BAPTIST HEALTH CARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BAPTIST HEALTH CARE INC (EIN 59-0657322)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-14
IRS object ID
201102269349301010
Schema version
2009v1.7
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)
Timestamp2011-08-14T20:53:51-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pershing Yoakley & Associates P CBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1One Cherokee Mills 2220 SutherlandAddressLine1
CityKnoxvilleCity
StateTNState
ZIP Code379192363ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590657322EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAPTIST HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAPTNameControl
Phone8504344714Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 17500AddressLine1
CityPENSACOLACity
StateFLState
ZIP Code32522ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKerry VermillionName
TitleSr VP Finance/CFOTitle
Phone8504692337Phone
Date Signed2011-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8656730844Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark FaulknerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11717 N E ST STE 320AddressLine1
CityPENSACOLACity
StateFLState
ZIP Code32501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts381822032GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.EBAPTISTHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1943YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO MEET THE HEALTHCARE NEEDS IN THE REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees2772TotalNbrEmployees
Total Nbr Volunteers418TotalNbrVolunteers
Total Gross UBI1541342TotalGrossUBI
Net Unrelated Business Txbl Income571629NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year794478ContributionsGrantsPriorYear
Contributions Grants Current Year1151805ContributionsGrantsCurrentYear
Program Service Revenue Prior Year372695904ProgramServiceRevenuePriorYear
Program Service Revenue CY371611911ProgramServiceRevenueCY
Investment Income Prior Year462101InvestmentIncomePriorYear
Investment Income Current Year1764961InvestmentIncomeCurrentYear
Other Revenue Prior Year-3554137OtherRevenuePriorYear
Other Revenue Current Year-2489629OtherRevenueCurrentYear
Total Revenue Prior Year370398346TotalRevenuePriorYear
Total Revenue Current Year372039048TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year586059GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY569304GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year112614291SalariesEtcPriorYear
Salaries Etc Current Year124253268SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year261106409OtherExpensePriorYear
Other Expenses Current Year238446344OtherExpensesCurrentYear
Total Expenses Prior Year374306759TotalExpensesPriorYear
Total Expenses Current Year363268916TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3908413RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8770132RevenuesLessExpensesCY
Total Assets BOY267025952TotalAssetsBOY
Total Assets EOY383591578TotalAssetsEOY
Total Liabilities BOY182197794TotalLiabilitiesBOY
Total Liabilities EOY290414760TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY84828158NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY93176818NetAssetsOrFundBalancesEOY
Mission DescriptionBaptist Hospital's primary mission is dedicated to meeting the healthcare needs in the region. Baptist Hospital operates two acute care hospitals in Pensacola and Gulf Breeze, Florida (492 bed & 65 bed facilities respectively). The hospital provides inpatient, outpatient, and emergency care services for residents of northwest Florida and southeast Alabama. The hospital is the nucleus of a regional multi-provider system.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense293769028Expense
Revenue367136063Revenue
DescriptionGeneral and specialized health care services including inpatient, primary care, long term and outpatient and community activities involving free health care services. Baptist Hospital is the largest hospital in The Baptist Health Care System with 492 beds. The tertiary care facility provides specialized care for oncology, heart and vascular, bariatrics, orthopaedics, neurology, trauma, surgery, diagnostic imaging, psychiatric and home health services. In addition, Baptist Hospital offers diagnostic, treatment and rehabilitation services. Gulf Breeze Hospital is a 65-bed general hospital providing acute and emergency care. Services include diagnostic imaging, surgery, laboratory and orthopaedics.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1023757Expense
Grants569304Grants
Revenue64969Revenue
DescriptionCOMMUNITY BENEFIT ACTIVITIES INCLUDING FREE HEALTH SCREENINGS, DONATIONS TO NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH EDUCATION, MENTORING/SUPPORT GROUPS, CONTINUING MEDICAL EDUCATION, AND OTHER COMMUNITY OUTREACH SERVICES.Description
FieldValueIRS element (for citing)
Total Program Service Expense294792785TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2772NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELEANOR MCGEEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8504697022TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11717 North E StreetAddressLine1
CityPensacolaCity
StateFLState
ZIP Code32501ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Larry K Hicks
Vice Chairman1.00X000
Ronald E Jackson
Chairman1.00X000
Innes C Richards
Board Member1.00X000
Milton F Usry
Board Member1.00X000
Ricky M Smith
Secretary/Treasurer1.00X000
Suzanne B Gilchrist
Board Member1.00X000
Monsignor Luke Hunt
Board Member1.00X000
Michael J Mazenko
Board Member1.00X000
Barry C Howard
Board Member1.00X000
James L Lonquist MD
Board Member1.00X000
Stephen F X Zieman DDS
Board Member1.00X000
Shirley L Brown
Board Member1.00X000
John J Baehr III MD
Board Member1.00X000
John M Kizziah
Board Member1.00X000
Rick Finch
Board member1.00X000
Van E Mansker
Board Member1.00X000
John Hosman
Board Member1.00X000
Kim Jernigan DMD
Board Member1.00X000
Margaret T Stopp
Board Member1.00X000
Luke Hunt
Board Member1.00X000
Dave Cleveland
Board Member1.00X000
Paul Snider
Board Member1.00X000
George Touart
board member1.00X000
Oliver M Darden
board Member1.00X000
Edward M Gray III
board Member1.00X000
Innes C Richards
board Member1.00X000
Margherita J Soule
board Member1.00X000
Anita S Westafer MD
board Member1.00X000
Harrison WIlder
board Member1.00X000
Cyd Cadena
Vice President40.00017777916528X
Robert J Harriman
Admin. Gulf Breeze40.00028436051297X
Patsy W Myers
Vice President40.00017977627950X
David E Wildebrandt
Vice President/COO40.00023049526199X
Mark T Faulkner
President40.00048660768995X
Daphne K Scordato
Vice President40.00016750028950X
Robert Gowing
Vice President40.00021585023040X
Coy Irvin
Vice President40.00028185314400X
Kerry Vermillion
Senior VP/CFO1.00039315862544X
Kent Skolrood
Senior Vice President40.00021325961584X
George Sprinkel
Vice President/CFO40.00017402116745X
Wanda Kaye Tillery
Vice President40.000774936216X
Steve Sims MD
Neonatologist40.00455360028061X
Mark Strauss MD
Physician40.00361653022543X
German Herrerra MD
Physician40.00404321010296X
Stephanie Salas MD
Physician40.00335314015128X
Peter Millington MD
Physician40.00323167027515X
Diane G Wilbanks
Former Officer0.0001546319815X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1879815TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2882151TotalReportableCompFrmRltdOrgs
Total Other Compensation507991TotalOtherCompensation
Number Individuals GT100 K49NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Anesthesia Healthcare Ptrs
3079 Peachtree Industrial BlvdDuluthGA30097Anesthesia Services1735817
Delphi Healthcare Partners
170 Southport RoadMorrisvilleNC27560Hospitalists Fees1473186
F E Booker Construction
106 West Loretta StreetPensacolaFL32505Construction Srvcs1125671
Landrum Staffing Services
6723 Plantation RoadPensacolaFL32504Contract Labor902655
Renal Care Group
1717 North E StreetPensacolaFL32501Dialysis Services793666
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Related Organizations816624RelatedOrganizations
Government Grants288681GovernmentGrants
All Other Contributions46500AllOtherContributions
Noncash Contributions689NoncashContributions
Total Contributions1151805TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Program Service Rev621400366307076365503534803542
340B Pharmacy Rev90009940242334024233
Management services561499395748395748
Medical Records541900214188214188
Education Revenue611600189161189161

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column481505TotalRevenueColumn
Related Or Exempt Function Income283329RelatedOrExemptFunctionIncome
Unrelated Business Revenue83671UnrelatedBusinessRevenue
Exclusion$114,505ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue371611911TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1355909TotalRevenueColumn
Exclusion$1,355,909ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7960795Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9703933Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1743138Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1743138TotalRevenueColumn
Related Or Exempt Function Income-1743138RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities488103Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other79051Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities488103Securities
Other-79051Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column409052TotalRevenueColumn
Exclusion$409,052ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Hurricane Gain900099937109937109
Interco. Loan Interest900003376250376250
Andrews Inst. ASC, LLC621990-117869-117869

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-1941981TotalRevenueColumn
Related Or Exempt Function Income-1941981RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-746491TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column372039048TotalRevenueColumn
Related Or Exempt Function Income367466435RelatedOrExemptFunctionIncome
Unrelated Business Revenue1541342UnrelatedBusinessRevenue
Exclusion$1,879,466ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total569304Total
Program Services569304ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107864563Total
Program Services99398929ProgramServices
Management And General8465634ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2200439Total
Program Services1870373ProgramServices
Management And General330066ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6549106Total
Program Services5566740ProgramServices
Management And General982366ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7639160Total
Program Services7035079ProgramServices
Management And General604081ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total28332747Total
Management And General28332747ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total498894Total
Program Services27900ProgramServices
Management And General470994ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total135158Total
Management And General135158ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total65991Total
Management And General65991ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26770746Total
Program Services23106565ProgramServices
Management And General3664181ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total609577Total
Program Services423954ProgramServices
Management And General185623ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total64592160Total
Program Services63918868ProgramServices
Management And General673292ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1837213Total
Program Services1363334ProgramServices
Management And General473879ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19682066Total
Program Services15863030ProgramServices
Management And General3819036ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1306892Total
Program Services1027599ProgramServices
Management And General279293ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total75166Total
Program Services64706ProgramServices
Management And General10460ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9265511Total
Program Services7965044ProgramServices
Management And General1300467ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14460491Total
Program Services993449ProgramServices
Management And General13467042ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3305005Total
Program Services567208ProgramServices
Management And General2737797ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense540928625403404758815
Indigent Assessment40664304066430
Collections37786343015565763069
Food Costs35883813372334216047
UBI Tax148020148020

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1834400Total
Program Services542327ProgramServices
Management And General1292073ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total363268916Total
Program Services294792785ProgramServices
Management And General68476131ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13996993BOY
EOY22281851EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY32304658BOY
EOY48246206EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47804316BOY
EOY47603879EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8213513BOY
EOY8483029EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3363935BOY
EOY3014711EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis359043846LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec245556994LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY109156563BOY
EOY113486852EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16142054BOY
EOY62807537EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3030205BOY
EOY2940978EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY6101951EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33013715BOY
EOY68624584EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY267025952BOY
EOY383591578EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30552584BOY
EOY36530798EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY95646BOY
EOY86595EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY94956149BOY
EOY189150974EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3648523BOY
EOY6626772EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY52944892BOY
EOY58019621EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY182197794BOY
EOY290414760EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY83270526BOY
EOY91535082EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1557632BOY
EOY1641736EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY84828158BOY
EOY93176818EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY267025952BOY
EOY383591578EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

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)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Affiliated Group Totals192223AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals192223AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals589479900AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Affiliated Group Totals589672123AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3372157CurrentYearMinus3
Current Year Minus2282417CurrentYearMinus2
Current Year Minus1186922CurrentYearMinus1
Current Year192223CurrentYear
Total1033719Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1557632BeginningOfYearBalance
Contributions806632Contributions
Investment Earnings Or Losses65445InvestmentEarningsOrLosses
Other Expenditures787973OtherExpenditures
End Of Year Balance1641736EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1506755BeginningOfYearBalance
Contributions401519Contributions
Investment Earnings Or Losses2733InvestmentEarningsOrLosses
Other Expenditures353375OtherExpenditures
End Of Year Balance1557632EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10074696OtherCostOrOtherBasis
Book Value10074696BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis134469424OtherCostOrOtherBasis
Depreciation78576198Depreciation
Book Value55893226BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15033038OtherCostOrOtherBasis
Depreciation12477348Depreciation
Book Value2555690BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis194928572OtherCostOrOtherBasis
Depreciation154503448Depreciation
Book Value40425124BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4538116OtherCostOrOtherBasis
Book Value4538116BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings113486852TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Minority Interest in Joint Ventures272718
Due From Affiliated Organizations50637625
Other Assets4457005
Debt Service Reserve13257236
FieldValueIRS element (for citing)
Total Book Value Other Assets68624584TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATIONS$2,443,942
Other Liabilities$3,360,320
Line of Credit$2,313,913
Malpractice Reserve$7,119,241
Due to Third Party Payors$7,174,625
Accrued Benefit Liability$30,940,698
Market Valuation on Interest Rate Swaps$4,666,882
FieldValueIRS element (for citing)
Total Of Amounts58019621TotalOfAmounts
Total Revenue372039048TotalRevenue
Total Expenses363268916TotalExpenses
Excess Or Deficit For Year8770132ExcessOrDeficitForYear
Net Unrealized GL On Investments2299000NetUnrealizedGLOnInvestments
Other-$2,720,472OtherAmount
Total Adjustments-421472TotalAdjustments
Excess Or Deficit Per FS8348660ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt387241000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2299000NetUnrealizedGainsInvestments
Other Revenues17186864OtherRevenues
Revenue Not Rptd F99019485864RevenueNotRptdF990
Revenue Subtotal367755136RevenueSubtotal
Investment Expenses Not Included65991InvestmentExpensesNotIncluded
Other Revenues Not Included4217921OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4283912RevenueNotRptdOnFinStmt
Total Revenue Per Form990372039048TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt383871000TotExpensesEtcAuditedFinclStmt
Other Expenses Included22948873OtherExpensesIncluded
Expenses Not Rptd F99022948873ExpensesNotRptdF990
Expenses Subtotal360922127ExpensesSubtotal
Investment Expenses Not Included265991InvestmentExpensesNotIncluded2
Other Expenses Not Included2280798OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2346789ExpensesNotRptdOnFinStmt
Total Expenses Per Form990363268916TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:Restricted funds to be used for health care services and supplies including but not limited to operating room equipment, digital mammography equipment, mother/baby hospital beds, cancer support, trauma operations, pastoral care, and nursing education.
Part X:Description of Uncertain Tax Positions Under FIN 48:Financial accounting standards board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. No uncertain tax positions were noted in the financials for the year ended September 30, 2010.
Part XI, Line 8 - Other Adjustments:Change in accounting for pension: -8378836. Equity investment in Gulf Breeze Endoscopy Center, LLC: -35787. equity investment in Andrews Institute ASC, LLC: 117869. Equity investment in Baptist Imaging Center, LLC: -96850. Other Changes in Net Assets: 13114. Equity Transfer from Affiliate: 12281864. Joint Ventures Net Inc/Loss included in AFS for consolidation: -6061186. Capital account activity: 506048. Unrealized loss on SWAP: -1066657. Rounding: -51.
Part XII, Line 2d - Other Adjustments:book/tax joint venture differences: 16872869. Net assets released from restriction: 313995.
Part XII, Line 4b - Other Adjustments:Contributions in net assets: 806632. interest income in net assets: 65445. unrealized loss on Swap: 1066657. Revenue and expense reclassifications: 2279187.
Part XIII, Line 2d - Other Adjustments:Joint Ventures losses: 22948873.
Part XIII, Line 4b - Other Adjustments:Revenue and Expense reclassifications: 2280798.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8362070TotalCommunityBenefitExpense
Net Community Benefit Expense8362070NetCommunityBenefitExpense
Percent Of Total Expense0.02700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense45227963TotalCommunityBenefitExpense
Direct Offsetting Revenue37324173DirectOffsettingRevenue
Net Community Benefit Expense7903790NetCommunityBenefitExpense
Percent Of Total Expense0.02560PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense53590033TotalCommunityBenefitExpense
Direct Offsetting Revenue37324173DirectOffsettingRevenue
Net Community Benefit Expense16265860NetCommunityBenefitExpense
Percent Of Total Expense0.05260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs35NumberOfActivitiesOrPrograms
Persons Served114019PersonsServed
Total Community Benefit Expense327060TotalCommunityBenefitExpense
Direct Offsetting Revenue1964DirectOffsettingRevenue
Net Community Benefit Expense325096NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served3268PersonsServed
Total Community Benefit Expense116533TotalCommunityBenefitExpense
Direct Offsetting Revenue62905DirectOffsettingRevenue
Net Community Benefit Expense53628NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense577951TotalCommunityBenefitExpense
Net Community Benefit Expense577951NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served117287PersonsServed
Total Community Benefit Expense1021544TotalCommunityBenefitExpense
Direct Offsetting Revenue64869DirectOffsettingRevenue
Net Community Benefit Expense956675NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served117287PersonsServed
Total Community Benefit Expense54611577TotalCommunityBenefitExpense
Direct Offsetting Revenue37389042DirectOffsettingRevenue
Net Community Benefit Expense17222535NetCommunityBenefitExpense
Percent Of Total Expense0.05580PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served37PersonsServed
Total Community Building Expense2213TotalCommunityBuildingExpense
Direct Offsetting Revenue100DirectOffsettingRevenue
Net Community Building Expense2113NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served37PersonsServed
Total Community Building Expense2213TotalCommunityBuildingExpense
Direct Offsetting Revenue100DirectOffsettingRevenue
Net Community Building Expense2113NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$12,713,634BadDebtExpenseAmount
Amount Reimbursed By Medicare81314946AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare84688646CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3373700MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Andrews Institute Ambulatory Surgery Center LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary Activitysurgery centerDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.47840OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.52160PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
Baptist Hospital
1000 W Moreno StPensacolaFL32501XXX
Gulf Breeze Hospital
1110 Gulf Breeze PkwyGulf BreezeFL32562XXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart I, Line 7: The costing methodology used in determining the amount reported as Charity care on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions. The unreimbursed cost of Medicaid was computed based on the cost accounting system.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: Bad debt expense in the amount of $54,092,862 was subtracted from total expenses per Form 990, Part IX, Line 25 for purposes of calculating the percentage for Line 7, column (f).PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The costing methodology used in determining the cost of bad debt is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: The Medicare costs shown on Line 6 were computed using the organization's Medicare cost report for the period.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: For patients who are financially or medically indigent (based upon the patient's household income as defined annually by the U.S. Department of Health and Human Services in the Federal Register as the Federal Poverty Level (FPL) guidelines):a)Patients are deemed financially indigent if their income is below 200% of FPL. If a patient makes between 200% and 400% of the FPL, then they may only receive a partial write-off.b)Patients may be deemed medically indigent if their household medical expenses exceed 25% of the annual household income regardless of income level. For any patient that qualifies under the organization's charity care policy, the patient account is written off as charity care and the organization does not pursue any collections.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: Although an official community health needs assessment has not yet been completed for the reporting fiscal year, the organization identifies the needs in surrounding communities through internal analysis as well as external sources, including statistics from local health departments, county reports, the state of florida, and statistics from various healthcare market experts. Part of the organization's mission is to improve the qualify of life for people and communities served. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities.NeedsAssessment
Patient Education AssistancePart VI, Line 3: For non-ER purposes, every file for a patient that has pre-scheduled an office visit, surgery, etc. is reviewed before the patient arrives at the hospital. A financial counselor is assigned to that patient if it is determined that the individual may be eligible for financial assistance, etc. For ER patients, the organization has signs in the emergency room explaining that financial assistance is available. Also, when patients receive their bill, the organization includes paperwork explaining that financial assistance is available. Starting in FY2011 and going forward, the organization will be increasing the awareness of the financial assistance availability to all patients. Examples may include posting the charity care policy on the website, disclosing on each bill that financial assistance is available, etc.PatientEducationAssistance
Community InformationPart VI, Line 4: Baptist Hospital, Inc. operates in Escambia and Santa Rosa counties in Florida. Baptist Hospital, the organization's largest facility, operates in Escambia County. Escambia County, FL is made up of approximately 308,000 residents, 18.9% of which live below poverty level. Four hospitals, including Baptist Hospital, are located in Escambia County. Santa Rosa County, FL is the location of the organization's second hospital, Gulf Breeze Hospital. Approximately 151,000 individuals reside in this county, 11.4% of which live below poverty level. With a joint population of approximately 449,000 residents, over 100,000 residents (22.5%) are uninsured and approximately 75,000 (16.2%) could be eligible to qualify for charity care. Three hospitals, including Gulf Breeze Hospital, are located in Santa Rosa County.CommunityInformation
Community Building ActivitiesPart VI, Line 5: the programs that are included in Part II include career-path development programs provided by BH and GBH hospitals in which high school students of various backgrounds are able to tour our facilities and learn detailed information about medical careers.CommunityBuildingActivities
Other InformationPart VI, Line 6: - The organization does not limit medical staff privileges to the organization's employed physicians but extends those privileges to qualified physicians for most areas of service.- The organization's Board of Directors primarily consists of community leaders and residents who are independent of the organization. The organization strives to educate all Board members regarding the health needs of the community and how these needs relate to the organization's mission and values.- Overall, the organization seeks to strategically allocate available funds to benefit the surrounding communities. Focus areas include increasing the types of care to be provided to the community, improving the quality of patient care, and furthering medical education and research.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: Although the organization may operate in different service areas when compared to its affiliates, all affiliates work collaboratively to ensure that the needs of the communities are being addressed. The organization participates in many free health screenings, support groups, education seminars, and health fairs that benefit all communities within the system and are not limited to the communities in which the organization operates. Affiliated entities include:Baptist Health Care Corporation - Parent Organization providing strategic management and support services.Jay Hospital, Inc. - Operates Jay HospitalBaptist Health Care Foundation - provides financial and fundraising assistance for all affiliatesEscambia County Alabama Community Hospitals, Inc. - operates Atmore HospitalBaptist Manor, Inc. - provides health care services to the elderly and other patients.Lakeview Center,Inc. and affiliates - provide behavioral health and support servicesAffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Baptist Healthcare Foundation
Post Office Box 17500PensacolaFL32522590192265501(C)(3)27454General Contribution
Santa Rosa Community Clinic Inc
5520 Stewart StMiltonFL32570311746599501(C)(3)12500Healthcare assistance to uninsured patients
Escambia Community Holdings Inc
2000 N Palafox StPensacolaFL32501371573135501(C)(3)525000Health care assistance to uninsured
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: All assistance is paid in domestic currency and is restricted for specific uses. Payments to the clinics are in support of clinic operations to support healthcare in the community for the uninsured.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 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
Cyd Cadena
017764100013801078005748019430700
Robert J Harriman
0281914000244604607205225033565700
Patsy W Myers
016301800016758011167016783020772600
David E Wildebrandt
023043500060010143016056025669400
Mark T Faulkner
04827070003900052939016056055560200
Daphne K Scordato
01674100009007812021138019645000
Robert Gowing
02059450009905012661010379023889000
Coy Irvin
024877003282502580593008470029625300
Kerry Vermillion
0291470084328017360046253016291045570200
Kent Skolrood
019213301668804438047813013771027484300
George Sprinkel
01532490207720001094015651019076600
Steve Sims MD
436550000188100111750168860483421000
Mark Strauss MD
275954083389023100103120122310384196000
German Herrerra MD
4043210000000102960414617000
Stephanie Salas MD
23636108239701655609012061160350442000
Peter Millington MD
231019079148013000096810178340350682000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4b:ReturnReference
ExplanationParticipation in capital accumulation account: Mark Faulkner $24,400 Robert Harriman $32,655 Kerry Vermillion $38,625Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerCUSIP NumberCUSIPNumber
ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY
5213788152009-12-0715000000Refunding prior issues dated 08/21/03 and 08/01/0900
ESCAMBIA COUNTY HEALTH FACILITIES AUTHORITY
5213788152010-02-11154202856Refunding prior issues dated 08/21/03 and 08/01/09; new capital projects00296110fq7

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspentWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpenditures
1500000014926551734491011
15420285680006845308405710011343810045941223169985710032774

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
000011
0110110.018000.000000.01800

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Bette Harriman
Family member of Robert Harriman, administrator of Gulf Breeze.113196Bette Harriman received compensation and benefits for services rendered as an employee of the organization. compensation determined at fair market value0
Beau Pollard
Family member of Robert Harriman, administrator of Gulf Breeze.114270Beau Pollard received compensation and benefits for services rendered as an employee of the organization. Compensation determined at fair market value.0
Radiology Associates of Pensacola
Radiology Assoc of Pensacola provides medical services to Baptist Hospital.156790John J. Baehr, III, M.D., Baptist Hospital, Inc. board member, is the president of Radiology Associates of Pensacola. During the 2009 tax year, Baptist Hospital, Inc. paid Radiology Associates for various contract medical services. All transactions were arm's length and at fair market value.0
Margie Taylor
Family member of Robert Gowing, VP of Baptist Hospital, Inc.32137Margie Taylor received compensation and benefits for services rendered as an employee of the organization. Compensation determined at fair market value.0
Elizabeth Gowing
Family member of Robert Gowing, VP of Baptist Hospital, Inc.12705Elizabeth Gowing received compensation and benefits for services rendered as an employee of the organization. Compensation determined at Fair market value0
Joey Tillery
Family member of Wanda Kaye Tillery, VP of Baptist Hospital, Inc.77217Joey Tillery received compensation and benefits for services rendered as an employee of the organization. compensation determined at fair market value.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Baptist Health Care Corporation is the sole member of the organization.
Form 990, Part VI, Section A, line 7aBaptist Health Care Corporation appoints the Board of Directors of the Organization and must approve any changes to the bylaws or articles and the appointment of the Chief Exective Officer.
Form 990, Part VI, Section A, line 7bBaptist Health Care Corporation appoints the Board of Directors of the Organization and must approve any changes to the bylaws or articles and the appointment of the Chief Exective Officer.
Form 990, Part VI, Section B, line 11Information was provided to an independent certified public accountant for the preparation of the return. A draft of the return was then provided to management personnel for review. All voting board members received an electronic copy of the Form 990 for their review before filing with the IRS. Also, the board members were informed that a paper copy of the Form 990 was available at the organization's principal office.
Form 990, Part VI, Section B, line 12cBoard Members and officers receive correspondence each year that must be completed and signed. The correspondence includes a Conflicts of Interest questionnaire. Officers and key staff also receive an attestation form that must be signed confirming that they will disclose any conflicts that violate the organization's policy. The Board reviews all conflicts and determines if further actions need to be taken.
Form 990, Part VI, Section B, line 15The Compensation Committee of the organization's independent Board reviews independent compensation studies that reflect the current market value of the related position. All compensation of key individuals must be approved by the Compensation Committee.
Form 990, Part VI, Section C, line 19The organization has all governing documents, the conflict of interest policy, and the annual financial statements on file in the accounting and administration departments. All documents are available upon request.
Schedule K, Part I, Line A (c) Cusip # The issuance dated 12/07/2009 was considered private placement and had no CUSIP number.
Schedule K, Part II, Line 3 (A) Proceeds in refunding Per the tax certificate, the amount of proceeds used to retire the current refunded bonds was $14,926,550.59. However, no proceeds were remaining in escrow at the end of the tax year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
Andrews Institute Rehabilitation LLC
1040 Gulf Breeze ParkwayGulf BreezeFL32561261307826Rehabilitation ServicesFL043900N/A
Baptist Hospital North Family Practice LLC
1717 North E StPENSACOLAFL32501262977061Physician ServicesFL00N/A
Baptist Hospital Primary Care LLC
1717 North E StPENSACOLAFL32501261423323Physician ServicesFL497427597568N/A
Baptist Medical Group Orthopedic Practice LLC
1717 North E StPENSACOLAFL32501270950931Physician ServicesFL00N/A
Baptist Medical Group LLC
1717 North E StPENSACOLAFL32501264800380Physician ServicesFL37580521622071N/A
Baptist Physician Associates LLC
1717 North E StPENSACOLAFL32501200737321Physician ServicesFL3092889660814N/A
Baptist Physician Enterprise LLC
1717 North E StPENSACOLAFL32501270288317Physician ServicesFL02212275N/A
Baptist Medical Group - ObGyn LLC
1717 North E StpENSACOLAFL32501273238217Physician ServicesFL0100N/A
Pathways for Change LLC
1717 North E StPENSACOLAFL32501271628254Christian Counseling ServicesFL15441019242N/A
AI LLC
1717 North E StPENSACOLAFL32501202137733Real EstateFLN/A
Andrews Institute Medical Park LLC
1040 Gulf Breeze PkwyGulf BreezeFL32561204428528Real EstateFLN/A
Baptist Leadership Group LLC
119 W Garden StPeNSACOLAFL32502271028631Consulting ServicesFLN/A
Baptist Physician Partners LLC
1717 North E StPENSACOLAFL32501260386167Physician ServicesFLN/A
Baptist Physicians Group LLC
1717 North E StPENSACOLAFL32501743018052Physician ServicesFLN/A
Atmore Community Home Care LLC
611 E Laurel StAtmoreAL36502205472065Home Health ServicesALN/A
Andrews-Paulos Research & Education Institute
1040 Gulf Breeze ParkwayGulf BreezeFL32561263263612physician servicesFL00N/A
Behavioral Health Solutions LLC
1221 West Lakeview AvepENSACOLAFL32501205421098Behavioral health supportFL00N/A

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
BAPTIST HEALTH CARE CORPORATION
1717 N E STREETPENSACOLAFL32501592425151COORDINATION OF HEALTH CARE SERVICES - parent orgFL501(C)(3)Line 11N/A
BAPTIST HEALTH CARE FOUNDATION
1717 N E STREETPENSACOLAFL32501590192265FINANCIAL AND FUNdRAISING ASSISTANCE FOR HEALTH CARE RELATED SERVICESFL501(C)(3)Line 7N/A
CMHC HERNANDEZ HOUSE INC
1221 WEST LAKEVIEW AVEPENSACOLAFL32501592041794PROVISION OF LOW COST HOUSING TO MENTALLY ILL PERSONSFL501(C)(3)Line 9N/A
ESCAMBIA COUNTY ALABAMA COMMUNITY HOSPITALS INC
401 MEDICAL PARK DRIVEATMOREAL36502631143638HEALTH CARE SERVICESAL501(C)(3)Line 3N/A
JAY HOSPITAL INC
14114 ALabama StreetJAYFL32565592425149HEALTH CARE SERVICESFL501(C)(3)Line 3N/A
LAKEVIEW CENTER INC
1221 WEST LAKEVIEW AVEPENSACOLAFL32501590737872BEHAVIORAL HEALTH SERVICESFL501(C)(3)LINE 7N/A
LAKEVIEW PLACE INC
1221 WEST LAKEVIEW AVEPENSACOLAFL32501592804577PROVISION OF LOW COST HOUSING TO MENTALLY ILL PERSONSFL501(C)(3)Line 9N/A
LAKEVIEW VILLA INC
1221 WEST LAKEVIEW AVEPENSACOLAFL32501592842486PROVISION OF LOW COST HOUSING TO MENTALLY ILL PERSONSFL501(C)(3)Line 9N/A
THE BAPTIST MANOR INC
10095 HILLVIEW RDPENSACOLAFL32514592455515HEALTH CARE SERVICESFL501(C)(3)Line 9N/A
Global Connections for Employment Inc
1221 West Lakeview AvenuePensacolaFL32501260441675Employment ServicesFL501(c)(3)Line 9N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerCode VCodeVAmount
Baptist Medical Park Surgery Center LLC
9400 University PkwyPensacolaFL32514593535262Ambulatory Surgery ServicesFLN/A
Endoscopy Center of Gulf Breeze LLC
1116 Gulf Breeze PkwyGulf BreezeFL32561432086670Ambulatory Surgery ServicesFLN/ARelated8860319616801
Baptist Imaging Center LLC
5330 N Davis HwyPensacolaFL32503261373637Diagnostic Testing and ImagingFLN/ARelated1948927361701
Physicians Laboratories
14 W Jordan StPensacolaFL32501590879739laboratory servicesDEN/A
Andrews Institute ASC LLC
1040 Gulf Breeze Parkway Suite 100Gulf BreezeFL32501352274952Surgery CenterFLN/ARelated5306272292877000-$117,869

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
BAPTIST HEALTH VENTURES INC
1717 North E StPENSACOLAFL32501592415910Administrative and Support ServicesFLN/AC
BAPTIST URGENT CARE INC
1717 North E StPENSACOLAFL32501593622226MEDICAL SERVICESFLN/AC
PENSACOLA POB INC
1717 North E StPENSACOLAFL32501592462399LEASING AGENTFLN/AC
MOBILE DIAGNOSTICS INC
1717 North E StPENSACOLAFL32501592864191Diagnostic servicesFLN/AC
MEDICAL PROFESSIONAL AGENCY INC
1717 North E StPENSACOLAFL32501592555835MEDICAL SERVICESFLN/AC
THE TOWERS PHARMACY INC
1717 North E StPENSACOLAFL32501592667929RETAIL SALESFLN/AC
Langhorne Cardiology Consultants Inc
1717 North E StPENSACOLAFL32501592874324MedICAL SERVICESFLC15051534109845661.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Langhorne Cardiology Consultants Inc
E4325487
Langhorne Cardiology Consultants Inc
J195436
Langhorne Cardiology Consultants Inc
O51102

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrsElecting OrgElectingOrg
Lakeview Villa Inc
1221 W Lakeview AvenuePensacolaFL325011836592842486000136025136025$27,205$6,801000
Lakeview Place Inc
1221 W Lakeview AvenuePensacolaFL3250118365928045770007566675666$15,133$3,783000
CMHC Hernandez House Inc
1221 W Lakeview AvenuePensacolaFL3250118365920417940004699746997$9,399$2,350000
Escambia County Alabama Community Hospitals Inc
PO Box 17500PensacolaFL3252275006311436380001992031219920312$1,000,000$250,000000
Jay Hospital Inc
PO Box 17500PensacolaFL3252275005924251490001584842515848425$942,421$235,605000
The Baptist Manor Inc
PO Box 17500PensacolaFL3252275005924555150001463508414635084$881,754$220,439000
Baptist Health Care Foundation Inc
PO Box 17500PensacolaFL32522750059019226500014214801421480$217,148$54,287000
Baptist Health Care Corporation
PO Box 17500PensacolaFL32522750059242515101922231922233728908037481303$1,000,000$250,000000X
Lakeview Center Inc
1221 W Lakeview AvenuePensacolaFL325011836590737872000136837912136837912$1,000,000$250,000000
Baptist Hospital Inc
PO Box 17500PensacolaFL325227500590657322000363268919363268919$1,000,000$250,000000

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