2015-08-17T11:35:18-05:00 2014-09-30 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2013-10-01 590657322 BAPTIST HOSPITAL INC % ELEANOR MCGEE BAPT 8504344714 POST OFFICE BOX 17500 Suite PENSACOLA FL 32522 WILLIAM J ROBERTS VP FIN/CONTROLLER 8504344714 2015-08-15 true Michael J Engle P00482834 8504344714 2013 2016-04-25 22:37:26Z Mark Faulkner 1717 N E ST STE 320 Pensacola FL 32501 473641862 false X www.ebaptisthealthcare.org/BaptistHospital X 1943 FL THE ORGANIZATION'S MISSION IS TO MEET THE HEALTHCARE NEEDS IN THE REGION, & IT OPERATES TWO ACUTE CARE HOSPITALS THAT PROVIDE INPATIENT, OUTPATIENT, & EMERGENCY CARE SERVICES. 15 15 3305 274 2016397 864550 1123242 661610 437581774 452866178 5868316 7125759 11235810 4757635 455809142 465411182 986896 929689 0 0 146261074 152431590 0 0 0 270748064 281747093 417996034 435108372 37813108 30302810 471556226 507961326 286184891 296995764 185371335 210965562 X SEE SCHEDULE O false false 346183223 0 456831536 General and specialized health care services including inpatient, primary care, long term and outpatient services. Baptist Hospital is a 492-bed tertiary care hospital, the largest in the Baptist Health Care network, that provides specialized care for oncology, heart and vascular, bariatrics, orthopaedics, neurology, trauma, surgery, diagnostic imaging, and psychiatric services. In addition, Baptist Hospital offers diagnostic, treatment and rehabilitation services. Gulf Breeze Hospital is a 77-bed general hospital providing acute and emergency care. Services include diagnostic imaging, surgery, laboratory and orthopaedics. 1279011 929689 0 COMMUNITY BENEFIT ACTIVITIES INCLUDING FREE HEALTH SCREENINGS, DONATIONS TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH EDUCATION, MENTORING/SUPPORT GROUPS, CONTINUING MEDICAL EDUCATION, AND OTHER COMMUNITY OUTREACH SERVICES. 347462234 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true true true true false false false false false false false true true false true false false false true true true true false false true 6 0 true 3305 true true true false false false false false false false false false X 15 15 true false false false true true true true true false false true true true true true true true true true true X ELEANOR MCGEE 8504697022 1717 NORTH E STREET STE 321 Pensacola FL 32501 RONALD E JACKSON CHAIRMAN 1.0 1.0 X X 0 0 0 LARRY K HICKS VICE CHAIRMAN 1.0 1.0 X X 0 0 0 JOHN KIZZIAH SECRETARY 1.0 1.0 X X 0 0 0 JOHN J BAEHR MD TREASURER 1.0 1.0 X X 0 0 0 REVEREND LUTIMOTHY MAY BOARD MEMBER 1.0 1.0 X 0 0 0 FRANK WHITE BOARD MEMBER 1.0 1.0 X 0 0 0 JOHN HOSMAN BOARD MEMBER 1.0 1.0 X 0 0 0 KIM JERNIGAN DMD BOARD MEMBER 1.0 1.0 X 0 0 0 DAVID KELLEN MD BOARD MEMBER 1.0 1.0 X 0 0 0 ADM ROBERT KELLY BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL J MAZENKO BOARD MEMBER 1.0 1.0 X 0 0 0 RICKY SMITH BOARD MEMBER 1.0 1.0 X 0 0 0 MARGARET T STOPP BOARD MEMBER 1.0 1.0 X 0 0 0 LUTHER TAYLOR BOARD MEMBER 1.0 1.0 X 0 0 0 TOM OWENS BOARD MEMBER 1.0 1.0 X 0 0 0 KERRY VERMILLION SENIOR VP/CFO 4.0 46.0 X 0 466887 89913 DAVID WILDEBRANDT COO/ADMINISTRATOR-BAPTIST HOSP 40.0 10.0 X 382233 0 71910 SHARON NOBLES VICE PRESIDENT/CFO 40.0 10.0 X 240089 0 15973 BRYON SCOTT RAYNES SVP/ADMINISTRATOR GULF BREEZE 40.0 10.0 X 151773 0 88 MARK FAULKNER CHIEF EXECUTIVE OFFICER 10.0 40.0 X 0 756689 96950 VICTOR HALL VICE PRESIDENT 40.0 0.0 X 80158 19 CYD CADENA VICE PRESIDENT 40.0 0.0 X 214348 0 13111 PATSY MYERS VICE PRESIDENT 40.0 0.0 X 205894 0 26959 AVERY BILL PERKINS III VICE PRESIDENT 40.0 0.0 X 130486 77287 28554 KENNETH CASEY SORRELL VICE PRESIDENT 40.0 0.0 X 161242 0 2804 JULIE CARDWELL VICE PRESIDENT 40.0 0.0 X 158452 0 25104 CYNDE GAMACHE VICE PRESIDENT 40.0 0.0 X 44132 0 24 JAMES ADAMS PHYSICIAN 40.0 0.0 X 924193 0 28445 MARGARET SPEAKER-CRUIT PHYSICIAN 40.0 0.0 X 597750 0 26354 CHARLES YOWELL PHYSICIAN 40.0 0.0 X 625518 0 17706 JOSHUA DAVIS PHYSICIAN 40.0 0.0 X 838657 0 27834 JASON ROCHA PHYSICIAN 40.0 0.0 X 635135 0 22035 ROBERT HARRIMAN SENIOR VP/ADMINIST-GULF BREEZE 40.0 10.0 X 427613 0 6292 5817673 1300863 500075 126 true true false MORETTE COMPANY CONSTRUCTION SVCS 1909255 THE NEUROSURGICAL GROUP ON-CALL SVCS 1038618 BEGGS LANE LEGAL SVCS 1003049 PENSACOLA LUNG GROUP ON-CALL SVCS 775000 GEORGE C REESE MD MED DIR/CALL COVER 320175 21 362072 224023 75515 41842 661610 NET PATIENT SERVICE REVENUE 621400 438014306 438014306 LABORATORY SERVICES 621500 4405088 3707967 697121 HOME HEALTH SERVICES 900099 351732 351732 340B PHARMACY REVENUE 900099 4959415 4959415 EHR REVENUE 900099 4822432 4822432 313205 313205 452866178 3648891 698043 2950848 0 0 8831461 8230680 600781 0 600781 600781 1039859 2437009 1039859 2437009 3476868 3476868 0 0 0 PARTNERSHIP INCOME 621990 2646082 2646082 CAFETERIA & FOOD SALES 722210 38853 38853 All Other Misc Revenue 900099 1471919 621233 850686 1471919 621233 850686 4156854 465411182 454815139 2016397 7918036 892160 892160 37529 37529 0 0 2317366 1853893 463473 131921 131921 130640268 118645311 11994957 2676814 2426427 250387 7732207 7008941 723266 8933014 8097426 835588 33758226 33758226 333700 333700 181929 181929 0 0 43911 43911 33428426 25532841 7895585 223431 29047 194384 8850259 3194582 5655677 1605280 1099317 505963 0 16693544 14667085 2026459 794934 562952 231982 0 156156 110833 45323 8307099 7026132 1280967 0 18023128 875809 17147319 4035669 927016 3108653 BAD DEBT EXPENSE 58552321 58552321 MEDICAL SUPPLIES 86825105 86825105 INDIGENT ASSESSMENT 4370208 4370208 FOOD COSTS 3352900 3228117 124783 2210867 1367261 843606 435108372 347462234 87646138 0 32530947 57592573 62047687 73292873 0 0 50105912 57555851 0 0 0 0 0 0 11020166 11860387 3146937 3283372 419354040 280516748 143611041 138837292 19354060 20274423 11582821 13310422 0 0 6425735 6185735 131730920 125768398 471556226 507961326 40179327 52643815 0 0 37634 162341 157505470 157643794 0 0 0 0 32753145 28217705 9865660 10368579 45843655 47959530 286184891 296995764 X 184006596 209713504 1364739 1252058 0 0 185371335 210965562 471556226 507961326 X 30302810 -4708583 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 55879 111827 55879 111827 435052493 730609527 435108372 730721354 1000000 5824378 250000 1456096 1000000 1000000 1000000 1000000 4000000 6000000 216698 213915 117438 111827 659878 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 1364739 468161 61393 642234 1252059 1439912 853390 65148 993711 1364739 1301645 410259 105459 377451 1439912 1641737 361989 -23902 678179 1301645 1557632 806632 65445 787972 1641737 1.00000 false true true 11271636 11271636 166783624 66370914 100412710 11375260 10104034 1271226 225759873 203397213 22362660 4163647 644587 3519060 138837292 PHYSICIAN GUARANTEE 536563 OTHER ASSETS 5216445 DUE FROM AFFILIATED ORGS 98285822 SECURITY DEPOSITS 2800 DEBT SERVICE GUARANTEE 13435113 DUE FROM THIRD PARTY PAYORS 8291655 125768398 0 CAPITAL LEASE OBLIGATIONS 3254732 LINE OF CREDIT 2818073 MALPRACTICE RESERVE 10422905 ASSET RETIREMENT OBLIGATIONS 2183039 ACCRUED BENEFIT LIABILITY 26958297 MARKET VALUATION ON INT RATES 1833568 OTHER LIABILITIES 488916 47959530 SCHEDULE D, PART V, LINE 4 Restricted funds to be used for providing health care services to indigent care patients, to acquire hospital capital assets, and to provide educational services. SCHEDULE D, PART X, LINE 2 Financial accounting standards board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no uncertain tax positions as of September 30, 2014 and 2013. Central America and the Caribbean Investments 5719837 5719837 5719837 true false true true false false true true X true X true X true true true false true true 14834206 14834206 0.03410 35668768 26589087 9079681 0.02410 50502974 26589087 23913887 0.05820 7 26379 369503 369503 0.00100 909508 909508 0.00240 7 26379 1279011 1279011 0.00340 7 26379 51781985 26589087 25192898 0.06160 true 9258038 155702467 158654019 -2951552 X true true Andrews Institute Ambulatory Surgery Center 0.52326 0.00000 0.47674 ASC LLC 2 1 Baptist Hospital 1000 W Moreno Street Pensacola FL 32501 SEE PART VI 4456 X X X 2 Gulf Breeze Hospital 1110 Gulf Breeze Parkway Gulf Breeze FL 32562 SEE PART VI 4456 X X X Baptist Hospital 1 true X X X X X X X X 12 true true true X SEE PART V, SECTION C X X X X X X X X X true false true true 200. true 400. true X X X X X X true true X X X true false X X X X true X false false Gulf Breeze Hospital 2 true X X X X X X X X 12 true true true X SEE PART V, SECTION C X X X X X X X X X true false true true 200. true 400. true X X X X X X true true X X X true false X X X X true X false false Part V, Section B, Line 3 - Baptist Hospital and Gulf Breeze Hospital The CHNA process was facilitated by The Partnership for a Healthy Community (PFAHC), a nonprofit tax-exempt organization whose mission is to sponsor community health status assessments for the two counties and to support and promote collaborative initiatives that address priority health problems. Senior leadership from Baptist Health Care and its affiliates (including BOTH BAPTIST AND GULF BREEZE HOSPITAL), Sacred Heart Health System, the Florida Department of Health-Escambia County and the University of West Florida also served as members of a PFAHC workgroup that designed the CHNA process, assimilated the results and provided recommendations to the PFAHC's Board of Directors. The results were also shared with and reviewed by the Florida Department of Health-Santa Rosa County. PFAHC's Board of Directors provided oversight and input throughout the development of the assessment and establishment of priority health needs by way of discussions at Board meetings. These directors included representatives from the County's Department of Health and other organizations representing the broad interest of the community. In December 2012, a Community Forum was held to share and discuss the results of the assessment with the public. Approximately 75 people representing community constituencies attended the Forum. In addition, the Forum was recorded for public viewing on the PFAHC website. In May 2013, a Community Health Summit was held to involve the key organizations and community leaders whose participation is essential to the development of plans to effectively improve the health status of residents of Escambia and Santa Rosa Counties. Baptist and Gulf Breeze Hospital representatives participated in the Summit. Part V, Section B, Line 4 - Baptist Hospital and Gulf Breeze Hospital THE FOLLOWING LICENSED HOSPITALS WERE INVOLVED IN THE CHNA PROCESS DURING THE TAX YEAR: BAPTIST HOSPITAL, GULF BREEZE HOSPITAL, BOTH BAPTIST HOSPITAL AND GULF BREEZE HOSPITAL, SACRED HEART HOSPITAL. PART V, SECTION B, LINE 5 - Baptist Hospital and Gulf Breeze Hospital Baptist Hospital CHNA WEBSITE: http://www.ebaptisthealthcare.org/ContentDocuments/Community/CHNA- 2012_Pensacola.pdf Gulf Breeze Hospital CHNA WEBSITE: http://www.ebaptisthealthcare.org/ContentDocuments/Community/CHNA-2012_Gul fBreeze.pdf 39 Andrews Institute ASC LLC 1040 Gulf Breeze Pkwy Ste 100 Gulf Breeze FL 32561 Ambulatory Surgery Center Andrews Institute Rehabilitation 9400 University Pkwy Ste 104 Pensacola FL 32514 Rehabilitation Services Baptist Physician Associates-Wound Care 1717 North E St Tower 3 Ground Flo Pensacola FL 32501 Wound Care Andrews Institute Rehabilitation 12601 Sorrento Rd Ste A Pensacola FL 32507 Rehabilitation Services Andrews Institute Rehabilitation 1717 NORTH E ST SUITE 537 PENSACOLA FL 32501 Rehabilitation Services Andrews Institute Rehabilitation 8888 NAVARRE PKWY NAVARRE FL 32566 Rehabilitation Services Andrews Institute Rehabilitation 3876 Hwy 90 Pace FL 32571 Rehabilitation Services Baptist Medical Group - Family Medicine 6715 Hwy 98 W Pensacola FL 32506 Family Medicine Baptist Medical Group - Family Medicine 3874 Hwy 90 Pace 32571 Pace FL 32571 Family Medicine Baptist Medical Group - Ladies First 3417 N 12th Ave Pensacola FL 32504 OB/Gyn Services BAPTIST HOSPITAL SLEEP CENTER 1201 W MORENO ST Pensacola FL 32501 SLEEP DISORDER CENTER BAPTIST SPEECH CLINIC 1717 North E St Suite 236 Pensacola FL 32501 SPEECH THERAPY SERVICES Baptist Medical Group - Family Medicine 3810 Hwy 90 Pace FL 32571 Family Medicine Baptist Medical Group - NEUROSURGERY 1717 North E St Suite 222 Pensacola FL 32501 NEUROSURGICAL SERVICES Baptist Medical Group - ORTHO TRAUMA 1717 North E St Suite 208 Pensacola FL 32501 ORTHO TRAUMA SERVICES Baptist Medical Group - UROLOGY 1717 North E St Suite 430 Pensacola FL 32501 UROLOGY SERVICES Baptist Medical Group - FAMILY PRACTICE 9400 UNIVERSITY PKWY SUITE 409 Pensacola FL 32514 FAMILY MEDICINE BAPTIST MEDICAL GROUP - ONCOLOGY 1717 North E St Suite 231 PENSACOLA FL 32501 ONCOLOGY SERVICES ANDREWS INSTITUTE REHABILITATION 151 E REDSTONE AVE STE 390 CRESTVIEW FL 32536 REHABILITATION SERVICES Baptist Medical Group - FAMILY PRACTICE 9400 UNIVERSITY PKWY SUITE 210 Pensacola FL 32514 FAMILY/INTERNAL MEDICINE Baptist Medical Group-RADIATION ONCOLOGY 1717 North E St Suite 134 Pensacola FL 32501 ONCOLOGY SERVICES Baptist Medical Group-Internal Medicine 1118 Gulf Breeze Pkwy Suite 101 Gulf Breeze FL 32561 Internal Medicine Baptist Medical Group - Family Medicine 8888 NAVARE PKWY NAVARRE FL 32566 Family Medicine/CLINIC Baptist Medical Group-INTERNAL MEDICINE 801 W AVERY ST PENSACOLA FL 32501 INTERNAL MEDICINE Baptist Medical Group - SENIOR HEALTH 1000 W MORENO STREET PENSACOLA FL 32501 SENIOR HEALTH BAPTIST HOSPITAL PRIMARY CARE LLC 9290 BALDRIDGE RD PENSACOLA FL 32514 Family Medicine Baptist Medical Group - Rheumatology 1717 North E St Suite 425 Pensacola FL 32501 Rheumatology Services Baptist Medical Group - FAMILY MEDICINE 1337 COUNTRY CLUB ROAD GULF BREEZE FL 32563 FAMILY MEDICINE Baptist Medical Group-INTERNAL Medicine 1118 GULF BREEZE PKWY SUITE 100 Gulf Breeze FL 32561 INTERNAL MEDICINE BAPTIST MEDICAL GROUP - FAMILY MEDICINE 1118 GULF BREEZE PKWY SUITE 100 GULF BREEZE FL 32561 FAMILY MEDICINE Baptist Medical Group-Internal MedicinE 8880 Navarre Pkwy Suite 101 Navarre FL 32566 Internal Medicine & Pediatrics HEALTHY LIVES 1901 N E ST Pensacola FL 32501 HEALTH & WELNESS CENTER BAPTIST MEDICAL GROUP-NORTH HILL TOWERS 1717 NORTH E ST SUITE 222 PENSACOLA FL 32501 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP-GASTROENTEROLOGY 598 BERRYHILL ROAD SUITE B MILTON FL 32570 GASTROENTEROLOGY SERVICES BAPTIST MEDICAL GROUP - BAYBRIDGE 1000 W MORENO STREET PENSACOLA FL 32501 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP - PERDIDO 1000 W MORENO STREET PENSACOLA FL 32501 PRIMARY CARE SERVICES BAPTIST MEDICAL GROUP - FAM MEDPEDS 8105 SCENIC HWY PENSACOLA FL 32514 FAMILY MEDICINE & PEDIATRICS BAPTIST MEDICAL GROUP-EAR NOSE & THROAT 1000 W MORENO STREET PENSACOLA FL 32501 ENT SERVICES BAPTIST MEDICAL GROUP - CORDOVA 1000 W MORENO STREET PENSACOLA FL 32501 PRIMARY CARE SERVICES Part I, Line 7 The costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions. The cost of unreimbursed medicaid was computed using the cost report. Part I, Ln 7 Col(f) Bad debt expense in the amount of $58,552,321 was subtracted from total expenses per Form 990, Part IX, Line 25 for purposes of calculating the percentage for Line 7, column (f). Part III, Line 2 and Line 4 THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE, OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA. Part III, Line 8 THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELIEVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES. Part III, Line 9b FOR PATIENTS WHO ARE FINANCIALLY OR MEDICALLY INDIGENT (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES): A) PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF THEIR INCOME IS BELOW 200% OF FPL. IF A PATIENT MAKES BETWEEN 200% AND 400% OF THE FPL, THEN THEY MAY ONLY RECEIVE A PARTIAL WRITE-OFF. B) PATIENTS MAY BE DEEMED MEDICALLY INDIGENT IF THEIR HOUSEHOLD MEDICAL EXPENSES EXCEED 25% OF THE ANNUAL HOUSEHOLD INCOME REGARDLESS OF INCOME LEVEL. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. PART V, SECTION A BAPTIST HOSPITAL WEBSITE: www.ebaptisthealthcare.org/BaptistHospital GULF BREEZE HOSPITAL WEBSITE: www.ebaptisthealthcare.org/GulfBreezeHospital Part VI, Line 2 Part of the organization's mission is to improve the quality of life for people and communities served. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the each hospital's Community Health Needs Assessment can be accessed using the following websites: Baptist Hospital - http://www.ebaptisthealthcare.org/ContentDocuments/Community/CHNA- 2012_Pensacola.pdf Gulf Breeze Hospital - http://www.ebaptisthealthcare.org/ContentDocuments/Community/CHNA-2012_Gul fBreeze.pdf Part VI, Line 3 All employees working in the scheduling, patient access, patient financial services and Emergency Department areas have been trained to be fully versed in all financial assistance-related policies, have access to the Charity Care application forms, and be able to direct questions to the appropriate representatives. For non-emergency purposes, every file for a patient that has pre-scheduled an office visit or procedure is reviewed before the patient arrives at the hospital. A financial counselor is assigned to that patient if it is determined that the individual may be eligible for financial assistance, etc. Also, when a patient receives a bill, the organization includes paperwork explaining that financial assistance is available. Both Baptist Hospital and Gulf Breeze Hospital have posted multilingual notices of financial assistance policies in the Emergency Departments. Said notices have been published in English and Spanish and have been made clearly visible to the public from the location at which they are posted. Both Baptist Hospital and Gulf Breeze Hospital provide patients, in a timely manner, a summary of its Charity Care Policy upon request. The summary, at a minimum, provides specific information as to income levels used to determine eligibility and the means for applying for assistance. Also, both Baptist Hospital and Gulf Breeze Hospital have posted a summary of its current Charity Care Policy on its Internet website. Part VI, Line 4 BAPTIST HOSPITAL, INC. OPERATES IN ESCAMBIA AND SANTA ROSA COUNTIES IN FLORIDA. BAPTIST HOSPITAL, THE ORGANIZATION'S LARGEST FACILITY, OPERATES IN ESCAMBIA COUNTY. APPROXIMATELY 311,000 INDIVIDUALS RESIDE IN THIS COUNTY, 17.8% OF WHICH LIVE BELOW POVERTY LEVEL. FOUR HOSPITALS, INCLUDING BAPTIST HOSPITAL, ARE LOCATED IN ESCAMBIA COUNTY. SANTA ROSA COUNTY, FL IS THE LOCATION OF THE ORGANIZATION'S SECOND HOSPITAL, GULF BREEZE HOSPITAL. APPROXIMATELY 163,000 INDIVIDUALS RESIDE IN THIS COUNTY, 13.8% OF WHICH LIVE BELOW POVERTY LEVEL. THREE HOSPITALS, INCLUDING GULF BREEZE HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY. WITH A JOINT POPULATION OF APPROXIMATELY 474,000 RESIDENTS APPROXIMATELY 78,000 RESIDENTS (16.5%) COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. Part VI, Line 5 The organization does not limit medical staff privileges to the organization's employed physicians but extends those privileges to qualified physicians for most areas of service. The organization's Board of Directors primarily consists of community leaders and residents who are independent of the organization. The organization strives to educate all Board members regarding the health needs of the community and how these needs relate to the organization's mission and values. The organization seeks to strategically allocate available funds to benefit the surrounding communities. Focus areas include increasing the types of care to be provided to the community, improving the quality of patient care, and furthering medical education and research. Part VI, Line 6 ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - ANDREWS RESEARCH & EDUCATION INSTITUTE, LLC - LEADS MEDICAL RESEARCH AND EDUCATION INITIATIVES - BAPTIST HEALTH CARE CORPORATION - PARENT ORGANIZATION PROVIDING STRATEGIC MANAGEMENT AND SUPPORT SERVICES - JAY HOSPITAL, INC. - OPERATES JAY HOSPITAL - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS, INC. - OPERATES ATMORE HOSPITAL - LAKEVIEW CENTER, INC. AND AFFILIATES - PROVIDE BEHAVIORAL HEALTH AND SUPPORT SERVICES - THE BAPTIST MANOR, INC. - PROVIDES HEALTH CARE SERVICES TO THE ELDERLY AND OTHER PATIENTS - BAPTIST URGENT CARE, LLC - DELIVER AMBULATORY CARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM. true Baptist Health Care Foundation Inc Post Office Box 17500 Pensacola FL 32522 590192265 501(C)(3) 233756 Employee Assistance Program Escambia Community Holdings Inc 2000 N Palafox St Pensacola FL 32501 371573135 501(C)(3) 553878 Healthcare assistance to uninsured Pensacola Habitat for Humanity 300 W Leonard St Pensacola FL 32501 592186044 501(c)(3) 41850 FMV FLOORING MATERIAL Affordable Housing project Pensacola Sports Association 101 W Main St Pensacola FL 32502 590767953 501(c)(4) 14500 Sports economic development Pensacola Bay Area Chamber Foundation Inc PO Box 550 Pensacola FL 325910550 592297826 501(c)(3) 16667 Health & Wellness AMERICAN CANCER SOCIETY 5401 CORPORATE WOODS DR 100 PENSACOLA FL 32504 131788491 501(C)(3) 16000 CANCER RESEARCH FELLOWSHIP OF CHRISTIAN ATHLETES 4900 BAYOU BLVD STE 212 PENSACOLA FL 32570 440610626 501(C)(3) 5959 CHRISTIAN MINISTRY 6 1 INDIGENT DRUG ASSISTANCE 37529 Schedule I, Part I, Line 2 All assistance is paid in domestic currency and is restricted for specific uses. Payments to the clinics are in support of clinic operations to support healthcare in the community for the uninsured. X X X X X false true false false false false false false false KERRY VERMILLION SENIOR VP/CFO 0 317547 0 127920 0 21419 0 72578 0 17336 0 556801 0 0 DAVID WILDEBRANDT COO/ADMINISTRATOR-BAPTIST HOSP 306196 0 0 0 76037 0 50077 0 21833 0 454143 0 0 0 SHARON NOBLES VICE PRESIDENT/CFO 192882 0 47076 0 130 0 4686 0 11287 0 256062 0 0 0 BRYON SCOTT RAYNES SVP/ADMINISTRATOR GULF BREEZE 120091 0 15000 0 16682 0 0 0 88 0 151861 0 0 0 MARK FAULKNER CHIEF EXECUTIVE OFFICER 0 550977 0 190978 0 14734 0 74999 0 21951 0 853639 0 0 ROBERT HARRIMAN SENIOR VP/ADMINIST-GULF BREEZE 383395 0 36462 0 7756 0 2265 0 4028 0 433906 0 0 0 CYD CADENA VICE PRESIDENT 203333 0 10712 0 303 0 5104 0 8007 0 227459 0 0 0 PATSY MYERS VICE PRESIDENT 143952 0 44216 0 17726 0 3944 0 23015 0 232853 0 0 0 AVERY BILL PERKINS III VICE PRESIDENT 130132 43562 0 33403 354 322 3392 1675 17615 5872 151493 84834 0 0 KENNETH CASEY SORRELL VICE PRESIDENT 126968 0 23682 0 10592 0 0 0 2804 0 164046 0 0 0 JULIE CARDWELL VICE PRESIDENT 142210 0 15778 0 464 0 3726 0 21378 0 183556 0 0 0 JAMES ADAMS PHYSICIAN 561165 0 362878 0 150 0 6375 0 22070 0 952638 0 0 0 MARGARET SPEAKER-CRUIT PHYSICIAN 451940 0 145750 0 60 0 2550 0 23804 0 624104 0 0 0 CHARLES YOWELL PHYSICIAN 450851 0 174532 0 135 0 890 0 16816 0 643224 0 0 0 JOSHUA DAVIS PHYSICIAN 215347 0 623231 0 79 0 6375 0 21459 0 866491 0 0 0 JASON ROCHA PHYSICIAN 498675 0 136400 0 60 0 0 0 22035 0 657170 0 0 0 Part I, Line 4b Mark Faulkner $68,624 Kerry Vermillion $66,636 David Wilderbrandt $43,702 PART II THE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATIONS: -BAPTIST HEALTH CARE CORPORATION, -ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITAL A ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY 521378815 2009-12-07 15000000 SEE PART VI false false false B Escambia County Health Facilities Authority 521378815 296110FQ7 2010-02-11 154202856 SEE PART VI false false false A 0 0 15000000 0 0 0 73449 0 0 0 14926551 0 true false true true B 0 0 154740877 13435113 9049874 0 3084057 0 9317219 36847769 80006845 0 2013 true false false true A false false false false 0 false false false true B false true true true false 0.00500 0.00000 0.00500 false true 0.02760 true true A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false A true B true PART I, LINES A&B, COLUMN F LINE A-(F): REFUND ISSUES DATED 8/21/2003 & 08/01/2009 LINE B-(F): REFUND ISSUES DATED 8/21/2003 & 06/04/1998; & NEW CAPITAL PROJECTS PART II, LINE 3, COLUMN B THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE BY THE INVESTMENT EARNINGS ON THE PROJECT FUND PART II, LINE 11, COLUMNS A&B THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW PART III, LINE 8(A-C) IN AUGUST OF 2013 ASSETS RELATED TO A HOSPITAL THAT WAS LEAVING THE OBLIGATED GROUP WERE SOLD. PRIOR TO THE SALE BAPTIST HOSPITAL MET WITH COUNSEL TO ENSURE THE REQUIREMENTS OF 1.141-12 AND 1.141-2 WERE MET. SINCE THE SALE, BAPTIST HOSPITAL HAS ALLOCATED THE SALE PROCEEDS IN ACCORDANCE WITH SECTION 1.141-12 AND CONTINUES TO MONITOR THE RE-ALLOCATED PROCEEDS FOR PRIVATE BUSINESS USE. Beau Pollard Family member of officer 131921 See Part V false Part IV (1)(d) Description of Transaction: Beau Pollard received compensation and benefits for services rendered as an employee of the organization. Compensation was determined at fair market value. X tile 1 41842 FMV false true false SCHEDULE M, PART I, COLUMN B THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 1 Baptist Hospital's primary mission is dedicated to meeting the healthcare needs in the region. Baptist Hospital operates two acute care hospitals in Pensacola and Gulf Breeze, Florida (492 bed & 77 bed facilities respectively). The hospital provides inpatient, outpatient, and emergency care services for residents of northwest Florida and southeast Alabama. The hospital is the nucleus of a regional multi-provider system. FORM 990, PART VI, SECTION A, LINE 2 KERRY VERMILLION, DAVID WILDEBRANDT, BRYON (SCOTT) RAYNES, MARK FAULKNER, AND ROBERT HARRIMAN HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 BAPTIST HEALTH CARE CORPORATION, A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF BAPTIST HOSPITAL, INC. BAPTIST HEALTH CARE CORPORATION HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF BAPTIST HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF BAPTIST HOSPITAL, INC., HAS THE RIGHT TO ELECT THE GOVERNING BODY OF BAPTIST HOSPITAL, INC. FORM 990, PART VI SECTION A, LINE 7B THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE CORPORATION, THE SOLE MEMBER, BOARD OF DIRECTORS: A. Election of the directors of the corporation at the annual meeting of the member from among those persons nominated by the Baptist Health Care Corporation nominating committee B. Removal of a director of the corporation with or without cause whenever such action would be in the best interests of the corporation C. All amendments to the corporation's articles of incorporation and bylaws before they may become effective D. Appointment of the chief executive officer of the corporation E. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $1,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED F. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION G. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $1,000,000 IN BOOK VALUE H. UNRELATED PARTY REAL PROPERTY TRANSFERS IN EXCESS OF $300,000 EXCEEDING $100,000 IN NET VALUE FORM 990, PART VI, SECTION B, LINE 11 AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED ELECTRONICALLY TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONNAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. 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