2016-08-10T17:00:17-05:00 2015-09-30 990 2014-10-01 593234721 Baptist Medical Center of Nassau Inc BAPT 9042021797 3563 Philips Hwy Bldg F Ste 608 Jacksonville FL 32207 Scott Wooten SVP & CFO 2016-08-10 2014 2016-12-15 16:53:06Z BMC Nassau A Hugh Greene 3563 Philips Hwy Bldg F Ste 608 Jacksonville FL 32207 73409187 false X www.baptistjax.com X 1994 FL Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. 13 10 501 184 8280 0 94464 73469 65939119 72675271 802355 -76684 662350 713167 67498288 73385223 46125 354688 0 0 24145806 26093263 0 0 0 26250083 30323606 50442014 56771557 17056274 16613666 110049071 119512985 10649621 10539423 99399450 108973562 Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. false false 53197097 354688 73023190 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. 53197097 true true false false false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false false true false false false true 51 0 true 501 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false false true true true true true true true false X X Scott Finnegan 9042023270 841 Prudential Dr Aetna Bldg 1602 Jacksonville FL 32207 A Hugh Greene President & Director 0.00 40.00 X X 0 1160353 421516 Richard W Keffer Chairman & Director 2.00 0 X X 0 0 0 Jon C Lasserre Secretary/Treasurer & Director 2.00 0 X X 0 0 0 Michael M Bell Director 2.00 0 X 0 0 0 Christina H Bryan Vice Chairman & Director 2.00 0 X 0 0 0 Gerald R Burford MD Director 2.00 0 X 0 0 0 Robert Ferreira Director 2.00 0 X 0 0 0 William H Gower Director 2.00 0 X 0 0 0 Willie J Scott Director 2.00 0 X 0 0 0 Gregory N Smith MD Director 2.00 0 X 0 0 0 James M Townsend Director 1.00 1.00 X 0 0 0 Donna L VanPuymbrouck Director 2.00 0 X 0 0 0 Janice Ancrum Director 2.00 0 X 0 0 0 Brandy B Carvalho Director 2.00 0 X 0 0 0 Harvey Granger Assistant Secretary 0.00 40.00 X 0 493091 214704 Stephen Lee Vice President 40.00 0 X 270561 0 48229 John F Wilbanks Executive VP 0.00 40.00 X 0 676570 246365 Scott Wooten SVP/CFO 0.00 40.00 X 0 691668 51644 Barbara S Gingher Assistant Admin., Nursing 40.00 0 X 157057 0 27661 Stephen Bean Pharmacist 40.00 0 X 138182 0 31329 Daniel Hutchinson House Supervisor 40.00 0 X 112273 0 23413 Patricia Hausauer Director, Finance 40.00 0 X 116701 0 14186 David Toncray Director, Pharmacy 40.00 0 X 118024 0 9960 Michael Lukaszewski SVP/CFO 0.00 40.00 X 0 154873 9222 912798 3176555 1098229 12 true true true BAPTIST PRIMARY CARE INC 3563 PHILIPS HWY BLDG A STE 101 JACKSONVILLE FL 32207 HOSPITALIST SERVICES FOR THE HOSPITAL 988800 CROWN HEALTH CARE LAUNDRY SERVICE INC 1501 N GUILLEMARD PENSACOLA FL 32501 LAUNDRY SERVICES FOR THE HOSPITAL 269457 AMELIA ANESTHESIA PL 1250 S 18TH ST FERNANDINA BEACH FL 32034 ANESTHESIA SERVICES FOR THE HOSPITAL 233568 SODEXHO INC & AFFILIATES PPO BOX 536922 ATLANTA GA 303536922 RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL 212838 4 X 73469 73469 Net patient service revenues less provision for bad debts 622000 71932270 71932270 0 0 EHR revenue medicare 622000 743001 743001 0 0 0 0 0 0 72675271 -60247 0 0 -60247 376066 0 7527 0 368539 0 368539 368539 0 0 0 16437 0 -16437 -16437 -16437 0 0 Restaurant revenue 722212 308629 0 0 308629 Loss on interest rate swaps 523000 -17350 -17350 0 0 Reference lab revenues 621500 21447 13167 8280 0 31902 0 0 31902 344628 73385223 73023190 8280 280284 354688 354688 0 0 0 0 0 0 318790 0 318790 0 0 0 0 0 18813029 17956777 856252 0 1411304 1368141 43163 0 4077607 3892319 185288 0 1472533 1428543 43990 0 2870927 2275611 595316 0 50304 39318 10986 0 20320 15882 4438 0 0 0 0 0 0 0 0 0 0 0 950112 354796 595316 0 42250 38025 4225 0 8628026 8444592 183434 0 692512 677761 14751 0 0 0 0 0 2618295 2469314 148981 0 92480 46240 46240 0 0 0 0 0 116200 58100 58100 41164 41164 0 0 0 0 0 0 3197266 3197266 0 0 1386695 1386695 0 0 System function allocation 8697470 8301735 395735 0 AHCA and NICA assessments 780677 780677 0 0 Dues and memberships 54020 27010 27010 0 Licenses & fees 28337 14168 14169 0 56551 28275 28276 0 56771557 53197097 3574460 0 600 600 8262726 9738891 0 0 0 825175 1108940 1534202 1075335 75466192 38282226 37472953 37183966 9648739 9588492 0 0 52304676 60816761 110049071 119512985 5447193 5591341 4278888 3827208 0 923540 1120874 10649621 10539423 98571107 107453957 338946 363907 489397 1155698 99399450 108973562 110049071 119512985 X 16613666 -33972 -7005582 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 636768 666301 -33972 0 15873 0 1253224 212505 401162 23860 0 759 0 636768 192857 710 20938 0 2000 0 212505 107166 56024 31667 0 2000 0 192857 71794 36186 286 1100 0 0 107166 0.07 0.922 0.008 false true true 477107 477107 42553840 14532025 28021815 84649 37128 47521 29419086 22776029 6643057 2931510 937044 1994466 37183966 Advances to affiliated organizations 59265014 Interest in net assets of Baptist Health System Foundation, Inc. 1545608 Prepaid bonds cost of issuance 6139 60816761 0 Estimated third-party settlements 677634 1997A bond swap market value 326918 2001 bond swap market value 116322 1120874 X 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. true true X true X true X true true true false true true 3710023 0 3710023 0.0654 7687422 7233158 454264 0.0080 0 0 0 0.0 0 0 11397445 7233158 4164287 0.0734 63000 63000 0.0011 0 0.0 0 0.0 0 0.0 306000 306000 0.0054 0 0 369000 0 369000 0.0065 0 0 11766445 7233158 4533287 0.0799 0 0.0 1 0 0.0 2 0 0.0 0 0.0 0 0.0 2 0 0.0 4 0 0.0 0 0.0 0 0.0 9 0 0 0 0 0.0 false 2175270 0 22099821 26191926 -4092105 X true true 1 1 Baptist Medical Center of Nassau Inc www.baptistjax.com 4355 X X X Baptist Medical Center of Nassau Inc 1 false false true X X X X X X X X 12 true true true true X www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs X http://ufhealthjax.org X true 12 false true false true X 2.0 4.0 X X X X X true true true X true X false X X X X true X false false 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. 0 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. true Barnabas Center 1303 Jasmine St Ste 101 Fernandina Beach FL 32034 592920275 501(c)(3) 182000 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) 80000 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) 24900 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) 18500 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 17500 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) 7000 Support programs to enhance the educational opportunities for students and teachers in the Nassau County school district. 6 0 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. false true false false false false false false false A Hugh Greene President & Director 0 805353 0 325000 0 30000 0 405541 0 15975 0 1581869 0 0 Harvey Granger Assistant Secretary 0 366851 0 111240 0 15000 0 194698 0 20006 0 707795 0 0 Stephen Lee Vice President 197392 0 63169 0 10000 0 36970 0 11259 0 318790 0 0 0 John F Wilbanks Executive VP 0 490122 0 171448 0 15000 0 233776 0 12589 0 922935 0 0 Scott Wooten SVP/CFO 0 531426 0 145819 0 14423 0 42117 0 9527 0 743312 0 0 Michael Lukaszewski SVP/CFO 0 149104 0 0 0 5769 0 2623 0 6599 0 164095 0 0 Barbara S Gingher Assistant Admin., Nursing 141557 0 15500 0 0 0 21029 0 6632 0 184718 0 0 0 Stephen Bean Pharmacist 138034 0 148 0 0 0 14530 0 16799 0 169511 0 0 0 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. A Jacksonville Health Facilities Authority Variable Rate Hospital Revenue Ref unding Extendable Notes Series 2007CDE 3264000 Refund Series 2007CDE Bonds false false false A 1237500 0 3264000 0 0 3255494 8506 0 0 0 0 0 2007 true false true true A false false false false 0.0 0.0 0.0 true false A false false false true true UBS and Wells Fargo 16.1 false false false false true A Schedule K, Part I, Column (c) Series 2007 CDE CUSIP #'s: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7 GREGORY SMITH MD DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA ISLAND ORTHOPAEDICS 226158 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 102193 LEASE PAYMENTS TO FILING ORGANIZATION false 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; 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 Ste 1450 Jacksonville FL 32207 471322041 Regional affiliation of BHS with 2 other 501(c)(3) healthcare systems FL 501(c)(3 Type I na false 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 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 Ste 1802 Jacksonville FL 32207 473954500 Contracts for health information technology products and services for its members. FL na C Corporation 0 0 0 false false false true false false false false false false false true false true true true true true true