BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-07-20
IRS object ID
201502019349300885
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-07-20T17:00:29-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593234721EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEDICAL CENTER OF NASSAU INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlBAPTBusinessNameControlTxt
Phone9042021797PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13563 Philips Hwy Bldg F Ste 608AddressLine1
Address Line2Attn Mike LeeAddressLine2
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT WOOTENPersonNm
Person TitleSVP & CFOPersonTitleTxt
Signature2015-07-20SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BMC NASSAUBusinessNameLine1

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1A HUGH GREENEBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1841 Prudential Dr Aetna Bld 1601AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$67,498,288GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAPTISTJAX.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionCONTINUE 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee478TotalEmployeeCnt
Total Volunteers183TotalVolunteersCnt
Total Gross UBI$12,479TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$94,464CYContributionsGrantsAmt
PY Program Service Revenue$61,425,294PYProgramServiceRevenueAmt
CY Program Service Revenue$65,939,119CYProgramServiceRevenueAmt
PY Investment Income$809,832PYInvestmentIncomeAmt
CY Investment Income$802,355CYInvestmentIncomeAmt
PY Other Revenue$2,259,998PYOtherRevenueAmt
CY Other Revenue$662,350CYOtherRevenueAmt
PY Total Revenue$64,495,124PYTotalRevenueAmt
CY Total Revenue$67,498,288CYTotalRevenueAmt
PY Grants And Similar Paid$33,295PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$46,125CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,284,829PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,145,806CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,160,745PYOtherExpensesAmt
CY Other Expenses$26,250,083CYOtherExpensesAmt
PY Total Expenses$48,478,869PYTotalExpensesAmt
CY Total Expenses$50,442,014CYTotalExpensesAmt
PY Revenues Less Expenses$16,016,255PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,056,274CYRevenuesLessExpensesAmt
Total Assets BOY$97,608,635TotalAssetsBOYAmt
Total Assets EOY$110,049,071TotalAssetsEOYAmt
Total Liabilities BOY$10,273,516TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,649,621TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$87,335,119NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$99,399,450NetAssetsOrFundBalancesEOYAmt
MissionCONTINUE 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$47,911,361ExpenseAmt
Grant$46,125GrantAmt
Revenue$66,264,533RevenueAmt
DescBAPTIST 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 478 EMPLOYEES, 54 BEDS, 3,184 ADMISSIONS ACCOUNTING FOR 11,030 PATIENT DAYS, AND 28,207 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, 2014: (1) CHARITY CARE, $2.8 MILLION, (2) UNREIMBURSED MEDICARE COSTS, $3.3 MILLION, AND (3) SPECIFIC COMMUNITY PROGRAMS, $95 THOUSAND FOR A TOTAL OF $6.1 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 HEAL 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: $65 THOUSAND DOLLARS FOR NASSAU COUNTY COUNCIL ON AGING TO SUPPORT A TRANSPORTATION PROGRAM FOR SENIOR CITIZENS, $25 THOUSAND FOR THE NASSAU BOYS AND GIRLS CLUB, WHICH ASSISTS THE YOUTH OF THE LOCAL COMMUNITY, AND $10 THOUSAND TO THE NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD TO SUPPORT JOB GROWTH AND IMPROVE ECONOMIC CONDITIONS IN NASSAU COUNTY.Desc
Total Program Service Expenses$47,911,361TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee478EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott FinneganBusinessNameLine1
FieldValueIRS element (for citing)
Phone9042023270PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1841 Prudential Dr Aetna Bldg 1602AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
A HUGH GREENE
President & Director0.0040.00Yes (X)Yes (X)$0$1,072,886$514,891
JON C LASSERRE
Secretary/Treasurer & Director2.000Yes (X)Yes (X)$0$0$0
RICHARD W KEFFER
Chairman & Director2.000Yes (X)Yes (X)$0$0$0
CHRISTINA H BRYAN
Vice Chairman & Director2.000Yes (X)$0$0$0
DONNA L VANPUYMBROUCK
Director2.000Yes (X)$0$0$0
GERALD R BURFORD MD
Director2.000Yes (X)$0$0$0
GREGORY N SMITH MD
Director2.000Yes (X)$0$0$0
JAMES M TOWNSEND
Director1.001.00Yes (X)$0$0$0
JANICE ANCRUM
Director2.000Yes (X)$0$0$0
KATHERINE MONAHAN
Director2.000Yes (X)$0$0$0
MICHAEL M BELL
Director2.000Yes (X)$0$0$0
ROBERT FERREIRA
Director2.000Yes (X)$0$0$0
WILLIAM H GOWER
Director2.000Yes (X)$0$0$0
WILLIE J SCOTT
Director2.000Yes (X)$0$0$0
HARVEY GRANGER
Assistant Secretary0.0040.00Yes (X)$0$486,616$215,282
JOHN F WILBANKS
Executive VP0.0040.00Yes (X)$0$634,992$241,332
SCOTT WOOTEN
SVP/CFO0.0040.00Yes (X)$0$50,000$0
STEPHEN LEE
Vice President40.000Yes (X)$260,876$0$46,975
MICHAEL LUKASZEWSKI
SVP/CFO0.0040.00$0$691,689$20,236Yes (X)
BARBARA GINGHER
Assistant Administrator, Nursing40.000$153,933$0$30,509Yes (X)
CHARLOTTE MOORE
Director, Imaging Services40.000$112,102$0$24,669Yes (X)
DAVID TONCRAY
Director, Pharmacy40.000$107,623$0$9,389Yes (X)
JANICE PAULEY
Director, Surgical Services40.000$106,083$0$10,070Yes (X)
STEPHEN BEAN
Pharmacist40.000$134,856$0$33,260Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$875,473TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,936,183TotReportableCompRltdOrgAmt
Total Other Compensation$1,146,613TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BAPTIST PRIMARY CARE INC
3563 PHILIPS HWY BLDG A STE 101JACKSONVILLEFL32207HOSPITALIST SERVICES FOR THE HOSPITAL$974,400
AMELIA ANESTHESIA PL
1250 S 18TH STFERNANDINA BEACHFL32034ANESTHESIA SERVICES FOR THE HOSPITAL$281,285
CROWN HEALTH CARE LAUNDRY SERVICE INC
1501 N GUILLEMARDPENSACOLAFL32501LAUNDRY SERVICES FOR THE HOSPITAL$272,918
SODEXHO INC & AFFILIATES
PPO BOX 536922ATLANTAGA303536922RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL$252,711
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$94,464RelatedOrganizationsAmt
Total Contributions$94,464TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUES622000$64,853,989$64,853,989$0$0
EHR REVENUE MEDICARE622000$1,006,971$1,006,971$0$0
EHR REVENUE MEDICAID622000$78,159$78,159$0$0
$0
$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$65,939,119TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$802,355TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$802,355ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$232,390RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$232,390RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,390TotalRevenueColumnAmt
Related Or Exempt Func Income$232,390RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
RESTAURANT REVENUE722212$263,330$263,330
GAINS ON INTEREST RATE SWAPS523000$74,495$0$74,495$0
REFERENCE LAB REVENUES621500$31,008$0$18,529$12,479

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,127TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$61,127ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$429,960OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,498,288TotalRevenueColumnAmt
Related Or Exempt Func Income$66,264,533RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$12,479UnrelatedBusinessRevenueAmt
Exclusion$1,126,812ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$46,125TotalAmt
Program Services$46,125ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$307,851TotalAmt
Program Services$0ProgramServicesAmt
Management And General$307,851ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,385,141TotalAmt
Program Services$16,685,446ProgramServicesAmt
Management And General$699,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,232,192TotalAmt
Program Services$1,194,022ProgramServicesAmt
Management And General$38,170ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,895,651TotalAmt
Program Services$3,692,391ProgramServicesAmt
Management And General$203,260ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,324,971TotalAmt
Program Services$1,283,221ProgramServicesAmt
Management And General$41,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,165,278TotalAmt
Program Services$1,515,763ProgramServicesAmt
Management And General$649,515ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$39,752TotalAmt
Program Services$27,827ProgramServicesAmt
Management And General$11,925ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,012TotalAmt
Program Services$11,908ProgramServicesAmt
Management And General$5,104ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$731,193TotalAmt
Program Services$731,193ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,599TotalAmt
Program Services$45,599ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,508,934TotalAmt
Program Services$7,353,893ProgramServicesAmt
Management And General$155,041ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$905,157TotalAmt
Program Services$905,157ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,332,176TotalAmt
Program Services$2,332,176ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$65,008TotalAmt
Program Services$65,008ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$114,417TotalAmt
Program Services$114,417ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44,557TotalAmt
Program Services$44,557ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,103,563TotalAmt
Program Services$3,103,563ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$870,781TotalAmt
Program Services$870,781ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SYSTEM FUNCTION ALLOCATION$7,236,523$6,945,615$290,908$0
AHCA AND NICA ASSESSMENTS$717,115$717,115$0$0
DUES AND MEMBERSHIPS$60,074$42,052$18,022$0
LICENSES & FEES$107,644$53,822$53,822$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$185,300TotalAmt
Program Services$129,710ProgramServicesAmt
Management And General$55,590ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,442,014TotalAmt
Program Services$47,911,361ProgramServicesAmt
Management And General$2,530,653ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$600EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,988,169BOYAmt
EOY$8,262,726EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$737,184BOYAmt
EOY$825,175EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$457,013BOYAmt
EOY$1,534,202EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$72,548,993LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,076,040LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,503,763BOYAmt
EOY$37,472,953EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,846,384BOYAmt
EOY$9,648,739EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$43,075,522BOYAmt
EOY$52,304,676EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$97,608,635BOYAmt
EOY$110,049,071EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,058,677BOYAmt
EOY$5,447,193EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,714,454BOYAmt
EOY$4,278,888EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$500,385BOYAmt
EOY$923,540EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,273,516BOYAmt
EOY$10,649,621EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$87,007,756BOYAmt
EOY$98,571,107EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$234,568BOYAmt
EOY$338,946EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$92,795BOYAmt
EOY$489,397EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,335,119BOYAmt
EOY$99,399,450EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$97,608,635BOYAmt
EOY$110,049,071EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,056,274ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,861NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$5,069,626OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$212,505BeginningYearBalanceAmt
Contributions$401,162ContributionsAmt
Investment Earnings Or Losses$23,860InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$759OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$636,768EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$192,857BeginningYearBalanceAmt
Contributions$710ContributionsAmt
Investment Earnings Or Losses$20,938InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,000OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$212,505EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$107,166BeginningYearBalanceAmt
Contributions$56,024ContributionsAmt
Investment Earnings Or Losses$31,667InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,000OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$192,857EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,794BeginningYearBalanceAmt
Contributions$36,186ContributionsAmt
Investment Earnings Or Losses$286InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,100GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$107,166EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$66,966BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$6,500InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,672GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$71,794EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.15700BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.76900PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.07400TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$477,107OtherCostOrOtherBasisAmt
Book Value$477,107BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,696,781OtherCostOrOtherBasisAmt
Depreciation$13,025,084DepreciationAmt
Book Value$27,671,697BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,649OtherCostOrOtherBasisAmt
Depreciation$31,957DepreciationAmt
Book Value$52,692BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,176,757OtherCostOrOtherBasisAmt
Depreciation$21,192,098DepreciationAmt
Book Value$6,984,659BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,113,699OtherCostOrOtherBasisAmt
Depreciation$826,901DepreciationAmt
Book Value$2,286,798BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,472,953TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO AFFILIATED ORGANIZATIONS$51,443,990
INTEREST IN NET ASSETS OF BAPTIST HEALTH SYSTEM FOUNDATION, INC.$853,077
PREPAID BONDS COST OF ISSUANCE$7,609
FieldValueIRS element (for citing)
Total Book Value Other Assets$52,304,676TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY SETTLEMENTS$497,650
1997A BOND SWAP MARKET VALUE$307,481
2001 BOND SWAP MARKET VALUE$118,409
FieldValueIRS element (for citing)
Total Liability$923,540TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4, Intended uses of endowment fundsBAPTIST MEDICAL CENTER OF NASSAU INC. (BMCN) HAS TEMPORARY RESTRICTED QUASI-ENDOWMENT FUND 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) footnoteNOTES TO CONSOLIDATED FINANCIAL STATEMENTS (DOLLARS IN THOUSANDS) 9. INCOME TAXES DEFERRED INCOME TAXES, WHICH AS OF SEPTEMBER 30, 2014 AND 2013, 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, 2014 AND 2013, BHS HAD DEFERRED TAX ASSETS OF $24,358 AND $22,388, RESPECTIVELY, RELATING PRINCIPALLY TO NET OPERATING LOSS CARRYOVERS. ASC 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. AFTER CONSIDERATION OF ALL THE EVIDENCE, BOTH POSITIVE AND NEGATIVE, MANAGEMENT DETERMINED THAT A $24,358 AND $22,388 ALLOWANCE AT SEPTEMBER 30, 2014 AND 2013, RESPECTIVELY, WAS NECESSARY TO REDUCE THE DEFERRED TAX ASSETS TO THE AMOUNT THAT WOULD MORE LIKELY THAN NOT BE REALIZED. THE CHANGE IN THE VALUATION ALLOWANCE FOR THE CURRENT YEAR IS $1,970. AT SEPTEMBER 30, 2014, BHS HAS AVAILABLE NET OPERATING LOSS CARRYFORWARDS OF $64,729. THESE NET OPERATING LOSSES WILL EXPIRE BETWEEN 2018 AND 2034.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,779,080TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,779,080NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,841,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,130,282DirectOffsettingRevenueAmt
Net Community Benefit Expns-$288,757NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,620,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,130,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,490,323NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,687TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,687NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$53,687TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,687NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,674,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,130,282DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,544,010NetCommunityBenefitExpnsAmt
Total Expense0.05620TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,345,412BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,832,973ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,105,561CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,272,588MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEDICAL CENTER OF NASSAU INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11250 S 18th StAddressLine1
CityFERNANDINA BEACHCity
StateFLState
ZIP Code32034ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.BAPTISTJAX.COMWebsiteAddressTxt
State License4355StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEDICAL CENTER OF NASSAU INCBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.baptistjax.comOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://ufhealthjax.orgOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment(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 UF HEALTH) 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 Sec B, Line 4, Other Hospital Facilities included in Needs Assessment(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, SHANDS JACKSONVILLE MEDICAL CENTER - DUVAL COUNTY, AND WOLFSON CHILDREN'S HOSPITAL - DUVAL COUNTY.;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment(1) - BAPTIST MEDICAL CENTER OF NASSAU, INC.: BAPTIST MEDICAL CENTER OF NASSAU'S (BMCN) SELECTED PRIORITIES ARE HEART DISEASE, STROKE, DIABETES, NUTRITION, MAMMOGRAM, SMOKING CESSATION, AND ACCESS TO FOOD AND PHYSICAL ACTIVITY. BMCN 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, BMCN HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THE PRIORITIES IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED WERE (1) CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, AND (2) COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS), INCLUDING HIV, INFLUENZA AND PNEUMONIA, HEPATITIS AND HOUSING.;
Schedule H, Part V Sec B, Line 18e, Efforts made before initiating collection actions(1) - BAPTIST MEDICAL CENTER OF NASSAU, INC.: AT EVERY PATIENT ACCESS POINT, "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 Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined(1) - BAPTIST MEDICAL CENTER OF NASSAU, INC.: THE ORGANIZATION HAS AN AUTOMATIC 40% DISCOUNT FOR ALL UNINSURED PATIENTS.;
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a, Community benefit report prepared by related organizationBAPTIST HEALTH SYSTEM, INC.
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistanceTHE ORGANIZATION USES A COST-TO-CHARGE RATIO BASED ON ITS COST ACCOUNTING SYSTEM.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation0
Schedule H, Part I, Line 7g, Subsidized Health ServicesN/A
Schedule H, Part II, Community Building ActivitiesLINE 3: COMMUNITY SUPPORT (1) 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 (1) 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. (2) NASSAU COMMUNITY HEALTH IMPROVEMENT COALITION - BAPTIST MEDICAL CENTER OF 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 (1) IN PARTNERSHIP WITH BARNABAS CENTER NASSAU, BAPTIST NASSAU WORKS TO PROVIDE ACCESS TO PRIMARY HEALTH CARE FOR PEOPLE WHO ARE UNINSURED AND UNDERINSURED. (2) 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. (3) 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. (4) 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.
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amountPATIENT 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 MethodologyTHE 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 footnoteBAPTIST 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. 18832973
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costsMEDICARE 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 assistanceYES, 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 EVERY PATIENT ACCESS POINT, "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 healthBAPTIST 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 systemBAPTIST 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 H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORTBAPTIST 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION INC
PO BOX 16003FERNANDINA BEACHFL32035593672345501(C)(3)$15,000SUPPORT FOR YOUTH TO IMPROVE THEIR LIVES IN THE NASSAU COUNTY COMMUNITY.
NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC
76346 WILLIAM BURGESS BLVDYULEEFL32097N/A$10,350DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2, Procedures for monitoring use of grant fundsANNUAL 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 II, Column H, Purpose of grant or assistanceNASSAU COUNTY ECONOMIC DEVELOPMENT BOARD, INC., N/A:DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.;

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
A HUGH GREENE
PRESIDENT & DIRECTOR$0$752,886$0$290,000$0$30,000$0$499,028$0$15,863$0$1,587,777$0$0
HARVEY GRANGER
ASSISTANT SECRETARY$0$366,616$0$105,000$0$15,000$0$196,051$0$19,231$0$701,898$0$0
STEPHEN LEE
VICE PRESIDENT$191,897$0$58,979$0$10,000$0$35,618$0$11,357$0$307,851$0$0$0
JOHN F WILBANKS
EXECUTIVE VP$0$462,492$0$157,500$0$15,000$0$228,752$0$12,580$0$876,324$0$0
MICHAEL LUKASZEWSKI
SVP/CFO$0$395,982$0$280,707$0$15,000$0$4,462$0$15,774$0$711,925$0$0
BARBARA GINGHER
ASSISTANT ADMINISTRATOR, NURSING$128,433$0$15,500$0$10,000$0$23,749$0$6,760$0$184,442$0$0$0
STEPHEN BEAN
PHARMACIST$134,718$0$138$0$0$0$19,368$0$13,892$0$168,116$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensationIN 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 planBAPTIST 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 2013: A. HUGH GREENE, $459,770, JOHN F. WILBANKS, $192,103, AND HARVEY GRANGER, $158,310. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH OF THE LISTED INDIVIDUALS.
Schedule J, Part I, Line 6b, Compensation contingent on net earnings of a related organizationBAPTIST HEALTH SYSTEM, INC., PARENT COMPANY OF THE FILING ORGANIZATION, POLICY PROVIDES FOR ANNUAL REVIEWS OF ALL EMPLOYEES. AN EMPLOYEE'S PERFORMANCE INCLUDES AN EVALUATION BY THE EMPLOYEE AND SUPERVISOR IN MEETING INDIVIDUAL AND ORGANIZATIONAL GOALS. BASED ON AN EMPLOYEE'S PERFORMANCE IN MEETING THESE GOALS AND THE OPERATING MARGIN OF THE CONSOLIDATED HEALTH SYSTEM FOR THE FISCAL YEAR, A BONUS MAY BE PAID TO EMPLOYEES AT THE MANAGERIAL LEVEL AND ABOVE, INCLUDING THOSE LISTED IN SCHEDULE J, AND IS INCLUDED IN THE EMPLOYEE'S W-2 REPORTABLE COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE REFBusinessNameLine1
Business Name Line2UNDING EXTENDABLE NOTES SERIES 2007CDEBusinessNameLine2
FieldValueIRS element (for citing)
Bond Issued2011-12-01BondIssuedDt
Issue Price$3,264,000IssuePriceAmt
PurposeREFUND SERIES 2007CDE BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,050,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$3,264,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$3,255,494RefundingEscrowAmt
Issuance Costs From Proceeds$8,506IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1UBS AND WELLS FARGOBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge16.1TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Term Of GIC0.0TermOfGICPct
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART I, COLUMN (C), SERIES 2007 CDEFormAndLineReferenceDesc
ExplanationCUSIP #'S: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GREGORY SMITH MD
DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA ISLAND ORTHOPAEDICS$178,826ORTHOPAEDIC SURGICAL SERVICES TO EMERGENCY DEPT., $136,000; LEASE PAYMENTS TO FILING ORGANIZATION, $42,826false
GERALD BURFORD MD
DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA INTERNAL MEDICINE$108,282LEASE PAYMENTS TO FILING ORGANIZATIONfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholdersTHE ORGANIZATION HAS A SOLE CORPORATE MEMBER, BAPTIST HEALTH SYSTEM, INC.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing bodyTHE 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, Sec A, Line 7b, Decisions requiring approval by members or stockholdersTHE 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, Sec B, Line 11b, Review of form 990 by governing bodyWHILE 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, Sec B, Line 12c, Conflict of interest policyTHE 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, Sec B, Line 15a, Process to establish compensation of top management officialIN 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, Sec B, Line 15b, Process to establish compensation of other employeesALL 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, Sec C, Line 19, Required documents available to the publicUPON 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 XI, Line 9, Other changes in net assets or fund balancesTRANSFERS TO AFFILIATED ORGANIZATIONS - -5546745; TEMPORARILY RESTRICTED CONTRIBUTIONS - 151411; NET ASSETS RELEASED FROM RESTRICTIONS - -72894; PERMANENTLY RESTRICTED CONTRIBUTIONS - 296894; NET ASSET TRANSFERS FROM BHS TO BHSF FOR ENDOWMENT MATCHING PROGRAM - 101708;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
800 PRUDENTIAL DRJACKSONVILLEFL32207590747311HOSPITALFL501(C)(3)3BAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH SYSTEM INC
841 PRUDENTIAL DR STE 1602JACKSONVILLEFL32207592487136MGT. ASSISTANCE TO HOSPITALSFL501(C)(3)11 - Type IINAfalse
BAPTIST MEDICAL CENTER OF THE BEACHES INC
1350 13TH AVE SJACKSONVILLE BEACHFL32250592980620HOSPITALFL501(C)(3)3BAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH SYSTEM FOUNDATION INC
841 PRUDENTIAL DR 13TH FLOORJACKSONVILLEFL32207592487135FUNDRAISING ACTIVITIES TO SUPPORT HOSPITALSFL501(C)(3)7 - Type IBAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH PROPERTIES INC
3563 PHILIPS HWY BLD F STE 608JACKSONVILLEFL32207592487133PROPERTY MGT. FOR HEALTHCARE SYSTEMFL501(C)(3)11 - Type IBAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH AMBULATORY SERVICES INC
3563 PHILIPS HWY BLD F STE 608JACKSONVILLEFL32211593410739CANCER RESEARCH & EDUCATION FOR HEALTHCARE SYSTEMFL501(C)(3)11 - Type IBAPTIST HEALTH SYSTEM INCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PAVILION ASSOCIATES LTDBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13563 PHILIPS HWY BLD F STE 608AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
EIN592505491EIN
Primary ActivitiesNON-RESIDENTIAL PROPERTY MGT.PrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN BAPTIST HOSPITAL OF FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PAVILION HEALTH SERVICES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13563 PHILIPS HWY BLD F STE 608AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
EIN592059710EIN
Primary ActivitiesPHYSICIAN PRACTICES/RETAIL PHARMACIESPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Ownership0OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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