SOUTH FLORIDA BAPTIST HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTH FLORIDA BAPTIST HOSPITAL INC (EIN 59-0594631)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223189349304472
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T16:24:44-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1
CityATLANTACity
StateGAState
ZIP Code30308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590594631EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCATHY YODERName
TitleCFOTitle
Date Signed2012-11-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4048748300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonStephen NiermanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1301 N Alexander StreetAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode
FieldValueIRS element (for citing)
Gross Receipts201525840GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sjbhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSouth Florida Baptist Hospital will improve the health of all we serve through community-owned health care services that set the standard for high quality, compassionate care.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees819TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI1787TotalGrossUBI
Net Unrelated Business Txbl Income708NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year277181ContributionsGrantsPriorYear
Contributions Grants Current Year341958ContributionsGrantsCurrentYear
Program Service Revenue Prior Year90443581ProgramServiceRevenuePriorYear
Program Service Revenue CY89672330ProgramServiceRevenueCY
Investment Income Prior Year3481031InvestmentIncomePriorYear
Investment Income Current Year4640408InvestmentIncomeCurrentYear
Other Revenue Prior Year590558OtherRevenuePriorYear
Other Revenue Current Year586870OtherRevenueCurrentYear
Total Revenue Prior Year94792351TotalRevenuePriorYear
Total Revenue Current Year95241566TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2250GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year38423208SalariesEtcPriorYear
Salaries Etc Current Year38904374SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year50294895OtherExpensePriorYear
Other Expenses Current Year49447464OtherExpensesCurrentYear
Total Expenses Prior Year88718103TotalExpensesPriorYear
Total Expenses Current Year88354088TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6074248RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6887478RevenuesLessExpensesCY
Total Assets BOY134742319TotalAssetsBOY
Total Assets EOY136639761TotalAssetsEOY
Total Liabilities BOY47699211TotalLiabilitiesBOY
Total Liabilities EOY50339510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY87043108NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86300251NetAssetsOrFundBalancesEOY
Mission DescriptionSouth Florida Baptist Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense76425816Expense
Grants2250Grants
Revenue89730279Revenue
DescriptionSouth Florida Baptist Hospital (SFBH) is a full-service 147-bed community hospital. During 2011, SFBH provided inpatient care to 6,013 patients, treated 42,992 patients in the emergency department, and delivered 326 babies. Through efforts of the medical assistance program and the hospital's charity care program SFBH saw a net community benefit expense of $10.8 million. The hospital also provided other community services totaling more than $990 thousand. Some of the programs included Relay for Life, Faith Community Nursing, and San Jose Mission. Refer to Schedule H for additional information.Description
Total Program Service Expense76425816TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096142NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees819NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCathy YoderNamePerson
Telephone Number8138704235TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 N Alexander StAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33566ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARY ARGHITTU
TRUSTEE1.0X000
MICHAEL BOOHER
TRUSTEE1.0X000
JOHN BORRECA
TRUSTEE AND CHAIRMAN1.0X000X
STEPHEN BUCKLEY
TRUSTEE1.0X000
DONNA JORDAN
TRUSTEE1.0X000
CAROLYN MCMULLEN
TRUSTEE1.0X000
WALWIN METZGER
TRUSTEE1.0X000
DOMENICK REINA
TRUSTEE1.0X000
BRUCE RODWELL
TRUSTEE AND VICE CHAIRMAN1.0X000X
GLADYS SHARKEY
TRUSTEE1.0X000
STEVE SMITH
TRUSTEE1.0X000
DAVID STAMPS
TRUSTEE1.0X000
WILLIAM WEST
TRUSTEE1.0X000
ALBERT WHITAKER
TRUSTEE1.0X000
LEE KIRKMAN
TRUSTEE1.0X049337933672
ISAAC MALLAH
EX OFFICIO TRUSTEE AND PRSDNT1.0X0140830630022X
DEBORAH COAKLEY
TRUSTEE1.0X000
RICK COLON
TRUSTEE1.0X000
GENE MARSHALL
TRUSTEE1.0X000
WINNIE MARVEL
TRUSTEE1.0X000
ERIC OBECK
TRUSTEE1.0X000
BRENDA BALICKI
SECRETARY1.00611976747X
CATHY YODER
CFO AND TREASURER1.0035746640358X
KAREN KERR
ASST ADMIN, NURSING - SFB45.0155202016863X
JACQUES VASCONCELLOS
DIRECTOR OPERATIONS - SFB45.0153494015888X
STEPHEN NIERMAN
COO, S. FLORIDA BAPTIST HOSP1.0028208759634X
KHAMWATIE SINGH
CLINICAL NURSE III45.0148081016227X
MERCY NINAN
MANAGER PHARMACY45.0147152011040X
DARLENE SMITH
CLINICAL NURSE III45.0146316012171X
ROBERT KAUFFMAN
CLINICAL PHARMACIST45.0132768016670X
DONNA WASHBURN
MANAGER NURSE45.0116197012340X
FieldValueIRS element (for citing)
Total Reportable Comp From Org999210TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2602435TotalReportableCompFrmRltdOrgs
Total Other Compensation271632TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LOCKWOOD STEELY MDS PA
301 ALEXANDER STPLANT CITYFL33566ANESTHESIOLOGY SVCS560193
BAY LINEN INC
11525 47TH ST NORTHCLEARWATERFL33762LAUNDRY SERVICES498689
ADVANCED CARE HOSPITALISTS
17913 BAHAMA ISLE DRTAMPAFL33647Physician Services289562
FLORIDA GASTROENTEROLOGY ASSOC
508 N ALEXANDER STREETPLANT CITYFL33563PHYSICIAN SERVICES279243
HHA SERVICES INC
22622 HARPER AVEST CLAIR SHORESMI48080FOOD & FACILITY MGMT238452
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations305167RelatedOrganizations
Government Grants36791GovernmentGrants
Total Contributions341958TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL PATIENT CARE6219994770988847709888
MEDICARE/MEDICAID NET REVENUE6219994196244241962442
FieldValueIRS element (for citing)
Total Program Service Revenue89672330TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2201851TotalRevenueColumn
Exclusion$2,201,851ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56979Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real56979Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column56979TotalRevenueColumn
Exclusion$56,979ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities108687346Securities
Other11200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities106259989Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2427357Securities
Other11200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2438557TotalRevenueColumn
Exclusion$2,438,557ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events43140GrossIncomeFundraisingEvents
Fundraising Direct Expenses24285FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column18855TotalRevenueColumn
Exclusion$18,855ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722210453087$453,087
MISCELLANEOUS62199957949561621787
FieldValueIRS element (for citing)
Total Other Revenue511036TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column95241566TotalRevenueColumn
Related Or Exempt Function Income89728492RelatedOrExemptFunctionIncome
Unrelated Business Revenue1787UnrelatedBusinessRevenue
Exclusion$5,169,329ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2250Total
Program Services2250ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total341447Total
Management And General341447ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32270728Total
Program Services32061929ProgramServices
Management And General208799ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1069841Total
Program Services1062919ProgramServices
Management And General6922ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2913138Total
Program Services2894289ProgramServices
Management And General18849ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2309220Total
Program Services2277666ProgramServices
Management And General31554ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48989Total
Management And General48989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total274974Total
Management And General274974ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3933597Total
Program Services3808023ProgramServices
Management And General125574ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total434405Total
Program Services434342ProgramServices
Management And General63ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1519603Total
Program Services659600ProgramServices
Management And General860003ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total65254Total
Program Services60284ProgramServices
Management And General4970ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1715325Total
Program Services1694371ProgramServices
Management And General20954ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46292Total
Program Services3616ProgramServices
Management And General42676ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1110757Total
Program Services1110757ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6341511Total
Program Services6327315ProgramServices
Management And General14196ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1120244Total
Management And General1120244ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES117076461170758759
MANAGEMENT FEES86624418662441
BAD DEBT EXPENSE82537898253789
PURCHASED SERVICES1730642171681213830

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2481995Total
Program Services2350267ProgramServices
Management And General131728ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total88354088Total
Program Services76425816ProgramServices
Management And General11928272ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY139521BOY
EOY3117743EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9688792BOY
EOY9983450EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY510531BOY
EOY562782EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1774880BOY
EOY1805657EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY794968BOY
EOY698711EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis89107373LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51436262LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39598761BOY
EOY37671111EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY43232978BOY
EOY41051706EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31838733BOY
EOY35190457EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY6149893BOY
EOY5841159EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1013262BOY
EOY716985EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY134742319BOY
EOY136639761EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5309386BOY
EOY5117181EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY440222BOY
EOY669882EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41949603BOY
EOY44552447EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47699211BOY
EOY50339510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY84006328BOY
EOY83450250EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3036780BOY
EOY2850001EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY87043108BOY
EOY86300251EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY134742319BOY
EOY136639761EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6887478ReconcilationRevenueExpenses
Reconcilation Other Changes-7630335ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$19OtherActivitiesAmount
Total Lobbying Expenditures IIB19TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2623039OtherCostOrOtherBasis
Book Value2623039BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54560399OtherCostOrOtherBasis
Depreciation27487751Depreciation
Book Value27072648BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis59922OtherCostOrOtherBasis
Depreciation32957Depreciation
Book Value26965BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31496869OtherCostOrOtherBasis
Depreciation23915553Depreciation
Book Value7581316BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis367143OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value367143BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37671111TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HARBORVEST FUND2296246C
MREP148698C
PARK STREET10602C
OAKTREE CAPITAL MGMT3608431F
LSV EMERGING MARKETS2603975F
MONDRIAN INT'L SMALL CAP2963741F
BLACKSTONE4542592F
CLARION LION1917946F
SCHRODER903535F
FRANKLIN TEMPLETON3354301F
NTGI12840390F
FieldValueIRS element (for citing)
Total Of Book Value Securities35190457TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$37,682,076
ESTIMATED THIRD PARTY SETTLEMENTS$6,407,022
ASSET RETIREMENT OBLIGATION LT$463,349
FieldValueIRS element (for citing)
Total Of Amounts44552447TotalOfAmounts
Total Revenue95241566TotalRevenue
Total Expenses88354088TotalExpenses
Excess Or Deficit For Year6887478ExcessOrDeficitForYear
Net Unrealized GL On Investments-3006776NetUnrealizedGLOnInvestments
Other-$4,624,559OtherAmount
Total Adjustments-7631335TotalAdjustments
Excess Or Deficit Per FS-743857ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt89271330TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3006776NetUnrealizedGainsInvestments
Revenue Not Rptd F990-3006776RevenueNotRptdF990
Revenue Subtotal92278106RevenueSubtotal
Other Revenues Not Included2963460OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2963460RevenueNotRptdOnFinStmt
Total Revenue Per Form99095241566TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt88026398TotExpensesEtcAuditedFinclStmt
Expenses Subtotal88026398ExpensesSubtotal
Other Expenses Not Included327690OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt327690ExpensesNotRptdOnFinStmt
Total Expenses Per Form99088354088TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D Supplemental InformationIdentifier
ExplanationSchedule D, Part XI, Line 8 Change in interest in foundation ($106,019) Contributions in net assets ($341,958) Unrealized loss on swaps ($2,187,793) Funds Transfer per JOA Agreement ($2,066,000) Change in temporarily restricted net assets $78,211 Rounding ($1,000) Total ($4,624,559) Schedule D, Part XII, Line 4b Revenues netted with expenses $327,690 Contributions in net assets $341,958 Change in Foundation $106,019 Unrealized loss on swaps $2,187,793 Total $2,963,460 Schedule D, Part XIII, Line 4b Revenues netted with expenses $327,690Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (9 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments8004000
East Asia and the PacificInvestments2891000
Europe (including Iceland and Greenland)Investments6466000
Middle East and North AfricaInvestments52000
North AmericaInvestments166000
Russia and the Newly Independent StatesInvestments63000
South AmericaInvestments465000
South AsiaInvestments18000
Sub-Saharan AfricaInvestments15000
FieldValueIRS element (for citing)
Subtotal Amount Spent18140000SubtotalAmountSpent
Total Amount Spent18140000TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event143140GrossReceiptsEvent1
Gross Revenue Event143140GrossRevenueEvent1
Non Cash Prizes Event13334NonCashPrizesEvent1
Rent Facility Costs Event16192RentFacilityCostsEvent1
Food And Beverage Event11057FoodAndBeverageEvent1
Other Direct Expenses Event113702OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total43140GrossReceiptsTotal
Gross Revenue Total Events43140GrossRevenueTotalEvents
Non Cash Prizes Total Events3334NonCashPrizesTotalEvents
Rent Facility Costs Total Events6192RentFacilityCostsTotalEvents
Food And Beverage Total Events1057FoodAndBeverageTotalEvents
Other Direct Expenses Total Events13702OtherDirectExpensesTotalEvents
Direct Expense Summary Events24285DirectExpenseSummaryEvents
Net Income Summary18855NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served7240PersonsServed
Total Community Benefit Expense4382199TotalCommunityBenefitExpense
Direct Offsetting Revenue219850DirectOffsettingRevenue
Net Community Benefit Expense4162349NetCommunityBenefitExpense
Percent Of Total Expense0.05200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served19057PersonsServed
Total Community Benefit Expense15635663TotalCommunityBenefitExpense
Direct Offsetting Revenue10826696DirectOffsettingRevenue
Net Community Benefit Expense4808968NetCommunityBenefitExpense
Percent Of Total Expense0.06000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served3886PersonsServed
Total Community Benefit Expense3635129TotalCommunityBenefitExpense
Direct Offsetting Revenue1848577DirectOffsettingRevenue
Net Community Benefit Expense1786552NetCommunityBenefitExpense
Percent Of Total Expense0.02230PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served30183PersonsServed
Total Community Benefit Expense23652991TotalCommunityBenefitExpense
Direct Offsetting Revenue12895123DirectOffsettingRevenue
Net Community Benefit Expense10757869NetCommunityBenefitExpense
Percent Of Total Expense0.13430PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served4862PersonsServed
Total Community Benefit Expense116465TotalCommunityBenefitExpense
Direct Offsetting Revenue3820DirectOffsettingRevenue
Net Community Benefit Expense112645NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served279PersonsServed
Total Community Benefit Expense858828TotalCommunityBenefitExpense
Net Community Benefit Expense858828NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served3218PersonsServed
Total Community Benefit Expense21063TotalCommunityBenefitExpense
Direct Offsetting Revenue300DirectOffsettingRevenue
Net Community Benefit Expense20763NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served8359PersonsServed
Total Community Benefit Expense996356TotalCommunityBenefitExpense
Direct Offsetting Revenue4120DirectOffsettingRevenue
Net Community Benefit Expense992236NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served38542PersonsServed
Total Community Benefit Expense24649347TotalCommunityBenefitExpense
Direct Offsetting Revenue12899243DirectOffsettingRevenue
Net Community Benefit Expense11750105NetCommunityBenefitExpense
Percent Of Total Expense0.14670PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,253,789BadDebtExpenseAmount
Amount Attributable To4395079AmountAttributableTo
Amount Reimbursed By Medicare17028195AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare17968188CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-939993MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH FLORIDA BAPTIST HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1301 NORTH ALEXANDER STREETAddressLine1
CityPLANT CITYCity
StateFLState
ZIP Code33566ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH FLORIDA BAPTIST HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanation
Part I Line 3cPatients who are uninsured or underinsured and cannot pay for hospital services are eligible for charity consideration. These patients are screened by designated team members in our Financial Assistance Department. The Agency for Health Care Administration (AHCA) defines charity eligibility at 200 percent of the federal poverty guidelines, unless the total hospital bill is more than 25 percent of the patient's annual income. Medicaid recipients who have exceeded their coverage limits are also considered for charity care. South Florida Baptist Hospital, Inc goes above and beyond the AHCA requirements by providing additional "hardship" charity for patients who are at 250 percent of the federal poverty guidelines. In addition, an uninsured discount of 40% is given to any patient who does not have insurance coverage or benefits. There is no income or asset test required for the uninsured discount. Patients receive an additional 10% discount if the account is paid within 30 days.
Part I Line 6aN/A - The Community Benefit Report is available to the public.
Part I Line 7Financial assistance and means-tested government programs costs (lines A through D) are determined using our cost accounting system, which captures all inpatients and outpatients, including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other benefits at cost (lines E through J, as well as amounts reported in Part II) were compiled by the community health department using the Catholic Health Association guide for planning and reporting community benefits.
Part I Line 7 column fBad Debt expense of $8,253,789 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 4The organization's financial statements do not include a footnote directly on bad debt expense. Bad debt expense is reported as total bad debt for the facility. The amount of bad debt expense attributable to patients eligible for financial assistance is calculated as a charge ratio, derived from data sampling. The resulting charge ratio is then applied to total bad debt accounts of the organization, which calculates the bad debt attributable to finance assistance. The state of Florida requires the patient to provide certain documentation in order to qualify for financial assistance. In cases where the patient has not responded to hospital requests or billing statement alerts, those accounts are processed as bad debt, if unpaid.
Part III Line 8Cost reports were used to report Medicare allowable costs. Medicare defines allowable costs as those appropriate and helpful in developing and maintaining the operation of patient care facilities and activities. It specifically excludes certain costs that are not directly related to patient care. The hospital incurs additional expense related to the provision of care to Medicare patients that Medicare has deemed non-allowable. This additional expense includes costs of physician services (emergency on-call fees, hospitalist program, recruitment, etc.), advertising costs, cafeteria costs for meals sold to visitors, etc. The hospital attempts to collect coinsurance and deductibles from Medicare beneficiaries. To the extent collection efforts are unsuccessful, Medicare reimburses the hospital at 70% of unpaid amounts. The following table reconciles the surplus or shortfall from Line 7 to the actual surplus or shortfall. The additional costs were allocated to Medicare based upon Medicare's percentage of total allowable costs. The unpaid coinsurance/deductibles were estimated using historical collection results. Line 7 Surplus or (Shortfall) ($939,993) Additional non-allowable costs and unpaid/non-reimbursed coinsurance/deductibles ($1,577,735) Total Surplus or (Shortfall) ($2,517,728)
Part III Line 9bPatients who are unable to pay are encouraged by BayCare Health System representatives, via personal interviews, signage, patient billing mailers, 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 would be written off completely to charity and not billed to the patients
Part V Section B Line 10An 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 19dPatients 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 their account balance is written off 100% to charity write-offs and are no longer billed for services provided.
2 - Needs assessmentSouth 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 need in the communities it serves.
3 - Patient education of eligibility for assistanceSouth Florida Baptist Hospital, Inc Financial Assistance team members are dedicated to assisting patients in obtaining assistance through federal, state and local government programs or through the South Florida Baptist Hospital, Inc financial assistance policy. Signage and brochures are available, as well as team members whose full responsibility is to assist patients in the emergency room and on inpatient units. The Financial Assistance team interviews patients for all available programs, assists the patients in completing applications to government agencies and for hospital charity care, advises patients regarding available community resources for health care, reviews and approves patient requests for charity care, and provides education and support to the patient throughout the assistance process. In addition to the aforementioned comprehensive process, South Florida Baptist Hospital, Inc also informs and educates patients who may be billed for patient care, but may be eligible for charity or other programs, via patient billing mailers 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.
4 - Community informationSouth Florida Baptist Hospital is in a rural setting serving parts of Hillsborough and Polk counties. The average income falls above the state average and below the national average. The population served is predominantly Caucasian and high-school or higher educated. Hispanics are the second largest ethnic group representing 18% 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 13% 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 9% 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 38%. 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 07/01/10-06/30/11, the payor mix for the geographic area consists of 42.2% Medicare/Medicare HMO, 19.2% Medicaid/Medicaid HMO, 27.2% Commercial Insurance, 6.3% Self-pay, and 5.1% Other.
5 - Promotion of community healthSouth 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 55 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 107 community health improvement events in 2011, which includes health screenings, physician lectures, support groups, health fairs and mobile clinics. More than $992,236 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 8th 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 second largest grossing event. 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 2011, this program included more than 40 nurses working in partnerships with 18 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 touched the lives of more than 11,000 people. 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 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. 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 participated in 107 events and programs in 2011 and was able to promote better health to more than 4,838 people. 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 Ikon 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 2011 included CPR and First Aid, Germ-Busters (hand hygiene program), Safety education games for children, Safe Sitter classes, Cholesterol, glucose and blood pressure screening, osteoporosis screening, skin cancer screenings, Diabetes education for adults and children, and nutrition education for children. Community Health also participated in coordinating the Ladies Night Out seminars that hosted over 220 participants. Through a partnership with Hillsborough County Schools, Community Health helped facilitate over 3,400 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. 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 2011, the hospital attained state license for Level I Cardiovascular Services with the first stent procedure performed in August. It also launched Plant City's first robotic-assisted surgical program, opened a new Cancer Resource Center, added a Bariatric Surgical Services program and opened new dedicated space for Children's Rehabilitation Services. 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 provides a support group for people with diabetes, their families and friends. The series covers important topics and open discussion is encouraged. Participants may take any or all of the sessions, and can come early to have their weight and blood pressure checked. Lectures include: " What is Diabetes? " Diabetes nutrition " Diabetes exercise " Diabetes medications " Diabetes relationships - a discussion of how food, medications and exercise work together; includes monitoring blood glucose and actions to take when people with diabetes are sick " Sequelae - an explanation of the advantages of controlling diabetes Women's Care As a comprehensive outreach program for women's health concerns, FOCUS provides many services for high-risk, underserved and underinsured women. In 2011, FOCUS provided counseling along with 200 free pregnancy tests. Educational presentations included information on services, transportation, prenatal care, baby care, sexually transmitted diseases, nutrition, self-esteem, early pregnancy, breastfeeding, sibling classes, grandparent classes and prenatal classes. Food and Nutrition " Registered dietitians provide community education and counseling on a wide range of health-related topics. Free meal tickets also are provided for members of the Auxiliary. In addition, food donations are made to the Meals on Wheels program of Plant City as well as Plant City Church of God. Cancer Resource Center South Florida Baptist Hospital opened its new Cancer Resource Center Aug. 15, 2011. Located directly behind the hospital at 1708 Palmetto Ave., Plant City, the Cancer Resource Center works to improve cancer patients' quality of life in several ways: " By providing information about free programs and services; " By providing gift items, such as wigs, hats, turbans, scarves, bras and brea
6 - Affiliated health care systemSouth Florida Baptist Hospital is part of BayCare Health System, a leading, community-based health system in the Tampa Bay area with 19,600 employees, 10 not-for-profit hospitals, 17 outpatient centers, and a complete range of services, such as imaging, lab, behavioral health, and home care. BayCare's hospitals are 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 2011, BayCare provided $167 million in community benefits, which included $77.9 million in traditional charity care, $77.6 million in Medicaid and other means-tested programs, and $11.8 million in unbilled community services. In addition to charity care, 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 help 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. Recognizing the need for mental health services, BayCare 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 is the only organization in the Tampa Bay area that operates dedicated psychiatric emergency rooms at each of its hospital-based, Baker Act facilities. In Hillsborough County, St. Joseph's prepared in 2011 to open a 45,000-square-foot behavioral health facility as the only private, freestanding, inpatient psychiatric Baker Act receiving hospital in the county. Earlier that year, the Tampa Bay Partnership, a regional research and education foundation, published a report that noted the area's suicide rate was statistically higher than state and national rates. St. Joseph's also began admitting mothers and babies to a new 125,000-square-foot, five-story tower with 64 neonatal intensive care unit suites, one floor exclusively for new mothers and one floor for medical/surgical patients. The Tampa Bay region has a high infant mortality rate, according to the partnership's report. In north Pinellas County, Morton Plant opened a new, four-story pavilion that expanded cancer, imaging and patient support services. The report noted that the region's mortality rate due to cancer was higher than Florida's rate. In south Pinellas County, St. Anthony's identified a growing need for emergency services in its local community. As a result, the hospital expanded its current facilities with a new, 105,000-square-foot Emergency Center and Patient Care Tower. BayCare also meets the needs of the community by being one of the largest employers in the Tampa Bay region. In 2011, BayCare added 1,000 new employees during a tough economy when unemployment rates in other areas remained high. The community also benefits from BayCare's comprehensive network, which provides increased access to services, such as emergency care, outpatient and home care. In 2011, BayCare HomeCare provided 625,000 home health visits, helping patients leave the hospital sooner and recover at home where they are more comfortable. BayCare also meets the needs of the community by helping its hospitals continue evolving to keep pace with changes in the health care industry and new technologies. In 2011, BayCare continued developing a clinically integrated network in the Tampa Bay area. This new, physician-led organization puts more emphasis on prevention, early detection and disease management by creating a flexible model of care that better aligns physicians with BayCare's resources. In addition, BayCare successfully completed the second phase of its system-wide implementation of an electronic medical record (EMR). With the completion of this phase in 2011, every hospital in BayCare now documents clinical information in a system-wide EMR, providing the entire health team with real-time, electronic access to patient information. In 2011, BayCare hosted its sixth annual and largest Quality Sharing Day event, with more than 500 employees taking part in a full day of learning about best practices from Six Sigma and performance improvement projects. In 2011, BayCare had 193 Six Sigma and performance improvement projects championed by employees throughout the health system. BayCare currently has 31 certified Six Sigma Black Belts and 57 certified Green Belts. Since BayCare began its Six Sigma program in 2004, more than 5,400 employees have participated in performance improvement projects that have helped drive process efficiency and cost savings throughout its hospitals and facilities. As part of its commitment to the community, BayCare collaborates with Hillsborough Community College, University of Tampa, St. Petersburg College, Pasco Hernando Community College and the Pinellas Technical Education Center to help educate future nurses and health care professionals. BayCare also continues to support other organizations committed to improving the health of the community. These organizations include the American Heart Association (Greater Southeast Affiliate), Susan G. Komen for the Cure (Florida Suncoast Affiliate), and the Tampa Bay Partnership: ONE BAY Healthy Communities.
7 - State filingN/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1301 North Alexander StreetAddressLine1
CityPlant CityCity
StateFLState
ZIP Code33563ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient650598653EINOfRecipient
IRC Section501c3IRCSection
Amount Of Cash Grant44950AmountOfCashGrant
Purpose Of GrantGeneral SupportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationThe organization 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-profit status and follow up to ensure the activity has occured.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN KERR
1313890138240998907502093610172065000
JACQUES VASCONCELLOS
13025601500608232045070113810169382000
STEPHEN NIERMAN
02128640599260929705020809426034172100
KHAMWATIE SINGH
1431270487208208716075110164308000
MERCY NINAN
136546010164044207294037460158192000
DARLENE SMITH
138930036230376302999091720158487000
LEE KIRKMAN
042454306527203564021610012062052705100
ISAAC MALLAH
07582640318624033141802161008412014383280130088
CATHY YODER
024691407480603574603645503903039782400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Supplemental Compensation InformationPart 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 became 100% vested in his benefits in 2011. He had $275,389 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. The plan made cash distribution of $100,379 in 2011. Cathy Yoder - Participated in a supplemental nonqualified deferred compensation plan. She had $25,841 in benefits vest in 2011. This amount is included in Part II (B)(iii) other compensation. She had $24,417 of nonvested benefits accrue during 2011. This amount is included in Part II Column C. The plan made cash distribution of $9,419 in 2011.
Supplemental Compensation Information80 percent of the incentive compensation for which an individual is eligible would be considered fixed based on the instructions. 20 percent would be considered non-fixed and is based on the discretion of the employee's immediate supervisor.Part I, Line 7

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMFP Inc DBA Financial Credit ServiNamePerson
FieldValueIRS element (for citing)
RelationshipSee Part VRelationship
Amount Of Transaction118810AmountOfTransaction
Description Of TransactionCollection ServicesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSchedule L, Part VIdentifier
ExplanationIsaac Mallah is a trustee of the filing organization as well as a board member of MFP, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Part VIPart VI, Line 2 - Description of Family or Business Relationship Lee Kirkman, Isaac Mallah 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 and Part VIIPart 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 Administrative 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. Form 990, Part VII, Section A, Column B - Estimated hours worked by officers, directors, trustees, key employees, and highest compensated employees at related entities: Albert Whitaker - BayCare Health System, Inc. - 1 Albert Whitaker - St. Joseph's Health Care Center, Inc. - 1 Albert Whitaker - St. Joseph's Hospital, Inc. - 1 Brenda Balicki - Franciscan Properties, Inc. - 1 Brenda Balicki - St. Joseph's Health Care Center, Inc. - 1 Brenda Balicki - St. Joseph's Hospital, Inc. - 45 Bruce Rodwell - BayCare Health System, Inc. - 1 Bruce Rodwell - St. Joseph's Health Care Center, Inc. - 1 Bruce Rodwell - St. Joseph's Hospital, Inc. - 1 Carolyn Mcmullen - St. Joseph's Health Care Center, Inc. - 1 Carolyn Mcmullen - St. Joseph's Hospital, Inc. - 1 Cathy Yoder - Franciscan Properties, Inc. - 1 Cathy Yoder - John Knox Village of Tampa Bay, Inc. - 1 Cathy Yoder - San Damiano Enterprises, Inc. - 1 Cathy Yoder - St. Joseph's Ancillary Services, Inc. - 1 Cathy Yoder - St. Joseph's Community Care, Inc. - 1 Cathy Yoder - St. Joseph's Health Care Center, Inc. - 45 Cathy Yoder - St. Joseph's Hospital, Inc. - 1 David Stamps - St. Joseph's Health Care Center, Inc. - 1 David Stamps - St. Joseph's Hospital, Inc. - 1 Deborah Coakley - St. Anthony's Hospital, Inc. - 1 Deborah Coakley - St. Joseph's Health Care Center, Inc. - 1 Deborah Coakley - St. Joseph's Hospital, Inc. - 1 Domenick Reina - St. Joseph's Health Care Center, Inc. - 1 Domenick Reina - St. Joseph's Hospital, Inc. - 1 Donna Jordan - St. Joseph's Health Care Center, Inc. - 1 Donna Jordan - St. Joseph's Hospital, Inc. - 1 Eric Obeck - St. Joseph's Health Care Center, Inc. - 1 Eric Obeck - St. Joseph's Hospital, Inc. - 1 Gene Marshall - St. Joseph's Health Care Center, Inc. - 1 Gene Marshall - St. Joseph's Hospital, Inc. - 1 Gladys Sharkey - BayCare Health System, Inc. - 1 Gladys Sharkey - St. Anthony's Hospital, Inc. - 1 Gladys Sharkey - St. Joseph's Health Care Center, Inc. - 1 Gladys Sharkey - St. Joseph's Hospital, Inc. - 1 Isaac Mallah - Franciscan Properties, Inc. - 1 Isaac Mallah - John Knox Village of Tampa Bay, Inc. - 1 Isaac Mallah - San Damiano Enterprises, Inc. - 1 Isaac Mallah - St. Joseph's Ancillary Services, Inc. - 1 Isaac Mallah - St. Joseph's Community Care, Inc. - 1 Isaac Mallah - St. Joseph's Health Care Center, Inc. - 45 Isaac Mallah - St. Joseph's Hospital Foundation, Inc. - 1 Isaac Mallah - St. Joseph's Hospital, Inc. - 1 John Borreca - BayCare Health System, Inc. - 1 John Borreca - St. Joseph's Health Care Center, Inc. - 1 John Borreca - St. Joseph's Hospital, Inc. - 1 Lee Kirkman - St. Joseph's Health Care Center, Inc. - 1 Lee Kirkman - St. Joseph's Hospital, Inc. - 1 Mary Arghittu - BayCare Health System, Inc. - 1 Mary Arghittu - John Knox Village of Tampa Bay, Inc. - 1 Mary Arghittu - St. Joseph's Health Care Center, Inc. - 1 Mary Arghittu - St. Joseph's Hospital, Inc. - 1 Michael Booher - St. Joseph's Health Care Center, Inc. - 1 Michael Booher - St. Joseph's Hospital, Inc. - 1 Rick Colon - St. Joseph's Health Care Center, Inc. - 1 Rick Colon - St. Joseph's Hospital, Inc. - 1 Stephen Buckley - St. Joseph's Health Care Center, Inc. - 1 Stephen Buckley - St. Joseph's Hospital, Inc. - 1 Steve Smith - St. Joseph's Health Care Center, Inc. - 1 Steve Smith - St. Joseph's Hospital, Inc. - 1 Walwin Metzger - St. Joseph's Health Care Center, Inc. - 1 Walwin Metzger - St. Joseph's Hospital, Inc. - 1 William West - BayCare Health System, Inc. - 1 William West - St. Joseph's Health Care Center, Inc. - 1 William West - St. Joseph's Hospital, Inc. - 1 Winnie Marvel - St. Joseph's Health Care Center, Inc. - 1 Winnie Marvel - St. Joseph's Hospital, Inc. - 1
Part XI, Line 5Other changes in net assets Unrealized losses on investments ($3,006,776) Change in net assets of foundation ($106,019) Funds Transfer per JOA Agreement ($2,066,000) Unrealized losses on swaps ($2,187,793) Contributions in income, not on books ($341,958) Change in temporarily restricted net assets $78,211 Total ($7,630,335)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Joseph's Hospital Inc
l176650FMV
St Joseph's Health Care Center Inc
l1591104FMV
St Joseph's Hospital Inc
n180609FMV
Franciscan Properties Inc
r176650FMV
St Joseph's Health Care Center Inc
r99514FMV
St Joseph's Hospital Inc
r226436FMV

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