2015-07-20T17:00:29-05:00 2014-09-30 990 2013-10-01 593234721 BAPTIST MEDICAL CENTER OF NASSAU INC BAPT 9042021797 3563 Philips Hwy Bldg F Ste 608 Attn Mike Lee Jacksonville FL 32207 SCOTT WOOTEN SVP & CFO 2015-07-20 2013 2016-02-25 16:41:14Z BMC NASSAU A HUGH GREENE 841 Prudential Dr Aetna Bld 1601 Jacksonville FL 32207 67498288 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 9 478 183 12479 0 0 94464 61425294 65939119 809832 802355 2259998 662350 64495124 67498288 33295 46125 0 0 24284829 24145806 0 0 0 24160745 26250083 48478869 50442014 16016255 17056274 97608635 110049071 10273516 10649621 87335119 99399450 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 47911361 46125 66264533 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 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. 47911361 true true 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 false true 58 0 true 478 true true true false false false false false false false false false X 13 9 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 1072886 514891 JON C LASSERRE Secretary/Treasurer & Director 2.00 0 X X 0 0 0 RICHARD W KEFFER Chairman & Director 2.00 0 X X 0 0 0 CHRISTINA H BRYAN Vice Chairman & Director 2.00 0 X 0 0 0 DONNA L VANPUYMBROUCK Director 2.00 0 X 0 0 0 GERALD R BURFORD MD 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 JANICE ANCRUM Director 2.00 0 X 0 0 0 KATHERINE MONAHAN Director 2.00 0 X 0 0 0 MICHAEL M BELL 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 HARVEY GRANGER Assistant Secretary 0.00 40.00 X 0 486616 215282 JOHN F WILBANKS Executive VP 0.00 40.00 X 0 634992 241332 SCOTT WOOTEN SVP/CFO 0.00 40.00 X 0 50000 0 STEPHEN LEE Vice President 40.00 0 X 260876 0 46975 MICHAEL LUKASZEWSKI SVP/CFO 0.00 40.00 X 0 691689 20236 BARBARA GINGHER Assistant Administrator, Nursing 40.00 0 X 153933 0 30509 CHARLOTTE MOORE Director, Imaging Services 40.00 0 X 112102 0 24669 DAVID TONCRAY Director, Pharmacy 40.00 0 X 107623 0 9389 JANICE PAULEY Director, Surgical Services 40.00 0 X 106083 0 10070 STEPHEN BEAN Pharmacist 40.00 0 X 134856 0 33260 875473 2936183 1146613 10 false true false BAPTIST PRIMARY CARE INC 3563 PHILIPS HWY BLDG A STE 101 JACKSONVILLE FL 32207 HOSPITALIST SERVICES FOR THE HOSPITAL 974400 AMELIA ANESTHESIA PL 1250 S 18TH ST FERNANDINA BEACH FL 32034 ANESTHESIA SERVICES FOR THE HOSPITAL 281285 CROWN HEALTH CARE LAUNDRY SERVICE INC 1501 N GUILLEMARD PENSACOLA FL 32501 LAUNDRY SERVICES FOR THE HOSPITAL 272918 SODEXHO INC & AFFILIATES PPO BOX 536922 ATLANTA GA 303536922 RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL 252711 4 94464 94464 NET PATIENT SERVICE REVENUES 622000 64853989 64853989 0 0 EHR REVENUE MEDICARE 622000 1006971 1006971 0 0 EHR REVENUE MEDICAID 622000 78159 78159 0 0 0 0 0 0 0 0 65939119 802355 0 0 802355 0 0 232390 0 0 0 232390 0 232390 232390 0 0 0 0 0 0 0 0 RESTAURANT REVENUE 722212 263330 263330 GAINS ON INTEREST RATE SWAPS 523000 74495 74495 0 0 REFERENCE LAB REVENUES 621500 31008 18529 12479 0 61127 0 0 61127 429960 67498288 66264533 12479 1126812 46125 46125 0 0 0 0 0 0 307851 0 307851 0 0 0 0 0 17385141 16685446 699695 0 1232192 1194022 38170 0 3895651 3692391 203260 0 1324971 1283221 41750 0 2165278 1515763 649515 0 39752 27827 11925 0 17012 11908 5104 0 0 0 0 0 0 0 0 0 0 0 731193 731193 0 0 45599 45599 0 0 7508934 7353893 155041 0 905157 905157 0 0 0 0 0 0 2332176 2332176 0 0 65008 65008 0 0 0 0 0 0 114417 114417 0 0 44557 44557 0 0 0 0 0 0 3103563 3103563 0 0 870781 870781 0 0 SYSTEM FUNCTION ALLOCATION 7236523 6945615 290908 0 AHCA AND NICA ASSESSMENTS 717115 717115 0 0 DUES AND MEMBERSHIPS 60074 42052 18022 0 LICENSES & FEES 107644 53822 53822 0 185300 129710 55590 0 50442014 47911361 2530653 0 0 600 600 6988169 8262726 0 0 0 0 737184 825175 457013 1534202 72548993 35076040 37503763 37472953 8846384 9648739 0 0 0 0 43075522 52304676 97608635 110049071 5058677 5447193 0 4714454 4278888 0 0 500385 923540 10273516 10649621 87007756 98571107 234568 338946 92795 489397 87335119 99399450 97608635 110049071 X 17056274 23861 0 0 0 -5069626 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 66966 0 6500 1672 0 0 71794 0.15700 0.76900 0.07400 false true 477107 477107 40696781 13025084 27671697 84649 31957 52692 28176757 21192098 6984659 3113699 826901 2286798 37472953 ADVANCES TO AFFILIATED ORGANIZATIONS 51443990 INTEREST IN NET ASSETS OF BAPTIST HEALTH SYSTEM FOUNDATION, INC. 853077 PREPAID BONDS COST OF ISSUANCE 7609 52304676 0 ESTIMATED THIRD-PARTY SETTLEMENTS 497650 1997A BOND SWAP MARKET VALUE 307481 2001 BOND SWAP MARKET VALUE 118409 923540 X Schedule D, Part V, Line 4, Intended uses of endowment funds BAPTIST 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) footnote NOTES 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. true true X true X true X true true true false true true 2779080 0 2779080 0.05510 6841525 7130282 -288757 0.00000 0 0 0 0.00000 0 0 9620605 7130282 2490323 0.05510 0 0.00000 0 0.00000 0 0.00000 0 0.00000 53687 53687 0.00110 0 0 53687 0 53687 0.00110 0 0 9674292 7130282 2544010 0.05620 0 0.00000 0 0.00000 1 0 0.00000 0 0.00000 0 0.00000 2 0 0.00000 4 0 0.00000 0 0.00000 0 0.00000 7 0 0 0 0 0.00000 false 2345412 0 18832973 22105561 -3272588 X true true 1 1 BAPTIST MEDICAL CENTER OF NASSAU INC 1250 S 18th St FERNANDINA BEACH FL 32034 WWW.BAPTISTJAX.COM 4355 X X X BAPTIST MEDICAL CENTER OF NASSAU INC 1 true X X X X X X X X 12 true true true X www.baptistjax.com X http://ufhealthjax.org X X X X X X X X X false false true true 200 true 400 true X X X X X X X X true true X true false X X X X true X false false 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.; 0 Schedule H, Part I, Line 6a, Community benefit report prepared by related organization BAPTIST HEALTH SYSTEM, INC. 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 I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7g, Subsidized Health Services N/A Schedule H, Part II, Community Building Activities LINE 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 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. 18832973 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 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 health BAPTIST HEALTH SYSTEM INC. (BHS), PARENT COMPANY OF THE FILING ORGANIZATION, CONTINUES TO MAINTAIN AN OPEN MEDICAL STAFF. A DESIGNATED SOCIAL RESPONSIBILITY COMMUNITY HEALTH BOARD COMMITTEE CONSISTING OF NORTHEAST FLORIDA RESIDENTS WHO ALSO SERVE ON BAPTIST HOSPITAL BOARDS OF DIRECTORS PROVIDES DIRECTION TO THE COMMUNITY HEALTH WORK BASED ON THE COMMUNITY NEED WITHIN THE FOUR COUNTY AREA SERVED BY BAPTIST HEALTH. BAPTIST HEALTH CONTINUES TO DONATE MORE THAN $1.6 MILLION TO SUPPORT NONPROFIT ORGANIZATIONS THAT PROVIDE HEALTH SERVICES TO THE UNDERSERVED AND LOW INCOME COMMUNITY. SOME OF THE NONPROFIT ORGANIZATIONS PROVIDE PRIMARY CARE FOR THE UNINSURED AND THE UNDERINSURED. SOME PROVIDE BEHAVIORAL HEALTH SERVICES TO FAMILIES WHO WOULD NOT OTHERWISE HAVE ACCESS WHILE OTHERS PROVIDE HEALTH SERVICES AND TRANSPORTATION FOR THE FRAIL ELDERLY. Schedule H, Part VI, Line 6, Affiliated health care system BAPTIST HEALTH SYSTEM, INC. (BHS) IS THE PARENT AFFILIATE OF BAPTIST MEDICAL CENTER OF NASSAU, INC. (BMCN). THE SOCIAL RESPONSIBILITY AND COMMUNITY HEALTH TEAM AT BHS COORDINATES THE FUNDING OF NONPROFIT PARTNERS FOR BMCN AND WORKS WITH OUR EMPLOYEES IN FACILITATING VOLUNTEER OPPORTUNITIES ACROSS OUR COMMUNITY. MEMBERS OF THE BMCN BOARD OF DIRECTORS ALSO SERVE ON THE SOCIAL RESPONSIBILITY AND COMMUNITY HEALTH COMMITTEE. BMCN WORKS CLOSELY WITH A NUMBER OF NONPROFIT PARTNERS TO MEET THE COMMUNITY HEALTH NEEDS OF NASSAU COUNTY, FLORIDA. SCHEDULE H, PART VI, LINE 7, STATE FILING OF 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. true BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION INC PO BOX 16003 FERNANDINA BEACH FL 32035 593672345 501(C)(3) 15000 SUPPORT FOR YOUTH TO IMPROVE THEIR LIVES IN THE NASSAU COUNTY COMMUNITY. NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC 76346 WILLIAM BURGESS BLVD YULEE FL 32097 N/A 10350 DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH. 2 0 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds ANNUAL BUDGETS FOR COMMUNITY DONATIONS ARE PREPARED BY THE HOSPITAL ORGANIZATION AND APPROVED BY BAPTIST HEALTH SYSTEM, INC., PARENT AFFILIATE OF THE ORGANIZATION. Schedule I, Part II, Column H, Purpose of grant or assistance NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD, INC., N/A:DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.; false true false false false false true false false A HUGH GREENE PRESIDENT & DIRECTOR 0 752886 0 290000 0 30000 0 499028 0 15863 0 1587777 0 0 HARVEY GRANGER ASSISTANT SECRETARY 0 366616 0 105000 0 15000 0 196051 0 19231 0 701898 0 0 STEPHEN LEE VICE PRESIDENT 191897 0 58979 0 10000 0 35618 0 11357 0 307851 0 0 0 JOHN F WILBANKS EXECUTIVE VP 0 462492 0 157500 0 15000 0 228752 0 12580 0 876324 0 0 MICHAEL LUKASZEWSKI SVP/CFO 0 395982 0 280707 0 15000 0 4462 0 15774 0 711925 0 0 BARBARA GINGHER ASSISTANT ADMINISTRATOR, NURSING 128433 0 15500 0 10000 0 23749 0 6760 0 184442 0 0 0 STEPHEN BEAN PHARMACIST 134718 0 138 0 0 0 19368 0 13892 0 168116 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 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 organization BAPTIST 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. A JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE REF UNDING EXTENDABLE NOTES SERIES 2007CDE 2011-12-01 3264000 REFUND SERIES 2007CDE BONDS false false false A 1050000 0 3264000 0 0 3255494 8506 0 0 0 0 0 2007 true false true true A false false false false 0.00000 0.00000 0.00000 true false A false false false false true true UBS AND WELLS FARGO 16.1 false false false 0.0 false true A false 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 178826 ORTHOPAEDIC SURGICAL SERVICES TO EMERGENCY DEPT., $136,000; LEASE PAYMENTS TO FILING ORGANIZATION, $42,826 false GERALD BURFORD MD DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA INTERNAL MEDICINE 108282 LEASE PAYMENTS TO FILING ORGANIZATION false Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders THE 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 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, Sec A, 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, Sec B, 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, Sec B, 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, Sec B, 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, Sec B, 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, Sec C, 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 XI, Line 9, Other changes in net assets or fund balances TRANSFERS 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; 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 MGT. ASSISTANCE TO HOSPITALS FL 501(C)(3) 11 - 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 HOSPITALS FL 501(C)(3) 7 - Type I BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH PROPERTIES INC 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32207 592487133 PROPERTY MGT. FOR HEALTHCARE SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH AMBULATORY SERVICES INC 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32211 593410739 CANCER RESEARCH & EDUCATION FOR HEALTHCARE SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC 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 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 false false true false false false false false false false true false true true true true true true true