2011-11-14T13:48:35-05:00 2010-12-31 ERNST & YOUNG US LLP 401 CONGRESS SUITE 1800 AUSTIN TX 78701 990 2010-01-01 751858993 BaptistSt Anthony's Health System BAPT 8062122000 3310 DANVERS AMARILLO TX 79106 Brian Pruitt 2011-11-04 5124789881 2010 2016-03-07 17:11:31Z ROBERT WILLIAMS 1600 WALLACE BLVD AMARILLO TX 79106 434920 false X WWW.BSAHS.ORG X 1996 TX Provide quality healthcare in Christian love, service and dignity. 12 12 244 0 0 0 0 0 0 0 0 6001 0 419750 0 425751 0 0 0 0 0 13484647 0 0 0 2132669 9106995 2132669 22591642 -2132669 -22165891 4000000 4041078 58838795 81045764 -54838795 -77004686 PROVIDE QUALITY HEALTHCARE IN CHRISTIAN LOVE, SERVICE AND DIGNITY. false false 427133 419750 BAPTIST ST. ANTHONY'S HEALTH SYSTEM COORDINATES THE MANAGEMENT AND ACTIVITIES OF THE FOLLOWING ENTITIES: BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION, BAPTIST ST. ANTHONY'S FOUNDATION, BAPTIST ST. ANTHONY'S HEALTH NETWORK, AND BSA HOLDINGS, INC. COLLECTIVELY, THESE ENTITIES PROVIDE A BROAD RANGE OF ACUTE HEALTH CARE AS WELL AS SUPPORTING SERVICES TO AMARILLO AND THE SURROUNDING AREA. 427133 true false false false false false false false false false false true false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 244 true false false false false false false false false false false X 12 12 false false false false true true true true true false false true true true true true true true true false X JAMES TAYLOR 8062106281 3310 DANVERS AMARILLO TX 79106 CRAIG SANDERS 2.0 X X 0 0 0 PAUL GENERALE 2.0 X X 0 0 0 SR ANNE BIRMINGHAM 2.0 X 0 0 0 KATHY CORNETT 2.0 X 0 0 0 STEVE DALRYMPLE 2.0 X 0 0 0 ROBERT GIBSON 2.0 X 0 0 0 DR REV CHARLES JONES 2.0 X 0 0 0 LINDA MCCLUNG 2.0 X 0 0 0 SR HELENA MONAHAN 2.0 X 0 0 0 TOM NICHOLS 2.0 X 0 0 0 BOB SCHNEIDER 2.0 X 0 0 0 STACY SHARP 2.0 X 0 0 0 ROBERT WILLIAMS 2.0 X 843255 0 21045 BELINDA GIBSON 2.0 X 588881 0 17910 BRIAN WALTON 2.0 X 121792 0 370 MICHAEL CRUZ 2.0 X 566133 0 13589 JOHN NEILSON 2.0 X 378007 0 24004 ELIZABETH PULLIAM 2.0 X 515863 0 8239 RON COOTS 40.0 X 151074 0 17537 JAMES TAYLOR 40.0 X 154694 0 7036 ROLAND PLUDE 40.0 X 133321 0 13985 JOHN MCKISSACK 40.0 X 133556 0 6020 CHERYL JONES 40.0 X 119022 0 13207 John Hicks X 0 975000 0 3705598 975000 142942 12 true true false Xerox Corp PO Box 802555 CHICAGO IL 60680 document services 118654 1 0 0 0 0 0 15170 9169 6001 6001 6001 0 0 0 MGMT FEE INCOME 561000 60111 60111 CORPORATE COMMUNICATION 622110 45134 45134 CORPORATE WELLNESS 713940 293928 293928 20577 20577 419750 425751 419750 6001 0 0 0 0 3013931 3013931 0 8362391 8362391 381538 381538 1072594 1072594 654193 654193 0 406086 406086 350806 350806 0 0 0 3601745 3601745 388690 388690 1068308 1068308 0 0 641038 50802 590236 227082 227082 0 6746 6746 376331 376331 0 0 205970 205970 MANAGEMENT FEES 1500000 1500000 Dues & Licenses 125920 125920 Misc Expense 208273 208273 22591642 427133 22164509 0 0 41078 4000000 4000000 4000000 4041078 0 2450718 10136003 0 48702792 78595046 58838795 81045764 X -54838795 -77004686 -54838795 -77004686 4000000 4041078 -22165891 0 X false true true X false X X X false false false Baptist St Anthony's Hospital Corporation 750800669 03 true true true 0 1 0 INV IN HARRINGTON CANCER CTR 4000000 F 4000000 0 Due to affiliate 78595046 78595046 FIN 48 FOOTNOTE SCHEDULE D, PART X, LINE 2 BAPTIST ST. ANTHONY'S HEALTH SYSTEM AND AFFILIATES HAS BEEN AUDITED ON A CONSOLIDATED BASIS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES FOR THE YEAR ENDED DECEMBER 31, 2010. IN JULY 2006, THE FASB ISSUED GUIDANCE REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH REQUIRES THAT THE TAXABLE SUBSIDIARIES OF THE SYSTEM RECOGNIZE IN THEIR FINANCIAL STATEMENTS THE EFFECT OF A TAX POSITION IF THAT TAX POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED UPON THE TECHNICAL MERITS OF THE TAX POSITION. THE SYSTEM HAS ADOPTED ASC 740-10 AS OF THE REQUIRED EFFECTIVE DATE, BUT THE ADOPTION OF THIS GUIDANCE DID NOT HAVE A SIGNIFICANT IMPACT ON THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS, NOR DOES THE SYSTEM CURRENTLY HAVE ANY POSITIONS RESERVED. X X false true X X X X X true true false false false true true false false ROBERT WILLIAMS 502974 0 340281 0 0 0 13632 0 7413 0 864300 0 0 0 BELINDA GIBSON 317651 0 266557 0 4673 0 13632 0 4278 0 606791 0 0 0 MICHAEL CRUZ 288770 0 277363 0 0 0 12155 0 1434 0 579722 0 0 0 JOHN NEILSON 293426 0 70750 0 13831 0 13468 0 10536 0 402011 0 0 0 RON COOTS 149482 0 1592 0 0 0 7837 0 9700 0 168611 0 0 0 JAMES TAYLOR 144206 0 1440 0 9048 0 7036 0 0 0 161730 0 0 0 ELIZABETH PULLIAM 177022 0 0 0 338841 0 7369 0 870 0 524102 0 0 0 John Hicks 0 0 0 0 0 975000 0 0 0 0 0 975000 0 0 Supplemental Compensation Information Schedule J, Part I, Line 1a Social Club Dues Bob Williams - $4,033 (business use portion. Personal use portion reimbursed by the employee.) Gross Up Payments *John W. Nielson MBA Tuiton - $9,315 Gross up amount - $4,516 Gross up total - $13,831 *Michael Cruz Nonqualified Retirement Plan - $160,808 Gross up Amount - $56,283 Gross up Total - $217,091 *Robert Williams Nonqualified Retirement Plan - $178,659 Gross up Amount - $62,531 Gross up Total - $241,190 *Belinda Gibson Nonqualified Retirement Plan - $154,027 Gross up Amount - $53,909 Gross up Total - $207,936 *Elizabeth Pulliam Nonqualified Retirement Plan - $146,293 Gross up Amount - $51,203 Gross up Total - $197,496 Schedule J, Part I, Line 4a Elizabeth Pulliam (former VP Finance) received $332,498 of severance compensation. This amount is included in reportable compensation. John Hicks (former CEO) received $975,000 of severance compensation. This amount is included in reportable compensation. Schedule J, Part I, Line 4b In accordance with BSA's retirement replacement plan, which was designed to comply with the requirements of Section 457(f) of the IRC to provide deferred compensation for a select group of management or highly compensated employees, the individuals listed below received the following during the tax year: *Michael Cruz 2010 Contribution - $34,217 Total Distribution - $251,308 *Robert Williams 2010 Contribution - $54,590 Total Distribution - $295,781 *Belinda Gibson 2010 Contribution - $32,567 Total Distribution - $240,502 *John Neilson, MD 2010 Contribution - $38,000 Total Distribution - $38,000 *Elizabeth Pulliam Total Distribution - $197,496 The plan was closed in 2010. Schedule J, Part I, Lines 6a & 6b BSAHS accrued compensation contingent upon four criteria. 1)the Net Operating Income of the consolidated organization 2)Inpatient percentile/patient satisfaction 3)reduction of pain score 4)recruitment of Neurosurgeon The amounts accrued are as follows: *Bob Williams - $143,023.77 *Michael Cruz - $76,953.24 *Belinda Gibson - $72,901.30 *John Neilson - $80,987.08 Each bonus was calculated at 30%, except Bob Williams which was calculated at 37%. Supplemental Information Form 990, Part VI, Question 6 THE CORPORATION HAS TWO MEMBERS - CHRISTUS HEALTH AND BAPTIST COMMUNITY SERVICES. BOTH ARE TEXAS NON-PROFIT CORPORATIONS. Form 990, Part VI, Question 7a EACH OF THE TWO MEMBERS ELECTS AN EVEN NUMBER OF TRUSTEES FIXED BY THE COLLECTIVE MEMBERS OF THE CORPORATION. THE NUMBER OF TRUSTEES CANNOT EXCEED 16. Form 990, Part VI, Question 7b THE WRITTEN APPROVAL OF EACH MEMBER IS REQUIRED BEFORE THE CORPORATION MAY TAKE ANY OF THE FOLLOWING ACTIONS: (A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) ALTERATION, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (C) CONSENT BY THE CORPORATION (1) TO CEASE OPERATION OF ANY LICENSED HOSPITAL FACILITY OWNED, OPERATED AND CONTROLLED BY BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION OR (2) THE SALE, LEASE OR MORTGAGE OF REAL PROPERTY OWNED BY BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION THAT HAS A VALUE IN EXCESS OF $3,000,000; (D) THE INCURRENCE OR GUARANTEE BY THE CORPORATION (AFTER 2/13/96), OF DEBT HAVING A PRINCIPAL AMOUNT IN EXCESS OF $3,000,000; (E) THE SALE, LEASE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND (F) ELECTION OF PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION. Form 990, Part VI, Question 11b THE FORM 990 IS PRESENTED TO EACH BOARD MEMBER AND REVIEWED PRIOR TO FILING. Form 990, Part VI, Question 12c Each new employee shall sign a "Statement of Understanding" upon employment, and Department Directors, Supervisor and selected employees of interest shall annually sign a "Statement of Understanding" which affirms that such a person: *Has received a copy of the Code of Compliance policy, which requires employees to disclose conflict of interest to their managers *Understands that selected employees will be required to complete a conflict of interest disclosure form *Has read and understands the policy *Has agreed to comply with the policy *Understands that failure to comply with BSA's Code of Compliance may be grounds for disciplinary action, including termination. *Understands that BSA is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes -All employees who have a direct or indirect financial interest (as described in the Conflict of Interest Policy) in the BSA Health Care System and/or its entities are considered an "interested person". -All interested persons shall submit the "Statement of Understanding" mentioned immediately above. -The Director of Corporate Compliance reviews all statements and determines if a conflict exists, and reports the results of all determinations to the Chief Compliance Officer (CFO). In matters related to a Department Director, Supervisor or selected employee, the conflict of interest should be resolved with the employee's direct manager by: *Directing employee to discontinue outside relationship/activity *Directing employee to abstain from participating in decision where a conflict of interest exists *Discontinuing BSA's relationship with outside organization *Establishing management plan to monitor relationship/activity so as to eliminate risk. Violations of the Conflicts of Interest Policy -If there is reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, the interested person shall be informed of the basis for such belief and afforded an opportunity to explain the alleged failure to disclose. -If, after hearing the response of the interested person and making such further investigation as may be warranted in the circumstances, it is determined that the interested person has in fact failed to disclose an actual or possible conflict of interest, appropriate disciplinary and correct action shall be taken in accordance with the Disciplinary Action Policy HR-440. -Records of proceedings will be maintained on file in the Corporate Compliance Office. -Key employees are covered by the conflict of interest policy described above. -Officers, directors, and trustees are covered by the policy described immediately below. -For the purposes of the "Conflicts of Interest Policy - Directors and Officers", director means a member of the Board of Directors, and officer means an individual holding an office provided for by the Bylaws. -All directors, officers, and members of committees with board delegated powers are required to sign an annual statement that the person: *Has received a copy of the conflict of interest policy *Has read and understands the policy *Has agreed to comply with the policy *Understands that the policy applies to all committees and subcommittees having board-delegated powers *Understands that BSA System, BSA Hospital, HCC, and HPI are charitable organizations and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In order to determine whether a potential conflict exists, all existences of financial interest and all material facts must be disclosed to the board of directors or committee for investigation. After investigation, the Board of Directors must take appropriate disciplinary and corrective action with respect to an interested person who violates the "Conflict of Interest" policy, which could include: *Legal remedies *Possible sanctions against the interested person, but shall not be limited to, oral admonishment, written reprimand, reassignment, demotion, suspension, removal, separation or resignation. *Records will be included in the minutes of the board meetings and all committees with board delegated power. Periodic reviews shall be conducted by the directors and officers to ensure that BSA and tax exempt entities operate in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax. This policy is administered and enforced by the Board of Directors of each tax exempt entity. Form 990, Part VI, Question 15a THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES determines the compensation for the top management official. THE ORGANIZATION CONTRACTS WITH SULLIVAN, COTTER AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION OF EXECUTIVES. SULLIVAN COTTER CONFIRMS THAT EACH EXECUTIVE IS PAID REASONABLE COMPENSATION. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE EXECUTIVE COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. The process was last undertaken in January 2011. Form 990, Part VI, Question 15b THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES determines the compensation for the officers. THE ORGANIZATION CONTRACTS WITH SULLIVAN, COTTER AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION OF EXECUTIVES. SULLIVAN COTTER CONFIRMS THAT EACH EXECUTIVE IS PAID REASONABLE COMPENSATION. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE EXECUTIVE COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. The process was last undertaken in January 2011. Form 990, Part VI, Question 19 THE BOARD OF DIRECTORS MAKES ITS GOVERNANCE DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Baptist St Anthony's Hospital Corp 3310 Danvers Amarillo TX 79106 750800669 Hospital TX 501(c)(3) 3 BSAHS Baptist St Anthony's Foundation 3310 Danvers Amarillo TX 79106 752122630 Fundraising TX 501(c)(3) 7 BSAHS Second Chance Foundation 3310 Danvers Amarillo TX 79106 752160474 Fundraising TX 501(c)(3) 11 Type 1 BSAHC Baptist St Anthony's Health Network 3310 Danvers Amarillo TX 79106 752565440 Staffing TX 501(c)(3) 9 BSAHS Don & Sybil Harrington Cancer Center 1500 Wallace Blvd Amarillo TX 79106 751578415 Cancer Center TX 501(c)(3) 9 BSAHS Harrington Physicians Inc 1500 Wallace Blvd Amarillo TX 79106 752312574 Medical Care TX 501(c)(3) 9 HCC Physicians Surgical Hospitals LLC 1600 Wallace Blvd Amarillo TX 79106 731620274 stand alone hosp TX Na N/a Physicians Surgical Real Estate LLC 1600 Wallace Blvd Amarillo TX 79106 202894224 Holding Company TX Na N/a BSA Holdings Inc 3310 Danvers Amarillo TX 79106 752058579 Holding Company TX na C Corp 2298541 2153577 1.00000 false false false false false false false false false false false false false false false false false true Baptist St Anthony's Hospital Corporation r 31579660