2014-08-08T13:00:11-05:00 2013-09-30 990 2012-10-01 593234721 BAPTIST MEDICAL CENTER OF NASSAU INC BAPT 9042021797 3563 Philips Hwy Bldg F Ste 608 Attn Mike Lee Jacksonville FL 32207 SCOTT WOOTEN 2014-08-08 2012 2015-11-30 17:44:51Z BMC NASSAU A HUGH GREENE 841 Prudential Dr Aetna Bld 1601 Jacksonville FL 32207 64495124 false X E-BAPTISTHEALTH.COM X 1994 FL CONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASION. 13 9 546 197 18854 0 7222 0 68026601 61425294 1222214 809832 919270 2259998 70175307 64495124 37602 33295 0 0 24512809 24284829 0 0 0 33596147 24160745 58146558 48478869 12028749 16016255 93921249 97608635 11372942 10273516 82548307 87335119 CONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASSION. false false 46370189 33295 63980787 BAPTIST MEDICAL CENTER OF NASSAU, INC. (BMCN) IS A HIGHLY ADVANCED, EXTREMELY WELL-EQUIPPED COMMUNITY HOSPITAL ON AMELIA ISLAND THAT PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES AND 24-HOUR EMERGENCY CARE TO COASTAL COMMUNITIES IN NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. BMCN IS AN ACCREDITED CHEST PAIN CENTER, HAS EARNED MAGNET RECOGNITION FOR EXCELLENCE IN PATIENT CARE, AND OFFERS MANY ADVANCED SERVICES AND TECHNOLOGIES NOT TYPICALLY SEEN IN A COMMUNITY HOSPITAL, INCLUDING A 64-SLICE CT, DIGITAL MAMMOGRAPHY AND A FULL-TIME HOSPITALIST PROGRAM. BMCN WAS ONE OF THE FIRST COMMUNITY HOSPITALS IN THE NATION TO CONVERT TO AN ELECTRONIC MEDICAL RECORD SYSTEM. ALL PATIENTS ARE CARED FOR IN THE STATE-OF-THE-ART BERKMAN BUILDING, WHICH OFFERS 48 PRIVATE PATIENT SUITES INCLUDING INTENSIVE CARE. BMCN HAS A BUSY MATERNITY DEPARTMENT, DELIVERING 532 BABIES DURING THE 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. 46370189 true false false false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false true false false false false false false false true false false false false true 51 0 true 546 true true true false false false false false false false false false X 13 9 false false false false true true false true true false false false true true true true true true true false X X Scott Finnegan 9042023270 841 Prudential Dr Aetna Bldg 1602 Jacksonville FL 32207 A HUGH GREENE 0.00 40.00 X X 0 1005560 504710 CHRISTINA H BRYAN 2.00 0 X X 0 0 0 JON C LASSERRE 2.00 0 X X 0 0 0 RICHARD W KEFFER 2.00 0 X X 0 0 0 DONNA L VANPUYMBROUCK 2.00 0 X 0 0 0 GERALD R BURFORD MD 2.00 0 X 0 0 0 GREGORY N SMITH MD 2.00 0 X 0 0 0 JAMES M TOWNSEND 1.00 1.00 X 0 0 0 KATHERINE MONAHAN 2.00 0 X 0 0 0 MICHAEL M BELL 2.00 0 X 0 0 0 ROBERT FERREIRA 2.00 0 X 0 0 0 WILLIAM H GOWER 2.00 0 X 0 0 0 WILLIE J SCOTT 2.00 0 X 0 0 0 HARVEY GRANGER 0.00 40.00 X 0 444615 212783 JOHN F WILBANKS 0.00 40.00 X 0 592749 234073 STEPHEN LEE 40.00 0 X 353336 0 50858 MICHAEL LUKASZEWSKI 0.00 40.00 X 0 678593 20378 BARBARA S GINGHER 40.00 0 X 150682 0 29275 CHARLOTTE J MOORE 40.00 0 X 109818 0 24143 JANICE PAULEY 40.00 0 X 103543 0 9708 REBECCA TINER 40.00 0 X 109153 0 19790 STEPHEN BEAN 40.00 0 X 137304 0 34072 963836 2721517 1139790 6 false true false BAPTIST PRIMARY CARE INC 3563 PHILIPS HWY BLDG A STE 101 JACKSONVILLE FL 32207 HOSPITALIST SERVICES FOR THE HOSPITAL 916800 LIGHTHOUSE ANESTHIA LLC 6605 ABERCORN ST SAVANNAH GA 31405 ANESTHESIA SERVICES FOR THE HOSPITAL 343725 CROWN HEALTH CARE LAUNDRY SERVICE INC 1501 N GUILLEMARD PENSACOLA FL 32501 LAUNDRY SERVICES FOR THE HOSPITAL 272386 SODEXHO INC & AFFILIATES PPO BOX 536922 ATLANTA GA 303536922 RESTAURANT AND HOUSEKEEPING SERVICES FOR THE HOSPITAL 240601 4 0 NET PATIENT SERVICE REVENUES 622000 61425294 61425294 0 0 0 0 0 0 0 0 61425294 809832 809832 0 0 175841 0 175841 0 175841 175841 0 0 0 0 0 0 EHR - MEDICAID 622000 1569820 1569820 RESTAURANT REVENUE 722212 239170 239170 RECORD DUPLICATION REVENUE 561439 39671 39671 235496 0 18854 216642 2084157 64495124 63980787 18854 495483 33295 33295 0 0 0 0 0 0 404194 0 404194 0 0 0 0 0 16696847 16321802 375045 0 1836050 1771904 64146 0 4062165 3907714 154451 0 1285573 1247519 38054 0 269538 264424 5114 0 134381 67191 67190 0 18049 9025 9024 0 0 0 0 2296338 2275174 21164 0 49472 47744 1728 0 8405025 8111692 293333 0 162909 157223 5686 0 0 0 0 0 2153005 2045355 107650 0 37030 9258 27772 0 0 115160 57580 57580 0 202959 202959 0 0 0 0 0 0 3289602 3125122 164480 0 483186 459027 24159 0 SYSTEM FUNCTION ALLOCATION 5631277 5434746 196531 0 AHCA AND NICA ASSESSMENTS 700018 675587 24431 0 REFERENCE LAB PURCHASES 78898 78898 0 0 DUES AND MEMBERSHIPS 51635 25818 25817 0 82263 41132 41131 0 48478869 46370189 2108680 0 0 600 600 0 0 7188763 6988169 0 0 0 0 0 662841 737184 614541 457013 69434913 31931150 38962433 37503763 8036552 8846384 0 0 0 0 38455519 43075522 93921249 97608635 4682269 5058677 0 0 0 5121103 4714454 0 0 0 0 0 1569570 500385 11372942 10273516 82214491 87007756 241606 234568 92210 92795 0 0 0 82548307 87335119 93921249 97608635 X 16016255 -11229443 X false true X true false X 192857 710 20938 0 2000 0 212505 107166 56024 31667 0 2000 0 192857 71794 36186 286 1100 0 0 107166 66966 0 6500 1672 0 0 71794 76002 0 -1385 1597 6054 0 66966 0.29400 0.43700 0.26900 false true true 477107 477107 40228889 11717002 28511887 59422 28327 31095 27268785 19416395 7852390 1400710 769426 631284 37503763 ADVANCES TO AFFILIATED ORGANIZATIONS 42393533 OTHER ASSETS 385135 INTEREST IN NET ASSETS OF BHSF, INC. 296854 43075522 0 1997A BOND SWAP MARKET VALUE 340293 2001 BOND SWAP MARKET VALUE 160092 500385 X Intended uses of endowment funds Schedule D, Part V, Line 4 BAPTIS 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) footnote Schedule D, Part X, Line 2 NOTES 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. true true X true X true X true true true false true true 1201306 0 1201306 0.02480 7121278 6852339 268939 0.00550 0 0 0 0.00000 0 0 8322584 6852339 1470245 0.03030 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 33295 0 33295 0.00070 0 0 33295 0 33295 0.00070 0 0 8355879 6852339 1503540 0.03100 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 0 0 0 0.00000 2 0 0 0 0.00000 3 0 0 0 0.00000 0 0.00000 0 0.00000 6 0 0 0 0 0.00000 false 397662 0 19284757 21018137 -1733380 X true true 1 1 BAPTIST MEDICAL CENTER OF NASSAU INC

1250 S 18TH ST FERNANDINA BEACH FL 32034

E-BAPTISTHEALTH.COM X X X BAPTIST MEDICAL CENTER OF NASSAU INC 1 true X X X X X X X X 12 true true true X X X X X X X X X X X false false true true 200 true 400 true X X X X X X X X true true X true X true X X X X X true X false false Community benefit report prepared by related organization Schedule H, Part I, Line 6a BAPTIST HEALTH SYSTEM, INC. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE ORGANIZATION USES A COST-TO-CHARGE RATIO BASED ON ITS COST ACCOUNTING SYSTEM. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 0 Subsidized Health Services Schedule H, Part I, Line 7g N/A Community Building Activities Schedule H, Part II LINE 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 amount Schedule H, Part III, Line 2 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. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 BAD 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 footnote Schedule H, Part III, Line 4 BAPTIST HEALTH SYSTEM, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 2. SIGNIFICANT ACCOUNTING POLICIES NET PATIENT SERVICE REVENUES, ACCOUNTS RECEIVABLE, AND PROVISION FOR BAD DEBTS PATIENT SERVICE REVENUES ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED. THE ORGANIZATION RECOGNIZES PATIENT SERVICE REVENUES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, REVENUE IS RECOGNIZED ON THE BASIS OF DISCOUNTED RATES IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. PATIENT SERVICE REVENUES ARE REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYSES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 MEDICARE ALLOWABLE COSTS OF CARE BASED ON THE ORGANIZATION'S COST-TO-CHARGE RATIO AND COST ACCOUNTING SYSTEM ARE USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. NONE OF THE SHORTFALL REPORTED ON LINE 7 IS INCLUDED IN SCHEDULE H, PART I. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. THE POLICY DOES NOT SPECIFICALLY ADDRESS THOSE PATIENTS WHO ARE KNOWN TO QUALIFY OR HAVE APPLIED FOR CHARITY CARE AS THE ORGANIZATION DOES NOT BILL THESE PATIENTS. THE ORGANIZATION'S COST ACCOUNTING SYSTEM IDENTIFIES ALL PATIENTS WHO HAVE A PENDING OR APPROVED CHARITY APPLICATION. THE ORGANIZATION WOULD ONLY BILL THE PATIENT IF, AFTER MULTIPLE ATTEMPTS TO OBTAIN ANY NEEDED DOCUMENTATION FROM THE PATIENT TO COMPLETE THE CHARITY APPROVAL PROCESS, THE PATIENT WAS NONCOMPLIANT. Community Served by Needs Assessment Schedule 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 Assessment Schedule 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 Assessment Schedule 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 Assessment Schedule 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 patients Schedule 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 actions Schedule 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 billed Schedule 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 2 BAPTIST HEALTH SYSTEM, INC., (BHS), PARENT COMPANY OF THE FILING ORGANIZATION, IS A MEMBER OF THE JACKSONVILLE COMMUNITY BENEFIT PARTNERSHIP THAT IS A COLLABORATIVE OF 5 HOSPITALS WHO WORK TOGETHER TO ACCESS AND ADDRESS IMPORTANT COMMUNITY HEALTH NEEDS. 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 3 AT EVERY PATIENT ACCESS POINT, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAINS FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH ONE OF OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. THE ORGANIZATION SENDS STATEMENTS TO PATIENTS WHO HAVE APPLIED FOR CHARITY CARE BUT HAVE NOT PROVIDED ALL THE DOCUMENTATION THAT IS REQUIRED TO MAKE A DETERMINATION; LETTERS ARE SENT BY THE ORGANIZATION REQUESTING THE INFORMATION TO COMPLETE THEIR APPLICATION. Community information. Schedule H, Part VI, Line 4 BAPTIST MEDICAL CENTER OF NASSAU: NASSAU COUNTY NASSAU COUNTY HAS A TOTAL AREA OF 725.86 SQUARE MILES, OF WHICH 651.55 SQUARE MILES (OR 89.76%) IS LAND AND 74.30 SQUARE MILES (OR 10.24%) IS WATER, MUCH OF IT IN THE ATLANTIC OCEAN. FERNANDINA BEACH IS LOCATED ON AMELIA ISLAND, THE COUNTY'S ONE INHABITED ISLAND. THERE ARE 75,710 PEOPLE RESIDING IN NASSAU THE COUNTY. THE RACIAL MAKEUP OF THE COUNTY IS 90.02% WHITE, 7.74% BLACK OR AFRICAN AMERICAN, 0.43% NATIVE AMERICAN, 0.46% ASIAN, 0.03% PACIFIC ISLANDER, 0.32% FROM OTHER RACES, AND 1.00% FROM TWO OR MORE RACES. 1.51% OF THE POPULATION ARE HISPANIC OR LATINO OF ANY RACE. IN THE COUNTY THE POPULATION IS SPREAD OUT WITH 25.00% UNDER THE AGE OF 18, 7.20% FROM 18 TO 24, 28.80% FROM 25 TO 44, 26.30% FROM 45 TO 64, AND 12.60% WHO ARE 65 YEARS OF AGE OR OLDER. THE MEDIAN AGE IS 38 YEARS. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY IS $46,022, AND THE MEDIAN INCOME FOR A FAMILY WAS $52,477. MALES HAD A MEDIAN INCOME OF $37,027 VERSUS $25,443 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY IS $22,836. ABOUT 6.40% OF FAMILIES AND 9.10% OF THE POPULATION IS BELOW THE POVERTY LINE, INCLUDING 10.90% OF THOSE UNDER AGE 18 AND 8.90% OF THOSE AGE 65 OR OVER. Promotion of community health Schedule H, Part VI, Line 5 BAPTIST HEALTH SYSTEM, INC. (BHS) , PARENT COMPANY OF THE FILING ORGANIZATION, CONTINUES TO MAINTAIN AN OPEN MEDICAL STAFF. A DESIGNATED SOCIAL RESPONSIBILITY COMMUNITY HEALTH BOARD COMMITTEE 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 system Schedule H, Part VI, Line 6 BAPTIST HEALTH SYSTEM, INC. (BHS) IS THE PARENT AFFILIATE OF BAPTIST MEDICAL CENTER OF NASSAU, INC. (BMCN). THE SOCIAL RESPONSIBILITY AND COMMUNITY HEALTH TEAM AT BHS COORDINATES THE FUNDING OF NONPROFIT PARTNERS FOR BMCN AND WORKS WITH OUR EMPLOYEES IN FACILITATING VOLUNTEER OPPORTUNITIES ACROSS OUR COMMUNITY. MEMBERS OF THE BMCN BOARD OF DIRECTORS ALSO SERVE ON THE SOCIAL RESPONSIBILITY AND COMMUNITY HEALTH COMMITTEE. BMCN WORKS CLOSELY WITH A NUMBER OF NONPROFIT PARTNERS TO MEET THE COMMUNITY HEALTH NEEDS OF NASSAU COUNTY, FLORIDA. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 BAPTIST HEALTH SYSTEM, INC. (BHS), PARENT COMPANY OF THE FILING ORGANIZATION, IS LOCATED WITHIN THE NORTHEAST FLORIDA QUADRANT. THERE ARE NO REQUIREMENTS FOR STATE FILING IN FLORIDA OF THE ANNUAL COMMUNITY BENEFIT REPORT. HOWEVER, BHS DOES PUBLISH THE REPORT AND IT IS AVAILABLE UPON REQUEST OR AT THE WWW.BAPTISTJAX.COM WEBSITE. true NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC 76346 WILLIAM BURGESS BLVD YULEE FL 32097 N/A 10000 0 BOOK N/A DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH. 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 ANNUAL 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 assistance Schedule I, Part II, Column H NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC., N/A:DONATION TO NASSAU COUNTY GOVERNMENT AGENCY FOR JOB CREATION AND ECONOMIC GROWTH.; false true false false false false false false false A HUGH GREENE 0 712360 0 263200 0 30000 0 490307 0 14403 0 1510270 0 0 BARBARA S GINGHER 135182 0 15500 0 0 0 23037 0 6238 0 179957 0 0 0 HARVEY GRANGER 0 333735 0 95880 0 15000 0 193084 0 19699 0 657398 0 0 JOHN F WILBANKS 0 437924 0 139825 0 15000 0 221221 0 12852 0 826822 0 0 MICHAEL LUKASZEWSKI 0 386896 0 276697 0 15000 0 4375 0 16003 0 698971 0 0 STEPHEN BEAN 137304 0 0 0 0 0 16741 0 17331 0 171376 0 0 0 STEPHEN LEE 206570 0 40425 0 106341 0 39338 0 11520 0 404194 0 96341 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, BHS'S COMPENSATION COMMITTEE (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ENGAGES ANNUALLY A THIRD PARTY COMPENSATION CONSULTANT WHO PROVIDES A DATABASE COMPOSED OF CURRENT DATA REGARDING COMPENSATION PAID FOR EACH EXECUTIVE POSITION BY SIMILARLY SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE COUNTRY. THESE HEALTH SYSTEMS ARE GENERALLY THE SAME SIZE AS BHS, CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS. THE GROUP OF COMPARATOR COMPANIES THAT IS DERIVED BASED ON THE ABOVE STATED PARAMETERS COMPRISE THE "MARKET". WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT HEALTH SYSTEM EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON THE HEALTH SYSTEM AND THE INDIVIDUAL'S PERFORMANCE. THE OBJECTIVE IS TO HAVE A STRONG LINK BETWEEN HEALTH SYSTEM AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF THE HEALTH SYSTEM AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER THE HEALTH SYSTEM OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. THE MINUTES OF THE ANNUAL COMPENSATION COMMITTEE ARE RECORDED BY THE COMMITTEE'S COMPENSATION CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF SUCH COMMITTEE. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b BAPTIST HEALTH SYSTEM, INC. (BHS), PARENT AFFILIATE OF BAPTIST MEDICAL CENTER OF NASSAU, INC. (BMCN), HAS TWO ACTIVE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS (SERPS). ONE IS FOR CERTAIN EXECUTIVES (SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN) AND THE OTHER IS FOR CERTAIN VICE PRESIDENTS (VICE-PRESIDENT SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN). THESE SERPS ARE PLANS DESCRIBED IN IRS SECTION 457(F). THE BENEFITS UNDER THESE PLANS ACCRUE DURING EACH EXECUTIVE'S TERM OF EMPLOYMENT. THESE BENEFITS ARE UNVESTED AND SUBJECT TO FORFEITURE UNTIL THE COVERED EMPLOYEE REACHES RETIREMENT AGE. THE FOLLOWING INDIVIDUALS ACCRUED UNVESTED BENEFITS UNDER THESE PLANS DURING 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. A JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE REF UNDING EXTENDABLE NOTES SERIES 2007CDE 2011-12-01 3264000 REFUND SERIES 2007CDE BONDS false false false A 869250 0 3264000 0 0 0 8506 0 0 0 0 0 2007 false true true true A false false false false false false 0.00000 0.00000 0.00000 false false 0 false true A false true true UBS AND WELLS FARGO 16.1 false false false 0.0 false true A true GREGORY SMITH MD DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA ISLAND ORTHOPAEDICS 139605 MEDICAL DIRECTOR FEES, $100,000; LEASE PAYMENTS TO FILING ORGANIZATION, $39,605 false GERALD BURFORD MD DIRECTOR OF FILING ORGANIZATION AND OFFICER OF AMELIA INTERNAL MEDICINE 104713 LEASE PAYMENTS TO FILING ORGANIZATION false Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE 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 body Form 990, Part VI, Section A, Line 7a THE BOARD OF DIRECTORS OF BAPTIST HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b WHILE THE ORGANIZATION'S GOVERNING BODY DID NOT REVIEW THE FORM 990, THE BOARD OF DIRECTORS OF BAPTIST HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, WAS PROVIDED THE ORGANIZATION'S ENTIRE FORM 990 PRIOR TO ITS FILING VIA A LINK TO A PASSWORD-PROTECTED WEBSITE. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, BAPTIST HEALTH SYSTEM, INC., HAS APPOINTED A CONFLICTS OF INTEREST COMMITTEE WHICH REGULARLY REVIEWS THE REQUIRED DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST BY THE DIRECTORS AND OFFICERS OF THE ORGANIZATION AND ITS AFFILIATES AND RECOMMENDS ANY ACTION TO BE TAKEN WITH REGARD TO SUCH DISCLOSURES. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, DURING MEETINGS OF THE ORGANIZATION'S GOVERNING BODY, A DIRECTOR WHO MAY HAVE A CONFLICT OF INTEREST IS EXCUSED FROM DISCUSSION BY THE GOVERNING BODY ABOUT ANY TRANSACTION OR MATTER THAT MAY HAVE GIVEN RISE TO THE DIRECTOR'S ACTUAL OR POTENTIAL CONFLICT OF INTEREST. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, BHS'S COMPENSATION COMMITTEE (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ENGAGES ANNUALLY A THIRD PARTY COMPENSATION CONSULTANT WHO PROVIDES A DATABASE COMPOSED OF CURRENT DATA REGARDING COMPENSATION PAID FOR EACH EXECUTIVE POSITION BY SIMILARLY SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE COUNTRY. THESE HEALTH SYSTEMS ARE GENERALLY THE SAME SIZE AS BHS, CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS. THE GROUP OF COMPARATOR COMPANIES THAT IS DERIVED BASED ON THE ABOVE STATED PARAMETERS COMPRISE THE "MARKET". WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT HEALTH SYSTEM EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON THE HEALTH SYSTEM'S AND THE INDIVIDUAL'S PERFORMANCE. THE OBJECTIVE IS TO HAVE A STRONG LINK BETWEEN HEALTH SYSTEM AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF THE HEALTH SYSTEM AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER THE HEALTH SYSTEM OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. THE MINUTES OF THE ANNUAL COMPENSATION COMMITTEE ARE RECORDED BY THE COMMITTEE'S COMPENSATION CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF SUCH COMMITTEE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE INCLUDED IN THE EXECUTIVE COMPENSATION POLICY DESCRIBED ON FORM 990, PART VI, LINE 15A. THIS PROCESS IS USED TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS FOR EACH CALENDAR YEAR. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 UPON RECEIVING A REQUEST FROM ANYONE, THE ORGANIZATION WILL SUPPLY A COPY OF ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FINANCIAL STATEMENTS AND ITS MOST RECENTLY FILED FORM 990 AND FORM 990-T. THE ORGANIZATION ALSO MAKES ITS FORM 990 AVAILABLE AT THE WEBSITE GUIDESTAR.ORG. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFERS 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; SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC 800 PRUDENTIAL DR JACKSONVILLE FL 32207 HOSPITAL FL 501(C)(3) 3 BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH SYSTEM INC 841 PRUDENTIAL DR STE 1602 JACKSONVILLE FL 32207 MGT. ASSISTANCE TO HOSPITALS FL 501(C)(3) 11 - Type II NA false BAPTIST MEDICAL CENTER OF THE BEACHES INC 1350 13TH AVE S JACKSONVILLE BEACH FL 32250 HOSPITAL FL 501(C)(3) 3 BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH SYSTEM FOUNDATION INC 841 PRUDENTIAL DR 13TH FLOOR JACKSONVILLE FL 32207 FUNDRAISING ACTIVITIES TO SUPPORT HOSPITALS FL 501(C)(3) 7 - Type I BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH PROPERTIES INC 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32207 PROPERTY MGT. FOR HEALTHCARE SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC false BAPTIST HEALTH AMBULATORY SERVICES INC 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32211 CANCER RESEARCH & EDUCATION FOR HEALTHCARE SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC false PAVILION ASSOCIATES LTD 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32207 592505491 NON-RESIDENTIAL PROPERTY MGT. FL SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC EXCLUDED 0 0 PAVILION HEALTH SERVICES INC 3563 PHILIPS HWY BLD F STE 608 JACKSONVILLE FL 32207 592059710 PHYSICIAN PRACTICES/RETAIL PHARMACIES FL BAPTIST HEALTH SYSTEM INC C CORPORATION 0 0 0 false false true false false false false false false false false false true true true true true true true