2013-11-11T14:01:02-06:00 2012-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2012-01-01 590594631 South Florida Baptist Hospital Inc % CARL TREMONTI SOUT 8137571245 301 North Alexander Street Suite Plant City FL 33566 CARL TREMONTI 2013-11-07 4048748300 2012 2016-02-24 21:20:13Z Glenn Waters 301 N Alexander Street Plant City FL 33566 172091491 false X www.sjbhealth.org X 1945 FL South 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. 19 17 808 206 4322 341958 787001 89672330 97047392 4640408 3521853 586870 3465658 95241566 104821904 2250 41000 0 0 38904374 39106180 0 0 0 49447464 50435531 88354088 89582711 6887478 15239193 136639761 117127420 50339510 11724068 86300251 105403352 SOUTH 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. false false 78290091 41000 99990938 South 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. 78290091 true true false true false false false false false false true false false true true false false true false false false false false true true false true true true false true false false false false false false false false false false false false false true true true false false true 129 0 true 808 true false false false false false false false false false false X 19 17 true false false false true true true true true false false true true true true true true true true true true X CARL TREMONTI 7274627176 301 N ALEXANDER ST Plant City FL 33566 MARY ARGHITTU 1.0 4.0 X MICHAEL BOOHER 1.0 2.0 X JOHN BORRECA 1.0 3.0 X X DONNA JORDAN 1.0 2.0 X CAROLYN MCMULLEN 1.0 2.0 X DOMENICK REINA 1.0 2.0 X BRUCE RODWELL 1.0 3.0 X X GLADYS SHARKEY 1.0 4.0 X WILLIAM WEST 1.0 3.0 X ALBERT WHITAKER 1.0 2.0 X LEE KIRKMAN 1.0 47.0 X 0 375305 34243 ISAAC MALLAH 1.0 51.0 X X 0 1338734 73467 RICK COLON 1.0 2.0 X GENE MARSHALL 1.0 2.0 X WINNIE MARVEL 1.0 2.0 X ERIC OBECK 1.0 3.0 X ROBERT BASKIN 1.0 2.0 X JUDITH LISI 1.0 2.0 X ELAINE SHIMBERG 1.0 2.0 X BRENDA BALICKI 1.0 47.0 X 63107 13366 CATHY YODER 1.0 51.0 X 0 385511 52921 KAREN KERR 45.0 X 159960 0 27840 JACQUES VASCONCELLOS 45.0 X 160981 0 23239 STEPHEN NIERMAN 1.0 45.0 X 0 304630 87383 KHAMWATIE SINGH 45.0 X 132127 0 22885 MERCY NINAN 45.0 X 157357 0 24617 DARLENE SMITH 45.0 X 144982 0 20523 ROBERT KAUFFMAN 45.0 X 136481 0 26163 SEAN USTIC 45.0 X 118466 8500 1010354 2467287 415147 25 false true false CHARLES PERRY PARTNERS INC 8200 NW 15TH PLACE GAINESVILLE FL 32606 construction service 731974 LOCKWOOD STEELY MDS PA 301 N ALEXANDER ST PLANT CITY FL 33566 anesthesiology svs 565048 BAY LINEN INC 11525 47TH ST NORTH CLEARWATER FL 33762 laundry services 530168 HENNESSY CONSTRUCTION SVCS 2300 22ND ST NORTH ST PETERSBURG FL 33713 construction svcs 419660 GULLAB SHER 17913 BAHAMA ISLE DR TAMPA FL 33647 physician services 340312 18 737782 49219 787001 HOSPITAL PATIENT CARE 621990 47793907 47793907 MEDICARE/MEDICAID NET REVENUE 621990 49253485 49253485 97047392 2212222 4322 2207900 0 0 23875 23875 0 23875 23875 68547966 2200 67240535 1307431 2200 1309631 1309631 44954 29052 15902 15902 0 0 CAFETERIA 722514 482335 482335 MISCELLANEOUS 621990 61783 61783 COMMUNITY AFFAIRS 523000 355 355 2881408 2881408 3425881 104821904 99990938 4322 4039643 41000 41000 0 0 0 372020 372020 0 32555312 32374852 180460 1129404 1123144 6260 2703668 2688681 14987 2345776 2315638 30138 0 56295 56295 0 2833 2833 0 303668 303668 4056918 3857708 199210 401520 397088 4432 1431972 566210 865762 165665 97695 67970 0 1684268 1661963 22305 49345 3426 45919 0 0 1042897 1042897 0 6140168 6126754 13414 526885 181782 345103 MEDICAL SUPPLIES 13296319 13294405 1914 MANAGEMENT FEES 8525232 8525232 BAD DEBT EXPENSE 8149506 8149506 PURCHASED SERVICES 2211520 2174759 36761 2390520 2189750 200770 89582711 78290091 11292620 0 3117743 1050 0 0 0 0 9983450 10202526 0 0 0 0 562782 234239 1805657 2017933 698711 723391 92686465 55593912 37671111 37092553 41051706 0 35190457 0 5841159 5736186 0 0 716985 61119542 136639761 117127420 5117181 5096647 0 0 669882 0 0 0 0 0 0 0 0 0 0 0 44552447 6627421 50339510 11724068 X 83450250 102567142 2850001 2836210 0 0 86300251 105403352 136639761 117127420 X 15239193 6331190 -2467282 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2833 2833 false false PART II-B, Line 1i Dues were paid to the Florida Hospital Association, this association uses a portion of their dues to conduct lobbying activities. 2754751 2754751 54855068 29643391 25211677 59922 44941 14981 32400108 25905580 6494528 2616616 2616616 37092553 PHYSICAN RECEIVABLES 427106 DUE FROM AFFILIATES 60692436 61119542 0 EST 3RD PARTY SETTLEMENT 6627421 6627421 110583669 6331190 22348 6353538 104230131 591773 591773 104821904 89204776 89204776 377935 377935 89582711 Schedule D Supplemental Information Schedule 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 $377,935 GOLF TOURNAMENT 44954 44954 4353 7335 212 17152 0 44954 44954 4353 7335 212 17152 29052 15902 true true X true X 250. false true true false true true 1 7866 4417825 4417825 0.05430 1 18311 15529266 10220457 5308808 0.06520 1 2751 2622678 1431274 1191403 0.01460 3 28928 22569769 11651731 10918036 0.13410 18 4933 67995 1455 66540 0.00080 13 515 576612 576612 0.00710 7 1818 19347 19347 0.00020 38 7266 663954 1455 662499 0.00810 41 36194 23233723 11653186 11580535 0.14220 true 8149506 3773321 18662013 19401839 -739826 X true true 1 1 South Florida Baptist Hospital Inc

301 N Alexander St Plant City FL 33566

www.sjbhealth.org X X X A A - South Florida Baptist Hosp Inc 1 true true 250. false true X X X X X X X true true X X X true X false X X X X true X false false Part I Line 3c Patients 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 6a N/A - The Community Benefit Report is available to the public. Part I Line 7 Financial 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 f Bad 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,& 4 The 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 8 Cost 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 9b Patients 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 11 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 V Section B Line 14 Contact 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 16 Lien action related to collections is limited to patients involving auto liability insurance. Part V Section B Line 20d Patients 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 Assessent South 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 Assistance South 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 Information South 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 Health South 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 System South 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 Filing N/A: South Florida Baptist Hospital, Inc does not file the Community Benefit Report. Part VI Line 8 - Facility Reporting Group All answers provided in Part VI pertain to Facility Group A which includes South Florida Baptist Hospital. true South Florida Baptist Hospital Foundation Inc 301 N Alexander St Plant City FL 33563 650598653 501c3 41000 General Support 1 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants The 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. false true false false false false false false false KAREN KERR 134922 0 16114 0 8924 0 7710 0 20130 0 187800 0 0 0 JACQUES VASCONCELLOS 137281 0 18655 0 5045 0 4717 0 18522 0 184220 0 0 0 STEPHEN NIERMAN 0 221848 0 72968 0 9814 0 67801 0 19582 0 392013 0 0 KHAMWATIE SINGH 124395 0 4036 0 3696 0 11405 0 11480 0 155012 0 0 0 MERCY NINAN 138871 0 11454 0 7032 0 7680 0 16937 0 181974 0 0 0 DARLENE SMITH 113554 0 23583 0 7845 0 2888 0 17635 0 165505 0 0 0 ROBERT KAUFFMAN 129992 0 2100 0 4389 0 7002 0 19161 0 162644 0 0 0 LEE KIRKMAN 0 322353 0 47852 0 5100 0 21610 0 12633 0 409548 0 0 ISAAC MALLAH 0 782636 0 358276 0 197822 0 54394 0 19073 0 1412201 0 0 CATHY YODER 0 253641 0 85067 0 46803 0 35673 0 17248 0 438432 0 0 Supplemental Compensation Information Part 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. Part VI Part 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 VI Part 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 9 Change 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) BayCare Health System Inc 16255 Bay Vista Drive Clearwater FL 33760 592796965 Support srvcs FL 501(C)(3) 11A NA false South Florida Baptist Hospital Found Inc 301 N Alexander Street Plant City FL 33563 650598653 Fundraising FL 501(C)(3) 11A NA false St Joseph's Health Care Center Inc 3001 W Dr Martin Luther King Jr B Tampa FL 33607 592593686 Support srvcs FL 501(C)(3) 11B NA true St Joseph's Hospital Inc 3001 W Dr Martin Luther King Jr Bl Tampa FL 33607 590774199 Health srvcs FL 501(C)(3) 3 NA true SAN DAMIANO ENTERPRISES INC 3001 W DR MARTIN LUTHER KING JR BL TAMPA FL 33607 592822514 HEALTH INVEST FL 501(C)(3) 11B SJHCC true FRANCISCAN PROPERTIES 3001 W DR MARTIN LUTHER KING JR BL TAMPA FL 33607 592822519 SUPPORTS SJH FL 501(C)(3) 11B SJHCC true JOHN KNOX VILLIAGE OF TAMPA BAY INC 4100 FLETCHER AVENUE TAMPA FL 33613 581377711 RETIRE CMMNTY FL 501(C)(3) 9 SJHCC true ST JOSEPH'S HOSPITAL OF TAMPA FOUND 3001 W DR MARTIN LUTHER KING TAMPA FL 33607 591100828 FUNDRAISING FL 501(C)(3) 11C SJHCC true ST JOSEPH'S ANCILLARY SERVICES INC 3001 W DR MARTIN LUTHER KING JR BL TAMPA FL 33607 592795925 HEALTH PROMO FL 501(C)(3) 11B SJHCC true ST JOSEPH'S COMMUNITY CARE INC 3001 W DR MARTIN LUTHER KING BLVD TAMPA FL 33607 593152608 MEDICAL ASST FL 501(C)(3) 9 SJHCC true ST JOSEPH'S ENTERPRISES INC 3001 W DR MARTIN LUTHER KING JR BL TAMPA FL 33607 592822516 HEALTH INVEST FL 501(C)(3) 11B SJHCC true St Anthony's Prof Building & Serv 1200 7th Avenue North St Petersburg FL 33705 592018848 Real Estate FL 501(C)(3) 9 SJHCC true Healthpoint Management Services Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 650645457 Billing/Mgmt FL na C corp 0 0 true Healthpoint Medical Group Inc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634 593244268 PHYSICIAN GROUP FL na C corp 0 0 true St Joseph's Physicians-Healthcenter Org 3001 W Dr Martin Luther King Jr Blv Tampa FL 33607 592820509 Holding company FL na C corp 0 0 true St Joseph's Preferred Inc 3001 W Dr Martin Luther King Jr Blv Tampa FL 33607 593055643 Provider network FL na C corp 0 0 true false false true true false false false true true false true false true false true false false true true Franciscan Properties Inc k 76634 FMV St Joseph's Health Care Center Inc m 1684934 FMV St Joseph's Hospital Inc m 81640 FMV St Joseph's Hospital Inc o 118832 FMV Franciscan Properties Inc s 209612 FMV St Joseph's Hospital Inc s 401378 FMV