and Gulf Breeze Hospital's parent company), Sacred Heart Health System, and Escambia Community Clinics, a federally qualified health center, were the lead organizations and funders of the CHNA process. Senior leadership from Baptist Health Care, Sacred Heart, the Florida Department of Health-Escambia County and the University of West Florida also served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the Partnership Board of Directors. PART V, SECTION B, LINE 7 BAPTIST AND GULF BREEZE HOSPITAL CHNA WEBSITE: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY-NEEDS-ASSESSMENT Part V, Section B, Line 11 RESULTS OBTAINED DURING THE CHNA IDENTIFIED 42 UNFAVORABLE HEALTH INDICATORS WHICH WERE CLASSIFIED INTO FIVE CATEGORIES - INFLUENCERS, PRECURSOR BEHAVIORS, MORBIDITY OUTCOMES, MORTALITY OUTCOMES AND SOCIAL OUTCOMES. THESE CLASSIFICATIONS PROVIDED A VISUAL MAP OF PRIORITY HEALTH ISSUES, WHICH WERE THEN REVIEWED WITH EXPERTS IN PUBLIC HEALTH AND OUTCOMES EVALUATION FROM THE FLORIDA DEPARTMENT OF HEALTH-ESCAMBIA COUNTY AND UNIVERSITY OF WEST FLORIDA, DEPARTMENT OF HEALTH, LEISURE AND EXERCISE SCIENCE. USING INPUT FROM THE PUBLIC HEALTH AND OUTCOME EVALUATION EXPERTS, THREE COMMUNITY PRIORITY HEALTH ISSUES WERE IDENTIFIED FOR THE COMBINED TWO COUNTY AREA - TOBACCO USE, HEALTHY WEIGHT AND HEALTH MANAGEMENT. BAPTIST HEALTH CARE AFFILIATE HOSPITALS AND THEIR PARTNERS ORGANIZED WORK GROUPS AROUND EACH OF THE THREE HEALTH IMPROVEMENT PRIORITIES AND PROVIDED BROAD COMMUNITY LEADERSHIP, AS WELL AS COMMITMENT OF RESOURCES TO ACCOMPLISH THE FOLLOWING GOALS AND ACHIEVE COLLECTIVE IMPACT: TOBACCO USE: - BAPTIST AND GULF BREEZE HOSPITALS ADOPTED A TOBACCO FREE HIRE POLICY - PROVIDE CESSATION RESOURCES AND SUPPORT AT THE LOWEST POSSIBLE COST - REINFORCE BAPTIST AND GULF BREEZE HOSPITAL'S TOBACCO FREE CAMPUS POLICY FOR PATIENTS AND VISITORS HEALTHY WEIGHT: - PROVIDE BAPTIST AND GULF BREEZE HOSPITAL TEAM MEMBERS WITH ACCESS TO RELATED HEALTH IMPROVEMENT PROGRAMS AND HEALTH COACHING THROUGH BAPTIST HEALTH CARE'S HEALTHY LIVES PROGRAM. THESE SAME SERVICES WILL BE OFFERED TO OTHER AREA EMPLOYERS WHO JOIN THE PROGRAM. HEALTH MANAGEMENT: - BAPTIST AND GULF BREEZE HOSPITALS WILL COMMIT STAFF AND WORK WITH OTHER HEALTH PROVIDERS TO DEVELOP AND IMPLEMENT AN AUTOMATED REFERRAL SYSTEM IN ORDER TO IMPROVE PROVIDER REFERRAL PATTERNS. - IMPROVE ACCESS TO PREVENTATIVE AND PRIMARY CARE FOR UNDERSERVED RESIDENTS BY WORKING WITH OTHER HEALTH CARE FACILITIES AND GOVERNMENTS TO IDENTIFY AND SECURE FUNDING IN ORDER TO EXPAND PRIMARY CARE CAPACITY FOR ESCAMBIA AND SANTA ROSA COMMUNITY CLINICS. - STRENGTHEN, IN COLLABORATION WITH OTHER AREA HEALTH CARE PARTNERS, CAPABILITY FOR PROVIDING TARGETED CHRONIC DISEASE CARE MANAGEMENT PROGRAMS FOR HIGH COST, LOW INCOME AND/OR UNINSURED POPULATIONS. 39 Andrews Institute ASC LLC 1040 Gulf Breeze Pkwy Ste 100 Gulf Breeze FL 32561 Ambulatory Surgery Center Andrews Institute Rehabilitation 9400 University Pkwy Ste 104 PENSACOLA FL 32514 REHABILITATION SERVICES Baptist Physician Associates - Wound Car 1717 North E St Tower 3 Ground Flo PENSACOLA FL 32501 WOUND CARE ANDREWS INSTITUTE REHABILITATION 12601 Sorrento Rd Ste A PENSACOLA FL 32507 Rehabilitation Services Andrews Institute Rehabilitation 1717 North E St Suite 537 PENSACOLA FL 32501 Rehabilitation Services Andrews Institute Rehabilitation 8888 NAVARRE PARKWAY NAVARRE FL 32566 REHABILITATION SERVICES Andrews Institute Rehabilitation 3876 HWY 90 PACE FL 32571 REHABILITATION SERVICES Baptist Medical Group - Neurosurgery 1717 North E St Suite 222 PENSACOLA FL 32501 Neurosurgical Services Baptist Medical Group - Ladies First 3417 N 12th Ave PENSACOLA FL 32501 OB/GYN SERVICES Baptist Medical Group - Family Medicine 3874 HWY 90 PACE FL 32571 FAMILY MEDICINE Baptist Medical Group - Family Medicine 6715 WHY 98 W PENSACOLA FL 32506 FAMILY MEDICINE Baptist Speech Clinic 1717 North E St Suite 236 PENSACOLA FL 32501 SPEECH THERAPY SERVICES Baptist Medical Group - Ortho Trauma 1717 North E St Suite 208 PENSACOLA FL 32501 ORTHO TRAUMA SERVICES Baptist Medical Group - Ear Nose and Thr 1717 North E Street Ste 239 PENSACOLA FL 32501 ENT SERVICES Baptist Medical Group - Urology 1717 North E St Suite 430 PENSACOLA FL 32501 UROLOGY SERVICES Baptist Medical Group - Family Practice 9400 University Pkwy Suite 409 PENSACOLA FL 32514 FAMILY MEDICINE Baptist Medical Group - Family Medicine 3810 HWY 90 PACE FL 32571 FAMILY MEDICINE Baptist Medical Group - Family Medicine 8888 NAVARRE PKWY NAVARRE FL 32566 FAMILY MEDICINE/CLINIC Baptist Medical Group - Physical Medicin 9400 University Pkwy Ste 407 PENSACOLA FL 32514 REHABILITATION SERVICES Baptist Medical Group - Oncology 1717 North E St Suite 231 PENSACOLA FL 32501 ONCOLOGY SERVICES Baptist Medical Group - Senior Health 1000 W Moreno Street PENSACOLA FL 32501 SENIOR HEALTH Andrews Institute Rehabilitation 151 E Redstone Ave Ste 390 CRESTVIEW FL 32536 REHABILITATION SERVICES Baptist Medical Group - Radiation Oncolo 1717 North E St Suite 134 PENSACOLA FL 32501 ONCOLOGY SERVICES Baptist Medical Group - North Hill Tower 1717 North E St Suite 222 PENSACOLA FL 32501 PRIMARY CARE SERVICES Baptist Medical Group - Family Practice 9400 University Pkwy Suite 210 PENSACOLA FL 32514 FAMILY/INTERNAL MEDICINE Baptist Medical Group - Internal Medicin 1118 Gulf Breeze Pkwy Suite 101 GULF BREEZE FL 32561 INTERNAL MEDICINE Baptist Medical Group - Family Medicine 1337 Country Club Road GULF BREEZE FL 32563 FAMILY MEDICINE Baptist Medical Group - Rheumatology 1717 North E St Suite 425 PENSACOLA FL 32501 RHEUMATOLOGY SERVICES Baptist Medical Group - Internal Medicin 8880 Navarre Pkwy Suite 101 NAVARRE FL 32566 INTERNAL MEDICINE & PEDIATRICS Baptist Medical Group - Cordova 4457 Bayou Blvd PENSACOLA FL 32503 PRIMARY CARE SERVICES Baptist Hospital Primary Care LLC 9290 Baldridge Rd PENSACOLA FL 32514 FAMILY MEDICINE Healthy Lives 1901 N E St Pensacola FL 32501 PENSACOLA FL 32501 HEALTH AND WELLNESS CENTER Baptist Medical Group - Internal Medicin 1118 Gulf Breeze Pkwy Suite 100 GULF BREEZE FL 32561 INTERNAL MEDICINE Baptist Medical Group - Family Medicine 1118 Gulf Breeze Pkwy Suite 100 GULF BREEZE FL 32561 FAMILY MEDICINE Baptist Medical Group - Baybridge 85 Bay Bridge Dr GULF BREEZE FL 32561 PRIMARY CARE SERVICES Baptist Medical Group - Florida Blue 1678 AIRPORT BLVD PENSACOLA FL 32504 PRIMARY CARE SERVICES Baptist Medical Group - Gastroenterology 5982 Berryhill Road Suite B MILTON FL 32570 GASTROENTEROLOGY SERVICES Baptist Medical Group - Perdido 12601 Sorrento Rd Ste B PENSACOLA FL 32507 PRIMARY CARE SERVICES Baptist Medical Group - Internal Medicin 801 W Avery St PENSACOLA FL 32501 INTERNAL MEDICINE PART I, LINE 7 The costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions. PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF $57,395,154 WAS SUBTRACTED FROM TOTAL EXPENSES PER FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7, COLUMN (F). PART III, LINE 2 AND 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA. PART III, LINE 8 THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFOMRATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELEIVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES. PART III, LINE 9B FOR PATIENTS WHO ARE FINANCIALLY OR MEDICALLY INDIGENT (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES): A) PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF THEIR INCOME IS BELOW 200% OF FPL. IF A PATIENT MAKES BETWEEN 200% AND 400% OF THE FPL, THEN THEY MAY ONLY RECEIVE A PARTIAL WRITE-OFF. B) PATIENTS MAY BE DEEMED MEDICALLY INDIGENT IF THEIR HOUSEHOLD MEDICAL EXPENSES EXCEED 25% OF THE ANNUAL HOUSEHOLD INCOME REGARDLESS OF INCOME LEVEL. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. PART VI, LINE 2 Part of the organization's mission is to improve the quality of life for people and communities served. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the hospital's Community Health Needs Assessment can be accessed using the following website: http://www.ebaptisthealthcare.org/community-needs-assessment PART VI, LINE 3 ALL EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. JAY HOSPITAL HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. JAY HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, JAY HOSPITAL HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE. PART VI, LINE 4 BAPTIST HOSPITAL, INC. OPERATES IN ESCAMBIA AND SANTA ROSA COUNTIES IN FLORIDA. BAPTIST HOSPITAL, THE ROGANIZATION'S LARGEST FACILITY, OPERATES IN ESCAMBIA COUNTY. APPROXIMATELY 311,000 INDIVIDUALS RESIDE IN THIS COUNTY, 15.3% OF WHICH LIVE BELOW POVERTY LEVEL. FOUR HOSPITALS, INCLUDING BAPTIST HOSPITAL, ARE LOCATED IN ESCAMBIA COUNTY. SANTA ROSA COUNTY, FL IS THE LOCATION OF THE ORGANIZATION'S SECOND HOSPITAL, GULF BREEZE HOSPITAL. APPROXIMATELY 167,000 INDIVIDUALS RESIDE IN THIS COUNTY, 11.2% OF WHICH LIVE BELOW POVERTY LEVEL. THREE HOSPITALS, INCLUDING GULF BREEZE HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY. WITH A JOINT POPULATION OF APPROXIMATELY 478,000 RESIDENTS APPROXIMATELY 66,000 RESIDENTS (13.8%) COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. PART VI, LINE 5 THE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE. THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITYLEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES.THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH. PART VI, LINE 6 ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - ANDREWS RESEARCH & EDUCATION INSTITUTE, LLC - LEADS MEDICAL RESEARCH AND EDUCATION INITIATIVES - BAPTIST HEALTH CARE CORPORATION - PARENT ORGANIZATION PROVIDING STRATEGIC MANAGEMENT AND SUPPORT SERVICES - JAY HOSPITAL, INC. - OPERATES JAY HOSPITAL - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC. - OPERATES ATMORE HOSPITAL - LAKEVIEW CENTER, INC. AND AFFILIATES - PROVIDE BEHAVIORAL HEALTH AND SUPPORT SERVICES - THE BAPTIST MANOR, INC. - PROVIDES HEALTH CARE SERVICES TO THE ELDERLY AND OTHER PATIENTS - BAPTIST URGENT CARE, LLC - DELIVER AMBULATORY ARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM. true Baptist Health Care Foundation Inc Post Office Box 17500 Pensacola FL 32522 590192265 501(C)(3) 256913 Employee Assistance Program Escambia Community Holdings Inc 2000 N Palafox St Pensacola FL 32501 371573135 501(C)(3) 537500 Healthcare assistance to uninsured AMERICAN CANCER SOCIETY 5401 CORPORATE WOODS DR 100 PENSACOLA FL 32504 131788491 501(c)(3) 23000 CANCER RESEARCH Pensacola Habitat for Humanity 300 W Leonard St Pensacola FL 32501 592186044 501(c)(3) 94500 Affordable Housing project Pensacola Sports Association 101 W Main St Pensacola FL 32502 590767953 501(c)(4) 6000 Sports economic development YOUNG MEN'S CHRISTIAN ASSOCIATION (YMCA) 415B N TARRAGONA ST Pensacola FL 32501 590624465 501(c)(3) 6250 Health & Wellness 5 1 INDIGENT DRUG ASSISTANCE 374 37187 INDIGENT TRANSPORTATION 713 50253 Schedule I, Part I, Line 2 All assistance is paid in domestic currency and is restricted for specific uses. Payments to the clinics are in support of clinic operations to support healthcare in the community for the uninsured. X X X X X false true false false false false false false false Cyd Cadena Vice President 180492 0 43972 0 6158 0 11431 0 8253 0 250306 0 0 0 Patsy Myers Vice President 171663 0 44997 0 12521 0 12705 0 16345 0 258231 0 0 0 James Adams MD Physician 594925 0 573533 0 136 0 6500 0 22408 0 1197502 0 0 0 Margaret Speeker-Cruit MD Physician 444148 0 202739 0 0 0 6107 0 20600 0 673594 0 0 0 Sharon Nobles VP/CFO-ACUTE CARE SERVICES 311426 0 67558 0 2543 0 16172 0 13109 0 410808 0 0 0 Bryon Scott Raynes SVP/PRESIDENT BAPTIST HOSPITAL 406613 0 85001 0 19639 0 61074 0 22317 0 594644 0 0 0 Kenneth Casey Sorrell Vice President 144899 0 7500 0 31584 0 0 0 5480 0 189463 0 0 0 Mark Faulkner PRESIDENT/CEO 0 595311 0 195833 0 20140 0 165329 0 22739 0 999352 0 0 DANIEL SONTHEIMER MD SVP-BHC/PRESIDENT BMG 371385 0 60384 0 34669 0 0 0 14918 0 481356 0 0 0 BRETT REICHWAGE MD PHYSICIAN 570784 0 648042 0 48 0 5000 0 15038 0 1238912 0 0 0 JASON ROCHA MD PHYSICIAN 494340 0 215248 0 60 0 0 0 22273 0 731921 0 0 0 JOSHUA DAVIS MD PHYSICIAN 212034 0 700625 0 54 0 6500 0 21742 0 940955 0 0 0 CYNDE GAMACHE VICE PRESIDENT 195111 0 32485 0 10555 0 1297 0 21059 0 260507 0 0 0 JULIE CARDWELL VICE PRESIDENT 185416 0 59083 0 3890 0 10079 0 21762 0 280230 0 0 0 VICTOR HALL VICE PRESIDENT 197389 0 42481 0 14463 0 790 0 9877 0 265000 0 0 0 PART I, LINE 4B CYD CADENA $6,156 JULIE CARDWELL $5,661 MARK FAULKER $158,829 PATSY MYERS $6,205 SHARON NOBLES $9,972 BRYON (SCOTT) RAYNES $61,074 PART II THE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATION: -BAPTIST HEALTH CARE CORPORATION A ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 2013-07-01 15000000 SEE PART VI false false false B Escambia County Health Facilities Authority 521378815 296110FQ7 2010-02-11 154202856 SEE PART VI false false false A 4910624 0 15000000 0 0 0 73449 0 0 0 14926551 0 true false true true B 10230796 0 154394419 13440855 8700429 0 3084057 0 9317219 39847769 80006845 0 2013 true false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00500 0.00000 0.00500 false true 0.02760 true true A false true false false 0 false 0 false true B false true false false 0 false 0 false true A true B true PART I, LINES A&B, COLUMN F LINE A-(F): REISSUANCE OF ISSUE DATED 12/07/09 LINE B-(F): REFUNDING PRIOR ISSUES DATED 8/21/03 AND 08/01/09; NEW CAPITAL PROJECTS PART II, COLUMN B, LINE 3 THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON TEH PROJECT FUND PART II, COLUMN B, LINE 11 THE TOTAL AMOUNT OF OTHER SPENT PROCEEDS INCLUDES THE CURRENT REFUNDING PROCEEDS OF THE ISSUE. THE PROCEEDS ARE NOT LISTED ON LINE 6 SINCE THEY ARE NO LONGER IN A REFUNDING ESCROW. PART III, LINE 8 (A-C) IN AUGUST OF 2013 ASSETS RELATED TO A HOSPITAL THAT WAS LEAVING THE OBLIGATED GROUP WERE SOLD. PRIOR TO THE SALE BAPTIST HOSPITAL MET WITH COUNSEL TO ENSURE THE REQUIREMENTS OF 1.141-12 AND 1.141-2 WERE MET. SINCE THE SALE, BAPTIST HOSPITAL HAS ALLOCATED THE SALE PROCEEDS IN ACCORDANCE WITH SECTION 1.141-12 AND CONTINUES TO MONITOR THE RE-ALLOCATED PROCEEDS FOR PRIVATE BUSINESS USE. PART IV, COLUMN B, LINE 2C 990, PART III, LINE 1 BAPTIST HOSPITAL INC.'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE REGION. BAPTIST HOSPITAL, INC. OPERATES TWO ACUTE CARE HOSPITALS IN THE PENSACOLA AND GULF BREEZE, FL (492 BED & 77 BED FACILITIES, RESPECTIVELY). THE HOSPITALS PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF NORTHWEST FLORIDA AND SOUTHEAST ALABAMA. THE HOSPITALS ARE THE NUCLEUS OF A REGIONAL MULTI-PROVIDER SYSTEM. 990 PART VI, LINE 2 MICHAEL GLEASON, BRYON (SCOTT) RAYNES, DAVID JOYNER, M.D., DANIEL SONTHEIMER M.D., SHARON NOBLES, AND MARK FAULKNER HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 BAPTIST HEALTH CARE CORPORATION, A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF BAPTIST HOSPITAL, INC. BAPTIST HEALTH CARE CORPORATION HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF BAPTIST HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF BAPTIST HOSPITAL, INC., HAS THE RIGHT TO ELECT THE GOVERNING BODY OF BAPTIST HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE CORPORATION, THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERS FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION NOMINATING COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $1,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED F. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION G. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $1,000,000 IN BOOK VALUE. H. UNRELATED PARTY REAL PROPERTY TRANSFERS IN EXCESS OF $300,000, EXCEEDING $100,000 IN NET VALUE. FORM 990, PART VI, SECTION B, LINE 11 AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE ELECTRONICALLY TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONNAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD OF BAPTIST HEALTH CARE CORPORATION REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE CORPORATION BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. 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