2011-08-11T12:13:33-07:00 2010-09-30 990 2009-10-01 592487136 BAPTIST HEALTH SYSTEM INC BAPT 9042021797 3563 Philips Hwy Bld A Suite 106 Attn Mike Lee Jacksonville FL 322075663 Mike Lukaszewski 9042022852 2011-08-11 2009 2016-02-24 21:20:13Z A Hugh Greene 800 Prudential Dr Jacksonville FL 32207 586400 0 X e-baptisthealth.com X 1983 FL Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. 12 6 0 0 0 0 0 0 0 0 292221 475079 -85619 111321 206602 586400 0 1724000 0 0 -1697 -6476 0 0 0 1827589 7205966 1825892 8923490 -1619290 -8337090 88693669 116343438 67219581 73227638 21474088 43115800 Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. 0 0 8350158 1724000 586400 Health Care Delivery and Management: Baptist Health System, Inc. (BHS) is the parent organization of a healthcare system locally-based in Jacksonville, Florida. Its purpose is to establish long-range objectives and coordinate financing and other activities for its affiliates. The affiliates of BHS include four licensed 501(c)(3) hospitals in the northeast Florida region (Southern Baptist Hospital of Florida, Inc., d/b/a Baptist Medical Center and Baptist Medical Center South, Baptist Medical Center of the Beaches, Inc., and Baptist Medical Center of Nassau, Inc.), a 501(c)(3) supporting property management entity (Baptist Health Properties, Inc.), a 501(c)(3) supporting fundraising entity (Baptist Health System Foundation, Inc.), a 501(c)(3) supporting cancer research and education entity (Baptist Health Ambulatory Services, Inc.) and a primary care physician network. 0 0 0 8350158 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 12 6 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X Scott Finnegan 9042023270 3563 Philips Hwy Bldg F Ste 608 Jacksonville FL 32207 John H Williams Jr 2 X X 0 0 0 Robert E Hill Jr 2 X X 0 0 0 A Hugh Greene 0 X X 0 1061640 312797 M C Harden III 2 X X 0 0 0 Joe Louis Barrow Jr 2 X 0 0 0 Jack R Groover MD 2 X 0 0 0 Preston H Haskell 2 X 0 0 0 William C Mason 2 X 0 8758 0 Richard L Sisisky 2 X 0 0 0 Carol C Thompson 2 X 0 1778 8964 Charles E Hughes Jr 2 X 0 0 0 David H Stovall Jr 2 X 0 0 0 John F Wilbanks 0 X 0 597690 132026 Michael Lukaszewski 0 X 0 3798767 39987 Harvey Granger 0 X 0 479343 129232 Keith L Stein MD 0 X 0 587266 64929 0 6535242 687935 0 0 1 0 0 0 0 475079 475079 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gains on investment in Premier Purchasing 622000 111321 111321 0 0 0 0 0 0 111321 586400 586400 0 0 1724000 1724000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -6476 0 -6476 0 0 0 0 0 0 0 0 0 1750 875 875 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486050 243025 243025 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6718166 6382258 335908 0 8923490 8350158 573332 0 0 0 64097898 70216296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22290289 44381131 0 0 2305482 1746011 88693669 116343438 2729476 2340438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64490105 70887200 67219581 73227638 X 21474088 43115800 0 0 0 0 21474088 43115800 88693669 116343438 X 0 1 1 X 0 X X X 0 0 0 Southern Baptist Hospital of Fla Inc 590747311 3 1 1 1 0 Baptist Medical Ctr of the Beaches Inc 592980620 3 1 1 1 0 Baptist Medical Center of Nassau Inc 593234721 3 1 1 1 0 Baptist Health Properties Inc 592487133 11a 1 1 1 0 Baptist Health Ambulatory Services Inc 593410739 11a 1 1 1 50000 Baptist Health System Foundation Inc 592487135 7 1 1 1 1674000 6 1724000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Long-term investment in PHS 44381131 F 44381131 Surrender value of insurance policies 462714 Premier Purchasing Partners investment 1283297 1746011 0 Advances from affiliated organizations 70511036 Deferred comp/insurance liability 376164 70887200 586400 8923490 -8337090 0 0 0 0 29978802 29978802 21641712 586400 0 0 0 0 0 586400 0 0 0 586400 7199490 0 0 0 0 0 7199490 0 1724000 1724000 8923490 SchD_P10_S00_L00 Schedule D, Part X In July 2006, ASC 740-10-50-15, Income Taxes: Unrecognized Tax Benefit Related Disclosures was issued. ASC 740-10-50-15 creates a single model to address uncertain income tax positions and clarifies the accounting for income taxes by prescribing a "more likely than not" minimum recognition threshold that a tax positition is required to meet before being recognized in the financial statements. Under the requirements of ASC 740-10, tax-exempt organizations may be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. Prior to ASC 740-10, the determination of when to record a liability for a tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with ASC 450, Contingencies. On January 1, 2008, Baptist Health System, Inc. adopted ASC 740-10. The impact of the adoption of ASC 740-10 on these financial statements was not significant. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 (1) Net transfers from affiliated organizations, $29,949,569 and (2) increase in common stock valuation of interest in Premier Purchasing, $29,233. SchD_P13_S00_L04b Schedule D, Part XIII, Line 4b Cash contributions to related 501(c)(3) organizations of $1,724,000 included on Form 990, Part IX, Line 1 as an expense, but recorded as a decrease in unrestricted net assets in the audited financial statements. 1 Baptist Health System Foundation Inc 841 Prudential Dr Aetna Bldg 13th floor Jacksonville FL 32207 592487135 501(c)(3) 1674000 FMV - cash Financial assistance was provided to support the fundraising operational expenses of the organiation's 501(c)(3) affiliate, whose mission is to raise funds to support capital projects and program expenses for its 501(c)(3) hospitals. Baptist Health Ambulatory Services Inc 3563 Philips Hwy Bldg A Ste 106 Jacksonville FL 32207 593410739 501(c)(3) 50000 FMV - cash Financial assistance was provided to the organization's 501(c)(3) related organization, Baptist Health Ambulatory Services, Inc. ( BHASI), to support BHASI's mission of performing cancer research through clinical trial studies. 2 0 SchI_P01_S00_L02 Schedule I, Part I, Line 2 Baptist Health System, Inc. (BHS) made cash transfers during the year to provide financial support for two of its 501(c)(3) related organizations: Baptist Health System Foundation, Inc. (BHSF), $1,674,000, and Baptist Health Ambulatory Services, Inc. (BHASI), $50,000. These transfers were approved by members of the Board of Directors of BHS. X X X X 0 1 0 0 0 0 0 0 0 A Hugh Greene 0 705486 0 325000 0 31154 0 294876 0 17921 0 1374437 0 0 John F Wilbanks 0 416149 0 165964 0 15577 0 119121 0 12905 0 729716 0 0 Michael Lukaszewski 0 396129 0 133520 0 3269118 0 27154 0 12833 0 3838754 0 3151623 Keith L Stein MD 0 435615 0 139190 0 12461 0 52093 0 12836 0 652195 0 0 Harvey Granger 0 343476 0 120290 0 15577 0 111912 0 17320 0 608575 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Southern Baptist Hospital of Florida, Inc. has two active Supplemental Nonqualified Retirement Plans (SERPs). One is for certain executives (Supplemental Executive Retirement Plan) and the other is for certain vice-presidents (Supplemental Vice-President Executive Retirement Plan). These SERPS are plans described in IRC Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age. The following individuals accrued unvested benefits under these plans during 2009: A. Hugh Greene, $272,142, John F. Wilbanks, $100,597, Harvey Granger, $90,141 and Keith L. Stein, $33,127. These amounts were included in Schedule J, Part II, Column (c) for each of the listed individuals. During 2009, Michael Lukaszewski reached retirement age under the plan and his benefit of $2,856,831 (an amount accrrued over his 22 years of service) vested. Because this vested amount became taxable upon Mr. Lukaszewski reaching retirement age, the plan distributed $1,033,344 to the IRS for associated income taxes and payroll taxes. The remainder will be distributed on a monthly basis over Mr. Lukaszewski's life expectancy. In addition to the SERP plans, Southern Baptist Hospital of Florida, Inc. had an inactive 457(f) nonqualified elective deferred compensation plan that was terminated on January 30, 2009. As a result of this termination, the accumulated values of the previously deferred employee contributions became vested and were distributed to participants. Amounts distributed included $396,711 to Michael Lukaszewski and $181 to Harvey Granger. These amounts were included on Schedule J, Part II, Column (B)(iii) for each individual. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The organization has individual members who elect the voting members of the organization's governing body. Currently, all of the members of the organization also serve as all of the members of the governing body. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a The organization's individual members elect the members of the governing body of the organization. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 11a. While the organization's governing body did not review the Form 990, the Executive Committee of the Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, reviewed the organization's Form 990 prior to its filing. The Executive Committee of the Board of Baptist Health System, Inc. consists of seven (7) members of its Board of Directors and is authorized by its Bylaws to act on behalf of its Board of Directors. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The Board of the organization has a Conflicts of Interest Committee which regularly reviews the required disclosures of potential conflicts of interest by the Directors and Officers of the organization and its affiliates and recommends any action to be taken with regard to such disclosures. In accordance with the Conflicts of Interest Policy, during meetings of the organization's governing body, a Director who may have a conflict of interest is excused from discussion by the governing body about any transaction or matter that may have given rise to the Director's actual or potential conflict of interest. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 15a &15b. In accordance with Baptist Health System's Executive Compensation policy, the organization's Compensation Committee engages annually a third-party compensation consutant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as Baptist Health System considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated paramaters comprise the "Market". When the Committee meets with such consultant, the Committee provides compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system and the individual's performance. The objective is to have a strong link between health system and individual's performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee minutes are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Upon receiving a request from anyone, the organization will supply a copy of its governing documents, Conflicts of Interest Policy, financial statements and its most recently filed Form 990. F990_P09_S00_L24f Form 990, Part IX, Line 24f Other expenses include the following: (1) Loss on investment in Pavilion Health Systems, Inc., an affiliate, of $6,606,822, and (2) Losses on deferred compensation/insurance of $111,344. Southern Baptist Hospital of Florida Inc 800 Prudential Dr Jacksonville FL 32207 590747311 Hospital FL 501(c)(3) 3 N/A Baptist Medical Center of the Beaches Inc 1350 13th Ave S Jacksonville Beach FL 32250 592980620 Hospital FL 501(c)(3) 3 N/A Baptist Medical Center of Nassau Inc 1250 S 18th St Fernandina Beach FL 32034 593234721 Hospital FL 501(c)(3) 3 N/A Baptist Health Ambulatory Services Inc 3563 Philips Hwy Bld A Ste 106 Jacksonville FL 32207 593410739 Cancer research & education FL 501(c)(3) 11a N/A Baptist Health Properties Inc 3563 Philips Hwy Bld A Ste 106 Jacksonville FL 32207 592487133 Manage real estate for affiliates FL 501(c)(3) 11a N/A Baptist Health System Foundation Inc 841 Prudential Dr Aetna Bldg 13th Flr Jacksonville FL 32207 592487135 Fundraising entity for affiliates FL 501(c)(3) 7 N/A Pavilion Health Services Inc 3563 Philips Hwy Bld A Ste 106 Jax FL 32207 592059710 Physician practices/retail pharmacies FL N/A C -6606822 44381131 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 Baptist Health Ambulatory Services Inc b 50000 Baptist Health System Foundation Inc b 1674000 Southern Baptist Hospital of Florida Inc r 21213081 Baptist Medical Center of the Beaches Inc r 2095692 Baptist Medical Center of Nassau Inc r 1191227 Pavilion Health Services Inc r 5449569