BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-10
- IRS object ID
- 201632239349302483
- Schema version
- 2014v6.0
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-10T17:00:17-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593234721 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 9042021797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3563 Philips Hwy Bldg F Ste 608 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Wooten | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Signature | 2016-08-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC Nassau | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A Hugh Greene | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3563 Philips Hwy Bldg F Ste 608 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,409,187 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 501 | TotalEmployeeCnt |
| Total Volunteers | 184 | TotalVolunteersCnt |
| Total Gross UBI | $8,280 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $94,464 | PYContributionsGrantsAmt |
| CY Contributions Grants | $73,469 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $65,939,119 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $72,675,271 | CYProgramServiceRevenueAmt |
| PY Investment Income | $802,355 | PYInvestmentIncomeAmt |
| CY Investment Income | -$76,684 | CYInvestmentIncomeAmt |
| PY Other Revenue | $662,350 | PYOtherRevenueAmt |
| CY Other Revenue | $713,167 | CYOtherRevenueAmt |
| PY Total Revenue | $67,498,288 | PYTotalRevenueAmt |
| CY Total Revenue | $73,385,223 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $46,125 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $354,688 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,145,806 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,093,263 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,250,083 | PYOtherExpensesAmt |
| CY Other Expenses | $30,323,606 | CYOtherExpensesAmt |
| PY Total Expenses | $50,442,014 | PYTotalExpensesAmt |
| CY Total Expenses | $56,771,557 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,056,274 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,613,666 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $110,049,071 | TotalAssetsBOYAmt |
| Total Assets EOY | $119,512,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,649,621 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,539,423 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $99,399,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $108,973,562 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $53,197,097 | ExpenseAmt |
| Grant | $354,688 | GrantAmt |
| Revenue | $73,023,190 | RevenueAmt |
| Desc | BAPTIST MEDICAL CENTER OF NASSAU, INC. (BMCN) IS A HIGHLY ADVANCED, EXTREMELY WELL-EQUIPPED COMMUNITY HOSPITAL ON AMELIA ISLAND THAT PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES AND 24-HOUR EMERGENCY CARE TO COASTAL COMMUNITIES IN NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. BMCN IS AN ACCREDITED CHEST PAIN CENTER, HAS EARNED MAGNET RECOGNITION FOR EXCELLENCE IN PATIENT CARE, AND OFFERS MANY ADVANCED SERVICES AND TECHNOLOGIES NOT TYPICALLY SEEN IN A COMMUNITY HOSPITAL INCLUDING A 64-SLICE CT, DIGITAL MAMMOGRAPHY AND A FULL-TIME HOSPITALIST PROGRAM. BMCN WAS ONE OF THE FIRST COMMUNITY HOSPITALS IN THE NATION TO CONVERT TO AN ELECTRONIC MEDICAL RECORD SYSTEM. ALL PATIENTS ARE CARED FOR IN THE STATE-OF-THE-ART BERKMAN BUILDING, WHICH OFFERS 48 PRIVATE PATIENT SUITES INCLUDING INTENSIVE CARE. BMCN HAS A BUSY MATERNITY DEPARTMENT, DELIVERING 532 BABIES DURING THE PAST FISCAL YEAR. INPATIENT PEDIATRIC CARE IS PROVIDED BY WOLFSON CHILDREN'S HOSPITAL IN JACKSONVILLE, OUR SISTER HOSPITAL IN BAPTIST HEALTH SYSTEM, INC. (BHS), AND THE ONLY PEDIATRIC SPECIALTY HOSPITAL IN THE AREA. THE MEDICAL STAFF INCLUDES HIGHLY TRAINED PHYSICIANS IN 24 DIFFERENT SPECIALTIES WHO PRACTICE LOCALLY, AND AS PART OF BHS, BMCN HAS ACCESS TO MANY ADDITIONAL SPECIALIZED PHYSICIANS, SERVICES, AND RESOURCES WHEN NEEDED. DURING THE FISCAL YEAR, THERE WERE 501 EMPLOYEES, 62 BEDS, 3,623 ADMISSIONS ACCOUNTING FOR 12,665 PATIENT DAYS, AND 28,049 EMERGENCY ROOM VISITS. AS PART OF BHS, THE REGION'S ONLY COMMUNITY-OWNED, FAITH-BASED HEALTHCARE SYSTEM, BMCN IS COMMITTED TO IMPROVING THE HEALTH OF EVERYONE IN ITS COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. BMCN PROVIDED THE FOLLOWING UNCOMPENSATED CARE AND COMMUNITY BENEFIT FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2015: (1) CHARITY CARE, $3.7 MILLION, (2) UNREIMBURSED MEDICAID COSTS, $454 THOUSAND, (3) UNREIMBURSED MEDICARE COSTS, $4.1 MILLION, AND (3) SPECIFIC COMMUNITY PROGRAMS, $369 THOUSAND FOR A TOTAL OF $8.6 MILLION OF UNCOMPENSATED CARE AND COMMUNITY BENEFIT. BMCN'S PRIMARY FOCUS IS ADDRESSING UNMET HEALTH NEEDS, PARTICULARLY AMONG VULNERABLE POPULATIONS WHO HAVE LIMITED RESOURCES AND ACCESS TO HEALTH CARE. BMCN HAS GONE BEYOND THE DELIVERY OF ESSENTIAL HEALTH CARE TO IMPROVE THE LIVES OF INDIVIDUALS AND THE OVERALL QUALITY OF LIFE IN OUR REGION. BAPTIST HEALTH'S COMMUNITY HEALTH COMMITTEE GUIDES THE COMMUNITY HEALTH EFFORTS. THIS COMMITTEE PROVIDES STRATEGIC DIRECTION RELATED TO COMMUNITY HEALTH ACTIVITIES AND ENSURES FOCUS ON KEY PRIORITIES THAT ALIGN WITH BAPTIST HEALTH'S MISSION. A CORNERSTONE OF OUR COMMITMENT TO THE COMMUNITY IS CARING FOR THE HEALTH OF VULNERABLE, UNINSURED AND UNDERSERVED PEOPLE AMONG US. ONE OF BMCN'S GUIDING PRINCIPLES OF COMMUNITY HEALTH IS TO COLLABORATE WITH OTHER LOCAL ORGANIZATIONS TO LEVERAGE OUR COLLECTIVE EXPERTISE AND STRENGTH FOR THE HEALTH BENEFITS OF THE COMMUNITY. THIS COLLABORATIVE APPROACH HELPS ENSURE EFFICIENCY AND AVOIDS DUPLICATION OF EFFORT, RESULTING IN ENHANCEMENT OF THE LIVES OF AREA RESIDENTS AT EVERY LIFE STAGE AND INCOME LEVEL. BMCN COMMUNITY HEALTH PRIORITIES CURRENTLY INCLUDE: (1) INCREASING ACCESS TO CARE FOR MEDICALLY UNDERSERVED PEOPLE, (2) PREVENTING AND MANAGING CHRONIC DISEASES, (3) ASSISTING VICTIMS OF DOMESTIC VIOLENCE, AND (4) HELPING OUR CHILDREN AND YOUTH. BMCN, INDIVIDUALLY AND THROUGH ITS RELATED AFFILIATE, SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC., PROVIDED THE FOLLOWING CHARITABLE DONATIONS TO THE NASSAU COUNTY COMMUNITY: (1) $192k FOR support of Barnabas Center, a Nassau County comprehensive service center addressing community needs such as hunger, affordable health care, and prevention of homelessness, (2) $60k to the NASSAU COUNTY COUNCIL ON AGING that provides various support programs for senior citizens, (3) $25k to THE NASSAU BOYS AND GIRLS CLUB, WHICH ASSISTS THE YOUTH OF THE LOCAL COMMUNITY, (4) $18k TO THE NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD TO SUPPORT JOB GROWTH AND IMPROVE ECONOMIC CONDITIONS IN NASSAU COUNTY, (5) $19k to Starting Point Behavioral Healthcare that provides mental health treatment and substance abuse recovery services, and (6) $55k of support to various other charitable organizations in Nassau County. | Desc |
| Total Program Service Expenses | $53,197,097 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 501 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Finnegan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9042023270 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 841 Prudential Dr Aetna Bldg 1602 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| A Hugh Greene | |||||||||
| President & Director | 0.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,160,353 | $421,516 | ||
| Richard W Keffer | |||||||||
| Chairman & Director | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jon C Lasserre | |||||||||
| Secretary/Treasurer & Director | 2.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael M Bell | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Christina H Bryan | |||||||||
| Vice Chairman & Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Gerald R Burford MD | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Robert Ferreira | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| William H Gower | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Willie J Scott | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Gregory N Smith MD | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| James M Townsend | |||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Donna L VanPuymbrouck | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Janice Ancrum | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Brandy B Carvalho | |||||||||
| Director | 2.00 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Harvey Granger | |||||||||
| Assistant Secretary | 0.00 | 40.00 | Yes (X) | $0 | $493,091 | $214,704 | |||
| Stephen Lee | |||||||||
| Vice President | 40.00 | 0 | Yes (X) | $270,561 | $0 | $48,229 | |||
| John F Wilbanks | |||||||||
| Executive VP | 0.00 | 40.00 | Yes (X) | $0 | $676,570 | $246,365 | |||
| Scott Wooten | |||||||||
| SVP/CFO | 0.00 | 40.00 | Yes (X) | $0 | $691,668 | $51,644 | |||
| Barbara S Gingher | |||||||||
| Assistant Admin., Nursing | 40.00 | 0 | $157,057 | $0 | $27,661 | Yes (X) | |||
| Stephen Bean | |||||||||
| Pharmacist | 40.00 | 0 | $138,182 | $0 | $31,329 | Yes (X) | |||
| Daniel Hutchinson | |||||||||
| House Supervisor | 40.00 | 0 | $112,273 | $0 | $23,413 | Yes (X) | |||
| Patricia Hausauer | |||||||||
| Director, Finance | 40.00 | 0 | $116,701 | $0 | $14,186 | Yes (X) | |||
| David Toncray | |||||||||
| Director, Pharmacy | 40.00 | 0 | $118,024 | $0 | $9,960 | Yes (X) | |||
| Michael Lukaszewski | |||||||||
| SVP/CFO | 0.00 | 40.00 | $0 | $154,873 | $9,222 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $912,798 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,176,555 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,098,229 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BAPTIST PRIMARY CARE INC | |||||
| 3563 PHILIPS HWY BLDG A STE 101 | JACKSONVILLE | FL | 32207 | HOSPITALIST SERVICES FOR THE HOSPITAL | $988,800 |
| CROWN HEALTH CARE LAUNDRY SERVICE INC | |||||
| 1501 N GUILLEMARD | PENSACOLA | FL | 32501 | LAUNDRY SERVICES FOR THE HOSPITAL | $269,457 |
| AMELIA ANESTHESIA PL | |||||
| 1250 S 18TH ST | FERNANDINA BEACH | FL | 32034 | ANESTHESIA SERVICES FOR THE HOSPITAL | $233,568 |
| SODEXHO INC & AFFILIATES | |||||
| PPO BOX 536922 | ATLANTA | GA | 303536922 | RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL | $212,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $73,469 | RelatedOrganizationsAmt |
| Total Contributions | $73,469 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net patient service revenues less provision for bad debts | 622000 | $71,932,270 | $71,932,270 | $0 | $0 |
| EHR revenue medicare | 622000 | $743,001 | $743,001 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $72,675,271 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$60,247 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$60,247 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $376,066 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,527 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $368,539 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $368,539 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $368,539 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,437 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$16,437 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,437 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$16,437 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Restaurant revenue | 722212 | $308,629 | $0 | $0 | $308,629 |
| Loss on interest rate swaps | 523000 | -$17,350 | -$17,350 | $0 | $0 |
| Reference lab revenues | 621500 | $21,447 | $13,167 | $8,280 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,902 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $344,628 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,385,223 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,023,190 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,280 | UnrelatedBusinessRevenueAmt |
| Exclusion | $280,284 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,688 | TotalAmt |
| Program Services | $354,688 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,790 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $318,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,813,029 | TotalAmt |
| Program Services | $17,956,777 | ProgramServicesAmt |
| Management And General | $856,252 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,411,304 | TotalAmt |
| Program Services | $1,368,141 | ProgramServicesAmt |
| Management And General | $43,163 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,077,607 | TotalAmt |
| Program Services | $3,892,319 | ProgramServicesAmt |
| Management And General | $185,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,472,533 | TotalAmt |
| Program Services | $1,428,543 | ProgramServicesAmt |
| Management And General | $43,990 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,870,927 | TotalAmt |
| Program Services | $2,275,611 | ProgramServicesAmt |
| Management And General | $595,316 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,304 | TotalAmt |
| Program Services | $39,318 | ProgramServicesAmt |
| Management And General | $10,986 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,320 | TotalAmt |
| Program Services | $15,882 | ProgramServicesAmt |
| Management And General | $4,438 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,112 | TotalAmt |
| Program Services | $354,796 | ProgramServicesAmt |
| Management And General | $595,316 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,250 | TotalAmt |
| Program Services | $38,025 | ProgramServicesAmt |
| Management And General | $4,225 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,628,026 | TotalAmt |
| Program Services | $8,444,592 | ProgramServicesAmt |
| Management And General | $183,434 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,512 | TotalAmt |
| Program Services | $677,761 | ProgramServicesAmt |
| Management And General | $14,751 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,618,295 | TotalAmt |
| Program Services | $2,469,314 | ProgramServicesAmt |
| Management And General | $148,981 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,480 | TotalAmt |
| Program Services | $46,240 | ProgramServicesAmt |
| Management And General | $46,240 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,200 | TotalAmt |
| Program Services | $58,100 | ProgramServicesAmt |
| Management And General | $58,100 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,164 | TotalAmt |
| Program Services | $41,164 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,197,266 | TotalAmt |
| Program Services | $3,197,266 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,386,695 | TotalAmt |
| Program Services | $1,386,695 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| System function allocation | $8,697,470 | $8,301,735 | $395,735 | $0 |
| AHCA and NICA assessments | $780,677 | $780,677 | $0 | $0 |
| Dues and memberships | $54,020 | $27,010 | $27,010 | $0 |
| Licenses & fees | $28,337 | $14,168 | $14,169 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,551 | TotalAmt |
| Program Services | $28,275 | ProgramServicesAmt |
| Management And General | $28,276 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,771,557 | TotalAmt |
| Program Services | $53,197,097 | ProgramServicesAmt |
| Management And General | $3,574,460 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $600 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,262,726 | BOYAmt |
| EOY | $9,738,891 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $825,175 | BOYAmt |
| EOY | $1,108,940 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,534,202 | BOYAmt |
| EOY | $1,075,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,466,192 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,282,226 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,472,953 | BOYAmt |
| EOY | $37,183,966 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,648,739 | BOYAmt |
| EOY | $9,588,492 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,304,676 | BOYAmt |
| EOY | $60,816,761 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,049,071 | BOYAmt |
| EOY | $119,512,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,447,193 | BOYAmt |
| EOY | $5,591,341 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,278,888 | BOYAmt |
| EOY | $3,827,208 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,540 | BOYAmt |
| EOY | $1,120,874 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,649,621 | BOYAmt |
| EOY | $10,539,423 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,571,107 | BOYAmt |
| EOY | $107,453,957 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,946 | BOYAmt |
| EOY | $363,907 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,397 | BOYAmt |
| EOY | $1,155,698 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,399,450 | BOYAmt |
| EOY | $108,973,562 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,049,071 | BOYAmt |
| EOY | $119,512,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,613,666 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$33,972 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,005,582 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $636,768 | BeginningYearBalanceAmt |
| Contributions | $666,301 | ContributionsAmt |
| Investment Earnings Or Losses | -$33,972 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $15,873 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,253,224 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $212,505 | BeginningYearBalanceAmt |
| Contributions | $401,162 | ContributionsAmt |
| Investment Earnings Or Losses | $23,860 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $759 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $636,768 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $192,857 | BeginningYearBalanceAmt |
| Contributions | $710 | ContributionsAmt |
| Investment Earnings Or Losses | $20,938 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,000 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $212,505 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $107,166 | BeginningYearBalanceAmt |
| Contributions | $56,024 | ContributionsAmt |
| Investment Earnings Or Losses | $31,667 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,000 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $192,857 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $71,794 | BeginningYearBalanceAmt |
| Contributions | $36,186 | ContributionsAmt |
| Investment Earnings Or Losses | $286 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,100 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $107,166 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.07 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.922 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.008 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $477,107 | OtherCostOrOtherBasisAmt |
| Book Value | $477,107 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,553,840 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,532,025 | DepreciationAmt |
| Book Value | $28,021,815 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,128 | DepreciationAmt |
| Book Value | $47,521 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,419,086 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,776,029 | DepreciationAmt |
| Book Value | $6,643,057 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,931,510 | OtherCostOrOtherBasisAmt |
| Depreciation | $937,044 | DepreciationAmt |
| Book Value | $1,994,466 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,183,966 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Advances to affiliated organizations | $59,265,014 |
| Interest in net assets of Baptist Health System Foundation, Inc. | $1,545,608 |
| Prepaid bonds cost of issuance | $6,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $60,816,761 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated third-party settlements | $677,634 |
| 1997A bond swap market value | $326,918 |
| 2001 bond swap market value | $116,322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,120,874 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Baptist Medical Center of Nassau Inc. (BMCN) has temporary restricted quasi-endowment funds and permanently restricted endowment funds that are held and administered by its related fundraising affiliated organization, Baptist Health System Foundation, Inc. Annually, 5% of the combined endowment corpus and accumulated investment earnings are available for capital projects of BMCN. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Notes to Consolidated Financial Statements (Dollars in Thousands) 9. Income Taxes Deferred income taxes, which as of September 30, 2015 and 2014, have no net carrying value, reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of September 30, 2015 and 2014, BHS had gross deferred tax assets of $50,480 and $41,061, respectively, primarily relating to net operating loss carryovers, deferred compensation accruals, and bad debt allowances. Management determined that a $50,480 and $41,061 valuation allowance at September 30, 2015 and 2014, respectively, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. ASC Topic 740-10-50-3, Income Taxes: Disclosure, requires a valuation allowance to reduce the deferred tax assets reported if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. The change in the valuation allowance for the current year is $9,419. At September 30, 2015, BHS has available net operating loss carryforwards of $79,526. These net operating losses will expire between 2018 and 2035. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,710,023 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,710,023 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0654 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,687,422 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,233,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $454,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0080 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,397,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,233,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,164,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0734 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0011 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $306,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0054 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $369,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $369,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0065 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $11,766,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,233,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,533,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0799 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,175,270 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $22,099,821 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,191,926 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,092,105 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| State License | 4355 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://ufhealthjax.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 2.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 4.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Nine hospitals: (Baptist Medical Center, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Mayo Clinic, St Vincent's Medical Center Riverside, St. Vincent's Medical Center South and University of Florida Health Jacksonville) and four Departments of Health: (Florida Departments' of Health for Clay County, Duval County, St. John's County and Nassau County) convened with the Health Planning Council of Northeast Florida to facilitate the CHNA. Each hospital agreed on its respective targeted communities. Internal hospital census, existing community benefit programs, as well as secondary data collection were used. A community health survey was developed and administered to a broad, varied range of residents living in the targeted five-county community. The survey contained questions regarding perceived quality of life and health of the community, barriers to health care, use of health care needs and demographic information. The survey included participants form Clay, Duval, Nassau and St. Johns Counties. The internet panel method was used in order to reach the largest possible number of qualified respondents. Focus groups and round table discussions were another method used to take into account input from the persons who represent the broad interest of community served. The roundtable discussions allowed for the identification of the needs and priorities of participants who have the knowledge and expertise to inform the research. Representatives from Clay, Duval, Nassau, Putnam and St. Johns Counties gave their input on multiple dimensions of their communities, including the built environment, local economy, barriers to access and motivation for healthy living. For the secondary research, public health related data was gathered from five counties. Each County Health Department provided an assessment that determined public health priorities for the next three to five years. The Partnership's CHNA reflects the priorities identified in the health department assessments and its corresponding health improvement plan. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. The Hospitals involved in the CHNA were Baptist Medical Center - Duval County, Baptist Medical Center Beaches - Duval County, Baptist Medical Center - Nassau County, Baptist Medical Center South - Duval County and Northern St. Johns County, Brooks Rehabilitation -Duval County and St. Johns County, Mayo Clinic - Duval County, St. Vincent's Medical Center Riverside - Duval County, Clay County and Putnam County, St Vincent's Medical Center Southside - Duval County, University of Florida Health Jacksonville - Jacksonville Medical Center - Duval County, and Wolfson Children's Hospital - Duval County. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - . Florida Departments of Health for Clay County, Duval County, St. John's County and Nassau County convened with the Health Planning Council of Northeast Florida to facilitate the CHNA. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - . Baptist Medical Center Nassau's selected priorities are Heart Disease, Stroke, Diabetes, Nutrition, Mammography, Smoking Cessation, Access to Food and Physical Activity. Baptist Health Medical Center Nassau has chosen not to actively address the remaining health needs identified in the CHNA as they were not selected as priority health needs. Taking existing community resources into consideration and that some priorities are being addressed by other hospitals or organizations, Baptist Medical Center Nassau has selected to concentrate only on those health needs that we can most effectively address given our areas of focus and expertise and resources. The priorities identified in the CHNA that were not addressed were Clean and Healthy Environment: Air and Water Quality, Adult Asthma, Respiratory Illness, Communicable Diseases: Sexually Transmitted Diseases, (STDs), including HIV, Influenza and Pneumonia, Hepatitis and Housing. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - . At patient access points, "Guidelines for Charity Care Eligibility" cards are provided that contains financial discount and charity care information. This includes a general chart of eligible income levels and encourages patients to speak with our patient financial advocates to arrange a financial evaluation. If seen by one of the organization's patient financial advocates, the patient is advised prior to discharge. All statements to patients provide a number to call if they need financial assistance. All applications for financial assistance are maintained whether or not the patient qualifies. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. The organization has an automatic 40% discount for all uninsured patients. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 State Filing of the Community Benefit Report | Baptist Health System, Inc. (BHS), parent company of the filing organization, is located within the northeast Florida quadrant. There are no requirements for state filing in Florida of the annual community benefit report. However, BHS does publish the report and it is available upon request or at the www.baptistjax.com website. |
| Schedule H, Part I, Line 3c Factors other than FPG | n/a |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Baptist Health System, Inc. |
| Schedule H, Part I, Line 7g Subsidized Health Services | N/A |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 0 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The organization uses a cost-to-charge ratio based on its cost accounting system. |
| Schedule H, Part II Community Building Activities | Line 2: Economic Development - Youth Summer Employment Program New employment opportunities were provided to one teenager 16 - 18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. The teens come from low-income neighborhoods and attend school with very low graduation rates. The summer employment opportunity provides teens exposure to real-life careers which motivates them to prepare appropriately for life after high school. Line 3: Community Support -Youth Mentoring Program Employees volunteer their time to provide one-to-one mentoring for high school students each week. The students who participate in the program are from our most vulnerable communities and low income families. They also attend local schools with low graduation rates. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. Summer Youth Volunteer Program - Baptist Health offers opportunities for approximately 15 young people ages 16-17 to volunteer during the summer to assist in the selection of a career and as an opportunity to serve others. Baptist employees supervise the volunteers giving them direction and support during their service. Line 6: Coalition Building- Jacksonville Metropolitan Community Benefit Partnership came together to develop a multi-hospital system and public health sector collaborative community health needs assessment. The Partnership is a network of five hospitals and four public health departments that are a shared voice to improve population health by eliminating the gaps that prevent quality, integrated health care and to improve access to resources that support a healthier lifestyle. Nassau Community Health Improvement Coalition - BAPTIST NASSAU IS A MEMBER OF THE NASSAU COMMUNITY HEALTH IMPROVEMENT COALITION (NCHIC) NCHIC is a coalition of LOCAL AGENCIES, ORGANIZATIONS, COMMUNITY GROUPS, AND COMMUNITY MEMBERS WITH THE COMMON GOAL OF IMPROVING THE OVERALL HEALTH OF THE NASSAU COUNTY COMMUNITY. THE COALITION WORKS TO IMPROVE THE LEVEL OF HEALTH IN NASSAU COUNTY THROUGH AWARENESS, EDUCATION, PARTNERSHIP, PREVENTION, SERVICE DELIVERY, AND POLICY DEVELOPMENT SO THAT INDIVIDUALS ACHIEVE THEIR POTENTIAL TO LIVE HEALTHY, ACTIVE LIFESTYLES. Line 7: Community Health Improvement Advocacy- IN PARTNERSHIP WITH BARNABAS CENTER located in Nassau County, BAPTIST Medical Center NASSAU WORKS TO PROVIDE ACCESS TO PRIMARY HEALTH CARE FOR people who are UNINSURED AND UNDERINSURED. BAPTIST MEDICAL CENTER SUPPORTS ACCESS TO MENTAL HEALTH SERVICES IN PARTNERSHIP WITH STARTING POINT BEHAVIORAL HEALTH TO provide MENTAL HEALTH FIRST AID THAT TEACHES PARTICIPANTS A FIVE-STEP ACTION PLAN TO ASSESS A SITUATION, SELECT AND IMPLEMENT INTERVENTIONS AND SECURE APPROPRIATE CARE FOR THE INDIVIDUAL. BAPTIST NASSAU PARTNERS WITH THE NASSAU COUNTY COUNCIL ON AGING TO SUPPORT THE PROVISION OF TRANSPORTATION PROGRAM FOR THE ELDERLY IN A COMMUNITY WHERE NO PUBLIC TRANSPORTATION IS AVAILABLE. Baptist Nassau also partners with the Boys and Girls Club of Nassau County to provide positive youth development activities the goals of which are to help students be successful in school and life including on-time graduation from high school. Line 8: Workforce Development addressed in Part I Part V Section B |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Patient service revenues are reported at estimated net realizable amounts for services rendered. BHS recognizes patient service revenues associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with BHS' policy. Patient service revenues are reduced by the provision for bad debts and accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based on management's assessment of historical and expected net collections for each major payor source, considering business and economic conditions, trends in health care coverage and other collection indicators. Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of BHS' self-pay patients will be unable or unwilling to pay for the services provided. Thus, BHS records a significant provision for bad debts in the period services are provided related to self-pay patients. For receivables associated with patients who have third-party coverage, BHS analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. Accounts receivable are written off after collection efforts have been followed in accordance with BHS' policies. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The entire provision for bad debts is recorded as a deduction from patient service revenues. None of the provision is included in the expenses of the Form 990 including Schedule H and the calculation of community benefit. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Baptist Health System, Inc. and Subsidiaries Notes to Consolidated Financial Statements 2. Significant Accounting Policies Net Patient Service Revenues, Accounts Receivable, and Provision for Bad Debts Patient service revenues are reported at estimated net realizable amounts for services rendered. The organization recognizes patient service revenues associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with the organization's policy. PATIENT SERVICE REVENUES ARE REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYSES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Medicare allowable costs of care based on the organization's cost-to-charge ratio and cost accounting system are used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Yes, the organization does have a written debt collection policy. The policy does not specifically address those patients who are known to qualify or have applied for charity care as the organization does not bill these patients. The organization's cost accounting system identifies all patients who have a pending or approved charity application. The organization would only bill the patient if, after multiple attempts to obtain any needed documentation from the patient to complete the charity approval process, the patient was noncompliant. |
| Schedule H, Part VI, Line 2 Needs assessment | Baptist Health System Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. Baptist Health has partnered with 6 faith-based organizations located in vulnerable low-income neighborhoods in Nassau County where a health needs survey is conducted annually. The survey of the members of our faith-based partners is anonymous. In addition, data is gathered from the Northeast Florida Counts website which serves as a source of population data and information about the health status of the community. It gathers information for Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | At patient patient access points, "Guidelines for Charity Care Eligibility" cards are provided that contains financial discount and charity care information. This includes a general chart of eligible income levels and encourages patients to speak with one of our patient financial advocates to arrange a financial evaluation. The organization sends statements to patients who have applied for charity care but have not provided all the documentation that is required to make a determination; letters are sent by the organization requesting the information to complete their application. |
| Schedule H, Part VI, Line 4 Community information | Baptist Medical Center of Nassau: Nassau County Nassau County has a total area of 725.86 square miles, of which 651.55 square miles (or 89.76%) is land and 74.30 square miles (or 10.24%) is water, much of it in the Atlantic Ocean. Fernandina Beach is located on Amelia Island, the county's one inhabited island. There are 75,710 people residing in Nassau the county. The racial makeup of the county is 90.02% White, 7.74% Black or African American, 0.43% Native American, 0.46% Asian, 0.03% Pacific Islander, 0.32% from other races, and 1.00% from two or more races. 1.51% of the population are Hispanic or Latino of any race. In the county the population is spread out with 25.00% under the age of 18, 7.20% from 18 to 24, 28.80% from 25 to 44, 26.30% from 45 to 64, and 12.60% who are 65 years of age or older. The median age is 38 years. The median income for a household in the county is $46,022, and the median income for a family was $52,477. Males had a median income of $37,027 versus $25,443 for females. The per capita income for the county is $22,836. About 6.40% of families and 9.10% of the population is below the poverty line, including 10.90% of those under age 18 and 8.90% of those age 65 or over. |
| Schedule H, Part VI, Line 5 Promotion of community health | Baptist Health System Inc. (BHS), parent company of the filing organization, continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee consisting of Northeast Florida residents who also serve on Baptist hospital boards of directors provides direction to the community health work based on the community need within the four county area served by Baptist Health. Baptist Health continues to donate more than $1.6 million to support nonprofit organizations that provide health services to the underserved and low income community. Some of the nonprofit organizations provide primary care for the uninsured and the underinsured. Some provide behavioral health services to families who would not otherwise have access while others provide health services and transportation for the frail elderly. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Baptist Health System, Inc. (BHS) is the parent affiliate of Baptist Medical Center of Nassau, Inc. (BMCN). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for BMCN and works with our employees in facilitating volunteer opportunities across our community. Members of the BMCN Board of Directors also serve on the Social Responsibility and Community Health committee. BMCN works closely with a number of nonprofit partners to meet the community health needs of Nassau County, Florida. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Barnabas Center | |||||||
| 1303 Jasmine St Ste 101 | Fernandina Beach | FL | 32034 | 592920275 | 501(c)(3) | $182,000 | Support comprehensive service center addressing hunger, affordable health care, and prevention of homelessness in Nassau County. |
| Nassau County Council on Aging Inc | |||||||
| 1367 S 18th St | Fernandina Beach | FL | 32034 | 237375273 | 501(c)(3) | $80,000 | Support for programs with mission to improve the lives of older adults with a special focus on the vulnerable and disadvantaged in Nassau County. |
| Boys and Girls Club of Nassau County Foundation Inc | |||||||
| PO Box 16003 | Fernandina Beach | FL | 32035 | 593672345 | 501(c)(3) | $24,900 | Support for youth in Nassau County to improve their lives through various programs. |
| Starting Point Behavioral Healthcare | |||||||
| 463142 SR 200 | Yulee | FL | 32097 | 593029469 | 501(c)(3) | $18,500 | Support for program providing access to those who need access to mental health recovery along with help transitioning back into the community. |
| Nassau County Economic Development Board Inc | |||||||
| 76346 William Burgess Blvd | Yulee | FL | 32097 | n/a | $17,500 | Support to Nassau County government agency for job creation and economic growth. | |
| Nassau Education Foundation Inc | |||||||
| PO Box 17272 | Fernandina Beach | FL | 32035 | 472661025 | 501(c)(3) | $7,000 | Support programs to enhance the educational opportunities for students and teachers in the Nassau County school district. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds | Annual budgets for community donations are prepared by the hospital organization and approved by Baptist Health System, Inc., parent affiliate of the organization. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | Annual budgets for community donations are prepared by the hospital organization and approved by Baptist Health System, Inc., parent affiliate of the organization. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A Hugh Greene | ||||||||||||||
| President & Director | $0 | $805,353 | $0 | $325,000 | $0 | $30,000 | $0 | $405,541 | $0 | $15,975 | $0 | $1,581,869 | $0 | $0 |
| Harvey Granger | ||||||||||||||
| Assistant Secretary | $0 | $366,851 | $0 | $111,240 | $0 | $15,000 | $0 | $194,698 | $0 | $20,006 | $0 | $707,795 | $0 | $0 |
| Stephen Lee | ||||||||||||||
| Vice President | $197,392 | $0 | $63,169 | $0 | $10,000 | $0 | $36,970 | $0 | $11,259 | $0 | $318,790 | $0 | $0 | $0 |
| John F Wilbanks | ||||||||||||||
| Executive VP | $0 | $490,122 | $0 | $171,448 | $0 | $15,000 | $0 | $233,776 | $0 | $12,589 | $0 | $922,935 | $0 | $0 |
| Scott Wooten | ||||||||||||||
| SVP/CFO | $0 | $531,426 | $0 | $145,819 | $0 | $14,423 | $0 | $42,117 | $0 | $9,527 | $0 | $743,312 | $0 | $0 |
| Michael Lukaszewski | ||||||||||||||
| SVP/CFO | $0 | $149,104 | $0 | $0 | $0 | $5,769 | $0 | $2,623 | $0 | $6,599 | $0 | $164,095 | $0 | $0 |
| Barbara S Gingher | ||||||||||||||
| Assistant Admin., Nursing | $141,557 | $0 | $15,500 | $0 | $0 | $0 | $21,029 | $0 | $6,632 | $0 | $184,718 | $0 | $0 | $0 |
| Stephen Bean | ||||||||||||||
| Pharmacist | $138,034 | $0 | $148 | $0 | $0 | $0 | $14,530 | $0 | $16,799 | $0 | $169,511 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Baptist Health System, Inc. (BHS), parent affiliate of Baptist Medical Center of Nassau, Inc. (BMCN), has two active Supplemental Nonqualified Retirement Plans (SERPS). One is for certain executives (Supplemental Executive Retirement Plan) and the other is for certain vice presidents (Vice-President Supplemental Executive Retirement Plan). These SERPS are plans described in IRS Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age. The following individuals accrued unvested benefits under these plans during calendar year 2014: A. Hugh Greene, $366,717, John F. Wilbanks, $197,354, Harvey Granger, $157,098, and Scott Wooten, $42,117. These amounts are included in Schedule J, Part II, Column (c) for each of the listed individuals. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jacksonville Health Facilities Authority Variable Rate Hospital Revenue Ref | BusinessNameLine1Txt |
| Business Name Line2 | unding Extendable Notes Series 2007CDE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issue Price | $3,264,000 | IssuePriceAmt |
| Purpose | Refund Series 2007CDE Bonds | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,237,500 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $3,264,000 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $3,255,494 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $8,506 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UBS and Wells Fargo | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 16.1 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part I, Column (c) Series 2007 CDE | FormAndLineReferenceDesc |
| Explanation | CUSIP #'s: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GREGORY SMITH MD | |||
| DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA ISLAND ORTHOPAEDICS | $226,158 | ORTHOPAEDIC SURGICAL SERVICES TO EMERGENCY DEPT., $184,500; LEASE PAYMENTS TO FILING ORGANIZATION, $41,658 | false |
| GERALD BURFORD MD | |||
| DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA INTERNAL MEDICINE | $102,193 | LEASE PAYMENTS TO FILING ORGANIZATION | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization has a sole corporate member, Baptist Health System, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, elects the members of the governing body of the organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, has the right to remove Directors of the Organization and must approve any amendments to the governing documents of the Organization. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | While the organization's governing body did not review the Form 990, the Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, was provided the organization's entire form 990 prior to its filing via a link to a password-protected website. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The Board of Directors of the organization's sole member, Baptist Health System, Inc., has appointed a Conflicts of Interest Committee which regularly reviews the required disclosures of potential conflicts of interest by the Directors and Officers of the organization and its affiliates and recommends any action to be taken with regard to such disclosures. In accordance with the Conflicts of Interest Policy, during meetings of the organization's governing body, a Director who may have a conflict of interest is excused from discussion by the governing body about any transaction or matter that may have given rise to the Director's actual or potential conflict of interest. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system's and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | All officers and key employees of the organization were included in the Executive Compensation policy described on Form 990, Part VI, Line 15a. This process is used to establish compensation for these individuals for each calendar year. |
| Form 990, Part VI, Line 19 Required documents available to the public | Upon receiving a request from anyone, the organization will supply a copy of its governing documents, Conflicts of Interest Policy, financial statements and its most recently filed Form 990 and Form 990-T. The organization also makes its Form 990 available at the website guidestar.org. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | - Total Revenue: 31902, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 31902; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers to affiliated organizations - -7730817; Temporarily restricted contributions - 122171; Net assets released from restrictions - -63237; Permanently restricted contributions - 366226; Net asset transfers from BHS to BHSF for endowment matching program - 300075; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | |||||||||||
| 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 590747311 | HOSPITAL | FL | 501(c)(3 | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM INC | |||||||||||
| 841 PRUDENTIAL DR STE 1602 | JACKSONVILLE | FL | 32207 | 592487136 | Financial/management assistance for healthcare system | FL | 501(c)(3 | Type II | NA | false | |
| BAPTIST MEDICAL CENTER OF THE BEACHES INC | |||||||||||
| 1350 13TH AVE S | JACKSONVILLE BEACH | FL | 32250 | 592980620 | HOSPITAL | FL | 501(c)(3 | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 841 PRUDENTIAL DR 13TH FLOOR | JACKSONVILLE | FL | 32207 | 592487135 | Fundraising activities to support tax-exempts entities of healthcare system | FL | 501(c)(3 | 7 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH PROPERTIES INC | |||||||||||
| 3563 PHILIPS HWY BLD F STE 608 | JACKSONVILLE | FL | 32207 | 592487133 | Owns/manages real estate properties for healthcare system | FL | 501(c)(3 | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH AMBULATORY SERVICES INC | |||||||||||
| 3563 PHILIPS HWY BLD F STE 608 | JACKSONVILLE | FL | 32211 | 593410739 | Conducts medical research | FL | 501(c)(3 | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| Coastal Community Health Inc | |||||||||||
| 841 Prudential Dr | Jacksonville | FL | 32207 | 471322041 | Regional affiliation of BHS with 2 other 501(c)(3) healthcare systems | FL | 501(c)(3 | Type I | na | false | Ste 1450 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION ASSOCIATES LTD | |||||||||||||
| 3563 PHILIPS HWY BLD F STE 608 | JACKSONVILLE | FL | 32207 | 592505491 | NON-RESIDENTIAL PROPERTY MGT. | FL | SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | Excluded | $0 | $0 | $0 | false | 0 |
| Corporate Health LLC | |||||||||||||
| 841 Prudential Dr Ste 1802 | Jacksonville | FL | 32207 | Development/operation of a medically-based wellness program for the northeast Florida community | FL | Baptist Health System Inc | N/A | $0 | $0 | $0 | 0 | ||
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 | Address Line2USAddress/AddressLine2Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION HEALTH SERVICES INC | |||||||||||||
| 3563 PHILIPS HWY BLD F STE 608 | JACKSONVILLE | FL | 32207 | 592059710 | PHYSICIAN PRACTICES/RETAIL PHARMACIES | FL | BAPTIST HEALTH SYSTEM INC | C Corporation | $0 | $0 | 0 | ||
| IT4CIN Inc | |||||||||||||
| 841 Prudential Dr | Jacksonville | FL | 32207 | 473954500 | Contracts for health information technology products and services for its members. | FL | na | C Corporation | $0 | $0 | 0 | Ste 1802 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Comments