High Plains Baptist Health Foundation: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- High Plains Baptist Health Foundation (EIN 75-0800669)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349309936
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T15:53:06-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CONGRESS SUITE 1800 | AddressLine1 |
| City | AUSTIN | City |
| State | TX | State |
| ZIP Code | 78701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 750800669 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist St Anthony's Hospital Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JAMES TAYLOR | InCareOfName |
| Name Control | BAPT | NameControl |
| Phone | 8062122000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 DANVERS | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79106 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | brian walton | Name |
| Title | vp/cfo | Title |
| Date Signed | 2013-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5124789881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT WILLIAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 WALLACE BLVD | AddressLine1 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 517406320 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BSAHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE QUALITY HEALTHCARE IN CHRISTIAN LOVE, SERVICE AND DIGNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2773 | TotalNbrEmployees |
| Total Nbr Volunteers | 132 | TotalNbrVolunteers |
| Total Gross UBI | 1885628 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -609852 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 323968 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 635535 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 302294347 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 335727445 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 17592609 | InvestmentIncomePriorYear |
| Investment Income Current Year | 24630578 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 747048 | OtherRevenuePriorYear |
| Other Revenue Current Year | 778277 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 320957972 | TotalRevenuePriorYear |
| Total Revenue Current Year | 361771835 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 74467 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 51033 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 110936977 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 114589631 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 332611 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 147300656 | OtherExpensePriorYear |
| Other Expenses Current Year | 164742693 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 258312100 | TotalExpensesPriorYear |
| Total Expenses Current Year | 279383357 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 62645872 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 82388478 | RevenuesLessExpensesCY |
| Total Assets BOY | 532604489 | TotalAssetsBOY |
| Total Assets EOY | 540372189 | TotalAssetsEOY |
| Total Liabilities BOY | 136109099 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 70446988 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 396495390 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 469925201 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE QUALITY HEALTHCARE IN CHRISTIAN LOVE, SERVICE AND DIGNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 119343109 | Expense |
| Grants | 0 | Grants |
| Revenue | 193014995 | Revenue |
| Description | BSA PROVIDED INPATIENT SERVICES TO 21,016 PATIENTS. INPATIENT SERVICES INCLUDE, BUT ARE NOT LIMITED TO: CORONARY CARE, INPATIENT SURGICAL SERVICES, REHAB AND HOSPICE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 63921758 | Expense |
| Grants | 0 | Grants |
| Revenue | 109566274 | Revenue |
| Description | BSA PROVIDED OUTPATIENT SERVICES TO 100,374 PATIENTS. OUTPATIENT SERVICES INCLUDE, BUT ARE NOT LIMITED TO: OPERATING ROOM, RECOVERY ROOM, ANESTHESIA, GASTROENTEROLOGY AND DAY SURGERY, HOSPICE HOME CARE AND PHYSICAL THERAPY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12622586 | Expense |
| Grants | 0 | Grants |
| Revenue | 12706689 | Revenue |
| Description | BSA EMERGENCY DEPARTMENT PROVIDED TREATMENT TO 62,218 PATIENTS. THE EMERGENCY DEPARTMENT IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK. PATIENTS ARE TREATED WITHOUT REGARD FOR ABILITY TO PAY. THE AVERAGE NUMBER OF PATIENTS SEEN EACH DAY IN THE EMERGENCY DEPARTMENT IS 170. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 26245364 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 51033 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 18963951 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 222132817 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 240 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2773 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES TAYLOR | NamePerson |
| Telephone Number | 8062126281 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 DANVERS | AddressLine1 |
| City | AMARILLO | City |
| State | TX | State |
| ZIP Code | 79106 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT D WILLIAMS | ||||||||
| PRESIDENT/CEO | 22.0 | 18.0 | X | X | 0 | 1465621 | 30999 | |
| BELINDA D GIBSON | ||||||||
| VP PATIENT SERVICES | 38.0 | 2.0 | X | X | 0 | 554628 | 29398 | |
| BRIAN J WALTON | ||||||||
| CFO/VP FINANCE | 30.0 | 10.0 | X | X | 0 | 636719 | 31399 | |
| MICHAEL A CRUZ | ||||||||
| VP OPERATIONS | 30.0 | 10.0 | X | X | 0 | 655329 | 29899 | |
| JOHN W NEILSON MD | ||||||||
| VP MEDICAL AFFAIRS THRU 8/9/12 | 30.0 | 10.0 | X | X | 0 | 412822 | 25184 | |
| MICHAEL J LAMANTEER MD | ||||||||
| VP MEDICAL AFFAIRS / CMO | 30.0 | 10.0 | X | X | 0 | 390959 | 28392 | |
| PAUL HANCOCK MD | ||||||||
| VICE PRESIDENT | 6.0 | 34.0 | X | X | 0 | 432028 | 24258 | |
| KHALED BARAKAT | ||||||||
| PHARMACIST III | 40.0 | 171999 | 0 | 18925 | X | |||
| JAMES G MARTIN | ||||||||
| PHARMACIST III | 40.0 | 157462 | 0 | 24501 | X | |||
| KAREN LEMLEY | ||||||||
| MANAGER, PHARMACY | 40.0 | 155665 | 0 | 19858 | X | |||
| N KENDRICK | ||||||||
| PHARMACIST III | 40.0 | 147160 | 0 | 19251 | X | |||
| STEPHANIE NOGGLER | ||||||||
| MANAGER, PHARMACY | 40.0 | 147435 | 0 | 18780 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 779721 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4548106 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 300844 | TotalOtherCompensation |
| Number Individuals GT100 K | 48 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AMARILLO ANESTHESIA CONSULTANTS | |||||
| PO BOX 50667 | AMARILLO | TX | 79159 | consulting services | 3409050 |
| AMARILLO EMERGENCY PHYSICIANS | |||||
| PO BOX 50405 | AMARILLO | TX | 79159 | ER Physicians | 1910225 |
| SIEMENS MEDICAL SOLUTIONS HEALTH SE | |||||
| PO BOX 120001 | AMARILLO | TX | 753120733 | mgmt services | 1712620 |
| COVIDIEN | |||||
| PO BOX 120823 | DALLAS | TX | 753120823 | medical supplies | 1575072 |
| AMARILLO SURGICAL GROUP | |||||
| 6 MEDICAL DRIVE | AMARILLO | TX | 79106 | CONTRACT PHYSICIANS | 927800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 34 | NumberOfContractorsGT100K |
| Related Organizations | 635535 | RelatedOrganizations |
| Total Contributions | 635535 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| INPATIENT REVENUE | 621990 | 197526037 | 197526037 | |
| OUTPATIENT REVENUE | 621990 | 117761921 | 117761921 | |
| MEDICARE COST RECOVERY/3RD PARTY STLMNT | 621990 | 12314748 | 12314748 | |
| MGT FEES FROM PANHANDLE SURGICAL | 561000 | 968746 | 504820 | 463926 |
| All other program service revenue | 621990 | 7155993 | 6144383 | 1011610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 335727445 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14780640 | TotalRevenueColumn |
| Exclusion | $14,780,640 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 165141821 | Securities |
| Other | 22856 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 155254564 | Securities |
| Other | 60175 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9887257 | Securities |
| Other | -37319 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9849938 | TotalRevenueColumn |
| Exclusion | $9,849,938 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 629693 | GrossSalesOfInventory |
| Cost Of Goods Sold | 319746 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 309947 | TotalRevenueColumn |
| Exclusion | $309,947 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| TELECOMMUNICATION | 517000 | 118109 | 118109 | |
| HOUSEKEEPING/LINEN | 561499 | 209108 | 150870 | $58,238 |
| PRINT SHOP | 561439 | 98754 | 98754 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42359 | TotalRevenueColumn |
| Unrelated Business Revenue | 42359 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 468330 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 361771835 | TotalRevenueColumn |
| Related Or Exempt Function Income | 334251909 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1885628 | UnrelatedBusinessRevenue |
| Exclusion | $24,998,763 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51033 | Total |
| Program Services | 51033 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94657194 | Total |
| Program Services | 75113160 | ProgramServices |
| Management And General | 19352141 | ManagementAndGeneral |
| Fundraising | 191893 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4058574 | Total |
| Program Services | 3220593 | ProgramServices |
| Management And General | 829753 | ManagementAndGeneral |
| Fundraising | 8228 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8773062 | Total |
| Program Services | 6346858 | ProgramServices |
| Management And General | 2411916 | ManagementAndGeneral |
| Fundraising | 14288 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7100801 | Total |
| Program Services | 5607407 | ProgramServices |
| Management And General | 1479377 | ManagementAndGeneral |
| Fundraising | 14017 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5600 | Total |
| Program Services | 5600 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196920 | Total |
| Management And General | 196920 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34499896 | Total |
| Program Services | 24838235 | ProgramServices |
| Management And General | 9657105 | ManagementAndGeneral |
| Fundraising | 4556 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43707 | Total |
| Program Services | 5079 | ProgramServices |
| Management And General | 19004 | ManagementAndGeneral |
| Fundraising | 19624 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8108543 | Total |
| Program Services | 2179510 | ProgramServices |
| Management And General | 5863815 | ManagementAndGeneral |
| Fundraising | 65218 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15774291 | Total |
| Program Services | 12050653 | ProgramServices |
| Management And General | 3713988 | ManagementAndGeneral |
| Fundraising | 9650 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2865084 | Total |
| Program Services | 1274733 | ProgramServices |
| Management And General | 1590351 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468490 | Total |
| Program Services | 321984 | ProgramServices |
| Management And General | 142304 | ManagementAndGeneral |
| Fundraising | 4202 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3962 | Total |
| Program Services | 3192 | ProgramServices |
| Management And General | 770 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4344353 | Total |
| Program Services | 4170423 | ProgramServices |
| Management And General | 173930 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20201675 | Total |
| Program Services | 14983641 | ProgramServices |
| Management And General | 5218034 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -21987 | Total |
| Program Services | 7102 | ProgramServices |
| Management And General | -29089 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 70033622 | 66529539 | 3504083 |
| REPAIRS AND MAINTENANCE | 1682554 | 543488 | 1139066 |
| COLLECTION AGENCY | 684058 | 684058 | |
| Indigent Care Support | 4653231 | 4653231 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1198694 | Total |
| Program Services | 227356 | ProgramServices |
| Management And General | 970403 | ManagementAndGeneral |
| Fundraising | 935 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279383357 | Total |
| Program Services | 222132817 | ProgramServices |
| Management And General | 56917929 | ManagementAndGeneral |
| Fundraising | 332611 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5218 | BOY |
| EOY | 1900 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36299090 | BOY |
| EOY | 1022234 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33692381 | BOY |
| EOY | 37571393 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4806515 | BOY |
| EOY | 4940027 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4334397 | BOY |
| EOY | 1712299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 453657661 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 293971631 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159919688 | BOY |
| EOY | 159686030 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130249350 | BOY |
| EOY | 7181260 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34975 | BOY |
| EOY | 6649 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29307323 | BOY |
| EOY | 39154960 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133955552 | BOY |
| EOY | 289095437 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 532604489 | BOY |
| EOY | 540372189 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36105947 | BOY |
| EOY | 34465644 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86490000 | BOY |
| EOY | 26745000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 597515 | BOY |
| EOY | 1144926 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12915637 | BOY |
| EOY | 8091418 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136109099 | BOY |
| EOY | 70446988 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 396495390 | BOY |
| EOY | 469925201 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 396495390 | BOY |
| EOY | 469925201 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 532604489 | BOY |
| EOY | 540372189 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 82388478 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1616238 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -7342429 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3366769 | OtherCostOrOtherBasis |
| Book Value | 3366769 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 216675125 | OtherCostOrOtherBasis |
| Depreciation | 98048881 | Depreciation |
| Book Value | 118626244 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2980529 | OtherCostOrOtherBasis |
| Depreciation | 2648839 | Depreciation |
| Book Value | 331690 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 224818731 | OtherCostOrOtherBasis |
| Depreciation | 193273911 | Depreciation |
| Book Value | 31544820 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5816507 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 5816507 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 159686030 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INV IN PANHANDLE SURG HOSP | Description |
| Book Value | 39154960 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 39154960 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Intercompany receivables | 288305928 |
| Other accounts receivable | 789509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 289095437 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Asbestos retirement obligation | $1,194,334 |
| EST PAYABLE FOR SELF INS CLAIMS | $6,897,084 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8091418 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | fin 48 footnote | Identifier |
| Explanation | FORM 990, SCHEDULE D, PART X, LINE 2 Baptist St. Anthony's Health System and affiliates has been audited on a consolidated basis in accordance with generally accepted accounting principles for the year ended December 31, 2012. In July 2006, the FASB issued guidance regarding accounting for uncertainty in income taxes, which requires that the taxable subsidiaries of the system recognize in their financial statements the effect of a tax position if that tax position is more likely than not of being sustained on audit, based upon the technical merits of the tax position. The System has adopted ASC 740-10 as of the required effective date, but the adoption of this guidance did not have a significant impact on the System's consolidated financial statements, nor does the system currently have any positions reserved. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20043614 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3969785 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16073829 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05330 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14521707 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14531151 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -9444 | NetCommunityBenefitExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 248686 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 346337 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -97651 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 34814007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18847273 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15966734 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05300 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 306534 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 306534 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1418034 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 470859 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 947175 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12255927 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10729583 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1526344 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 158240 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 158240 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14138735 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11200442 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2938293 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00970 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48952742 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 30047715 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18905027 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06270 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $17,124,773 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 96864228 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 113726944 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -16862716 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Phy Surg Hosp LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | ambulatory surgical hospital | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.61940 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.38060 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Er OtherErOther |
|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Hospital | ||||||||
| 1 | 1600 Wallace Boulevard | Amarillo | TX | 79106 | X | X | X | |
| Physician's Surg Hospital-Panhandle | ||||||||
| 2 | 7100 W 9th Avenue | Amarillo | TX | 79106 | X | X | X | |
| Physician's Surg Hospital-Quail Creek | ||||||||
| 3 | 6819 Plum Creek Drive | Amarillo | TX | 79124 | X | X | X | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Hospital | |||||||||||||||||||||||
| true | true | 200. | true | 400. | true | X | X | X | X | X | X | X | true | true | X | X | X | true | false | true | X | false | false |
| Physician's Surg Hospital-Panhandle | |||||||||||||||||||||||
| true | true | 200. | true | 400. | true | X | X | X | X | X | X | X | true | true | X | X | X | true | false | true | X | false | false |
| Physician's Surg Hospital-Quail Creek | |||||||||||||||||||||||
| true | true | 200. | true | 400. | true | X | X | X | X | X | X | X | true | true | X | X | X | true | false | true | X | false | false |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule H Supplemental Information | Identifier |
| Return Reference | Part I, Line 3c | ReturnReference |
| Explanation | Baptist St. Anthony's Hospital uses income-based criteria for determining eligibility for free or discounted care under its financial assistance policy. Financially indigent patients whose gross annual income is 200% of the Federal Poverty Income Guidelines or less are eligible for free care while those with gross annual income between 200% and 400% of the Federal Poverty Income Guidelines are eligible for discounted care under the organization's financial assistance policy. The Hospital also uses an assets test to determine eligibility for charity care. Assets are evaluated to determine if the guarantor has any liquid assets in excess of those critical to living or not being used to support the family's support system. Part I, Line 6a N/A Part I, Line 7 The Hospital used a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, to calculate the amounts reported in the table in Part I, line 7. Part II n/a Part III, Line 2 Costing Methodology for Bad Debts The organization has used 2012 audited financial statements and the cost-to-charge ratio methodology provided for in optional Worksheet A- Estimated Bad Debt Expense (at Cost). At the end of 2012, the organization estimated the amount of bad debt expense that could reasonably be attributable to patients who likely would qualify for financial assistance under the hospitals charity care policy. As a result, a reclassifying entry was made from bad debt expense to recognize this amount appropriately as charity. Consequently, a zero amount is being reported in Part III, Section A, Line 3. Part III, Line 4 Audited Financial Statement Footnote 7. Patient Accounts Receivable Patient accounts receivable consist of the following at December 31 (in thousands): 2012 2011 Patient accounts, net of contractual allowances $ 57,152 $ 57,246 Less allowance for bad debts (5,369) (6,128) $ 51,783 $ 51,118 The System maintains allowances for uncollectible accounts for estimated losses resulting from a payors inability to make payments on accounts. The System uses an income statement approach to value the allowance account based on historical write-offs, cash collections, and the aging of the accounts. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowances associated with its receivables. Part III, LIne 8 Methodology Used to Determine Medicare Allowable Cost The costing methodology is the structure built into the CMS 2552-96, transmittals 23-25. Costs are grouped from the general ledger and classified in the appropriate cost center as allowable or non-reimbursable. Then adjustments are made on w/s A8 for reductions to allowable costs due to income offsetting revenues or costs identified as non reimbursable per CMS regulations. Additionally, costs are reclassified on W/S A6 for proper matching of costs and revenues or nature of the expense incurred. Next, the overhead costs are allocated to the direct and non-reimbursable expenses based on appropriate CMS allocation techniques and statistical bases. The total cost related to the Medicare revenue is taken from the following areas. The accommodation or routine portion of costs is taken from CMS 2552-96 D-1 line 37 for the appropriate Title XVIII provider or sub-provider. Cost for I/P ancillary service are taken from D-4 line 102, column 3. Costs for O/P ancillary services are taken from DV line 102, column 9. Subsidized care services are claimed as a community benefit for the following reason. These services exclude Medicaid and charity services already reported separately. These services are regarded as community benefits because they are vital to the community in the case of Neonatal and Obstetrical services furnished at a negative margin by Baptist St Anthonys. Also other health services are provided to older patients with complications and complex health problems. These services are also necessary for public health and could not be fully provided by other resources available in the community if they were not provided by Baptist St Anthonys. Part III, Line 9b The following is an excerpt from the Bad Debt Policy. It refers collectors to the Charity Policy once it is identified that a patient may qualify. The charity policy/procedure is followed from there. When reviewing accounts as potential bad debt, the collection and reviewing personnel should always look for signs that the account might qualify for charity. Such signs may include prior charity, a large dollar amount owed to BSA, employment status, marital status, and any combination of these or other factors that may become evident while working the account. In cases where a patient cannot or will not provide sufficient information to fully document eligibility for Charity Care, a presumption of eligibility may be made based on statistical data and other reliable assumptions so long as those assumptions are properly documented. Presumptive Charity and/or Financial Aid will be applied after all normal collection activities have been exhausted and before accounts are sent to an external collection agency. This may include one or more of the following situations: - Collections and Payment Prediction and Charity Eligibility based on MedeAnalytics - Insurance coverage is no longer in effect. - Patient cannot be located through collection attempts, is unemployed and uninsured. - Patient is unresponsive to collection attempts, is unemployed, uninsured, no credit information available. - Patient resided in a shelter or indicates they are homeless with no income or assets to validate. - Patient is not able to provide income information. - Patient is deceased and there is no estate. - Patient residence is in an area of high poverty. Once a determination of eligibility for Charity Care under Financial or Medical Indigence is made, no further collection efforts shall be pursued for the amount applied toward Charity Care. All patients approved will either be classified as financially indigent, medically indigent, or qualified for financial discount. Part V, Sec B, Line 1J N/A Part V, Sec B, Line 3 N/A Part V, Sec B, Line 4 N/A Part V, Sec B, Line 5c N/A Part V, Sec B, Line 6i N/A Part V, Sec B, Line 7 N/A Part V, Sec B, Line 9 N/A Part V, Sec B, Line 10 N/A Part V, Sec B, Line 12h N/A Part V, Sec B, Line 14g The financial assistance and charity care policy is available upon request; however, patients are notified of the policy as follows: - Patients who have a high deductible or are uninsured are informed of the charity care policy at the time of pre-registration, and patients are then directed to a financial counselor if they wish to pursue financial assistance. - If prior arrangements for financial assistance were not made prior to admission, patients are directed to a financial counselor for screening. - Patients admitted through the emergency department who indicate an inability to pay or are uninsured are screened by financial counselors to determine eligibility for financial assistance. - Patients are notified of the availability of financial assistance at the time of billing. Part V, Sec B, Line 16e N/A Part V, Sec B, Line 17e N/A Part V, Sec B, Line 18e N/A Part V, Sec B, Line 19d N/A Part V, Sec B, Line 20d In keeping with the mission and philosophy of the Baptist St. Anthony's Health System, BSA will apply a discount of 25% on all services provided to uninsured patients who do not qualify for a 100% discount. In addition, BSA will provide charity care services, within the resources available, to financially or medically indigent patients. These services will be discounted up to 100% depending on patient's need. For those uninsured or underinsured patients who do not qualify for charity, financial aid may be available. Financially indigent patients whose gross annual income is at or below 200% of the most recently published Federal Poverty Guidelines are eligible for a 100% discount. Patients whose gross annual income is between 200% and 400% of the Federal Poverty Guidelines are eligible for financial assistance with graduated discounts between 20% and 80%. All discounts are applied to gross charges. Medically indigent patients whose total medical bills for all sources exceed 25% of their gross annual income are eligible for financial assistance under the hospital's policy. Once it has been determined that the patient is medically indigent, BSA will adjust our current medical bills down to 25% of the patient's income. If the patient still cannot pay, we will ask the patient to bring in proof of all current outstanding medical bills for review. If the total of those bills is still 25% of their yearly earnings, BSA's bills will be adjusted down so that all of the patient's medical bills total 25% of their income. Once medical indigence has been determined and existing account balances have been adjusted accordingly future accounts will need to be considered independent of the original determination | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Academic Scholarship | TypeOfGrant |
| Number Of Recipients | 46 | NumberOfRecipients |
| Amount Of Cash Grant | 51033 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | Baptist St. Anthony's Health System (BSA) offers academic and/or scholarship assistance to employees through the BSA Education Assistance Program. The program provides scholarship assistance for the achievement of higher education and is designed to encourage development through education for positions within the hospital system. This benefit is subject to the availability of funds each year. Participation in the scholarship program requires a minimum of 3 months employment in good standing and recommendation by his/her director. In addition, scholarship recipients will provide proof of enrollment at an accredited college or university, maintain a 2.75 cumulative GPA, and commit to work at BSA for a designated amount of time upon completion of the degree. Scholarships are available for degree plans, approved by the executive team, to fill necessary vacancies and are subject to change. The number of credit hours enrolled determines scholarship amount awarded. The funds may not completely cover all expenses. The recipient is responsible for paying his/her incurred expenses at the educational institution. Scholarship assistance may be subject to federal taxes and withholding based upon the operative internal revenue regulations in place at the time of payment. Any applicable taxes are the student's/employee's responsibility. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT D WILLIAMS | ||||||||||||||
| PRESIDENT/CEO | 0 | 766121 | 0 | 699500 | 0 | 0 | 0 | 17798 | 0 | 13201 | 0 | 1496620 | 0 | 0 |
| BELINDA D GIBSON | ||||||||||||||
| VP PATIENT SERVICES | 0 | 365625 | 0 | 189003 | 0 | 0 | 0 | 17798 | 0 | 11600 | 0 | 584026 | 0 | 0 |
| BRIAN J WALTON | ||||||||||||||
| CFO/VP FINANCE | 0 | 422519 | 0 | 214200 | 0 | 0 | 0 | 17798 | 0 | 13601 | 0 | 668118 | 0 | 0 |
| MICHAEL A CRUZ | ||||||||||||||
| VP OPERATIONS | 0 | 435529 | 0 | 219800 | 0 | 0 | 0 | 17798 | 0 | 12101 | 0 | 685228 | 0 | 0 |
| JOHN W NEILSON MD | ||||||||||||||
| VP MEDICAL AFFAIRS THRU 8/9/12 | 0 | 263107 | 0 | 149715 | 0 | 0 | 0 | 14845 | 0 | 10339 | 0 | 438006 | 0 | 0 |
| MICHAEL J LAMANTEER MD | ||||||||||||||
| VP MEDICAL AFFAIRS / CMO | 0 | 390959 | 0 | 0 | 0 | 0 | 0 | 17798 | 0 | 10594 | 0 | 419351 | 0 | 0 |
| PAUL HANCOCK MD | ||||||||||||||
| VICE PRESIDENT | 0 | 292028 | 0 | 140000 | 0 | 0 | 0 | 17093 | 0 | 7165 | 0 | 456286 | 0 | 0 |
| KHALED BARAKAT | ||||||||||||||
| PHARMACIST III | 157997 | 0 | 2172 | 0 | 11830 | 0 | 11478 | 0 | 7447 | 0 | 190924 | 0 | 0 | 0 |
| JAMES G MARTIN | ||||||||||||||
| PHARMACIST III | 150028 | 0 | 2102 | 0 | 5332 | 0 | 10648 | 0 | 13853 | 0 | 181963 | 0 | 0 | 0 |
| KAREN LEMLEY | ||||||||||||||
| MANAGER, PHARMACY | 131018 | 0 | 21146 | 0 | 3501 | 0 | 10446 | 0 | 9412 | 0 | 175523 | 0 | 0 | 0 |
| N KENDRICK | ||||||||||||||
| PHARMACIST III | 145126 | 0 | 2034 | 0 | 0 | 0 | 9893 | 0 | 9358 | 0 | 166411 | 0 | 0 | 0 |
| STEPHANIE NOGGLER | ||||||||||||||
| MANAGER, PHARMACY | 144811 | 0 | 2021 | 0 | 603 | 0 | 9786 | 0 | 8994 | 0 | 166215 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, Question 3 | ReturnReference |
| Explanation | CEO/EXECUTIVE DIRECTORS' COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION, BSA HEALTH SYSTEM. THEREFORE, THE METHODS USED TO DETERMINE THE CEO/EXECUTIVE DIRECTOR'S COMPENSATION ARE IDENTIFIED ON THE BSA HEALTH SYSTEM 990. Schedule J, Part 1, Question 4b Effective January 1, 2011, a Supplemental Executive Retirement Plan was adopted. The SERP was designed to comply with the requirements of Section 457(F) of the IRC to provide deferred compensation for a select group of management or highly compensated employees. The individuals listed below were eligible for the plan. Contributions were funded during the tax year. ROBERT WILLIAMS MICHAEL CRUZ BELINDA GIBSON JOHN NEILSON, MD BRIAN WALTON PAUL HANCOCK, MD Schedule J, Part I, Questions 6a & 6b BSAHS paid an Employee Bonus. All employees, excluding the Executive Team, were eligible for the distribution. The compensation was contingent upon two criterias. 1) Net operating income in excess of budget for the consolidated organization 2) Patient satisfaction | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Form 990, Part III, Line 4d | ReturnReference |
| Explanation | DESCRIPTION OF OTHER PROGRAM SERVICES Other program Revenue is from the provision of out patient ancillary services including, but not limited to, lab, diagnostic imaging, and catheterizations. In addition supporting services provided through a cafeteria, print shop, laundry and others generate additional revenues and incur additional expenses. Form 990, Part IV, Question 20b The 2012 audited financial statements were not issued prior to the 2012 Form 990 filing. The 2011 audited financial statements are attached to Form 990 as the most recently issued statements. FORM 990, PART VI, QUESTIONS 6, 7A, & 7B BAPTIST ST. ANTHONY'S HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION. THE BOARD OF TRUSTEES OF BAPTIST ST. ANTHONY HEALTH SYSTEM APPOINTS THE OFFICERS OF THE HOSPITAL AND THE BOARD OF TRUSTEES HAS CERTAIN AUTHORIZATION POWERS, WHICH INCLUDE THE FOLLOWING: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (B) ANY DEVIATION FROM OR AMENDMENT TO THE BROAD OBJECTIVES OF THE CORPORATION; (C) INCURRENCE OR ASSUMPTION OF ANY CAPITAL INDEBTEDNESS; (D) AUTHORIZING ANY PUBLIC FUND RAISING CAMPAIGN; (E) AUTHORIZING CAPITAL IMPROVEMENTS OR EXPANSION IN EXCESS OF $50,000; (F) DISPOSITION OF ANY PART OF THE CORPORATION'S PHYSICAL PLANT (REAL PROPERTY) HAVING A FAIR MARKET VALUE IN EXCESS OF $50,000; (G) AUTHORIZING THE INCURRENCE OF OPERATING EXPENSES IN EXCESS OF INCOME FOR OPERATIONS, FOR WHICH PURPOSE INCOME AVAILABLE FOR OPERATIONS SHALL INCLUDE DIRECT REVENUES, ENDOWMENT, OR INVESTMENT INCOME, CONTRIBUTIONS, FUNDS PROPERLY TRANSFERABLE FROM SPECIAL PURPOSE FUNDS, AND CONTINGENCY RESERVE FUNDS; (H) DISSOLUTION OF THE CORPORATION; (I) CESSATION OF OPERATIONS OF ANY LICENSED HOSPITAL; (J) SALE, LEASE, MORTGAGE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (K) APPROVAL OF THE ANNUAL STRATEGIC / OPERATING PLAN, IF ANY, THE ANNUAL BUDGET AND THE ANNUAL COMMUNITY BENEFIT PLAN, IF ANY, OF THE CORPORATION FORM 990, PART VI, QUESTION 11B The form 990 is presented to each of the BSA Health System Board members prior to filing. FORM 990, PART VI, QUESTION 12C EACH NEW EMPLOYEE SHALL SIGN A "STATEMENT OF UNDERSTANDING" UPON EMPLOYMENT, AND DEPARTMENT DIRECTORS, SUPERVISOR AND SELECTED EMPLOYEES OF INTEREST SHALL ANNUALLY SIGN A "STATEMENT OF UNDERSTANDING" WHICH AFFIRMS THAT SUCH A PERSON: - HAS RECEIVED A COPY OF THE CODE OF COMPLIANCE POLICY, WHICH REQUIRES EMPLOYEES TO DISCLOSE CONFLICT OF INTEREST TO THEIR MANAGERS - UNDERSTANDS THAT SELECTED EMPLOYEES WILL BE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM - HAS READ AND UNDERSTANDS THE POLICY - HAS AGREED TO COMPLY WITH THE POLICY - UNDERSTANDS THAT FAILURE TO COMPLY WITH BSA'S CODE OF COMPLIANCE MAY BE GROUNDS FOR DISCIPLINARY ACTION, INCLUDING TERMINATION. - UNDERSTANDS THAT BSA IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES - ALL EMPLOYEES WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST (AS DESCRIBED IN THE CONFLICT OF INTEREST POLICY) IN THE BSA HEALTH CARE SYSTEM AND/OR ITS ENTITIES ARE CONSIDERED AN "INTERESTED PERSON". - ALL INTERESTED PERSONS SHALL SUBMIT THE "STATEMENT OF UNDERSTANDING" MENTIONED IMMEDIATELY ABOVE. - THE DIRECTOR OF CORPORATE COMPLIANCE REVIEWS ALL STATEMENTS AND DETERMINES IF A CONFLICT EXISTS, AND REPORTS THE RESULTS OF ALL DETERMINATIONS TO THE CHIEF COMPLIANCE OFFICER (CFO). IN MATTERS RELATED TO A DEPARTMENT DIRECTOR, SUPERVISOR OR SELECTED EMPLOYEE, THE CONFLICT OF INTEREST SHOULD BE RESOLVED WITH THE EMPLOYEE'S DIRECT MANAGER BY: - Directing employee to abstain from participating in decision where a conflict of interest exists. - Discontinuing BSA's relationship with outside organization - Establishing management plan to monitor relationship/activity so as to eliminate risk. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY -IF THERE IS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, THE INTERESTED PERSON SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. -IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, IT IS DETERMINED THAT THE INTERESTED PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND CORRECT ACTION SHALL BE TAKEN IN ACCORDANCE WITH THE DISCIPLINARY ACTION POLICY HR-440. -RECORDS OF PROCEEDINGS WILL BE MAINTAINED ON FILE IN THE CORPORATE COMPLIANCE OFFICE. -KEY EMPLOYEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY DESCRIBED ABOVE. -OFFICERS, DIRECTORS, AND TRUSTEES ARE COVERED BY THE POLICY DESCRIBED IMMEDIATELY BELOW. -FOR THE PURPOSES OF THE "CONFLICTS OF INTEREST POLICY - DIRECTORS AND OFFICERS", DIRECTOR MEANS A MEMBER OF THE BOARD OF DIRECTORS, AND OFFICER MEANS AN INDIVIDUAL HOLDING AN OFFICE PROVIDED FOR BY THE BYLAWS. -ALL DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS ARE REQUIRED TO SIGN AN ANNUAL STATEMENT THAT THE PERSON: - HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY - HAS READ AND UNDERSTANDS THE POLICY - HAS AGREED TO COMPLY WITH THE POLICY - UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS - UNDERSTANDS THAT BSA SYSTEM, BSA HOSPITAL, HCC, AND HPI ARE CHARITABLE ORGANIZATIONS AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ORDER TO DETERMINE WHETHER A POTENTIAL CONFLICT EXISTS, ALL EXISTENCES OF FINANCIAL INTEREST AND ALL MATERIAL FACTS MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OR COMMITTEE FOR INVESTIGATION. AFTER INVESTIGATION, THE BOARD OF DIRECTORS MUST TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WITH RESPECT TO AN INTERESTED PERSON WHO VIOLATES THE "CONFLICT OF INTEREST" POLICY, WHICH COULD INCLUDE: - LEGAL REMEDIES - POSSIBLE SANCTIONS AGAINST THE INTERESTED PERSON, BUT SHALL NOT BE LIMITED TO, ORAL ADMONISHMENT, WRITTEN REPRIMAND, REASSIGNMENT, DEMOTION, SUSPENSION, REMOVAL, SEPARATION OR RESIGNATION. - RECORDS WILL BE INCLUDED IN THE MINUTES OF THE BOARD MEETINGS AND ALL COMMITTEES WITH BOARD DELEGATED POWER. PERIODIC REVIEWS SHALL BE CONDUCTED BY THE DIRECTORS AND OFFICERS TO ENSURE THAT BSA AND TAX EXEMPT ENTITIES OPERATE IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. THIS POLICY IS ADMINISTERED AND ENFORCED BY THE BOARD OF DIRECTORS OF EACH TAX EXEMPT ENTITY. FORM 990, PART VI, QUESTIONS 15B BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION OFFICERS AND KEY EMPLOYEE COMPENSATION IS DIRECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, THE CORPORATION CONTRACTS WITH SULLIVAN, COTTER, AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION. SULLIVAN COTTER CONFIRMS THAT COMPENSATION IS REASONABLE. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE EXECUTIVE COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. THE MOST RECENT REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, QUESTION 19 OUR 990'S ARE AVAILABLE ON GUIDESTAR AND UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees for services 14,571,995 - Physician Fees 8,824,822 - Misc Purchased Services 2,240,005 - Chemotherapy 1,934,853 - Patient Financial Services 1,658,310 - Medical Directorship Fees 1,449,822 - Laboratory 1,394,432 - Laundry 2,425,657 - Misc Other Fees and services 34,499,896 - TOTAL Other Fees for services FORM 990, PART XI, QUESTION 9 (7,340,384) Reverse Goodwill for Panhandle Surgical Hospital buy out (2,045) Misc corrections and adjustments to net assets ---------- (7,342,429) Total | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Baptist St Anthony's Foundation | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752122630 | Fundraising | TX | 501(c)(3) | 7 | BSAHS | true |
| Baptist St Anthony's Medical Group | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752565440 | Staffing | TX | 501(c)(3) | 9 | BSAHS | true |
| Second Chance Foundation | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 752160474 | Fundraising | TX | 501(c)(3) | 11 TYPE I | BSAHC | true |
| Baptist St Anthony's Health System | ||||||||||
| 3310 Danvers | Amarillo | TX | 79106 | 751858993 | Parent Corp | TX | 501(c)(3) | 11,III,FI | NA | false |
| The Don & Sybil Harrington Cancer Center | ||||||||||
| 1500 WALLACE BLVD | Amarillo | TX | 79106 | 751578415 | Cancer Center | TX | 501(c)(3) | 9 | BSAHS | true |
| Harrington Physicians Inc | ||||||||||
| 1500 Wallace Blvd | Amarillo | TX | 78106 | 752312574 | MEDICAL CARE | TX | 501(c)(3) | 9 | HCC | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Physicians Surgical Hospitals LLC | ||||||||||||||
| 1600 Wallace Blvd | Amarillo | TX | 79106 | 731620274 | Stand-alone Hosp | TX | NA | Related | 11983083 | 39708931 | false | $0 | false | 0.61940 |
| Physicians Surgical Real Estate LLC | ||||||||||||||
| 1600 Wallace Blvd | Amarillo | TX | 79106 | 202894224 | Holding Company | TX | NA | Related | 999733 | 10455353 | false | $0 | false | 0.61940 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BSA Holdings Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 Danvers | AddressLine1 |
| City | Amarillo | City |
| State | TX | State |
| ZIP Code | 79106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752058579 | EIN |
| Primary Activity | Holding Company | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BSAHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C Corp | TypeOfEntity |
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Baptist St Anthony's Foundation | ||
| C | 635535 | cost |
| The Don & Sybil Harrington Cancer Center Inc | ||
| M | 431357 | cost |
| Baptist St Anthony's Medical Group | ||
| P | 4106025 | cost |
| Physicians Surgical Hospitals LLC | ||
| Q | 1344996 | cost |
| BSA Holdings Inc | ||
| Q | 1295178 | cost |
| Harrington Physicians Inc | ||
| r | 924292 | cost |
| Baptist St Anthony's Medical Group | ||
| S | 13800000 | cost |
Comments