SOUTH FLORIDA BAPTIST HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTH FLORIDA BAPTIST HOSPITAL INC (EIN 59-0594631)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201323169349300727
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T14:01:02-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590594631EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1South Florida Baptist Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CARL TREMONTIInCareOfName
Name ControlSOUTNameControl
Phone8137571245Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 North Alexander StreetAddressLine1
Address Line2SuiteAddressLine2
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL TREMONTIName
TitleCFOTitle
Date Signed2013-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGlenn WatersNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1301 N Alexander StreetAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode
FieldValueIRS element (for citing)
Gross Receipts172091491GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sjbhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSouth Florida Baptist Hospital will improve the health of all we serve through community-owned health care services that set the standard for high quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees808TotalNbrEmployees
Total Nbr Volunteers206TotalNbrVolunteers
Total Gross UBI4322TotalGrossUBI
Contributions Grants Prior Year341958ContributionsGrantsPriorYear
Contributions Grants Current Year787001ContributionsGrantsCurrentYear
Program Service Revenue Prior Year89672330ProgramServiceRevenuePriorYear
Program Service Revenue CY97047392ProgramServiceRevenueCY
Investment Income Prior Year4640408InvestmentIncomePriorYear
Investment Income Current Year3521853InvestmentIncomeCurrentYear
Other Revenue Prior Year586870OtherRevenuePriorYear
Other Revenue Current Year3465658OtherRevenueCurrentYear
Total Revenue Prior Year95241566TotalRevenuePriorYear
Total Revenue Current Year104821904TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2250GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year38904374SalariesEtcPriorYear
Salaries Etc Current Year39106180SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49447464OtherExpensePriorYear
Other Expenses Current Year50435531OtherExpensesCurrentYear
Total Expenses Prior Year88354088TotalExpensesPriorYear
Total Expenses Current Year89582711TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6887478RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15239193RevenuesLessExpensesCY
Total Assets BOY136639761TotalAssetsBOY
Total Assets EOY117127420TotalAssetsEOY
Total Liabilities BOY50339510TotalLiabilitiesBOY
Total Liabilities EOY11724068TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY86300251NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY105403352NetAssetsOrFundBalancesEOY
Mission DescriptionSOUTH FLORIDA BAPTIST HOSPITAL, INC. WILL IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED HEALTH CARE SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense78290091Expense
Grants41000Grants
Revenue99990938Revenue
DescriptionSouth Florida Baptist Hospital (SFBH) is a full-service 147 - bed community hospital. During 2012, SFBH provided inpatient care to 5,934 patients, treated 41,372 patients in the emergency department, and delivered 365 babies. Through efforts of the medical assistance program and the hospital's charity care program SFBH saw a net community benefit expense of $11.6 million. The hospital also provided other community services totaling more than $663 thousand. Some of the programs included relay for life, faith community nursing, and San Jose mission. Refer to Schedule H for additional information.Description
Total Program Service Expense78290091TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096129NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees808NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCARL TREMONTINamePerson
Telephone Number7274627176TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 N ALEXANDER STAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARY ARGHITTU
TRUSTEE1.04.0X
MICHAEL BOOHER
TRUSTEE1.02.0X
JOHN BORRECA
TRUSTEE AND CHAIRMAN1.03.0XX
DONNA JORDAN
TRUSTEE1.02.0X
CAROLYN MCMULLEN
TRUSTEE1.02.0X
DOMENICK REINA
TRUSTEE1.02.0X
BRUCE RODWELL
TRUSTEE AND VICE CHAIRMAN1.03.0XX
GLADYS SHARKEY
TRUSTEE1.04.0X
WILLIAM WEST
TRUSTEE1.03.0X
ALBERT WHITAKER
TRUSTEE1.02.0X
LEE KIRKMAN
TRUSTEE1.047.0X037530534243
ISAAC MALLAH
Ex-officio TRUSTEE AND PRsdnt1.051.0XX0133873473467
RICK COLON
TRUSTEE1.02.0X
GENE MARSHALL
TRUSTEE1.02.0X
WINNIE MARVEL
TRUSTEE1.02.0X
ERIC OBECK
TRUSTEE1.03.0X
ROBERT BASKIN
TRUSTEE1.02.0X
JUDITH LISI
TRUSTEE1.02.0X
ELAINE SHIMBERG
TRUSTEE1.02.0X
BRENDA BALICKI
SECRETARY1.047.0X6310713366
CATHY YODER
CFO AND TREASURER1.051.0X038551152921
KAREN KERR
ASST ADMIN, NURSING - SFB45.0159960027840X
JACQUES VASCONCELLOS
DIRECTOR OPERATIONS - SFB45.0160981023239X
STEPHEN NIERMAN
COO, S. FLORIDA BAPTIST HOSP1.045.0030463087383X
KHAMWATIE SINGH
CLINICAL NURSE III45.0132127022885X
MERCY NINAN
MANAGER PHARMACY45.0157357024617X
DARLENE SMITH
CLINICAL NURSE III45.0144982020523X
ROBERT KAUFFMAN
CLINICAL PHARMACIST45.0136481026163X
SEAN USTIC
PHARMACY CLINICAL COORDINATOR45.01184668500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1010354TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2467287TotalReportableCompFrmRltdOrgs
Total Other Compensation415147TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHARLES PERRY PARTNERS INC
8200 NW 15TH PLACEGAINESVILLEFL32606construction service731974
LOCKWOOD STEELY MDS PA
301 N ALEXANDER STPLANT CITYFL33566anesthesiology svs565048
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762laundry services530168
HENNESSY CONSTRUCTION SVCS
2300 22ND ST NORTHST PETERSBURGFL33713construction svcs419660
GULLAB SHER
17913 BAHAMA ISLE DRTAMPAFL33647physician services340312
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations737782RelatedOrganizations
Government Grants49219GovernmentGrants
Total Contributions787001TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT CARE6219904779390747793907
MEDICARE/MEDICAID NET REVENUE6219904925348549253485
FieldValueIRS element (for citing)
Total Program Service Revenue97047392TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2212222TotalRevenueColumn
Unrelated Business Revenue4322UnrelatedBusinessRevenue
Exclusion$2,207,900ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real23875Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real23875Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column23875TotalRevenueColumn
Exclusion$23,875ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities68547966Securities
Other2200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities67240535Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1307431Securities
Other2200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1309631TotalRevenueColumn
Exclusion$1,309,631ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events44954GrossIncomeFundraisingEvents
Fundraising Direct Expenses29052FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column15902TotalRevenueColumn
Exclusion$15,902ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA722514482335$482,335
MISCELLANEOUS6219906178361783
COMMUNITY AFFAIRS523000355355

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2881408TotalRevenueColumn
Related Or Exempt Function Income2881408RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3425881TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column104821904TotalRevenueColumn
Related Or Exempt Function Income99990938RelatedOrExemptFunctionIncome
Unrelated Business Revenue4322UnrelatedBusinessRevenue
Exclusion$4,039,643ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41000Total
Program Services41000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total372020Total
Management And General372020ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32555312Total
Program Services32374852ProgramServices
Management And General180460ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1129404Total
Program Services1123144ProgramServices
Management And General6260ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2703668Total
Program Services2688681ProgramServices
Management And General14987ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2345776Total
Program Services2315638ProgramServices
Management And General30138ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total56295Total
Management And General56295ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2833Total
Program Services2833ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total303668Total
Management And General303668ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4056918Total
Program Services3857708ProgramServices
Management And General199210ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total401520Total
Program Services397088ProgramServices
Management And General4432ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1431972Total
Program Services566210ProgramServices
Management And General865762ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total165665Total
Program Services97695ProgramServices
Management And General67970ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1684268Total
Program Services1661963ProgramServices
Management And General22305ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49345Total
Program Services3426ProgramServices
Management And General45919ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1042897Total
Program Services1042897ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6140168Total
Program Services6126754ProgramServices
Management And General13414ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total526885Total
Program Services181782ProgramServices
Management And General345103ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES13296319132944051914
MANAGEMENT FEES85252328525232
BAD DEBT EXPENSE81495068149506
PURCHASED SERVICES2211520217475936761

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2390520Total
Program Services2189750ProgramServices
Management And General200770ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total89582711Total
Program Services78290091ProgramServices
Management And General11292620ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3117743BOY
EOY1050EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9983450BOY
EOY10202526EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY562782BOY
EOY234239EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1805657BOY
EOY2017933EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY698711BOY
EOY723391EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92686465LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec55593912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37671111BOY
EOY37092553EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41051706BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY35190457BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5841159BOY
EOY5736186EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY716985BOY
EOY61119542EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY136639761BOY
EOY117127420EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5117181BOY
EOY5096647EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY669882BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44552447BOY
EOY6627421EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50339510BOY
EOY11724068EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY83450250BOY
EOY102567142EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2850001BOY
EOY2836210EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY86300251BOY
EOY105403352EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY136639761BOY
EOY117127420EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15239193ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6331190ReconciliationUnrealizedInvest
Reconcilation Other Changes-2467282ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,833OtherActivitiesAmount
Total Lobbying Expenditures IIB2833TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, Line 1iIdentifier
ExplanationDues were paid to the Florida Hospital Association, this association uses a portion of their dues to conduct lobbying activities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2754751OtherCostOrOtherBasis
Book Value2754751BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54855068OtherCostOrOtherBasis
Depreciation29643391Depreciation
Book Value25211677BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis59922OtherCostOrOtherBasis
Depreciation44941Depreciation
Book Value14981BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis32400108OtherCostOrOtherBasis
Depreciation25905580Depreciation
Book Value6494528BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2616616OtherCostOrOtherBasis
Book Value2616616BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37092553TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
PHYSICAN RECEIVABLES427106
DUE FROM AFFILIATES60692436
FieldValueIRS element (for citing)
Total Book Value Other Assets61119542TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST 3RD PARTY SETTLEMENTDescription
Amount$6,627,421Amount
FieldValueIRS element (for citing)
Total Of Amounts6627421TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt110583669TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6331190NetUnrealizedGainsInvestments
Other Revenues22348OtherRevenues
Revenue Not Rptd F9906353538RevenueNotRptdF990
Revenue Subtotal104230131RevenueSubtotal
Other Revenues Not Included591773OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt591773RevenueNotRptdOnFinStmt
Total Revenue Per Form990104821904TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt89204776TotExpensesEtcAuditedFinclStmt
Expenses Subtotal89204776ExpensesSubtotal
Other Expenses Not Included377935OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt377935ExpensesNotRptdOnFinStmt
Total Expenses Per Form99089582711TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 2d Unrealized gains on swaps $22,348 Schedule D, Part XI, Line 4b Revenues netted with expenses $377,933 Contributions in net assets $787,001 Change in Foundation ($573,161) Total $591,773 Schedule D, Part XII, Line 4b Revenues netted with expenses $377,933 Rounding $2 Total $377,935Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event144954GrossReceiptsEvent1
Gross Revenue Event144954GrossRevenueEvent1
Non Cash Prizes Event14353NonCashPrizesEvent1
Rent Facility Costs Event17335RentFacilityCostsEvent1
Food And Beverage Event1212FoodAndBeverageEvent1
Other Direct Expenses Event117152OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total44954GrossReceiptsTotal
Gross Revenue Total Events44954GrossRevenueTotalEvents
Non Cash Prizes Total Events4353NonCashPrizesTotalEvents
Rent Facility Costs Total Events7335RentFacilityCostsTotalEvents
Food And Beverage Total Events212FoodAndBeverageTotalEvents
Other Direct Expenses Total Events17152OtherDirectExpensesTotalEvents
Direct Expense Summary Events29052DirectExpenseSummaryEvents
Net Income Summary15902NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served7866PersonsServed
Total Community Benefit Expense4417825TotalCommunityBenefitExpense
Net Community Benefit Expense4417825NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served18311PersonsServed
Total Community Benefit Expense15529266TotalCommunityBenefitExpense
Direct Offsetting Revenue10220457DirectOffsettingRevenue
Net Community Benefit Expense5308808NetCommunityBenefitExpense
Percent Of Total Expense0.06520PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2751PersonsServed
Total Community Benefit Expense2622678TotalCommunityBenefitExpense
Direct Offsetting Revenue1431274DirectOffsettingRevenue
Net Community Benefit Expense1191403NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served28928PersonsServed
Total Community Benefit Expense22569769TotalCommunityBenefitExpense
Direct Offsetting Revenue11651731DirectOffsettingRevenue
Net Community Benefit Expense10918036NetCommunityBenefitExpense
Percent Of Total Expense0.13410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served4933PersonsServed
Total Community Benefit Expense67995TotalCommunityBenefitExpense
Direct Offsetting Revenue1455DirectOffsettingRevenue
Net Community Benefit Expense66540NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served515PersonsServed
Total Community Benefit Expense576612TotalCommunityBenefitExpense
Net Community Benefit Expense576612NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Persons Served1818PersonsServed
Total Community Benefit Expense19347TotalCommunityBenefitExpense
Net Community Benefit Expense19347NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served7266PersonsServed
Total Community Benefit Expense663954TotalCommunityBenefitExpense
Direct Offsetting Revenue1455DirectOffsettingRevenue
Net Community Benefit Expense662499NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs41NumberOfActivitiesOrPrograms
Persons Served36194PersonsServed
Total Community Benefit Expense23233723TotalCommunityBenefitExpense
Direct Offsetting Revenue11653186DirectOffsettingRevenue
Net Community Benefit Expense11580535NetCommunityBenefitExpense
Percent Of Total Expense0.14220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,149,506BadDebtExpenseAmount
Amount Attributable To3773321AmountAttributableTo
Amount Reimbursed By Medicare18662013AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19401839CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-739826MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1South Florida Baptist Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1301 N Alexander StAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.sjbhealth.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Facility Reporting GroupAFacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1A - South Florida Baptist Hosp IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifierExplanationExplanation
Part I Line 3cPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. South Florida Baptist Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
Part I Line 6aN/A - The Community Benefit Report is available to the public.
Part I Line 7Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits.
Part I Line 7 column fBad Debt expense of $8,149,506 was included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column.
Part III Line 2,3,& 4The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid.
Part III Line 8Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Any shortfall amounts have not been treated as community benefit. Line 7 Surplus or (Shortfall) ($739,826) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($1,954,920) Total Surplus or (Shortfall) ($2,694,746)
Part III Line 9bPatients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, on patient billing statements, brochures or Customer Service phone calls, to submit financial information to the Financial Assistance Department to determine eligibility for programs, such as County, Medicaid, Disability, Victims of Crime, Charity, etc. For those patients who provide all the necessary documentation and qualify for charity according to the Financial Assistance policy, (defined in Part I, line 3c), patients' account balance would be written off completely to charity and not billed to the patients.
Part V Section B Line 11An uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
Part V Section B Line 14Contact information related to financial assistance is posted in the emergency room waiting area, admissions office, and printed on all patient billing.
Part V Section B Line 16Lien action related to collections is limited to patients involving auto liability insurance.
Part V Section B Line 20dPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. South Florida Baptist Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. Once a patient is identified as eligible for financial assistance his/her account balance is written off 100% to charity write-offs and are no longer billed for services provided.
Part VI Line 2 - Needs AssessentSouth Florida Baptist Hospital, Inc is committed to meeting the needs of the community it serves. Our quality philosophy is modeled around understanding our customers' needs in the communities it serves. South Florida Baptist Hospital, Inc addresses community health status assessments by accessing existing third party databases profiling health status information for geographies it serves. The assessments provide a profile of health status indicators in comparison to state averages and, if available, national benchmarks. In addition South Florida Baptist Hospital, Inc conducts physician community need studies that outline physician deficits by specialty for the geographic area served. Studies are also conducted to identify gaps in geographic access to services such as primary care, outpatient services and inpatient services. All of the above processes occur on an ongoing basis to assist South Florida Baptist Hospital, Inc in developing initiatives and programs/services to address identified health care needs in the communities it serves.
Part VI Line 3 - Patient Education of Eligibility for AssistanceSouth Florida Baptist Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the South Florida Baptist Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, South Florida Baptist Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing statements and customer service representative calls. The goal in using these various means is to effectively communicate with the entire patient population so they are informed and educated about their eligibility for assistance.
Part VI Line 4 - Community InformationSouth Florida Baptist Hospital is in a rural setting serving parts of Hillsborough and Polk counties. The average income is falls below the state average and the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 21% of the population and 10% of households are below poverty level. South Florida Baptist Hospital is part of BayCare Health System that serves west central Florida. The area served by South Florida Baptist has 3 hospitals. There are 3 federally designated medically underserved areas in South Florida Baptist's service area. With the over 65 population expected to grow 19% in the next five years, the health care needs of our service area are expanding and changing. The population served by South Florida Baptist Hospital is expected to grow 8% in the next 5 years. This is twice the expected growth rate for the United States. The fastest growing population segment is age 55+ with a growth rate of 18%. The community experiences higher incidence rates compared to the state of Florida in the following areas: coronary heart disease, prostate cancer, breast cancer, melanoma, cervical cancer, colorectal cancer, lung cancer, post-neonatal death, adult smokers, HIV cases, AIDs cases, HIV/AIDS deaths, asthma hospitalization, sexually transmitted diseases, domestic violence and linguistically isolated population. Based on Florida inpatient discharge data for the period of 10/01/11-09/30/12, the payor mix for the geographic area consists of 43.0% Medicare/Medicare HMO, 18.1% Medicaid/Medicaid HMO, 25.9% Commercial Insurance, 7.5% Self-pay, and 5.5% Other.
Part VI Line 5 - Promotion of Community HealthSouth Florida Baptist Hospital, Inc. South Florida Baptist Hospital was founded in 1954 as a result of a partnership between many generous, civic-minded citizens of Plant City and the dedicated financial support of the Florida Baptist Church Convention. During its inception, the entire Plant City community rallied behind the idea of building the city's first hospital in the post WWII years. Today, South Florida Baptist Hospital is a full-service 147-bed community hospital that offers high-tech services of a larger acute care hospital, but in a small, warm and friendly environment designed for personal attention and compassionate care. South Florida Baptist Hospital provides the surrounding Plant City community with services that include surgery, diagnostics, rehabilitation, acute and intensive care, pediatric care and obstetrics. While much has changed during the past 59 years, our commitment to improve the health of our community through accessible, compassionate and family-focused health care services remains. Community Outreach & Partnerships Through education and a focus on prevention and early detection, we are building a healthier community while reducing suffering and total health care costs. South Florida Baptist Hospital participated in 100 community health improvement events in 2012, which includes health screenings, physician lectures, support groups, health fairs and mobile clinics. More than $59,000 was spent to support the goal of fostering and implementing community relationships and partnerships to improve the health status of the community. To extend its reach, South Florida Baptist Hospital collaborates with several community partners. By sharing resources, we are able to find less expensive ways to make an even greater health impact without duplicating our efforts. South Florida Baptist Hospital partnered with the American Cancer Society to sponsor Plant City's 9th annual "Relay for Life" event (an event to raise money to fight cancer and provide services to cancer patients and their families). All proceeds from the event will be used to provide educational and patient services in the Plant City community, as well as critical dollars used to fund cancer research. This event was Relay for Life's was the state's third largest grossing event. Located in Dover, the San Jose Mission provides housing, childcare, food, clothing and assistance to the migrant farm worker community of Eastern Hillsborough County. Included in the resources at San Jose Mission is the full-time service of a Faith Community Nurse who is sponsored by South Florida Baptist Hospital. This nurse implements strategies to meet the physical, emotional, spiritual and social needs of the primarily Spanish-speaking population while collaborating with other organizations at the Mission, including Hillsborough Community College, Hillsborough County School System, Redland Christian Migrant Association, St. Vincent de Paul Society, University of South Florida and local radio station WEDU. The Faith Community Nursing program, sponsored by South Florida Baptist Hospital, was established to provide health and wellness information to members of local congregations of all denominations. The goal is to assist congregations in developing health ministries that compassionately and effectively address the emotional, physical and spiritual needs of individuals within the congregation and the people they reach out to in their communities. The hospital provides the infrastructure for the Faith Community Nurse Program and assists the faith community by providing recruitment, training, continuing nurse education and health screenings. In 2012, volunteer nurses worked with congregations in the Plant City, Brandon, Lithia, Zephyrhills and Lakeland areas. Through home and hospital visits, parish nurse office visits or other encounters at the church, educational programs, health fairs and other forms of correspondence, Faith Community Nurses directly touched the lives of more than 5,600 people. In total, 4,793 hours were served by South Florida Baptist Hospital. Also in 2012, Faith Community Nursing collaborated with Catholic Mobile Medical and Wholesome Community Ministries to write a grant proposal for which it received three year funding from Allegany Franciscan Ministries to replicate the San Jose Mission clinic in South Hillsborough County. The clinic will provide health services and education to agricultural workers beginning in February of 2013. South Florida Baptist Hospital's Community Health team develops community partnerships with area agencies, creating collaborative efforts that bring health services directly into area neighborhoods. As a result, Community Health was able to promote better health to 4,933 people in 2012. More than 50 percent of the events are outreach activities offered outside the hospital on the Wellness on Wheels mobile health unit. The 37-foot Winnebago is equipped to provide health screenings, immunizations, physical exams and education. The unit was purchased through community fundraising. Annually, the RICOH Children's Classic Golf Tournament is held to support children's health services provided on the Wellness on Wheels bus. Health Education provided by Community Health in 2012 included CPR and AED certifications, Germ-Busters (hand hygiene program) and safety education games for children. Screenings include: Cholesterol, blood sugar and blood pressure, body mass index, osteoporosis and skin cancer. Community Health also provided diabetes education for adults and children, and nutrition education for children. In addition, Community Health participated in coordinating the Ladies Night Out seminars that hosted over 175 participants. Through a partnership with Hillsborough County Schools, Community Health helped facilitate over 3,000 elementary and middle school vision, scoliosis and height and weight screenings on school aged children. South Florida Baptist Hospital participates in activities surrounding the community's largest event, the Plant City Strawberry Festival. Hospital team members often volunteer in various functions during the event, and the South Florida Baptist Hospital Wellness on Wheels health unit participates in both the Strawberry Festival Grand Parade and the Youth Parade. These two events kick off the festival celebrations and are heavily attended by Plant City residents. South Florida Baptist Hospital also actively supports the Plant City Chamber of Commerce, which promotes the commercial, industrial, agricultural, and civic interests of Greater Plant City and East Hillsborough County. As a not-for-profit hospital, South Florida Baptist Hospital provides many services to the community at no charge or at a reduced charge. For example, Ladies Night Out is a creative seminar series featuring different health topics for women of all ages presented by SFBH professionals and physicians. Participants enjoy a night out with friends, have a light dinner and learn about health-related topics from our experts. The 2012 health topics included: Freedom from Acid Reflux Outsmart your health pitfalls: Top women's health issues Cancer in Men: What you should know Healthy eating and fitness through the holidays In 2012, SFBH partnered with Sweetbay Supermarkets to sponsor these seminars in efforts to promote the program more locally and to work in conjunction with Sweetbay's wellness campaigns. The partnership has proved to be an excellent pairing. Plant City Sweetbay Supermarket hosted the "Healthy eating and fitness through the holidays" seminar. Medical Care South Florida Baptist Hospital is committed to investing in highly qualified people, new technology and modern facilities that promote healing. We extend medical staff privileges to all qualified physicians in our community. In 2012, the hospital signed an agreement to provide prenatal care on-site at area Federal Qualified Healthcare Centers that serve the uninsured/underinsured and coordinated obstetrical services at SFBH so patients do not have to commute 25-35 miles to Tampa, FL for deliveries. The hospital also opened a comprehensive Breast Center for women, hired a physician oncologist and started an outpatient chemotherapy program so patients could receive treatment in their local community. In addition, in 2012 the hospital signed an agreement to provide hospital patients with a physician neurologist evaluation via telemedicine due to a deficiency of neurologists on-staff. In addition, the hospital converted a semi-private 36-bed hospital inpatient unit with shared toilets and community showers into a unit featuring larger, all-private rooms with dedicated toilet/shower facilities. South Florida Baptist Hospital works with Florida KidCare Insurance Outreach, Healthy Families Hillsborough, Family Support and Resource Centers and other organizations to help families find appropriate health care coverage. Community Needs Diabetes Management Diabetes Management provid
Part VI Line 6 - Affiliated Health Care SystemSouth Florida Baptist Hospital, Inc is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 20,100 employees, 10 not-for-profit hospitals, 14 outpatient centers, and a complete range of services, such as imaging, laboratory, behavioral health, and home care. BayCare hospitals include Mease Countryside, Mease Dunedin, Morton Plant, Morton Plant North Bay, St. Anthony's, South Florida Baptist, St. Joseph's, St. Joseph's Women's, St. Joseph's Children's, and St. Joseph's Hospital-North. St. Joseph's hospitals operate as one entity and file one Form 990. BayCare was founded in 1997 when the area's top not-for-profit hospitals came together, united by a common mission to improve the health of their communities and continue caring for all patients regardless of their ability to pay. In 2012, BayCare provided $188.6 million in community benefits, which includes $86.2 million in traditional charity care, $91.5 million in Medicaid and other means-tested programs, and $10.9 million in unbilled community services. All of these are measured in unreimbursed cost. BayCare's financial stability and centralization of shared services in finance, information technology and human resources strengthens each hospital's ability to allocate resources to meet the needs of their communities. BayCare's hospitals are located in three geographic regions, each with their own Boards of local leadership focused on their community's specific needs. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region, spending $1.2 billion on payroll and benefits for 20,100 employees. In 2012, BayCare added 500 new employees during a tough economy when unemployment rates in other areas remained high. To meet the health care needs of the community, BayCare provides expert medical care through a network with more than 200 access points connecting patients to a complete range of preventive, diagnostic and treatment services for any health care need. BayCare's network includes primary care and specialist physicians, urgent/immediate care centers, imaging, wellness centers, and 21 laboratory locations providing general, specialized and molecular testing. In addition, BayCare's home care division is one of the largest in Florida, providing 622,000 home health visits in 2012, helping patients leave the hospital sooner and recover at home where they are more comfortable. Recognizing the community's need for mental health services, BayCare also continues to be the largest, not-for-profit provider of behavioral health services in west central Florida. BayCare Behavioral Health offers inpatient, outpatient, in-home treatment, support group and case management services. BayCare's designated Baker Act-receiving facilities in Hillsborough, Pinellas, and Pasco counties provide inpatient crisis stabilization and partial hospitalization programs as part of the continuum of mental health care. BayCare also operates the only private, freestanding Baker Act-receiving hospitals in Hillsborough and Pasco counties. In 2012, BayCare began the process of assisting each hospital with a Community Health Needs Assessment (CHNA) as required by the Patient Protection and Affordable Care Act. As part of the process, BayCare conducted primary research with community stakeholders and focus groups, and secondary research to analyze the area's health status indicators, morbidity, mortality prevalence rates, socio-economic factors, behavioral risk factors, community needs scores, and prevention quality indicators. BayCare will use this information to develop reports for each hospital, implementation plans to address identified community needs, and specific measures to monitor progress. BayCare also continued developing its clinically integrated network, known as BayCare Physician Partners. This is a new model of care designed to improve the clinical coordination between employed physicians, independent physicians and health system resources. The goal of BayCare Physician Partners is to improve the overall health and patient experience of populations served by the network. More than 1,100 physicians joined BayCare Physician Partners in 2012. The network also approved 17 clinical performance measures for all of its member physicians and attained contractual agreements with three major health plans, affecting about 50,000 patient lives in the area. In addition to the strong growth of physician membership in 2012, BayCare Physician Partners continued developing the administrative and technology infrastructure needed to deliver the network's improved care coordination and overall population health in 2013. To meet the health care needs of a growing but medically underserved area in southern Hillsborough, BayCare has started construction on St. Joseph's Hospital South, a 352,000-square-foot, 90-bed, acute-care community hospital. The $237-million facility, which includes an 86,000-square-foot medical office building, is scheduled to open in 2015. In 2012, BayCare also successfully completed its seven-year implementation of a system-wide, electronic medical record at its 10 hospitals. With the completion of the project, all ancillary, nursing and physician staff members now document clinical information electronically, providing the entire care team with a more complete and more accurate care record, available in real time. BayCare hosted its largest annual Quality Sharing Day event in 2012, with more than 600 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects throughout the health system. The event featured 13 teams presenting summaries of successful process improvements and 80 storyboard exhibits on projects recognized for quality contributions. Since BayCare began its Six Sigma program in 2004, thousands of employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout the organization. To help educate future nurses and health care professionals, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College, and the Pinellas Technical Education Center. In 2012, BayCare also supported more than 90 community organizations and charities, big and small, through event sponsorships as part of the health system's commitment to the community. These organizations include the American Heart Association, Susan G. Komen for the Cure, American Cancer Society, the Tampa Bay Partnership: ONE BAY Healthy Communities, and local economic development councils and chambers of commerce.
Part VI Line 7 - State FilingN/A: South Florida Baptist Hospital, Inc does not file the Community Benefit Report.
Part VI Line 8 - Facility Reporting GroupAll answers provided in Part VI pertain to Facility Group A which includes South Florida Baptist Hospital.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1South Florida Baptist Hospital Foundation IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 N Alexander StAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33563ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient650598653EINOfRecipient
IRC Section501c3IRCSection
Amount Of Cash Grant41000AmountOfCashGrant
Purpose Of GrantGeneral SupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationThe organiztion is committed to assisting non-profit organizations whose focus is to improve the health and wellness of the communities we serve. Each cash donation request is reviewed by the senior management team to determine whether the organization is one we want to donate to, based on the organization's mission, non-profit status and usage of funds. Once approved, we require proper documentation from the organization of their non-profict status and follow up to ensure the activity has occured.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN KERR
ASST ADMIN, NURSING - SFB13492201611408924077100201300187800000
JACQUES VASCONCELLOS
DIRECTOR OPERATIONS - SFB13728101865505045047170185220184220000
STEPHEN NIERMAN
COO, S. FLORIDA BAPTIST HOSP022184807296809814067801019582039201300
KHAMWATIE SINGH
CLINICAL NURSE III12439504036036960114050114800155012000
MERCY NINAN
MANAGER PHARMACY13887101145407032076800169370181974000
DARLENE SMITH
CLINICAL NURSE III11355402358307845028880176350165505000
ROBERT KAUFFMAN
CLINICAL PHARMACIST1299920210004389070020191610162644000
LEE KIRKMAN
TRUSTEE032235304785205100021610012633040954800
ISAAC MALLAH
Ex-officio TRUSTEE AND PRsdnt0782636035827601978220543940190730141220100
CATHY YODER
CFO AND TREASURER0253641085067046803035673017248043843200

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationPart I, Line 3 The filing organization does not use any of the options listed in Schedule J, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization. Part I, Line 4b Isaac Mallah - Participated in a supplemental nonqualified deferred compensation plan. He had $139,781 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. His earnings on the plan in 2012 were $12,274. This amount is included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $50,950 in 2012. Stephen Nierman - Participated in a supplemental nonqualified deferred compensation plan. He had $0 in benefits vest in 2012. He had $42,309 of nonvested benefits accrue during 2012 and his earnings on the plan in 2012 were $6,192. These amounts are included in Part II (C) Retirement and other deferred compensation. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $36,780 in benefits vest in 2012. This amount is included in Part II (B)(iii) Other compensation. She had $16,435 of nonvested benefits accrue during 2012 and her earnings on the plan in 2012 were $10,720. These amounts are included in Part II (C) Retirement and other deferred compensation. The plan made cash distribution of $13,406 in 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family or Business Relationship Lee Kirkman, Isaac Mallah, Elaine Shimberg and Cathy Yoder are Board members of the Organization, as well as Board members of a taxable entity, which is an affiliate of the filing Organization. Part VI, Line 6 - Description of Classes of Members or Stockholders The members of South Florida Baptist Hospital, Inc. consist of twenty-one persons, who shall be members of Missionary Baptist Churches in Florida, affiliated with the Florida Baptist Convention and the Southern Baptist Convention. Part VI, Line 7a - Description of Classes of Persons and the Nature of Their Rights South Florida Baptist Hospital, Inc (SFBH) is a hospital participant in the Second Restated Joint Operating Agreement dated as of May 23, 2006 as amended (the "JOA"). Per the agreement, SFBH is organized into the St. Joseph's-Baptist Community Health Alliance and governed by its board. The governing board of the St. Joseph's Baptist Community Health Alliance will consist of twenty members, fifteen appointed by Catholic Health East and five appointed by South Florida. Part VI, Line 7b - Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights The taxpayer is a Participant, as defined in the Second Restated Joint Operating Agreement dated as of May 23, 2006, as amended (the "JOA"). Under the JOA, BayCare health System, Inc. is responsible for the operations of the Participants. The JOA Participants include the taxpayer and other hospitals and non-hospital organizations. Notice of the JOA was previously provided to the Internal Revenue Service by letter dated July 1, 1997. The following are rights granted to the Members of South Florida Baptist Hospital: Section 2. Member Reserved Rights. The business and affairs of the Corporation shall be managed by or under the direction of the Board of Directors of the Corporation except that the Member reserves to itself in its capacity as the corporate member of the Corporation the following two categories of actions: A. Class I Member Reserved Rights. 1. Addition, deletion or reconfiguration of services of the Corporation. 2. Establishment of overall capital and operating budgets and strategic plans applicable to the Corporation, including the use of the funds of the Corporation. 3. Exclusive authority to enter into managed care contracts on behalf of the Corporation. 4. Approval of contracts on behalf of the Corporation (but the Class I Member may establish policies from time to time providing that only specific types of contracts or contracts involving obligations in excess of specified levels need to be approved by the Class I Member). 5. Authority to establish fees and charges on behalf of the Corporation. 6. Determination of whether the Corporation should join any networks or alternative or integrated delivery systems. 7. Establishment of employment and other policies applicable to all personnel employed by the Corporation. 8. Approval of the philosophy, mission statement and purposes of the Corporation. 9. Approval of changes in the Articles of Incorporation or in the Bylaws of the Corporation. 10. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 11. Approval of the incurrence of indebtedness by the Corporation above certain limits established by the Class I Member. 12. Approval of the establishment of additional affiliates or subsidiaries of the Corporation. 13. Adoption of strategic plans or major changes in programs or services of the Corporation. 14. Approval of the purchase, sale, transfer, or other encumbrance of assets of the Corporation above specified levels established by the Class I Member. B. Class II Member Reserved Rights. 1. Approval of the philosophy, mission statement and purposes of the Corporation. 2. Approval of the merger, consolidation, dissolution, sale or other transfer of substantially all assets of the Corporation, or other change in corporate form, causing a fundamental reorganization of the Corporation. 3. Approval of the closure of a hospital facility of the Corporation. 4. Change in the name of the hospital facility of the Corporation. 5. Approval of substantive changes in the Articles of Incorporation of the Corporation and these Amended and Restated Bylaws. 6. With regard to any assets of the Corporation no longer required in the operations of the Corporation, approval of any sale or other disposition of any assets not in the ordinary course which have a value in excess of $3 million, and with regard to all other assets of the Corporation used in the operations of the Corporation, approval of any sale or other disposition of such assets not in the ordinary course (but the foregoing is not intended to limit any transfer of the location of the assets from the Corporation to another entity in connection with a duly authorized reconfiguration of services). Part VI, Line 11b - Describe the Process used by Management &/or Governing Body to Review 990 The Form 990 is prepared by the organization and reviewed by the CFO, as well as the organization's paid preparer. A final copy of the Form 990 was reviewed by a subcommittee of the Board of Directors. Prior to filing with the IRS, a final copy of the Form 990 will be made available to the entire Board via a web portal. Part VI, Line 12c - Description of Process to Monitor Transactions for Conflicts of Interest South Florida Baptist Hospital, Inc. has two separate conflict of interest procedures; one that relates to Board members and another that relates to non-board member employees. Both groups are required on an annual basis to complete, sign and file an annual disclosure statement detailing existing or potential conflicts of interests. For Board members, the review of conflicts or potential conflicts occurs at the Board or committee level. After disclosure of the Board Member's or Committee Member's actual or potential conflict, the following procedures for addressing the conflict of interest will be adhered to by each Board and all Committees with Board delegated powers, without exception: 1. The interested Director or Committee member shall leave the Board or Committee meeting while the conflict of interest issue is discussed. 2. The remaining Board or Committee Members shall decide if a conflict of interest exists. 3. If a conflict of interest is deemed to exist: a. The Chairperson of the Board or Committee shall, if appropriate, appoint a disinterested individual or committee to investigate the proposed transaction or arrangement. b. The Board or Committee shall determine whether the BayCare entity can obtain a more advantageous transaction or arrangement with reasonable efforts from an individual or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or arrangement is not reasonably available, the Board or Committee shall determine whether the transaction or arrangement is in the BayCare entity's best interest, and whether the transaction is fair and reasonable to BayCare. An interested Director or Committee Member shall not vote, participate in, influence or attempt to influence any determination or proceedings. The Director or Committee Member may, however, respond to questions posed by the Board or Committee regarding the contract or transaction. Any such contract or transaction must be authorized by a vote of at least two-thirds (2/3) of the Directors or Committee Members entitled to vote at a meeting at which a quorum was present. Any interested Director or Committee Member may not be counted in determining the existence of a quorum. For employees, the review of conflicts of interest or potential conflicts goes to the Conflict of Interest Determination Committee. This committee consists of BayCare Chief Compliance Officer, the Corporate Responsibility Officers, and the BayCare Vice President of Team Resources. This committee shall determine if an actual conflict exists and any action required to address the conflict of interest situation.
Part VIPart VI, Lines 15a & 15b - Process used for Compensation Review and Approval The filing organization does not directly compensate some of its top management employees; rather compensation is paid by a related organization that also follows the compensation policy of the Compensation Committee. The independent Compensation Committee is appointed by the Board of Directors. The Compensation Committee's purpose is to provide oversight for the organization's executive compensation program, review and approve compensation and benefits for all "disqualified persons" subject to the Intermediate Sanctions regulations issued under Section 4958 of the Internal Revenue Code (including the Chief Executive Officer, Chief Operating Officer & CFO, other system and entity executives, and other disqualified persons as defined in the Intermediate Sanctions regulations (i.e., voting members of the governing body, family members, former officers)), and establish the compensation philosophy for all other executives. This committee engages nationally recognized compensation consultants to assist them in review of executive compensation. The compensation consultants provide a review of each vice president and above in the system to determine if that employee's compensation is reasonable when compared against market standards. The data reviewed comes from compensation studies that include comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations. The organization keeps contemporaneous minutes of the compensation committees meetings and decisions. External consultants review compensation every other year, the last review occurring in 2011, but the compensation committee regularly monitors compensation and all other procedures are followed annually. Part VI, Line 16b - Procedure to evaluate Joint Venture Arrangements The organization has a joint venture committee of subject matter experts who review potential arrangements with taxable joint ventures. Included in its review are a review for compliance with relevant tax laws and a review of whether the joint venture furthers the organization's exempt purpose. Part VI, Line 19 - How and If the Governing Documents, Conflict of Interest Policy and Financial Statements are Made Available to the Public South Florida Baptist Hospital, Inc. publishes its financial statements with the Agency for Health Care Administration. Governing documents and policies are not available for public inspection.
Part XI, Line 9Change in net assets of foundation $594,370 Funds Transfer per JOA Agreement ($2,312,000) Unrealized gains on swaps $22,348 Contributions in tax income, not on books ($787,001) Other $15,000 Rounding $1 Total ($2,467,282)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BayCare Health System Inc
16255 Bay Vista DriveClearwaterFL33760592796965Support srvcsFL501(C)(3)11ANAfalse
South Florida Baptist Hospital Found Inc
301 N Alexander StreetPlant CityFL33563650598653FundraisingFL501(C)(3)11ANAfalse
St Joseph's Health Care Center Inc
3001 W Dr Martin Luther King Jr BTampaFL33607592593686Support srvcsFL501(C)(3)11BNAtrue
St Joseph's Hospital Inc
3001 W Dr Martin Luther King Jr BlTampaFL33607590774199Health srvcsFL501(C)(3)3NAtrue
SAN DAMIANO ENTERPRISES INC
3001 W DR MARTIN LUTHER KING JR BLTAMPAFL33607592822514HEALTH INVESTFL501(C)(3)11BSJHCCtrue
FRANCISCAN PROPERTIES
3001 W DR MARTIN LUTHER KING JR BLTAMPAFL33607592822519SUPPORTS SJHFL501(C)(3)11BSJHCCtrue
JOHN KNOX VILLIAGE OF TAMPA BAY INC
4100 FLETCHER AVENUETAMPAFL33613581377711RETIRE CMMNTYFL501(C)(3)9SJHCCtrue
ST JOSEPH'S HOSPITAL OF TAMPA FOUND
3001 W DR MARTIN LUTHER KINGTAMPAFL33607591100828FUNDRAISINGFL501(C)(3)11CSJHCCtrue
ST JOSEPH'S ANCILLARY SERVICES INC
3001 W DR MARTIN LUTHER KING JR BLTAMPAFL33607592795925HEALTH PROMOFL501(C)(3)11BSJHCCtrue
ST JOSEPH'S COMMUNITY CARE INC
3001 W DR MARTIN LUTHER KING BLVDTAMPAFL33607593152608MEDICAL ASSTFL501(C)(3)9SJHCCtrue
ST JOSEPH'S ENTERPRISES INC
3001 W DR MARTIN LUTHER KING JR BLTAMPAFL33607592822516HEALTH INVESTFL501(C)(3)11BSJHCCtrue
St Anthony's Prof Building & Serv
1200 7th Avenue NorthSt PetersburgFL33705592018848Real EstateFL501(C)(3)9SJHCCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsControlled OrgControlledOrg
Healthpoint Management Services Inc
4902 Eisenhower Blvd Suite 300TampaFL33634650645457Billing/MgmtFLnaC corp00true
Healthpoint Medical Group Inc
4902 Eisenhower Blvd Suite 300TampaFL33634593244268PHYSICIAN GROUPFLnaC corp00true
St Joseph's Physicians-Healthcenter Org
3001 W Dr Martin Luther King Jr BlvTampaFL33607592820509Holding companyFLnaC corp00true
St Joseph's Preferred Inc
3001 W Dr Martin Luther King Jr BlvTampaFL33607593055643Provider networkFLnaC corp00true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Franciscan Properties Inc
k76634FMV
St Joseph's Health Care Center Inc
m1684934FMV
St Joseph's Hospital Inc
m81640FMV
St Joseph's Hospital Inc
o118832FMV
Franciscan Properties Inc
s209612FMV
St Joseph's Hospital Inc
s401378FMV

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