BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-08
IRS object ID
201442209349300914
Schema version
2012v2.1
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)
Timestamp2014-08-08T13:00:11-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593234721EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEDICAL CENTER OF NASSAU INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAPTNameControl
Phone9042021797Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSCOTT WOOTENName
TitleSVP & CFOTitle
Date Signed2014-08-08DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1BMC NASSAUBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1A HUGH GREENEBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1841 Prudential Dr Aetna Bld 1601AddressLine1
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64495124GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteE-BAPTISTHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionCONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASION.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees546TotalNbrEmployees
Total Nbr Volunteers197TotalNbrVolunteers
Total Gross UBI18854TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7222ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year68026601ProgramServiceRevenuePriorYear
Program Service Revenue CY61425294ProgramServiceRevenueCY
Investment Income Prior Year1222214InvestmentIncomePriorYear
Investment Income Current Year809832InvestmentIncomeCurrentYear
Other Revenue Prior Year919270OtherRevenuePriorYear
Other Revenue Current Year2259998OtherRevenueCurrentYear
Total Revenue Prior Year70175307TotalRevenuePriorYear
Total Revenue Current Year64495124TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year37602GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY33295GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24512809SalariesEtcPriorYear
Salaries Etc Current Year24284829SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33596147OtherExpensePriorYear
Other Expenses Current Year24160745OtherExpensesCurrentYear
Total Expenses Prior Year58146558TotalExpensesPriorYear
Total Expenses Current Year48478869TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12028749RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16016255RevenuesLessExpensesCY
Total Assets BOY93921249TotalAssetsBOY
Total Assets EOY97608635TotalAssetsEOY
Total Liabilities BOY11372942TotalLiabilitiesBOY
Total Liabilities EOY10273516TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY82548307NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY87335119NetAssetsOrFundBalancesEOY
Mission DescriptionCONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASSION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense46370189Expense
Grants33295Grants
Revenue63980787Revenue
DescriptionBAPTIST 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 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 546 EMPLOYEES, 54 BEDS, 3,195 ADMISSIONS ACCOUNTING FOR 10,632 PATIENT DAYS, AND 26,711 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, 2013: (1) CHARITY CARE, $1.2 MILLION, (2) UNREIMBURSED MEDICAID COSTS, $269 THOUSAND, (3) UNREIMBURSED MEDICARE COSTS, $1.7 MILLION, (4) SPECIFIC COMMUNITY PROGRAMS, $72 THOUSAND, AND (5) UNREIMBURSED BAD DEBT EXPENSE, $398 THOUSAND, FOR A TOTAL OF $3.6 MILLION OF UNCOMPENSATED CARE AND COMMUNITY BENEFIT. BMCN'S PRIMARY FOCUS IS ADDRESSING UNMET HEALTH NEEDS, PARTICULARLY AMONG VULNERABLE POPULATIONS WHO HAVE LIMITED RESOURCES AND ACCESS TO HEALTH CARE. BMCN HAS GONE BEYOND THE DELIVERY OF ESSENTIAL 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 PROVIDED THE FOLLOWING CHARITABLE DONATIONS TO THE NASSAU COUNTY COMMUNITY: $81 THOUSAND DOLLARS IN ASSISTANCE TO THE BARNABUS CENTER, A CLINIC FOR THE UNDERSERVED, $20 THOUSAND DOLLARS FOR NASSAU COUNTY COUNCIL ON AGING TO SUPPORT A TRANSPORTATION PROGRAM FOR SENIOR CITIZENS, AND $10 THOUSAND FOR THE NASSAU BOYS AND GIRLS CLUB, WHICH ASSISTS THE YOUTH OF THE LOCAL COMMUNITY.Description
Total Program Service Expense46370189TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees546NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Scott FinneganBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9042023270TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
A HUGH GREENE
President & Director0.0040.00XX01005560504710
CHRISTINA H BRYAN
Vice Chairman & Director2.000XX000
JON C LASSERRE
Secretary/Treasurer & Director2.000XX000
RICHARD W KEFFER
Chairman & Director2.000XX000
DONNA L VANPUYMBROUCK
Director2.000X000
GERALD R BURFORD MD
Director2.000X000
GREGORY N SMITH MD
Director2.000X000
JAMES M TOWNSEND
Director1.001.00X000
KATHERINE MONAHAN
Director2.000X000
MICHAEL M BELL
Director2.000X000
ROBERT FERREIRA
Director2.000X000
WILLIAM H GOWER
Director2.000X000
WILLIE J SCOTT
Director2.000X000
HARVEY GRANGER
Assistant Secretary0.0040.00X0444615212783
JOHN F WILBANKS
Executive VP0.0040.00X0592749234073
STEPHEN LEE
Vice President40.000X353336050858
MICHAEL LUKASZEWSKI
SVP/CFO0.0040.00067859320378X
BARBARA S GINGHER
Asst. Adminstrator, Nursing40.000150682029275X
CHARLOTTE J MOORE
Dir., Imaging Services40.000109818024143X
JANICE PAULEY
Director, Surgical Services40.00010354309708X
REBECCA TINER
Asst. Nurse Manager40.000109153019790X
STEPHEN BEAN
Pharmacist40.000137304034072X
FieldValueIRS element (for citing)
Total Reportable Comp From Org963836TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2721517TotalReportableCompFrmRltdOrgs
Total Other Compensation1139790TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAPTIST PRIMARY CARE INC
3563 PHILIPS HWY BLDG A STE 101JACKSONVILLEFL32207HOSPITALIST SERVICES FOR THE HOSPITAL916800
LIGHTHOUSE ANESTHIA LLC
6605 ABERCORN STSAVANNAHGA31405ANESTHESIA SERVICES FOR THE HOSPITAL343725
CROWN HEALTH CARE LAUNDRY SERVICE INC
1501 N GUILLEMARDPENSACOLAFL32501LAUNDRY SERVICES FOR THE HOSPITAL272386
SODEXHO INC & AFFILIATES
PPO BOX 536922ATLANTAGA303536922RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL240601
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUES6220006142529461425294
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue61425294TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column809832TotalRevenueColumn
Related Or Exempt Function Income809832RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real175841Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real175841Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column175841TotalRevenueColumn
Related Or Exempt Function Income175841RelatedOrExemptFunctionIncome

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EHR - MEDICAID62200015698201569820
RESTAURANT REVENUE722212239170$239,170
RECORD DUPLICATION REVENUE56143939671$39,671

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column235496TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue18854UnrelatedBusinessRevenue
Exclusion$216,642ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2084157TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64495124TotalRevenueColumn
Related Or Exempt Function Income63980787RelatedOrExemptFunctionIncome
Unrelated Business Revenue18854UnrelatedBusinessRevenue
Exclusion$495,483ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total33295Total
Program Services33295ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total404194Total
Program Services0ProgramServices
Management And General404194ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16696847Total
Program Services16321802ProgramServices
Management And General375045ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1836050Total
Program Services1771904ProgramServices
Management And General64146ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4062165Total
Program Services3907714ProgramServices
Management And General154451ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1285573Total
Program Services1247519ProgramServices
Management And General38054ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total269538Total
Program Services264424ProgramServices
Management And General5114ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total134381Total
Program Services67191ProgramServices
Management And General67190ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18049Total
Program Services9025ProgramServices
Management And General9024ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2296338Total
Program Services2275174ProgramServices
Management And General21164ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total49472Total
Program Services47744ProgramServices
Management And General1728ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8405025Total
Program Services8111692ProgramServices
Management And General293333ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total162909Total
Program Services157223ProgramServices
Management And General5686ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2153005Total
Program Services2045355ProgramServices
Management And General107650ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total37030Total
Program Services9258ProgramServices
Management And General27772ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total115160Total
Program Services57580ProgramServices
Management And General57580ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total202959Total
Program Services202959ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3289602Total
Program Services3125122ProgramServices
Management And General164480ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total483186Total
Program Services459027ProgramServices
Management And General24159ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SYSTEM FUNCTION ALLOCATION563127754347461965310
AHCA AND NICA ASSESSMENTS700018675587244310
REFERENCE LAB PURCHASES788987889800
DUES AND MEMBERSHIPS5163525818258170

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total82263Total
Program Services41132ProgramServices
Management And General41131ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total48478869Total
Program Services46370189ProgramServices
Management And General2108680ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7188763BOY
EOY6988169EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY662841BOY
EOY737184EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY614541BOY
EOY457013EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis69434913LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31931150LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY38962433BOY
EOY37503763EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8036552BOY
EOY8846384EOY

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Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
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Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY38455519BOY
EOY43075522EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93921249BOY
EOY97608635EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4682269BOY
EOY5058677EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
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Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
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Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5121103BOY
EOY4714454EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
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Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
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Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
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Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1569570BOY
EOY500385EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11372942BOY
EOY10273516EOY

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY82214491BOY
EOY87007756EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY241606BOY
EOY234568EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY92210BOY
EOY92795EOY

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82548307BOY
EOY87335119EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93921249BOY
EOY97608635EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16016255ReconcilationRevenueExpenses
Reconcilation Other Changes-11229443ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance192857BeginningOfYearBalance
Contributions710Contributions
Investment Earnings Or Losses20938InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance212505EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance107166BeginningOfYearBalance
Contributions56024Contributions
Investment Earnings Or Losses31667InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance192857EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance71794BeginningOfYearBalance
Contributions36186Contributions
Investment Earnings Or Losses286InvestmentEarningsOrLosses
Grants Or Scholarships1100GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance107166EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance66966BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses6500InvestmentEarningsOrLosses
Grants Or Scholarships1672GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance71794EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance76002BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-1385InvestmentEarningsOrLosses
Grants Or Scholarships1597GrantsOrScholarships
Other Expenditures6054OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance66966EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.29400BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.43700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.26900TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis477107OtherCostOrOtherBasis
Book Value477107BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis40228889OtherCostOrOtherBasis
Depreciation11717002Depreciation
Book Value28511887BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis59422OtherCostOrOtherBasis
Depreciation28327Depreciation
Book Value31095BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27268785OtherCostOrOtherBasis
Depreciation19416395Depreciation
Book Value7852390BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1400710OtherCostOrOtherBasis
Depreciation769426Depreciation
Book Value631284BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37503763TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
ADVANCES TO AFFILIATED ORGANIZATIONS42393533
OTHER ASSETS385135
INTEREST IN NET ASSETS OF BHSF, INC.296854
FieldValueIRS element (for citing)
Total Book Value Other Assets43075522TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
1997A BOND SWAP MARKET VALUE$340,293
2001 BOND SWAP MARKET VALUE$160,092
FieldValueIRS element (for citing)
Total Of Amounts500385TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4BAPTIS MEDICAL CENTER NASSAU INC. (BMCN) HAS TEMPORARY RESTRICTED ENDOWMENT FUNDS AND PERMANENTLY RESTRICTED ENDOWMENT FUNDS THAT ARE HELD AND ADMINISTERED BY ITS RELATED FUNDRAISING AFFILIATED ORGANIZATION, BAPTIST HEALTH SYSTEM FOUNDATION, INC. ANNUALLY, 5% OF THE COMBINED ENDOWMENT CORPUS AND ACCUMULATED INVESTMENT EARNINGS ARE AVAILABLE FOR CAPITAL PROJECTS OF BMCN.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (DOLLARS IN THOUSANDS) 10. INCOME TAXES DEFERRED INCOME TAXES, WHICH AS OF SEPTEMBER 30, 2013 AND 2012, 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, 2013 AND 2012, BHS HAD DEFERRED TAX ASSETS OF $22,388 AND $21,411, 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 $22,388 AND $21,411 ALLOWANCE AT SEPTEMBER 30, 2013 AND 2012, 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 $977. AT SEPTEMBER 30, 2013, BHS HAS AVAILABLE NET OPERATING LOSS CARRYFORWARDS OF $59,495. THESE NET OPERATING LOSSES WILL EXPIRE BETWEEN 2018 AND 2033.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1201306TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1201306NetCommunityBenefitExpense
Percent Of Total Expense0.02480PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7121278TotalCommunityBenefitExpense
Direct Offsetting Revenue6852339DirectOffsettingRevenue
Net Community Benefit Expense268939NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense8322584TotalCommunityBenefitExpense
Direct Offsetting Revenue6852339DirectOffsettingRevenue
Net Community Benefit Expense1470245NetCommunityBenefitExpense
Percent Of Total Expense0.03030PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense33295TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense33295NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense33295TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense33295NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense8355879TotalCommunityBenefitExpense
Direct Offsetting Revenue6852339DirectOffsettingRevenue
Net Community Benefit Expense1503540NetCommunityBenefitExpense
Percent Of Total Expense0.03100PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$397,662BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare19284757AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21018137CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1733380MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line11250 S 18TH STAddressLine1
CityFERNANDINA BEACHCity
StateFLState
ZIP Code32034ZIPCode
FieldValueIRS element (for citing)
Website AddressE-BAPTISTHEALTH.COMWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST MEDICAL CENTER OF NASSAU INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aBAPTIST HEALTH SYSTEM, INC.
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7THE ORGANIZATION USES A COST-TO-CHARGE RATIO BASED ON ITS COST ACCOUNTING SYSTEM.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)0
Subsidized Health ServicesSchedule H, Part I, Line 7gN/A
Community Building ActivitiesSchedule H, Part IILINE 5: LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS- MOSH: THE RACE DIALOGUE. THIS LEADERSHIP DEVELOPMENT TRAINING IS DESIGNED FOR COMMUNITY LEADERS TO UNDERSTAND THE HISTORY OF THE CONCEPTS OF RACE AND THEIR RELATION TO OUR UNDERSTANDING OF HUMAN VARIATION; HUMAN BIOLOGICAL DIVERSITY; HUMAN CULTURAL DIVERSITY; AND THE RELATION OF RACE TO RACISM IN THE ROLE OF LEADERSHIP. LINE 6: COALITION BUILDING - JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP CAME TOGETHER TO DEVELOP A MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PARTNERSHIP IS A NETWORK OF FIVE HOSPITALS AND FOUR PUBLIC HEALTH DEPARTMENTS THAT ARE A SHARED VOICE TO IMPROVE POPULATION HEALTH BY ELIMINATING THE GAPS THAT PREVENT QUALITY, INTEGRATED HEALTH CARE AND TO IMPROVE ACCESS TO RESOURCES THAT SUPPORT A HEALTHIER LIFESTYLE. BAPTIST NASSAU IS A MEMBER OF THE NASSAU COMMUNITY HEALTH IMPROVEMENT COALITION (NCHIC) WHICH IS LOCAL AGENCIES, ORGANIZATIONS, COMMUNITY GROUPS, AND COMMUNITY MEMBERS COME TOGETHER WITH THE COMMON GOAL OF IMPROVING THE OVERALL HEALTH OF THE NASSAU COUNTY COMMUNITY. THE COALITION WORKS TOGETHER TO IMPROVE THE LEVEL OF HEALTH IN NASSAU COUNTY THROUGH AWARENESS, EDUCATION, PARTNERSHIP, PREVENTION, SERVICE DELIVERY, AND POLICY DEVELOPMENT SO THAT INDIVIDUALS ACHIEVE THEIR POTENTIAL TO LIVE HEALTHY, ACTIVE LIFESTYLES. LINE 7: COMMUNITY HEALTH IMPROVEMENT ADVOCACY- IN PARTNERSHIP WITH BARNABAS CENTER NASSAU, BAPTIST NASSAU WORKS TO PROVIDE ACCESS TO PRIMARY HEALTH CARE FOR THE UNINSURED AND THE UNDERINSURED. BAPTIST MEDICAL CENTER SUPPORTS ACCESS TO MENTAL HEALTH SERVICES IN PARTNERSHIP WITH STARTING POINT BEHAVIORAL HEALTH TO LAUNCH A MENTAL HEALTH FIRST AID PROGRAM THAT TEACHES PARTICIPANTS A FIVE-STEP ACTION PLAN TO ASSESS A SITUATION, SELECT AND IMPLEMENT INTERVENTIONS AND SECURE APPROPRIATE CARE FOR THE INDIVIDUAL. IN ADDITION, 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.
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2PATIENT 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.
Bad debt expense - methodology used to estimate amount as community benefitSchedule H, Part III, Line 3BAD DEBT EXPENSE AT COST IS DETERMINED BY THE ORGANIZATION'S COST ACCOUNTING SYSTEM AND COST-TO-CHARGE RATIO. NONE OF THE BAD DEBT EXPENSE AT COST IS INCLUDED IN SCHEDULE H, PART I.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4BAPTIST 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.
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8MEDICARE 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.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bYES, 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.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(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. ;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(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.;
Availability of Needs AssessmentSchedule H, Part V Section B, Line 5c(1) BAPTIST MEDICAL CENTER OF NASSAU, INC. - A PUBLIC PRESS CONFERENCE WAS HELD IN DOWNTOWN JACKSONVILLE TO ANNOUNCE THE CHNA AND INFORM THE PUBLIC WHERE THEY COULD LOCATE INFORMATION CONSISTENTLY ON THE INTERNET. IN ADDITION, LOCAL PRINT AND ONLINE MEDIA INCLUDED THE INFORMATION IN STORIES WRITTEN ABOUT THE CHNA. ;
Needs not addressed in Needs AssessmentSchedule H, Part V Section B, Line 7(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, 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 CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS), INCLUDING HIV, INFLUENZA AND PNEUMONIA, HEPATITIS AND HOUSING.;
Other factors included in calculating amounts charges to patientsSchedule H, Part V Section B, Line 12h(1) BAPTIST MEDICAL CENTER OF NASSAU, INC. - CREDIT SCORES AND EXISTING CREDIT DELINQUENCIES ARE ALSO FACTORS THAT ARE USED.;
Other actions taken before collection actionsSchedule H, Part V Section B, Line 18e(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.;
Means used to determine amounts billedSchedule H, Part V Section B, Line 20d(1) BAPTIST MEDICAL CENTER OF NASSAU, INC. - THE ORGANIZATION HAS AN AUTOMATIC 40% DISCOUNT FOR ALL UNINSURED PATIENTS.;
Needs assessment.Schedule H, Part VI, Line 2BAPTIST 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. BHS HAS PARTNERED WITH 25 FAITH-BASED ORGANIZATIONS LOCATED IN VULNERABLE LOW-INCOME NEIGHBORHOODS 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. BAPTIST HEALTH IS INVOLVED WITH ASSISTING THE NEW TOWN CHILDREN'S SUCCESS ZONE LOCATED IN THE URBAN CORE WITH A STRATEGIC PLAN THAT INVOLVES COMMUNITY ASSET MAPPING OF RESOURCES.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3AT 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.
Community information.Schedule H, Part VI, Line 4BAPTIST 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.
Promotion of community healthSchedule H, Part VI, Line 5BAPTIST 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 IS ESTABLISHED TO PROVIDE DIRECTION TO THE COMMUNITY HEALTH WORK BASED ON THE COMMUNITY NEED WITHIN THE FOUR COUNTY AREA SERVED BY BHS. BHS CONTINUES TO DONATE MORE THAN 1.2 MILLION DOLLARS ANNUALLY 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.
Affiliated health care systemSchedule H, Part VI, Line 6BAPTIST 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.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7BAPTIST 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)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line176346 WILLIAM BURGESS BLVDAddressLine1
CityYULEECity
StateFLState
ZIP Code32097ZIPCode
FieldValueIRS element (for citing)
IRC SectionN/AIRCSection
Amount Of Cash Grant10000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationBOOKMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantDONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Procedures for monitoring use of grant fundsSchedule I, Part I, Line 2ANNUAL BUDGETS FOR COMMUNITY DONATIONS ARE PREPARED BY THE HOSPITAL ORGANIZATION AND APPROVED BY BAPTIST HEALTH SYSTEM, INC., PARENT AFFILIATE OF THE ORGANIZATION.
Purpose of grant or assistanceSchedule I, Part II, Column HNASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC., N/A:DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.;

Schedule J IRS990ScheduleJ

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Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
A HUGH GREENE
PRESIDENT & DIRECTOR0712360026320003000004903070144030151027000
BARBARA S GINGHER
ASST. ADMINSTRATOR, NURSING13518201550000023037062380179957000
HARVEY GRANGER
ASSISTANT SECRETARY03337350958800150000193084019699065739800
JOHN F WILBANKS
EXECUTIVE VP043792401398250150000221221012852082682200
MICHAEL LUKASZEWSKI
SVP/CFO0386896027669701500004375016003069897100
STEPHEN BEAN
PHARMACIST13730400000167410173310171376000
STEPHEN LEE
VICE PRESIDENT206570040425010634103933801152004041940963410

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3IN 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.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bBAPTIST 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 2013: A. HUGH GREENE, $454,311, JOHN F. WILBANKS, $187,570, AND HARVEY GRANGER, $157,025. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH OF THE LISTED INDIVIDUALS. STEPHEN LEE REACHED RETIREMENT AGE UNDER THE VICE-PRESIDENT SERP AND WAS DISTRIBUTED $96,341 THAT WAS INCLUDED AS W-2, BOX 5, AND IS REPORTED IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN F.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Date Issued2011-12-01DateIssued
Issue Price3264000IssuePrice
Description Of PurposeREFUND SERIES 2007CDE BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired869250AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds3264000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds8506IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2007YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBS AND WELLS FARGOBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge16.1TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Term Of GIC0.0TermOfGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GREGORY SMITH MD
DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA ISLAND ORTHOPAEDICS139605MEDICAL DIRECTOR FEES, $100,000; LEASE PAYMENTS TO FILING ORGANIZATION, $39,605false
GERALD BURFORD MD
DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA INTERNAL MEDICINE104713LEASE PAYMENTS TO FILING ORGANIZATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, BAPTIST HEALTH SYSTEM, INC., WHOSE BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE 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.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bWHILE 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.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aIN 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.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bALL 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.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19UPON 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.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9TRANSFERS TO AFFILIATED ORGANIZATIONS - -11478571; CONTRIBUTIONS FOR PP&E - 100023; NET ASSETS RELEASED FOR CAPITAL - 148831; OTHER - 6727; TEMP RESTRICTED CONTRIBUTIONS - 122856; TEMP RESTRICTED INVESTMENT GAINS - 8448; TEMP RESTRICTED TRANSFERS FROM PERM RESTRICTED NET ASSETS - 12489; TEMP RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS - -150831; PERM RESTRICTED CONTRIBUTIONS - 585; PERM RESTRICTED INVESTMENT GAINS - 12489; PERM RESTRICTED TRANSFERS TO TEMP RESTRICTED - -12489;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
800 PRUDENTIAL DRJACKSONVILLEFL32207HOSPITALFL501(C)(3)3BAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH SYSTEM INC
841 PRUDENTIAL DR STE 1602JACKSONVILLEFL32207MGT. ASSISTANCE TO HOSPITALSFL501(C)(3)11 - Type IINAfalse
BAPTIST MEDICAL CENTER OF THE BEACHES INC
1350 13TH AVE SJACKSONVILLE BEACHFL32250HOSPITALFL501(C)(3)3BAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH SYSTEM FOUNDATION INC
841 PRUDENTIAL DR 13TH FLOORJACKSONVILLEFL32207FUNDRAISING ACTIVITIES TO SUPPORT HOSPITALSFL501(C)(3)7 - Type IBAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH PROPERTIES INC
3563 PHILIPS HWY BLD F STE 608JACKSONVILLEFL32207PROPERTY MGT. FOR HEALTHCARE SYSTEMFL501(C)(3)11 - Type IBAPTIST HEALTH SYSTEM INCfalse
BAPTIST HEALTH AMBULATORY SERVICES INC
3563 PHILIPS HWY BLD F STE 608JACKSONVILLEFL32211CANCER RESEARCH & EDUCATION FOR HEALTHCARE SYSTEMFL501(C)(3)11 - Type IBAPTIST HEALTH SYSTEM INCfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PAVILION ASSOCIATES LTDBusinessNameLine1

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN BAPTIST HOSPITAL OF FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeEXCLUDEDPredominantIncomeType
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BAPTIST HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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