FOUNDATION FOR A HEALTHY ST PETERSBURG INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR A HEALTHY ST PETERSBURG INC (EIN 59-2592846)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201333189349304668
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T14:00:44-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621517792 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERSHING YOAKLEY & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2963 GULF TO BAY BLVD STE 267 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337594255 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592592846 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bayfront Health System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BAYF | NameControl |
| Phone | 7278936698 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 744 Sixth Avenue South | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David Fischer | Name |
| Title | CEO & President | Title |
| Phone | 7278936698 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Terry Haefner | Name |
| PTIN | P01258953 | PTIN |
| Phone | 7274427110 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | David Fischer | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 744 Sixth Avenue South | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16979446 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.Bayfront.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O for Attached Supplemental Information.Bayfront Health System's Primary Exempt Purpose is to promote health care in the community by providing services to all of its affiliated health care providers. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 27 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 7419 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 16031186 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16983174 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -135767 | InvestmentIncomePriorYear |
| Investment Income Current Year | 111336 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 137441 | OtherRevenuePriorYear |
| Other Revenue Current Year | -115064 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16032860 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16979446 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3333817 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3269972 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12697367 | OtherExpensePriorYear |
| Other Expenses Current Year | 13713202 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16031184 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16983174 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1676 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3728 | RevenuesLessExpensesCY |
| Total Assets BOY | 117387333 | TotalAssetsBOY |
| Total Assets EOY | 112695505 | TotalAssetsEOY |
| Total Liabilities BOY | 102444045 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 101401813 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14943288 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11293692 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Bayfront Health System's mission is to provide quality healthcare for all we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16983174 | Expense |
| Revenue | 17065586 | Revenue |
| Description | See Schedule O for Attached Supplemental Information.Primary Exempt Purpose:Bayfront Health System's Primary Exempt Purpose is to promote health care in the community by providing services through all of its affiliated health care providers.Statement of Program Service Accomplishments:Bayfront Health System, Inc. is the parent company to-1) Bayfront Medical Center, Inc.2) Bayfront Health Foundation, Inc.3) Bayfront Enterprises, Inc.4) Bayfront Same Day Surgery Center, LLC5) Bayfront Insurance Solutions, LTDAs the parent company, Bayfront Health System provides management and oversight to all of its affiliated companies. Its role is to develop, own, and operate a quality driven healthcare delivery system, multiple charitable, educational and scholastic programs, and activities for the benefit of the community it serves.In its continuing mission to provide services which benefit the community, Bayfront Health System owns and operates Bayfront Medical Center, a hospital that provided $32.7 million in unfunded care in 2012. Bayfront Health System, Inc. leases space to Bayfront Medical Center, Inc. as well as to physicians, providing them office space in close proximity to the hospital and, therefore, a location which is readily accessible to inpatient care.Bayfront Enterprises operates six Convenient Care Clinics in the community. Bayfront Health System also owns a partnership interest in Bayfront Same Day Surgery Center, LLC and has a wholly owned subsidiary, Bayfront Insurance Solutions, LTD (the captive), which is an independent single parent captive insurance company domiciled in the Cayman Islands. | Description |
| Total Program Service Expense | 16983174 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 38 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 27 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Belinda Henderson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7278936295 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 744 6th Avenue South | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Bernie Young | |||||||
| Chair | 1.00 | X | 0 | 0 | 0 | ||
| James R Gillespie | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jay L Miller | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jeff Hearn | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Juan Escobales MD | |||||||
| Trustee | 1.00 | X | 0 | 2500 | 0 | ||
| Katie Pemble | |||||||
| Secretary/Treasurer | 1.00 | X | 0 | 0 | 0 | ||
| Monte Trammer | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Steven C Dupre ESQ | |||||||
| Vice Chair | 1.00 | X | 0 | 0 | 0 | ||
| Sue G Brody | |||||||
| President/CEO | 40.00 | X | 720046 | 0 | 30646 | X | |
| Trina Espinola MD | |||||||
| Officio | 1.00 | X | 0 | 46321 | 0 | ||
| Vibhuti Singh MD | |||||||
| Trustee | 1.00 | X | 0 | 918790 | 27390 | ||
| Larry Davis MD | |||||||
| Ex Officio | 1.00 | X | 0 | 0 | 0 | ||
| H William Heller EdD | |||||||
| Ex Officio | 1.00 | X | 0 | 0 | 0 | ||
| Robert W Thornton | |||||||
| Vice President/CFO | 40.00 | 429734 | 0 | 32828 | X | ||
| Eric Feder | |||||||
| Vice President/COO | 40.00 | 484422 | 0 | 34388 | X | ||
| David Weiland MD | |||||||
| Vice President - Medical Affairs | 40.00 | 311604 | 0 | 85612 | X | ||
| Emily B Connors | |||||||
| Vice President - Foundation | 40.00 | 144786 | 0 | 42097 | X | ||
| Karen Long | |||||||
| Vice President - Nursing | 40.00 | 256701 | 0 | 11198 | X | ||
| Jatin Motiwal | |||||||
| Vice President - Clinical Services | 40.00 | 182849 | 38049 | 58724 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2530142 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1005660 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 322883 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| All Children's Hospital | |||||
| 550 9th Ave South FL 3 Dept of Fin | St Petersburg | FL | 337015210 | Space Rental/Cleaning/Catering | 1700875 |
| Foley & Lardner LLP | |||||
| 100 N Tampa St Suite 2700 | St Petersburg | FL | 33602 | Legal Services | 701350 |
| Paroo and Associates | |||||
| 6126 Kipps Colony Drive West | Gulfport | FL | 33707 | Consulting Services | 662181 |
| Ernst & Young | |||||
| PO Box 933514 | Atlanta | GA | 311933514 | Audit/Tax Services | 277911 |
| Radey Thomas Yon & Clark | |||||
| 301 S Bronough Street Suite 200 | Tallahassee | FL | 32302 | Legal Services | 199777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Space Rental Revenue | 531120 | 9879715 | 9879715 | |
| Management Fee Revenue | 561000 | 6823229 | 6823229 | |
| Parking Revenue | 812930 | 277065 | $277,065 | |
| Miscellaneous | 561000 | 3165 | $3,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16983174 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53202 | TotalRevenueColumn |
| Exclusion | $53,202 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 58134 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 58134 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58134 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58134 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Income from BISL, LTD. | 900099 | 1459594 | $1,459,594 | ||
| Income from Premier Purchasing Pa | 561000 | 556447 | 549028 | 7419 | |
| Income from BSDS LLC | 621990 | -524750 | -524750 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1606355 | TotalRevenueColumn |
| Exclusion | -$1,606,355 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -115064 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16979446 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16785356 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 7419 | UnrelatedBusinessRevenue |
| Exclusion | $186,671 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1149780 | Total |
| Program Services | 1149780 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1288193 | Total |
| Program Services | 1288193 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77721 | Total |
| Program Services | 77721 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648021 | Total |
| Program Services | 648021 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106257 | Total |
| Program Services | 106257 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1458798 | Total |
| Program Services | 1458798 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292500 | Total |
| Program Services | 292500 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1657347 | Total |
| Program Services | 1657347 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8870 | Total |
| Program Services | 8870 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77160 | Total |
| Program Services | 77160 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25703 | Total |
| Program Services | 25703 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4221438 | Total |
| Program Services | 4221438 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17161 | Total |
| Program Services | 17161 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2850379 | Total |
| Program Services | 2850379 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2040312 | Total |
| Program Services | 2040312 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91164 | Total |
| Program Services | 91164 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Dues and Licenses | 423468 | 423468 |
| Parking Expense | 355635 | 355635 |
| Relocation and Recruitm | 60319 | 60319 |
| Maintenance Contracts | 59715 | 59715 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73233 | Total |
| Program Services | 73233 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16983174 | Total |
| Program Services | 16983174 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13658 | BOY |
| EOY | 2472 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 214599 | BOY |
| EOY | 98018 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 69880558 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 26392782 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45403098 | BOY |
| EOY | 43487776 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8531143 | BOY |
| EOY | 6278539 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63224835 | BOY |
| EOY | 62828700 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117387333 | BOY |
| EOY | 112695505 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1074611 | BOY |
| EOY | 1498943 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8927062 | BOY |
| EOY | 8930321 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77802166 | BOY |
| EOY | 75849150 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14640206 | BOY |
| EOY | 15123399 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102444045 | BOY |
| EOY | 101401813 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14943288 | BOY |
| EOY | 11293692 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14943288 | BOY |
| EOY | 11293692 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117387333 | BOY |
| EOY | 112695505 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3728 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 83102 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -3728970 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11218110 | OtherCostOrOtherBasis |
| Book Value | 11218110 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41596650 | OtherCostOrOtherBasis |
| Depreciation | 17382367 | Depreciation |
| Book Value | 24214283 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1876778 | OtherCostOrOtherBasis |
| Depreciation | 378445 | Depreciation |
| Book Value | 1498333 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12552813 | OtherCostOrOtherBasis |
| Depreciation | 8192602 | Depreciation |
| Book Value | 4360211 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2636207 | OtherCostOrOtherBasis |
| Depreciation | 439368 | Depreciation |
| Book Value | 2196839 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 43487776 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investment in BSDS, LLC | -2832317 | C |
| Investment in Premier | 485852 | C |
| Interest in Net Assets of Foundation | 135156 | C |
| Investment in BISL | 8489848 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 6278539 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due From Affiliates | 61352345 |
| Other Receivables | 157558 |
| Bond Issuance Costs | 409093 |
| Credit Valuation Adjustment | 497204 |
| Bond Sinking Fund | 412500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 62828700 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| MOB Lease Obligation | $3,398,169 |
| Interest Rate Swap Liability | $7,348,208 |
| Heart Center Parking Obligation | $1,162,687 |
| Deferred Rent | $3,214,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15123399 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Deferred income taxes reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2012 and 2011, the System had deferred tax assets of $1,213,000 and $1,869,000, respectively, relating principally to net operating loss carryovers. ASC Topic 740, Income Taxes, requires a valuation allowance to reduce the deferred tax assets reported if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. After consideration of all the evidence, both positive and negative, management determined that a $795,000 and $1,326,000 allowance at December 31, 2012 and 2011, respectively, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. The change in the valuation allowance for the current year is a decrease of $531,000. At December 31, 2012, the System has available net operating loss carryforwards of $3,223,000, which begin expiring in the year 2013. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Cayman Islands | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | Insurance | SpecificServicesProvided |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sue G Brody | ||||||||||||||
| President/CEO | 578445 | 0 | 0 | 0 | 141601 | 0 | 11054 | 0 | 19592 | 0 | 750692 | 0 | 0 | 0 |
| Vibhuti Singh MD | ||||||||||||||
| Trustee | 0 | 698071 | 0 | 0 | 0 | 220719 | 0 | 11059 | 0 | 16331 | 0 | 946180 | 0 | 0 |
| Robert W Thornton | ||||||||||||||
| Vice President/CFO | 349721 | 0 | 0 | 0 | 80013 | 0 | 10562 | 0 | 22266 | 0 | 462562 | 0 | 0 | 0 |
| Eric Feder | ||||||||||||||
| Vice President/COO | 350481 | 0 | 0 | 0 | 133941 | 0 | 13340 | 0 | 21048 | 0 | 518810 | 0 | 0 | 0 |
| David Weiland MD | ||||||||||||||
| Vice President - Medical Affairs | 310873 | 0 | 0 | 0 | 731 | 0 | 68379 | 0 | 17233 | 0 | 397216 | 0 | 0 | 0 |
| Emily B Connors | ||||||||||||||
| Vice President - Foundation | 144513 | 0 | 0 | 0 | 273 | 0 | 29086 | 0 | 13011 | 0 | 186883 | 0 | 0 | 0 |
| Karen Long | ||||||||||||||
| Vice President - Nursing | 201081 | 0 | 28839 | 0 | 26781 | 0 | 0 | 0 | 11198 | 0 | 267899 | 0 | 0 | 0 |
| Jatin Motiwal | ||||||||||||||
| Vice President - Clinical Services | 178482 | 38049 | 0 | 0 | 4367 | 0 | 42205 | 0 | 16519 | 0 | 241573 | 38049 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | Sue Brody - Participated in a supplemental nonqualified deferred compensation plan. She had $116,988 in benefits vest in 2012. This amount is included in Part II Column B(iii). She also had $29 of earnings vest in 2012. This amount is included in Part II Column C. Robert Thornton - Participated in a supplemental nonqualified deferred compensation plan. He had $64,599 in benefits vest in 2012. This amount is included in Part II Column B(iii). He also had ($438) of loss vest in 2012. This amount is included in Part II Column C. Eric Feder - Participated in a supplemental nonqualified deferred compensation plan. He had $117,205 in benefits vest in 2012. This amount is included in Part II Column B(iii). He also had $2,915 of earnings vest in 2012. This amount is included in Part II Column C. David Weiland - Participated in a supplemental nonqualified deferred compensation plan. He had $47,249 in contributions that are not vested in 2012. This amount is included in Part II Column C. He also had $2,341 of not vested earnings in 2012. Emily B. Connors - Participated in a supplemental nonqualified deferred compensation plan. She had $22,249 in contributions that are not vested in 2012. This amount is included in Part II Column C. She also had $428 of not vested earnings in 2012. Jatin Motiwal - Participated in a supplemental nonqualified deferred compensation plan. He had $32,991 in contributions that are not vested in 2012. This amount is included in Part II Column C. He also had $1,241 of not vested earnings in 2012. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Pinellas County Health Facilities Authority | ||||||||
| A | 596000800 | 72316MEK1 | 2004-04-22 | 49700000 | Proj. Fund & Refund of Series 1993 | 0 | 0 | 0 |
| Pinellas County Health Facilities Authority | ||||||||
| B | 592384219 | 72316MES4 | 2006-09-02 | 32000000 | Proj. Fund & Refund of Series 1989 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 49700000 | 22882029 | 654578 | 26163393 | 2007 | 1 | 0 | 1 | 1 |
| B | 32000000 | 3075173 | 551078 | 28373749 | 2008 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SunTrust | ||||||||||||||
| A | 0 | 0 | 0 | 0 | 1 | 1 | 12.000000000000 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
| SunTrust | ||||||||||||||
| B | 0 | 0 | 0 | 0 | 1 | 1 | 12.000000000000 | 0 | 0 | 0 | NA | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The contents of the 990 were reviewed with the Chairman of the Board of the company prior to filing for input. In addition, copies of the 990s were made available to all Board of Trustee members subsequent to filing. | |
| Form 990, Part VI, Section B, line 12c | Conflict of interest statements are reviewed by the Corporate Compliance Office. If there is a potential conflict, there is a discussion with the employee or board member and appropriate action is taken if necessary. | |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO and top management is determined by use of a compensation committee, independent compensation consultants, Forms 990 of other organizations, and compensation surveys. The compensation committee meets annually to discuss and approve the compensation plans. | |
| Form 990, Part VI, Section C, line 19 | Bayfront Health System's governing documents, conflict of interest policy, and financial statements are available to the public upon request. | |
| Form 990, Part XI, line 9: | Book/Tax Difference Bayfront Same Day Surgery Center -3,187,807. Book/Tax Difference Premier Purchasing Partners -558,276. Change in Net Assets of the Foundation -1,971. Net Assets Released from Restriction 19,084. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Bayfront Health Foundation Inc | |||||||||
| 701 Sixth Street South | St Petersburg | FL | 33701 | 311492316 | Fundraising | FL | 501(c)(3) | 11A - Type 1 | 0 |
| Bayfront Medical Center Inc | |||||||||
| 701 Sixth Street South | St Petersburg | FL | 33701 | 591218020 | Hospital | FL | 501(c)(3) | 3 | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bayfront Same Day Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 Sixth Street South | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731637544 | EIN |
| Primary Activity | Surgery Center | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | -524750 | ShareOfTotalIncome |
| Share Of EOY Assets | 1638703 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50960 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bayfront Enterprises Inc | ||||||||||||||||
| 701 Sixth Street South | St Petersburg | FL | 33701 | 592592872 | Physician Services | FL | C | 7439161 | 4990334 | 1.00000 | 0 | |||||
| Bayfront Insurance Solutions LTD | ||||||||||||||||
| 980680280 | Insurance Services | C | 8984743 | 33815913 | 1.00000 | 0 | PO Box 69 720 West Bay Rd | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Bayfront Medical Center Inc | ||
| R | 808799 | Fair Value |
| Bayfront Health Foundation Inc | ||
| P | 726580 | Fair Value |
| Bayfront Same Day Surgery Center LLC | ||
| R | 883920 | Fair Value |
| Bayfront Enterprises Inc | ||
| P | 488074 | Fair Value |
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