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SOUTH FLORIDA BAPTIST HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOUTH FLORIDA BAPTIST HOSPITAL INC (EIN 59-0594631)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-05
IRS object ID
202123099349304272
Schema version
2020v4.0
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)
Return2021-11-05T18:04:11-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590594631EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1South Florida Baptist Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone8137571245PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Alexander StAddressLine1Txt
CityPlant CityCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33563ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRon BeamonPersonNm
Person TitleVP, CFO - BayCare Hospital DivPersonTitleTxt
Signature2021-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRonPersonFirstNm
Person LastBeamonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrittney KocajPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1GLENN WATERSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Alexander StAddressLine1Txt
CityPlant CityCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33563ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$140,082,926GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BAYCARE.ORG/SFBHWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSouth Florida Baptist Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee968TotalEmployeeCnt
Total Volunteers272TotalVolunteersCnt
Total Gross UBI$14,452TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$11,107NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$449,647PYContributionsGrantsAmt
CY Contributions Grants$372,368CYContributionsGrantsAmt
PY Program Service Revenue$139,268,956PYProgramServiceRevenueAmt
CY Program Service Revenue$139,052,398CYProgramServiceRevenueAmt
PY Investment Income-$564PYInvestmentIncomeAmt
CY Investment Income$8,369CYInvestmentIncomeAmt
PY Other Revenue$884,171PYOtherRevenueAmt
CY Other Revenue$649,791CYOtherRevenueAmt
PY Total Revenue$140,602,210PYTotalRevenueAmt
CY Total Revenue$140,082,926CYTotalRevenueAmt
PY Grants And Similar Paid$18,255PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$171,572CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,910,669PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,804,030CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,783,570PYOtherExpensesAmt
CY Other Expenses$75,844,264CYOtherExpensesAmt
PY Total Expenses$128,712,494PYTotalExpensesAmt
CY Total Expenses$130,819,866CYTotalExpensesAmt
PY Revenues Less Expenses$11,889,716PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,263,060CYRevenuesLessExpensesAmt
Total Assets BOY$233,766,735TotalAssetsBOYAmt
Total Assets EOY$268,444,828TotalAssetsEOYAmt
Total Liabilities BOY$8,362,257TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,336,113TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$225,404,478NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$250,108,715NetAssetsOrFundBalancesEOYAmt
MissionSouth Florida Baptist Hospital, Inc. will improve the health of all we serve through community-owned health care services that set the standard for high-quality, compassionate care.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$108,058,358ExpenseAmt
Grant$171,572GrantAmt
Revenue$139,672,853RevenueAmt
DescSouth florida baptist hospital, inc. (SFBH) is a full-service 147-bed community hospital. During 2020, SFBH provided inpatient care to 5,476 patients, treated 31,442 patients in the emergency Department, and delivered 456 babies. Through efforts of the medical assistance program and the Hospital's charity care program, SFBH saw a net community benefit expense totaling more than $18.3 Million. The hospital also provided other community services totaling over $2.3 Million. Some of The programs included relay for life, faith community nursing, and San Jose mission. Refer to Schedule h for additional information.Desc
Total Program Service Expenses$108,058,358TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee968EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JANICE POLOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7278208021PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12985 Drew StreetAddressLine1Txt
CityClearwaterCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33759ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GLENN WATERS
TRUSTEE/EVP, COO BAYCARE1.064.0Yes (X)Yes (X)$0$1,922,051$65,058
RALPH GARCIA
TRUSTEE/VICE CHAIR/SECRETARY/TREASURER1.02.0Yes (X)Yes (X)$0$0$0
TRACY HALME
TRUSTEE/CHAIR1.03.0Yes (X)Yes (X)$0$0$0
AVRIL CHIN FATT
TRUSTEE1.03.0Yes (X)$0$0$0
BRUCE RODWELL
TRUSTEE1.03.0Yes (X)$0$0$0
COLEMAN DAVIS
TRUSTEE1.03.0Yes (X)$0$0$0
CR HALL
TRUSTEE Until June 20201.02.0Yes (X)$0$0$0
DIPA SHAH
TRUSTEE1.02.0Yes (X)$0$0$0
DONNA JORDAN
TRUSTEE1.03.0Yes (X)$0$0$0
DOUGLAS MCFADDEN
TRUSTEE1.02.0Yes (X)$0$33,194$0
JENNIFER BROWN KING
TRUSTEE1.02.0Yes (X)$0$0$0
JERILYN REED
TRUSTEE1.02.0Yes (X)$0$0$0
JONATHAN JENNEWEIN
TRUSTEE/IMMEDIATE PAST CHAIR1.04.0Yes (X)$0$0$0
LAUREN WEINER
TRUSTEE1.02.0Yes (X)$0$0$0
LORI YARBROUGH
TRUSTEE1.02.0Yes (X)$0$0$0
MATTHEW RICE
TRUSTEE1.02.0Yes (X)$0$0$0
PAT SHIRLEY
TRUSTEE1.04.0Yes (X)$0$0$0
RENA UPSHAW FRAZIER
TRUSTEE1.02.0Yes (X)$0$0$0
RICHARD GLORIOSO
TRUSTEE1.02.0Yes (X)$0$0$0
SEAN BUTLER
TRUSTEE1.02.0Yes (X)$0$0$0
STEPHEN MENDOZA
TRUSTEE1.02.0Yes (X)$0$0$0
YVONNE FRY
TRUSTEE1.03.0Yes (X)$0$0$0
RONALD BEAMON
VP, CFO BAYCARE HOSP DIV1.052.0Yes (X)$0$547,066$100,109
BETH TANCREDO
DIR, OPERATIONS SOUTH FL BAPTIST HOSP45.00$176,440$0$23,703Yes (X)
JUNE RAMSEY
DIR, PATIENT SERVICES SOUTH FL BAPTIST HOSP30.00$171,273$0$14,363Yes (X)
KAREN KERR
VP/PRESIDENT SFBH & BRMC1.047.0$0$478,425$52,605Yes (X)
MERCY NINAN
MANAGER PHARMACY45.00$198,077$0$51,528Yes (X)
DOUGLAS BROWN
PHARMACY CLINICAL COORD45.00$156,074$0$40,211Yes (X)
GAYA SALYER
CLINICAL PHARMACIST45.00$171,528$0$42,427Yes (X)
LYNN KLIEM
NEONATAL NURSE PRACTITIONER45.00$150,083$0$13,781Yes (X)
MICHELLE CORMIER-BOECKLE
NEONATAL NURSE PRACTITIONER45.00$158,903$0$12,383Yes (X)
SEAN USTIC
CLINICAL PHARMACIST45.00$151,602$0$11,154Yes (X)
CARL TREMONTI
FORMER VP, CFO BAYCARE HOSP DIV0.052.0$0$705,965$53,264Yes (X)
JACQUES VASCONCELLOS
FORMER DIR OPERATIONS SOUTH FL BAPTIST HOSP0.045.0$0$232,485$40,274Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,333,979TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,919,185TotReportableCompRltdOrgAmt
Total Other Compensation$520,860TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K56IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
LOCKWOOD & STEELY MDS PA
301 N ALEXANDER STPLANT CITYFL33563anesthesiology services$1,862,000
BAY LINEN INC
11525 47TH ST NCLEARWATERFL33762laundry services$709,880
BIO-MEDICAL APPLICATIONS OF
FLORIDA INCCHICAGOIL60693medical services$608,262DBA FRESENIUS MEDICAL CARE
UNIVERSAL PROTECTION SERVICE
DBA ALLIED UNIVERSALPHILADELPHIAPA191828854security$582,780SECURITY SERVICES
AYA HEALTHCARE INC
5930 CORNERSTONE CT WSAN DIEGOCA92121medical services$575,775300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$372,368RelatedOrganizationsAmt
Total Contributions$372,368TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL PATIENT CARE622110$74,667,498$74,667,498
MEDICARE / MEDICAID PAYMENT622110$64,384,900$64,384,900

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$139,052,398TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,884RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$14,884RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,884TotalRevenueColumnAmt
Exclusion$14,884ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$8,369OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$8,369OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,369TotalRevenueColumnAmt
Exclusion$8,369ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA722514$444,939$444,939
OTHER REVENUE900099$189,968$175,516$14,452

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$634,907OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$140,082,926TotalRevenueColumnAmt
Related Or Exempt Func Income$139,672,853RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,452UnrelatedBusinessRevenueAmt
Exclusion$23,253ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$171,572TotalAmt
Program Services$171,572ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$635,384TotalAmt
Management And General$635,384ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$73,592TotalAmt
Program Services$73,592ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$44,643,448TotalAmt
Program Services$44,643,448ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,759,535TotalAmt
Program Services$1,759,535ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,476,124TotalAmt
Program Services$4,476,124ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,215,947TotalAmt
Program Services$3,183,889ProgramServicesAmt
Management And General$32,058ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$97,318TotalAmt
Management And General$97,318ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,815TotalAmt
Program Services$1,815ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,868,600TotalAmt
Program Services$8,800,475ProgramServicesAmt
Management And General$68,125ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,623TotalAmt
Program Services$52,408ProgramServicesAmt
Management And General$7,215ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,936,831TotalAmt
Program Services$869,015ProgramServicesAmt
Management And General$1,067,816ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$289,301TotalAmt
Program Services$165,790ProgramServicesAmt
Management And General$123,511ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,557,313TotalAmt
Program Services$2,546,807ProgramServicesAmt
Management And General$10,506ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$188,984TotalAmt
Program Services$156,574ProgramServicesAmt
Management And General$32,410ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,294,245TotalAmt
Program Services$2,294,245ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,183,791TotalAmt
Program Services$6,149,486ProgramServicesAmt
Management And General$34,305ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,748,366TotalAmt
Program Services$2,748,366ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ASSESSMENT$1,804,633$1,804,633
MEDICAL SUPPLIES$23,608,261$23,608,261
MANAGEMENT FEES$17,369,806$17,369,806
BAD DEBT EXPENSE$203,496$203,496

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,631,881TotalAmt
Program Services$4,348,827ProgramServicesAmt
Management And General$3,283,054ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,819,866TotalAmt
Program Services$108,058,358ProgramServicesAmt
Management And General$22,761,508ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$800BOYAmt
EOY$809EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,228,747BOYAmt
EOY$14,273,617EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$60,962BOYAmt
EOY$73,054EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,269,042BOYAmt
EOY$4,878,352EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$615,750BOYAmt
EOY$677,505EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$132,127,556LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,950,294LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,061,034BOYAmt
EOY$41,177,262EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,333,198BOYAmt
EOY$10,917,850EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$160,197,202BOYAmt
EOY$196,446,379EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$233,766,735BOYAmt
EOY$268,444,828EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,047,397BOYAmt
EOY$10,914,649EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$200EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,314,860BOYAmt
EOY$943,270EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,477,994EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,362,257BOYAmt
EOY$18,336,113EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$222,427,049BOYAmt
EOY$247,344,344EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,977,429BOYAmt
EOY$2,764,371EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,404,478BOYAmt
EOY$250,108,715EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$233,766,735BOYAmt
EOY$268,444,828EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,263,060ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$15,441,177OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,815OtherActivitiesAmt
Total Lobbying Expenditures$1,815TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLine 1i. Dues were paid to American Society for Healthcare Engineering, 340B, Florida Society of Health System Pharmacists, American Society of Health System Pharmacists, American Association of Healthcare Administration Management, and American College of Surgeons. These associations use a portion of their respective dues to conduct lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,754,751OtherCostOrOtherBasisAmt
Book Value$2,754,751BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,596,469OtherCostOrOtherBasisAmt
Depreciation$47,704,407DepreciationAmt
Book Value$25,892,062BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,922OtherCostOrOtherBasisAmt
Depreciation$59,922DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,628,813OtherCostOrOtherBasisAmt
Depreciation$43,184,803DepreciationAmt
Book Value$10,444,010BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,087,601OtherCostOrOtherBasisAmt
Depreciation$1,162DepreciationAmt
Book Value$2,086,439BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,177,262TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES
Prepaid PHYSICIAN
EST THIRD PARTY SETTLEMENTS
Prepaid PHYSICIAN RECRUITMENT$5,481
DUE FROM AFFILIATES$196,440,898
FieldValueIRS element (for citing)
Total Book Value Other Assets$196,446,379TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated third party settlements$491,082
DUE TO AFFILIATES$5,986,912
FieldValueIRS element (for citing)
Total Liability$6,477,994TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$141,503,957TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$141,503,957RevenueSubtotalAmt
Other Revenues Not Included-$1,421,031OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,421,031RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$140,082,926TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$130,641,912TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$130,641,912ExpensesSubtotalAmt
Other Expenses Not Included$177,954OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$177,954ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$130,819,866TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Hospital and the Foundation are not-for-profit organizations described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. The Hospital and the Foundation are also exempt from state income taxes. The Hospital and the Foundation account for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Management has determined that no material unrecognized tax benefits or liabilities exist as of December 31, 2020.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsCONTRIBUTIONS RECORDED IN NET ASSETS - 372368 GRANTS - 169585 CHANGE IN FOUNDATION EARNINGS - -1971353 G/L ON SALE OF ASSETS - 8369
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsGRANTS - 169585 G/L ON SALE OF ASSETS - 8369

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,728,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,963,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,765,541NetCommunityBenefitExpnsAmt
Total Expense0.0212TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,228,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,383,508DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,844,761NetCommunityBenefitExpnsAmt
Total Expense0.1060TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,778,731TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,082,277DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,696,454NetCommunityBenefitExpnsAmt
Total Expense0.0130TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$30,735,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,429,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,306,756NetCommunityBenefitExpnsAmt
Total Expense0.1402TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$410,766TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$410,766NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$398,516TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$398,516NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,217,946TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,217,946NetCommunityBenefitExpnsAmt
Total Expense0.0093TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,399TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$113,399NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$199,493TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$199,493NetCommunityBenefitExpnsAmt
Total Expense0.0015TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,340,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,340,120NetCommunityBenefitExpnsAmt
Total Expense0.0179TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$33,076,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,429,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,646,876NetCommunityBenefitExpnsAmt
Total Expense0.1581TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,932TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,932NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,052TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,052NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,486TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,486NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$24,578TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,578NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$203,496BadDebtExpenseAmt
Bad Debt Expense Attributable$98,542BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,431,190ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,325,080CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$893,890MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH FLORIDA BAPTIST HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N ALEXANDER STREETAddressLine1Txt
CityPLANT CITYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33563ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BAYCARE.ORG/SFBHWebsiteAddressTxt
State License4056StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH FLORIDA BAPTIST HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://baycare.org/hospitals/south-florida-baptist-hospital/about-us/community-health-needsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://baycare.org/hospitals/south-florida-baptist-hospital/about-us/community-health-needsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://baycare.org/billing-and-insurance/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - SOUTH FLORIDA BAPTIST HOSPITAL, INC.. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SOUTH FLORIDA BAPTIST HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 55 COMMUNITY STAKEHOLDERS IN THE SOUTH FLORIDA BAPTIST HOSPITAL SERVICE AREA TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED ON PAGE 10 OF THE CHNA. SEVERAL OF THE PARTICIPANTS RESPONDING TO THE SURVEY REPRESENT ORGANIZATIONS WHICH WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - SOUTH FLORIDA BAPTIST HOSPITAL, INC.. CHNA was conducted with the following hospital facilities: 1. Advent Health (Florida Hospital) 2. Johns Hopkins All Children's Hospital 3. Moffitt Cancer Center 4. Tampa General Hospital
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - SOUTH FLORIDA BAPTIST HOSPITAL, INC.. CHNA was conducted with the following non-hospital facility: Florida Department of Health in Hillsborough County
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - SOUTH FLORIDA BAPTIST HOSPITAL, INC.. South Florida Baptist Hospital is concentrating efforts during the 2020-2022 time period to address the following significant health needs of our community as identified in the most recent CHNA: * Access to health services * Behavioral Health (Mental Health and Substance Use) * Exercise, Nutrition and Weight SOUTH FLORIDA BAPTIST HOSPITAL'S implementation plan DESCRIBES specific activities that are underway to address these significant health needs during the 2020-2022 time period. Although the majority of the overarching goals, objectives and efforts will focus on these top three focus areas, South Florida Baptist Hospital remains committed to supporting positive advancements in addressing diabetes, heart disease and stroke, while addressing the focus area of exercise, nutrition and weight. There were five additional health focus areas identified through the CHNA. These were: * Cancer * Immunization and infectious disease * Maternal, fetal and infant health * Oral health * Respiratory disease These remaining health needs are significant, but they're not directly addressed in 2020-2022 health improvement plan strategies. However, they'll continue to be impacted through existing hospital strategies for clinical excellence and South Florida Baptist Hospital partnerships within the community, including the Florida Department of Health and community organizations who may be in a better position to address these health issues.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - SOUTH FLORIDA BAPTIST HOSPITAL. PATIENTS MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ON THE FULL BALANCE OF THEIR ACCOUNT IF THE HOSPITAL BILL EXCEEDS 25% OF THEIR ANNUAL INCOME.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SFB OUTPATIENT REHAB CENTER
874 S PARSONS AVEBRANDONFL33511REHABILITATION SERVICES
SFB OUTPATIENT REHAB CENTER (ADULTS)
414 N PLANT AVENUEPLANT CITYFL33563REHABILITATION SERVICES
SFB OUTPATIENT REHAB CENTER (PEDIATRIC)
1601 W TIMBERLANE DR SUITE 800PLANT CITYFL33566REHABILITATION SERVICES
SFB OUTPATIENT REHAB CENTER (BAYCARE HEALTH HUB)
2470 BLOOMINGDALE AVE SUITE 204VALRICOFL33596REHABILITATION SERVICES
SFB WOUND CARE
301 N ALEXANDER STPLANT CITYFL33563URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH (Continued)IN 2020, BAYCARE WORKED ALONGSIDE OTHER LOCAL NOT-FOR-PROFIT HOSPITALS AND COUNTY DEPARTMENTS OF HEALTH TO DEVELOP THE ALL4HEALTHFL COLLABORATIVE. THE PURPOSE OF THE ALL4HEALTHFL COLLABORATIVE IS TO IMPROVE HEALTH BY LEADING REGIONAL, OUTCOME-DRIVEN HEALTH INITIATIVES THAT HAVE BEEN PRIORITIZED THROUGH COMMUNITY HEALTH ASSESSMENTS. MEMBERS OF THE COLLABORATIVE ALIGNED EFFORTS TO PROVIDE MENTAL HEALTH FIRST AID TRAINING TO ORGANIZATIONS IN HILLSBOROUGH, PASCO, PINELLAS, AND POLK COUNTIES. ADDITIONALLY, AS A RESPONSE TO THE COVID -19 PANDEMIC, THE COLLABORATIVE CONDUCTED A KEY INFORMANT SURVEY WITHIN COUNTIES SERVED TO GATHER FEEDBACK ON POTENTIAL CHANGES IN COMMUNITY HEALTH NEEDS. RESULTS OF THE SURVEY WERE USED TO UPDATE IMPLEMENTATION PLANS TO ACCOMMODATE NEWLY IDENTIFIED OR MORE ACUTE COMMUNITY NEED. VOLUNTEER ACTIVITIES: IN 2020, HOSPITAL VOLUNTEERS PROVIDED ASSISTANCE TO PATIENTS AND VISITORS AT THE INFORMATION DESK AND IN THE GIFT SHOP, WHEELCHAIR ASSISTANCE AND SERVED AS PATIENT LIAISONS IN WAITING ROOMS. TEAM MEMBERS CONTRIBUTED TO THE HEALTH OF THE COMMUNITY BY: *PARTICIPATING IN A VIRTUAL FOOD DRIVE TO RAISE FUNDS FOR FEEDING TAMPA BAY. OVERALL, 658 DONORS CONTRIBUTED $30,416 IN FUNDS TO PROVIDE FOOD TO THOSE IN NEED ACROSS THE REGION. IN ADDITION, 22 DONORS SIGNED UP FOR MONTHLY RECURRING DONATIONS FOR ONGOING SUPPORT. *HOLDING THE ANNUAL TEAM MEMBER GIVING CAMPAIGN. ACROSS THE SYSTEM, TEAM MEMBERS DONATED $818,528 TO BAYCARE'S HOSPITAL FOUNDATIONS AND THE UNITED WAY.
Schedule H, Part VI, Line 7 State filing of community benefit reportSOUTH FLORIDA BAPTIST HOSPITAL OPERATES IN THE STATE OF FLORIDA, WHICH DOES NOT REQUIRE ITS COMMUNITY BENEFIT REPORT TO BE FILED WITH THE STATE GOVERNMENT. THE COMMUNITY BENEFIT REPORT IS PREPARED AND MADE AVAILABLE TO THE PUBLIC.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted carePATIENTS WHO ARE UNINSURED OR UNDERINSURED AND CANNOT PAY FOR HOSPITAL SERVICES ARE ELIGIBLE FOR CHARITY CONSIDERATION. THESE PATIENTS ARE SCREENED BY DESIGNATED TEAM MEMBERS IN OUR FINANCIAL ASSISTANCE DEPARTMENT. THE AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) DEFINES CHARITY ELIGIBILITY AT 200 PERCENT OF THE FEDERAL POVERTY GUIDELINES, UNLESS THE TOTAL HOSPITAL BILL IS MORE THAN 25 PERCENT OF THE PATIENT'S ANNUAL INCOME. MEDICAID RECIPIENTS WHO HAVE EXCEEDED THEIR COVERAGE LIMITS ARE ALSO CONSIDERED FOR CHARITY CARE. SOUTH FLORIDA BAPTIST HOSPITAL, INC GOES ABOVE AND BEYOND THE AHCA REQUIREMENTS BY PROVIDING ADDITIONAL "HARDSHIP" CHARITY FOR PATIENTS WHO ARE AT 250 PERCENT OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, AN UNINSURED DISCOUNT OF 40% IS AUTOMATICALLY GIVEN TO ANY PATIENT WHO DOES NOT HAVE INSURANCE COVERAGE OR BENEFITS. THERE IS NO INCOME OR ASSET TEST REQUIRED FOR THE UNINSURED DISCOUNT. PATIENTS RECEIVE AN ADDITIONAL 10% DISCOUNT IF THE ACCOUNT IS PAID WITHIN 30 DAYS. Presumptive financial assistance decisions for uninsured ER patients may be determined based on third party analytics, using a credit inquiry process, under the following circumstances: * Uninsured accounts of patients not seen by the Financial Assistance team or without a current financial assistance application on file * The reported federal poverty level (FPL) of the patient meets the criteria for financial assistance (250%)
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationBAYCARE HEALTH SYSTEM, INC.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation203496
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceFINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS (LINES A THROUGH D) ARE DETERMINED USING OUR COST ACCOUNTING SYSTEM, WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST (LINES E THROUGH J, AS WELL AS AMOUNTS REPORTED IN PART II) WERE COMPILED BY THE COMMUNITY HEALTH DEPARTMENT USING THE CATHOLIC HEALTH ASSOCIATION GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS.
Schedule H, Part II Community Building ActivitiesSOUTH FLORIDA BAPTIST HOSPITAL SUPPORTS ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS THROUGH ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, AND WORKFORCE DEVELOPMENT. THIS INCLUDES: - LEADERSHIP AND TEAM MEMBER TIME DEDICATED TO COLLABORATIVE PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND COLLABORATIVES TO IMPROVE ECONOMIC STABILITY, PROSPERITY AND WELLBEING IN THE COMMUNITY. - RECYCLING COSTS FOR DISPOSABLE ITEMS - TEAM MEMBER TIME DEDICATED TO WORKING WITH HEALTH CARE OBSERVERS, INTERESTED IN PURSUING A CAREER IN THE MEDICAL FIELD
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS REPORTED AS TOTAL BAD DEBT FOR THE FACILITY. THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE IS CALCULATED AS A CHARGE RATIO, DERIVED FROM DATA SAMPLING. THE RESULTING CHARGE RATIO IS THEN APPLIED TO TOTAL BAD DEBT ACCOUNTS OF THE ORGANIZATION, WHICH CALCULATES THE BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE. THE STATE OF FLORIDA REQUIRES THE PATIENT TO PROVIDE CERTAIN DOCUMENTATION IN ORDER TO QUALIFY FOR FINANCIAL ASSISTANCE. IN CASES WHERE THE PATIENT HAS NOT RESPONDED TO HOSPITAL REQUESTS OR BILLING STATEMENT ALERTS, THOSE ACCOUNTS ARE PROCESSED AS BAD DEBT, IF UNPAID.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologySEE NARRATIVE TO PART III, LINE 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE ON PAGE 12 OF THE BAYCARE HEALTH SYSTEM, INC. AND AFFILIATES NOTES TO COMBINED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsCOST REPORTS WERE USED TO REPORT MEDICARE ALLOWABLE COSTS. MEDICARE DEFINES ALLOWABLE COSTS AS THOSE APPROPRIATE AND HELPFUL IN DEVELOPING AND MAINTAINING THE OPERATION OF PATIENT CARE FACILITIES AND ACTIVITIES. IT SPECIFICALLY EXCLUDES CERTAIN COSTS THAT ARE NOT DIRECTLY RELATED TO PATIENT CARE. THE HOSPITAL INCURS ADDITIONAL EXPENSE RELATED TO THE PROVISION OF CARE TO MEDICARE PATIENTS THAT MEDICARE HAS DEEMED NON-ALLOWABLE. THIS ADDITIONAL EXPENSE INCLUDES COSTS OF PHYSICIAN SERVICES (EMERGENCY ON-CALL FEES, HOSPITALIST PROGRAM, RECRUITMENT, ETC.), ADVERTISING COSTS, CAFETERIA COSTS FOR MEALS SOLD TO VISITORS, ETC. THE HOSPITAL ATTEMPTS TO COLLECT COINSURANCE AND DEDUCTIBLES FROM MEDICARE BENEFICIARIES. TO THE EXTENT COLLECTION EFFORTS ARE UNSUCCESSFUL, MEDICARE REIMBURSES THE HOSPITAL AT 65% OF UNPAID AMOUNTS. THE FOLLOWING TABLE RECONCILES THE SURPLUS OR SHORTFALL FROM LINE 7 TO THE ACTUAL SURPLUS OR SHORTFALL. THE ADDITIONAL COSTS WERE ALLOCATED TO MEDICARE BASED UPON MEDICARE'S PERCENTAGE OF TOTAL ALLOWABLE COSTS. THE UNPAID COINSURANCE/DEDUCTIBLES WERE ESTIMATED USING HISTORICAL COLLECTION RESULTS. ANY SHORTFALL AMOUNTS HAVE NOT BEEN TREATED AS COMMUNITY BENEFIT. LINE 7 SURPLUS OR (SHORTFALL) ($893,890) ADDITIONAL NON-ALLOWABLE COSTS AND UNPAID/NON-REIMBURSED COINSURANCE/DEDUCTIBLES ($2,451,010) TOTAL SURPLUS OR (SHORTFALL) ($3,344,900)
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePATIENTS WHO ARE UNABLE TO PAY ARE ENCOURAGED BY BAYCARE HEALTH SYSTEM REPRESENTATIVES, VIA PERSONAL INTERVIEWS, SIGNAGE ON PATIENT BILLING STATEMENTS, BROCHURES OR CUSTOMER SERVICE PHONE CALLS, TO SUBMIT FINANCIAL INFORMATION TO THE FINANCIAL ASSISTANCE DEPARTMENT TO DETERMINE ELIGIBILITY FOR PROGRAMS, SUCH AS COUNTY, MEDICAID, DISABILITY, VICTIMS OF CRIME, CHARITY, ETC. FOR THOSE PATIENTS WHO PROVIDE ALL THE NECESSARY DOCUMENTATION AND QUALIFY FOR CHARITY ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, (DEFINED IN PART I, LINE 3C), the PATIENT's ACCOUNT BALANCE WOULD BE WRITTEN OFF COMPLETELY TO CHARITY AND NOT BILLED TO THE PATIENT. Since the charity care policy is 100% for patients who are eligible, there is no remaining patient portion; therefore, there would never be a situation where a patient is known to qualify for financial assistance but is experiencing collection actions.
Schedule H, Part V, Section B, Line 16a FAP website- SOUTH FLORIDA BAPTIST HOSPITAL, INC.: Line 16a URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- SOUTH FLORIDA BAPTIST HOSPITAL, INC.: Line 16b URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- SOUTH FLORIDA BAPTIST HOSPITAL, INC.: Line 16c URL: https://baycare.org/billing-and-insurance/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentSOUTH FLORIDA BAPTIST HOSPITAL, INC IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITY IT SERVES. OUR QUALITY PHILOSOPHY IS MODELED AROUND UNDERSTANDING OUR CUSTOMERS' NEEDS AND EMPLOYING STRATEGIES TO ADDRESS THOSE NEEDS IN A COMPREHENSIVE MANNER. SOUTH FLORIDA BAPTIST HOSPITAL, INC ADDRESSES COMMUNITY HEALTH STATUS ASSESSMENTS BY ACCESSING EXISTING THIRD PARTY DATABASES PROFILING HEALTH STATUS INFORMATION FOR GEOGRAPHIES IT SERVES. THE ASSESSMENTS PROVIDE A PROFILE OF HEALTH STATUS INDICATORS IN COMPARISON TO STATE AVERAGES AND, IF AVAILABLE, NATIONAL BENCHMARKS. SOUTH FLORIDA BAPTIST HOSPITAL, INC. RECOGNIZES THE IMPORTANCE OF HEARING FROM THOSE THEY SERVE. ALONG WITH COLLECTING GENERALLY AVAILABLE DATA, SOUTH FLORIDA BAPTIST HOSPITAL, INC. CONDUCTS A COMMUNITY-BASED SURVEY TO ALLOW FOR COMMUNITY RESIDENTS' VOICES TO BE HEARD AS WELL AS INFORMED DECISION MAKING RELATED TO HEALTH PRIORITIES. IN ADDITION, SOUTH FLORIDA BAPTIST HOSPITAL, INC CONDUCTS PHYSICIAN COMMUNITY NEEDS STUDIES THAT OUTLINE PHYSICIAN DEFICITS BY SPECIALTY FOR THE GEOGRAPHIC AREA SERVED. STUDIES ARE ALSO CONDUCTED TO IDENTIFY GAPS IN GEOGRAPHIC ACCESS TO SERVICES SUCH AS PRIMARY CARE, OUTPATIENT SERVICES AND INPATIENT SERVICES. ALL OF THE ABOVE PROCESSES OCCUR ON AN ONGOING BASIS TO ASSIST SOUTH FLORIDA BAPTIST HOSPITAL, INC IN DEVELOPING INITIATIVES AND PROGRAMS/SERVICES TO ADDRESS IDENTIFIED HEALTH CARE NEEDS IN THE COMMUNITIES IT SERVES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceSOUTH FLORIDA BAPTIST HOSPITAL, INC FINANCIAL ASSISTANCE TEAM MEMBERS ARE DEDICATED TO ASSISTING PATIENTS IN OBTAINING ASSISTANCE THROUGH FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS OR THROUGH THE BAYCARE HEALTH SYSTEM, INC FINANCIAL ASSISTANCE POLICY. SIGNAGE AND BROCHURES ARE AVAILABLE, AS WELL AS TEAM MEMBERS WHOSE FULL RESPONSIBILITY IS TO ASSIST PATIENTS IN THE EMERGENCY ROOM AND ON INPATIENT UNITS. THE FINANCIAL ASSISTANCE TEAM INTERVIEWS PATIENTS FOR ALL AVAILABLE PROGRAMS, ASSISTS THE PATIENTS IN COMPLETING APPLICATIONS TO GOVERNMENT AGENCIES AND FOR HOSPITAL CHARITY CARE, ADVISES PATIENTS REGARDING AVAILABLE COMMUNITY RESOURCES FOR HEALTH CARE, REVIEWS AND APPROVES PATIENT REQUESTS FOR CHARITY CARE, AND PROVIDES EDUCATION AND SUPPORT TO THE PATIENT THROUGHOUT THE ASSISTANCE PROCESS. IN ADDITION TO THE AFOREMENTIONED COMPREHENSIVE PROCESS, SOUTH FLORIDA BAPTIST HOSPITAL, INC ALSO INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE, BUT MAY BE ELIGIBLE FOR CHARITY OR OTHER PROGRAMS, VIA PATIENT BILLING STATEMENTS AND CUSTOMER SERVICE REPRESENTATIVE CALLS. THE GOAL IN USING THESE VARIOUS MEANS IS TO EFFECTIVELY COMMUNICATE WITH THE ENTIRE PATIENT POPULATION SO THEY ARE INFORMED AND EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE.
Schedule H, Part VI, Line 4 Community informationSouth Florida Baptist Hospital is an acute care facility serving parts of Hillsborough and Polk counties. The median household income of $63,347 in this area is $7,687 higher than the state median income and $5,356 less than the national median income. 9.4% of households have annual household income below $15,000 per year. The population served is predominantly Caucasian and 87.2% are high-school graduates or higher educated. Hispanics are the second largest ethnic group representing 25.1% of the population. South Florida Baptist Hospital is part of BayCare Health System that serves west central Florida. The primary and secondary service area served by South Florida Baptist has 5 hospitals; all but one is Not-for-Profit. There are 2 federally designated medically underserved areas and 3 federally designated medically underserved populations in South Florida Baptist's service area. With the over 65 population expected to grow 18.8% in the next five years, the health care needs of our service area are expanding and changing. The population served by South Florida Baptist Hospital is expected to grow 7.0% in the next 5 years. This is higher than the expected growth rate of 5.9% for Florida and 2.9% for the United States. Based on Florida inpatient discharge data for the period of 10/01/19 - 9/30/20, the payer mix for the geographic area consists of 46.5% Medicare/Medicare HMO, 18.1% Medicaid/Medicaid HMO, 21.4% Commercial Insurance, 8.0% Self pay/Non-pay, and 6.0% Other.
Schedule H, Part VI, Line 5 Promotion of community healthOUR MISSION AT SOUTH FLORIDA BAPTIST HOSPITAL AS PART OF BAYCARE HEALTH SYSTEM IS TO IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY COMPASSIONATE CARE. BY FOCUSING ON EDUCATION AND PREVENTION, WE STRIVE TO CREATE A HEALTHIER COMMUNITY AND LOWER HEALTH CARE EXPENDITURES. SOUTH FLORIDA BAPTIST HOSPITAL WAS FOUNDED IN 1953 AS A RESULT OF A PARTNERSHIP BETWEEN MANY GENEROUS, CIVIC-MINDED CITIZENS OF PLANT CITY AND THE DEDICATED FINANCIAL SUPPORT OF THE FLORIDA BAPTIST CHURCH CONVENTION. ITS MISSION HAS ALWAYS CENTERED AROUND SERVICE, COMPASSIONATE CARE AND TREATING INDIVIDUALS WITH DIGNITY AND RESPECT. PAIR THOSE VALUES WITH THE ADVANCED MEDICAL TECHNOLOGIES AND OUTSTANDING PHYSICIANS YOU'LL FIND AT SOUTH FLORIDA BAPTIST HOSPITAL TODAY AND THE RESULT IS THE EXCEPTIONAL CARE WE DELIVER TO OUR PATIENTS EVERY DAY. WHETHER IT IS FINANCIAL ASSISTANCE FOR MEDICAL CARE FOR THE UNINSURED OR UNDERINSURED, DONATED RESOURCES TO LOCAL NON-PROFITS OR EDUCATION CLASSES AND SUPPORT GROUPS HOSTED BY OUR TEAM AT SOUTH FLORIDA BAPTIST HOSPITAL, WE SELFLESSLY GIVE BACK TO IMPROVE THE HEALTH OF THE COMMUNITY THAT SURROUNDS THE HOSPITAL. COMMUNITY INVOLVEMENT: The majority of the South Florida Baptist Hospital Board of Trustees is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community. IN ADDITION, A DIVERSE GROUP OF LEADERS SERVE ON A HOSPITAL-SPECIFIC BOARD OFFERING LOCAL INPUT AND OVERSIGHT TO HOSPITAL OPERATIONS. SOUTH FLORIDA BAPTIST HOSPITAL TEAM MEMBERS AND LEADERSHIP SERVE ON LOCAL BOARDS INCLUDING THE PLANT CITY ECONOMIC DEVELOPMENT COUNCIL, THE CHAMBER OF COMMERCE, THE UNITED FOOD BANK, THE YMCA, THE KIWANIS CLUB AND THE ROTARY CIVIC CLUB. CONDUIT FOR USING DONATED FUNDS: BAYCARE HAS RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE CAPACITY AND SUPPORT TO OUR FAITH COMMUNITY NURSING PROGRAM TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE HEALTH OUTCOMES FOR PARTICIPANTS. FUNDING OF $110,000 AWARDED IN 2020 SUPPORTS THIS WORK ACROSS BAYCARE HEALTH SYSTEM. BAYCARE HAS ALSO RECEIVED FUNDING FROM ALLEGANY FRANCISCAN MINISTRIES TO PROVIDE ASSISTANCE TO THOSE WHO FACE FINANCIAL BARRIERS IN GETTING THEIR NEEDED PRESCRIPTION MEDICATIONS. MEDICATION ASSISTANCE COORDINATORS WORK WITH PATIENTS TO DETERMINE IF THERE ARE VOUCHERS AVAILABLE OR WORK WITH THE PATIENT'S DOCTOR TO SEE IF A MORE COST EFFECTIVE, ALTERNATIVE MEDICATION IS AVAILABLE. ANNUAL FUNDING OF $65,000 PROVIDES SUPPORT FOR THIS PROGRAM ACROSS BAYCARE HEALTH SYSTEM. THE FLORIDA DEPARTMENT OF HEALTH PROVIDES FUNDING SUPPORT FOR THE GETTIN' REAL PROGRAM THAT EMPLOYS A COMPREHENSIVE, COLLABORATIVE COMMUNITY-BASED APPROACH TO ADDRESS DISPARITIES IN THE HEALTH OUTCOMES OF MINORITY POPULATIONS RELATED TO DIABETES AND CARDIOVASCULAR DISEASE ACROSS PINELLAS AND HILLSBOROUGH COUNTIES. THROUGH FUNDING SUPPORT, BAYCARE PROVIDED SCREENINGS TO 911 INDIVIDUALS, LIFESTYLE-CHANGE PROGRAMMING FOR 128 ADULTS (GET INTO FITNESS TODAY, NATIONAL DIABETES PREVENTION PROGRAM, OR DIABETES EDUCATION EMPOWERMENT PROGRAM) AND INSTRUCTOR-LED PHYSICAL ACTIVITY TO ACHIEVE THE BEST POSSIBLE RESULTS FOR THE MOST VULNERABLE. ECONOMIC IMPACT: THERE ARE 768 EXTRAORDINARY SOUTH FLORIDA BAPTIST TEAM MEMBERS AND 320 PHYSICIANS, WHO TOGETHER BRING THE SOUTH FLORIDA BAPTIST HOSPITAL MISSION TO LIFE. BY INVITING THE NEXT GENERATION OF HEALTH CARE WORKERS TO LEARN FROM THE SKILL AND EXPERTISE OF OUR CURRENT TEAM MEMBERS, SOUTH FLORIDA BAPTIST HOSPITAL PROVIDES VALUABLE BENEFIT TO THE COMMUNITY. IN 2020, 231 STUDENTS FROM SEVERAL LOCAL HIGH SCHOOLS, COMMUNITY COLLEGES AND UNIVERSITIES EARNED REQUIRED INTERNSHIP HOURS THROUGH OUR HEALTH CARE PROFESSIONALS' PARTNERSHIPS. RECOGNITION: SOUTH FLORIDA BAPTIST HOSPITAL INDIVIDUAL RECOGNITION: *PRIMARY STROKE CERTIFICATION BY DNV GL HEALTHCARE, A PRESTIGIOUS INTERNATIONAL ACCREDITING BODY THAT EMPHASIZES CLINICAL BEST PRACTICES AND A DISCIPLINED MANAGEMENT SYSTEM *THE GET WITH THE GUIDELINES STROKE AWARD - GOLD PLUS WITH TARGET: TYPE 2 DIABETES HONOR ROLL FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION *EARNED TOP 20 PERCENT RANKING IN ITS PEER GROUP IN THE FORTUNE/IBM WATSON HEALTH TOP HOSPITALS LIST BASED ON 2020 DATA. BAYCARE RECOGNITION THAT INCLUDES SOUTH FLORIDA BAPTIST HOSPITAL: *BAYCARE WAS NAMED ONE OF THE BEST COMPANIES TO WORK FOR IN THE COUNTRY BY GREAT PLACE TO WORK AND FORTUNE FOR THE THIRD YEAR IN A ROW. IN 2020, WE RANKED 37 OUT OF 100 COMPANIES. BAYCARE WAS ALSO NAMED: *FORTUNE BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020 *FORTUNE BEST WORKPLACES FOR MILLENNIALS 2020 *FORTUNE BEST WORKPLACES FOR WOMEN 2020 *GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020 *BAYCARE WAS ALSO NAMED BY THE REGIONAL NEWSPAPER, TAMPA BAY TIMES, AS A TOP WORKPLACE. WE RANKED 17 OUT OF 25 LARGE COMPANIES, MAKING IT THE SIXTH YEAR IN A ROW ON THIS RESPECTED LOCAL LIST. *FOR THE SECOND YEAR IN A ROW, IBM WATSON HEALTH LISTED BAYCARE IN THE TOP 20% OF LARGE HEALTH SYSTEMS IN THE COUNTRY. *IN SEPTEMBER 2020, BAYCARE MADE THE PEOPLE 2020 COMPANIES THAT CARE LIST. THIS LIST RECOGNIZED COMPANIES THAT SUPPORTED TEAM MEMBERS AND THE COMMUNITY DURING THE COVID-19 PANDEMIC. *IN LATE 2020, BAYCARE WAS GRANTED INITIAL ACCREDITATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AS A SPONSORING INSTITUTION OF GRADUATE MEDICAL EDUCATION. RESPONDING TO NEEDS: THE COVID-19 PANDEMIC HAS REAFFIRMED THE GREAT PRIVILEGE AND RESPONSIBILITY BAYCARE HAS AS WEST CENTRAL FLORIDA'S LARGEST COMMUNITY-OWNED, NOT-FOR-PROFIT HEALTH SYSTEM. THE DISRUPTIONS TO THE HEALTH CARE INDUSTRY WERE IMMEDIATE AND ACUTE. ONE OF THE MOST IMMEDIATE WAS THE COLLAPSE OF SUPPLY LINES FOR PERSONAL PROTECTIVE EQUIPMENT (PPE). WHILE U.S. HEALTH CARE SYSTEMS SCRAMBLED TO FIND NEW SUPPLIERS, BAYCARE TEAM MEMBERS VOLUNTEERED TO MAKE MASKS AND FACE SHIELDS BY HAND IN A LARGE SEWING ROOM SET UP AT SYSTEM HEADQUARTERS. THE PANDEMIC PUSHED HEALTH CARE SYSTEMS INTO AN ARENA PREVIOUSLY OCCUPIED PRIMARILY BY GOVERNMENT AND LOCAL HEALTH DEPARTMENTS: PUBLIC HEALTH. BAYCARE STOOD UP SOME OF THE FIRST DRIVE-THROUGH TESTING FACILITIES IN THE REGION, CREATED WEB-BASED SYMPTOM CHECKERS AND CALL CENTERS SO PEOPLE COULD ASK QUESTIONS ABOUT THE VIRUS LAUNCHED VACCINE CLINICS, AND ADVISED SCHOOLS AND BUSINESSES ABOUT HOW TO SAFELY REOPEN. SOUTH FLORIDA BAPTIST HOSPITAL IS COMMITTED TO PROVIDING FINANCIAL AND OTHER SUPPORT TO NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSIONS ARE TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. IN 2020, SOUTH FLORIDA BAPTIST HOSPITAL PROVIDED FUNDING TO COMMUNITY-BASED ORGANIZATIONS INCLUDING: *GRACEPOINT - IN 2020, ST. JOSEPH'S HOSPITAL AND SOUTH FLORIDA BAPTIST HOSPITAL AWARDED GRACEPOINT $37,500 TO FACILITATE COMMUNITY COORDINATION OF PARTICIPATING AGENCIES AND COORDINATED CARE FOR TARGETED HIGH-UTILIZERS OF EMERGENCY DEPARTMENT AND LAW ENFORCEMENT SERVICES WHO SUFFER FROM HOMELESSNESS AND BEHAVIORAL HEALTH CHALLENGES. *SALVATION ARMY - SOUTH FLORIDA BAPTIST HOSPITAL PROVIDED APPROXIMATELY $26,000 TO THE SALVATION ARMY TO PROVIDE EMERGENCY SHELTER SERVICES INCLUDING 3 MEALS A DAY FOR 30 NIGHTS TO THE HOMELESS TO ENSURE ACCESS TO A SAFE, SUPPORTIVE ENVIRONMENT FOR SUBSTANCE MISUSE PATIENTS. *TAMPA BAY THRIVES - IN RESPONSE TO ADDRESSING MENTAL HEALTH AND SUBSTANCE USE ISSUES ACROSS THE REGION, SOUTH FLORIDA BAPTIST HOSPITAL PROVIDED $324,000 TO SUPPORT THE WORK OF TAMPA BAY THRIVES IN 2020. THE AREAS OF FOCUS FOR TAMPA BAY THRIVES INCLUDE: *NAVIGATION: 24/7 PHONE ACCESS TO BEHAVIORAL HEALTH NAVIGATION STAFFED BY MENTAL HEALTH PROFESSIONALS WHO WILL ASSESS NEEDS AND DIRECT PEOPLE TO GET THE RIGHT HELP. *ACCESS: VIRTUAL SHORT-TERM COUNSELING WITH LICENSED MENTAL HEALTH PROFESSIONALS FOR THOSE WHO NEED IMMEDIATE ATTENTION AS THEY WAIT FOR FUTURE APPOINTMENTS WITH LOCAL PROVIDERS. *AWARENESS: REMOVING THE STIGMA OF SEEKING MENTAL HEALTH TREATMENT SO THOSE IN NEED FEEL AS COMFORTABLE SEEKING TREATMENT AS THEY WOULD FOR PHYSICAL HEALTH CONCERNS. IN 2020 ACROSS BAYCARE, OUR FINANCIAL ASSISTANCE TEAM MEMBERS WORKED HARD TO OVERCOME THE CHALLENGES THE COVID PANDEMIC PRESENTED. DESPITE LOWER VOLUMES IN ALL OF OUR FACILITIES, OUR TEAM COMPLETED APPROXIMATELY 35,000 APPLICATIONS FOR OUR UNINSURED PATIENTS AND ASSISTED APPROXIMATELY 56,000 INDIVIDUALS, PROVIDING SUPPORT IN OVERCOMING BARRIERS TO ACCESSING HEALTH CARE. THROUGH BAYCARE'S PARTNERSHIP WITH UBER TECHNOLOGIES, A NON-EMERGENCY TRANSPORTATION SOLUTION IS PROVIDED FOR LOW-INCOME PATIENTS ACROSS BAYCARE'S FOUR-COUNTY SERVICE AREA. IN 2020, THE PROGRAM PROVIDED 9,792 RIDES TO DISCHARGED PATIENTS. (CONTINUED)
Schedule H, Part VI, Line 6 Affiliated health care systemBAYCARE HEALTH SYSTEM, HEADQUARTERED IN CLEARWATER, FLORIDA, IS A LEADING, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT CONNECTS INDIVIDUALS AND FAMILIES TO A WIDE RANGE OF SERVICES AT 15 HOSPITALS AND HUNDREDS OF OTHER CONVENIENT LOCATIONS THROUGHOUT THE TAMPA BAY AND WEST CENTRAL FLORIDA REGIONS. INPATIENT AND OUTPATIENT SERVICES INCLUDE ACUTE CARE, PRIMARY CARE, IMAGING, LABORATORY, BEHAVIORAL HEALTH, HOME CARE AND URGENT CARE. BAYCARE'S 2020 REPORT TO THE COMMUNITY CAN BE VIEWED AT BAYCARE.ORG/ANNUALREPORT. BAYCARE'S 15 HOSPITALS ARE BAYCARE ALLIANT, BARTOW REGIONAL MEDICAL CENTER, MEASE COUNTRYSIDE, MEASE DUNEDIN, MORTON PLANT, MORTON PLANT NORTH BAY, ST. ANTHONY'S, ST. JOSEPH'S, ST. JOSEPH'S CHILDREN'S, ST. JOSEPH'S WOMEN'S, ST. JOSEPH'S-NORTH, ST. JOSEPH'S-SOUTH, SOUTH FLORIDA BAPTIST, WINTER HAVEN AND WINTER HAVEN WOMEN'S. (IN CERTAIN CASES, HOSPITAL LOCATIONS WITH THE SAME TAX IDENTIFICATION AND STATE LICENSE NUMBER ARE LISTED AS ONE FACILITY ON FORM 990, SCHEDULE H, CONSISTENT WITH IRS REPORTING GUIDELINES.) BAYCARE WAS FOUNDED IN 1997 AFTER LEADERS OF SEVERAL OF THE AREA'S INDEPENDENT, NOT-FOR-PROFIT HOSPITALS BEGAN DISCUSSING WAYS TO ENSURE THAT HIGH-QUALITY, NOT-FOR-PROFIT HEALTH CARE WOULD REMAIN A VIABLE OPTION FOR THE TAMPA BAY COMMUNITY FOR DECADES TO COME. THE FOUNDING HOSPITALS AGREED TO SACRIFICE SOME OF THEIR AUTONOMY TO BE OPERATED BY A NEW ENTITY, BAYCARE. WITH $4.4 BILLION IN OPERATING REVENUE IN 2020, BAYCARE IS NOW A FULLY INTEGRATED HEALTH SYSTEM DEDICATED TO PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO ALL WE SERVE, REGARDLESS OF THEIR ABILITY TO PAY. BAYCARE HAS 3,805 HOSPITAL BEDS, 19 URGENT CARE CENTERS, 4 SURGERY CENTERS, 13 OUTPATIENT IMAGING FACILITIES, 162 PHYSICIAN PRACTICE LOCATIONS AND 36 WALK-IN CARE STATIONS IN PUBLIX SUPERMARKETS. BAYCARE ANNUALLY GENERATES $8.5 BILLION IN ECONOMIC IMPACT IN THE REGION AND STATE. BAYCARE IS ONE OF THE LARGEST EMPLOYERS IN THE TAMPA BAY AREA, WITH 28,357 TEAM MEMBERS. DURING 2020, BAYCARE PROVIDED $618.9 MILLION IN BENEFITS FOR ITS EMPLOYEES, INCLUDING MORE THAN $198.7 MILLION IN RETIREMENT, $165.6 MILLION IN HEALTH INSURANCE, $157.7 MILLION IN PAID TIME OFF AND $42.2 MILLION IN EDUCATION AND DEVELOPMENT. IN 2020, BAYCARE WAS NAMED AMONG PEOPLE COMPANIES THAT CARE BY GREAT PLACE TO WORK AND PEOPLE MAGAZINE FOR SUPPORTING TEAM MEMBERS AND THE COMMUNITY DURING THE PANDEMIC. BAYCARE ALSO RECEIVED THESE NATIONAL AND LOCAL WORKPLACE AWARDS: FORTUNE MAGAZINE'S 100 BEST COMPANIES TO WORK FOR 2020, BEST WORKPLACES IN HEALTH CARE AND BIOPHARMA 2020, BEST WORKPLACES FOR MILLENNIALS 2020, AND BEST WORKPLACES FOR WOMEN 2020; GREAT PLACE TO WORK'S BEST WORKPLACES FOR PARENTS 2020; AND FOR THE SIXTH YEAR IN A ROW, BAYCARE MADE THE TOP WORKPLACES LIST OF THE TAMPA BAY TIMES NEWSPAPER. IN 2020, BAYCARE PROVIDED $445 MILLION IN TOTAL COMMUNITY BENEFIT, INCLUDING $306 MILLION IN MEDICAID AND OTHER INCOME-BASED PROGRAMS, $83 MILLION IN TRADITIONAL CHARITY CARE AND $56 MILLION IN UNBILLED COMMUNITY SERVICES, ALL MEASURED IN UNREIMBURSED COSTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2019 IDENTIFIED FOOD INSECURITY AS ONE OF THE TOP ISSUES FACED BY INDIVIDUALS AND FAMILIES ACROSS TAMPA BAY AND WEST CENTRAL FLORIDA. IN ADDRESSING THIS NEED, WHICH WAS EXACERBATED BY THE PANDEMIC, BAYCARE BEGAN A PARTNERSHIP WITH NOT-FOR-PROFIT FEEDING TAMPA BAY. IN 2020, BAYCARE COMMITTED $400,000 TO LOCATING FOOD PANTRIES IN 16 SCHOOLS WHERE HUNGER IS AN ISSUE. BAYCARE HOSPITAL CARE COORDINATORS ALSO BEGAN ASKING PATIENTS IF THEY WOULD HAVE ACCESS TO HEALTHY FOOD AFTER DISCHARGE. IF THEY SAY NO, BAYCARE PROVIDES A TWO- TO THREE-DAY SUPPLY OF NON-PERISHABLE FOOD ALONG WITH CONTACT INFORMATION FOR NEARBY FOOD PANTRIES. BAYCARE ALSO JOINED THE FOODRX PROGRAM OF FEEDING TAMPA BAY, WHICH GIVES FOOD-INSECURE PATIENTS WITH CERTAIN CHRONIC CONDITIONS THE OPPORTUNITY TO SHOP FOR HEALTHY FOODS IN A MOBILE GROCERY STORE. BAYCARE'S FINANCIAL STRENGTH, THE EFFICIENCIES GAINED FROM ITS OPERATING MODEL, ITS VISIONARY LEADERSHIP, THE HARD WORK OF ITS TEAM MEMBERS, AND ITS DETERMINATION TO PROVIDE EXCEPTIONAL CARE TO ITS PATIENTS HELPED BAYCARE IN 2020 RETAIN ITS RANKING IN THE TOP 20% OF LARGE U.S. HEALTH SYSTEMS BY IBM WATSON HEALTH. TWENTY-FOUR YEARS AFTER IT WAS CREATED, BAYCARE IS ACHIEVING THE GOAL OF ITS FOUNDERS TO PRESERVE NOT-FOR-PROFIT HEALTH CARE FOR THE COMMUNITIES OF TAMPA BAY AND WEST CENTRAL FLORIDA, AND IT IS FULFILLING ITS MISSION AS AN ORGANIZATION TO "IMPROVE THE HEALTH OF ALL WE SERVE THROUGH COMMUNITY-OWNED SERVICES THAT SET THE STANDARD FOR HIGH-QUALITY, COMPASSIONATE CARE."

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WEST CENTRAL FLORIDA MENTAL WELLNESS COALITION
1002B SChurch AvePO Box 18051TampaFL33679843036723501(c)(3)$144,900Access to Mental Health Services
SALVATION ARMY
5631 Van Dyke RoadLutzFL33558580660607501(c)(3)$26,672Access to Healthcare
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationSouth Florida Baptist Hospital, Inc. CONTRIBUTES TO ORGANIZATIONS THAT ARE IN ALIGNMENT WITH OUR MISSION. WE STRIVE TO ENSURE THAT CONTRIBUTIONS ARE MADE TO ORGANIZATIONS THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. TYPICALLY, MEMBERS OF MANAGEMENT ARE INVOLVED WITH THESE ORGANIZATIONS AND MONITOR THE BENEFITS OUR LOCAL COMMUNITY RECEIVES FROM THESE CONTRIBUTIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GLENN WATERS
TRUSTEE/EVP, COO BAYCARE$0$1,007,493$0$503,000$0$411,558$0$20,889$0$44,169$0$1,987,109$0$95,961
CARL TREMONTI
FORMER VP, CFO BAYCARE HOSP DIV$0$428,393$0$157,910$0$119,662$0$39,343$0$13,921$0$759,229$0$0
RONALD BEAMON
VP, CFO BAYCARE HOSP DIV$0$394,315$0$142,745$0$10,006$0$69,342$0$30,767$0$647,175$0$0
JACQUES VASCONCELLOS
FORMER DIR OPERATIONS SOUTH FL BAPTIST HOSP$0$199,426$0$24,900$0$8,159$0$10,992$0$29,283$0$272,759$0$0
KAREN KERR
VP/PRESIDENT SFBH & BRMC$0$292,120$0$110,416$0$75,888$0$21,772$0$30,833$0$531,030$0$0
MERCY NINAN
MANAGER PHARMACY$178,580$0$15,923$0$3,573$0$9,938$0$41,590$0$249,605$0$0$0
BETH TANCREDO
DIR, OPERATIONS SOUTH FL BAPTIST HOSP$153,240$0$19,823$0$3,378$0$8,390$0$15,313$0$200,143$0$0$0
JUNE RAMSEY
DIR, PATIENT SERVICES SOUTH FL BAPTIST HOSP$150,481$0$19,722$0$1,070$0$7,502$0$6,862$0$185,637$0$0$0
GAYA SALYER
CLINICAL PHARMACIST$154,269$0$9,802$0$7,457$0$8,708$0$33,719$0$213,955$0$0$0
DOUGLAS BROWN
PHARMACY CLINICAL COORD$155,066$0$752$0$255$0$8,202$0$32,009$0$196,284$0$0$0
MICHELLE CORMIER-BOECKLE
NEONATAL NURSE PRACTITIONER$90,392$0$66,651$0$1,860$0$5,286$0$7,097$0$171,286$0$0$0
LYNN KLIEM
NEONATAL NURSE PRACTITIONER$126,600$0$23,102$0$380$0$6,864$0$6,917$0$163,863$0$0$0
SEAN USTIC
CLINICAL PHARMACIST$145,732$0$1,027$0$4,843$0$0$0$11,154$0$162,756$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe filing organization does not use any of the options listed in Schedule J, Part I, Line 3 to establish the compensation of the CEO/Executive Director. However, the related organization, BayCare Health System Inc, uses Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study and Approval by the board or compensation committee as a means to establish the CEO's compensation of the filing organization.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planBayCare Health System provides two nonqualified deferred compensation plans to executive level employees: Executive Nonqualified Defined Contribution Plan The plan provides for annual credits of a specified percentage of an eligible participant's eligible compensation paid in a plan year and interest credits. Plan participants vest in increasing percentages based on years of service. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Payments made during employment are made for required tax withholding and reduce the participant's account balance. Distribution of the vested account balance occurs upon termination of employment. The plan is frozen for the participants hired after 1.1.2018. Supplemental Executive Retirement Plan The plan provides for annual credits to the participant's company contribution account of a specified percentage of an eligible participant's eligible compensation paid in a plan year and investment income credits. Plan participants vest on January 1 of the fifth Plan Year following the Plan Year for which the contribution was made. Further, a participant shall become fully vested upon the participant's death, total and permanent disability or due to involuntary separation of employment other than for cause, or upon reaching retirement age. Distribution of the vested amounts shall be made no later than the earlier of 90 days following the date the amounts become vested or the March 15th following the Plan Year in which the participant became vested. Amounts accrued, vested and distributed for plan participants are provided below. Glenn Waters - Participated in a supplemental nonqualified deferred compensation plan. He had $348,372 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other Compensation. The plan made cash distribution of $137,085 in 2020. Carl Tremonti - Participated in a supplemental nonqualified deferred compensation plan. He had $72,191 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $28,407 in 2020. Karen Kerr - Participated in a supplemental nonqualified deferred compensation plan. She had $48,940 in benefits vest in 2020. This amount is included in Part II (B)(iii) Other compensation. The plan made cash distribution of $19,258 in 2020. Ron Beamon - Participated in a supplemental nonqualified deferred compensation plan. He had $55,092 of nonvested benefits accrue during 2020. This amount is included in Part II (C) Retirement and other deferred compensation.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHERRI ELKINSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF JUNE RAMSEYRelationshipDescriptionTxt
Transaction$73,592TransactionAmt
TransactionSHERRI ELKINS IS A FAMILY MEMBER OF JUNE RAMSEY, A KEY EMPLOYEE OF THE FILING ORGANIZATION. SHERRI ELKINS WAS PAID REASONABLE COMPENSATION AS AN EMPLOYEE OF THE FILING ORGANIZATION.TransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a Number in Box 3 of Form 1096THE TOTAL NUMBER FROM BOX 3 OF FORM 1096 IS REPORTED BY BAYCARE HEALTH SYSTEM, INC, EIN 59-2796965, A RELATED ORGANIZATION THAT PROCESSES FORMS 1099 FOR ITS AFFILIATES. SUCH REPORTING ALIGNS THE FORM 1096, BOX 3 REPORTING TO THE ISSUING EIN.
Form 990, Part VI, Line 15a Process for determining compensationTHE FILING ORGANIZATION DOES NOT DIRECTLY COMPENSATE SOME OF ITS TOP MANAGEMENT EMPLOYEES; RATHER COMPENSATION IS PAID BY A RELATED ORGANIZATION THAT FOLLOWS THE COMPENSATION POLICY OF THE INDEPENDENT COMPENSATION COMMITTEE, APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE'S PURPOSE IS TO PROVIDE OVERSIGHT FOR THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM, REVIEW AND APPROVE COMPENSATION AND BENEFITS FOR ALL "DISQUALIFIED PERSONS" SUBJECT TO THE INTERMEDIATE SANCTIONS REGULATIONS ISSUED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE (INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER & CHIEF FINANCIAL OFFICER, OTHER SYSTEM AND ENTITY EXECUTIVES, AND OTHER DISQUALIFIED PERSONS AS DEFINED IN THE INTERMEDIATE SANCTIONS REGULATIONS (I.E., VOTING MEMBERS OF THE GOVERNING BODY, FAMILY MEMBERS, FORMER OFFICERS), AND ESTABLISH THE COMPENSATION PHILOSOPHY FOR ALL OTHER EXECUTIVES. THIS COMMITTEE ENGAGES NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS TO ASSIST THEM IN REVIEW OF EXECUTIVE COMPENSATION. THE COMPENSATION CONSULTANTS PROVIDE A REVIEW OF EACH VICE PRESIDENT AND ABOVE IN THE SYSTEM TO DETERMINE IF THAT EMPLOYEE'S COMPENSATION IS REASONABLE WHEN COMPARED AGAINST MARKET STANDARDS. THE DATA REVIEWED COMES FROM COMPENSATION STUDIES THAT INCLUDE COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION KEEPS CONTEMPORANEOUS MINUTES OF THE COMPENSATION COMMITTEE'S MEETINGS AND DECISIONS. EXTERNAL CONSULTANTS REVIEW COMPENSATION EVERY OTHER YEAR, THE LAST REVIEW OCCURING IN 2019, BUT THE COMPENSATION COMMITTEE REGULARLY MONITORS COMPENSATION AND ALL OTHER PROCEDURES ARE FOLLOWED ANNUALLY.
Form 990, Part VI, Line 15b Process for determining compensationSEE NARRATIVE FOR PART VI, LINE 15A
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE MEMBERS OF SOUTH FLORIDA BAPTIST HOSPITAL, INC. CONSIST OF TWENTY-ONE PERSONS, WHO SHALL BE MEMBERS OF MISSIONARY BAPTIST CHURCHES IN FLORIDA, AFFILIATED WITH THE FLORIDA BAPTIST CONVENTION AND THE SOUTHERN BAPTIST CONVENTION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySOUTH FLORIDA BAPTIST HOSPITAL, INC (SFBH) IS A HOSPITAL PARTICIPANT IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006 AS AMENDED (THE "JOA"). PER THE AGREEMENT, SFBH IS ORGANIZED INTO THE ST. JOSEPH'S-BAPTIST COMMUNITY HEALTH ALLIANCE AND GOVERNED BY ITS BOARD. THE GOVERNING BOARD OF THE ST. JOSEPH'S BAPTIST COMMUNITY HEALTH ALLIANCE WILL CONSIST OF TWENTY MEMBERS, FIFTEEN APPOINTED BY TRINITY HEALTH AND FIVE APPOINTED BY SOUTH FLORIDA.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE TAXPAYER IS A PARTICIPANT, AS DEFINED IN THE SECOND RESTATED JOINT OPERATING AGREEMENT DATED AS OF MAY 23, 2006, AS AMENDED (THE "JOA"). UNDER THE JOA, BAYCARE HEALTH SYSTEM, INC. IS RESPONSIBLE FOR THE OPERATIONS OF THE PARTICIPANTS. THE JOA PARTICIPANTS INCLUDE THE TAXPAYER AND OTHER HOSPITALS AND NON-HOSPITAL ORGANIZATIONS. NOTICE OF THE JOA WAS PREVIOUSLY PROVIDED TO THE INTERNAL REVENUE SERVICE BY LETTER DATED JULY 1, 1997. THE FOLLOWING ARE RIGHTS GRANTED TO THE MEMBERS OF SOUTH FLORIDA BAPTIST HOSPITAL: SECTION 2. MEMBER RESERVED RIGHTS. THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF DIRECTORS OF THE CORPORATION EXCEPT THAT THE MEMBER RESERVES TO ITSELF IN ITS CAPACITY AS THE CORPORATE MEMBER OF THE CORPORATION THE FOLLOWING TWO CATEGORIES OF ACTIONS: A. CLASS I MEMBER RESERVED RIGHTS. 1. ADDITION, DELETION OR RECONFIGURATION OF SERVICES OF THE CORPORATION. 2. ESTABLISHMENT OF OVERALL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS APPLICABLE TO THE CORPORATION, INCLUDING THE USE OF THE FUNDS OF THE CORPORATION. 3. EXCLUSIVE AUTHORITY TO ENTER INTO MANAGED CARE CONTRACTS ON BEHALF OF THE CORPORATION. 4. APPROVAL OF CONTRACTS ON BEHALF OF THE CORPORATION (BUT THE CLASS I MEMBER MAY ESTABLISH POLICIES FROM TIME TO TIME PROVIDING THAT ONLY SPECIFIC TYPES OF CONTRACTS OR CONTRACTS INVOLVING OBLIGATIONS IN EXCESS OF SPECIFIED LEVELS NEED TO BE APPROVED BY THE CLASS I MEMBER). 5. AUTHORITY TO ESTABLISH FEES AND CHARGES ON BEHALF OF THE CORPORATION. 6. DETERMINATION OF WHETHER THE CORPORATION SHOULD JOIN ANY NETWORKS OR ALTERNATIVE OR INTEGRATED DELIVERY SYSTEMS. 7. ESTABLISHMENT OF EMPLOYMENT AND OTHER POLICIES APPLICABLE TO ALL PERSONNEL EMPLOYED BY THE CORPORATION. 8. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 9. APPROVAL OF CHANGES IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION. 10. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 11. APPROVAL OF THE INCURRENCE OF INDEBTEDNESS BY THE CORPORATION ABOVE CERTAIN LIMITS ESTABLISHED BY THE CLASS I MEMBER. 12. APPROVAL OF THE ESTABLISHMENT OF ADDITIONAL AFFILIATES OR SUBSIDIARIES OF THE CORPORATION. 13. ADOPTION OF STRATEGIC PLANS OR MAJOR CHANGES IN PROGRAMS OR SERVICES OF THE CORPORATION. 14. APPROVAL OF THE PURCHASE, SALE, TRANSFER, OR OTHER ENCUMBRANCE OF ASSETS OF THE CORPORATION ABOVE SPECIFIED LEVELS ESTABLISHED BY THE CLASS I MEMBER. B. CLASS II MEMBER RESERVED RIGHTS. 1. APPROVAL OF THE PHILOSOPHY, MISSION STATEMENT AND PURPOSES OF THE CORPORATION. 2. APPROVAL OF THE MERGER, CONSOLIDATION, DISSOLUTION, SALE OR OTHER TRANSFER OF SUBSTANTIALLY ALL ASSETS OF THE CORPORATION, OR OTHER CHANGE IN CORPORATE FORM, CAUSING A FUNDAMENTAL REORGANIZATION OF THE CORPORATION. 3. APPROVAL OF THE CLOSURE OF A HOSPITAL FACILITY OF THE CORPORATION. 4. CHANGE IN THE NAME OF THE HOSPITAL FACILITY OF THE CORPORATION. 5. APPROVAL OF SUBSTANTIVE CHANGES IN THE ARTICLES OF INCORPORATION OF THE CORPORATION AND THESE AMENDED AND RESTATED BYLAWS. 6. WITH REGARD TO ANY ASSETS OF THE CORPORATION NO LONGER REQUIRED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ANY ASSETS NOT IN THE ORDINARY COURSE WHICH HAVE A VALUE IN EXCESS OF $3 MILLION, AND WITH REGARD TO ALL OTHER ASSETS OF THE CORPORATION USED IN THE OPERATIONS OF THE CORPORATION, APPROVAL OF ANY SALE OR OTHER DISPOSITION OF SUCH ASSETS NOT IN THE ORDINARY COURSE (BUT THE FOREGOING IS NOT INTENDED TO LIMIT ANY TRANSFER OF THE LOCATION OF THE ASSETS FROM THE CORPORATION TO ANOTHER ENTITY IN CONNECTION WITH A DULY AUTHORIZED RECONFIGURATION OF SERVICES).
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe form 990 is prepared by the organization and reviewed by the CFO as well as the organization's paid preparer. Prior to filing with the IRS, a final copy of the form 990 is made available to the entire Board.
Form 990, Part VI, Line 12c Conflict of interest policySOUTH FLORIDA BAPTIST HOSPITAL, INC. HAS TWO SEPARATE CONFLICT OF INTEREST PROCEDURES; ONE THAT RELATES TO BOARD MEMBERS AND ANOTHER THAT RELATES TO NON-BOARD MEMBER EMPLOYEES. BOTH GROUPS ARE REQUIRED ON AN ANNUAL BASIS TO COMPLETE, SIGN AND FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING EXISTING OR POTENTIAL CONFLICTS OF INTERESTS. DISCLOSURE REQUIREMENTS OF BOARD AND COMMITTEE MEMBERS PRIOR TO ANY AND ALL BOARD OR COMMITTEE MEETINGS, EACH BOARD/COMMITTEE MEMBER SHALL REVIEW THE MEETING AGENDA FOR ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ASSOCIATED WITH ANY AGENDA ITEM IS CONCLUDED BY A BOARD/COMMITTEE MEMBER AFTER SUCH REVIEW, THE IMPACTED BOARD/COMMITTEE MEMBER SHALL INFORM THE BOARD/COMMITTEE CHAIRPERSON OF THE CONFLICT IN ADVANCE OF THE MEETING. REQUIRED ACTION AFTER DISCLOSURE OF THE BOARD/COMMITTEE MEMBER'S ACTUAL OR POTENTIAL CONFLICT TO THE BOARD/COMMITTEE CHAIRPERSON AS SET FORTH ABOVE, THE FOLLOWING PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST WILL BE ADHERED TO BY EACH BOARD AND ALL COMMITTEES WITHOUT EXCEPTION: 1. THE BOARD/COMMITTEE CHAIRPERSON SHALL, UPON DISCLOSURE BY AN IMPACTED BOARD/COMMITTEE MEMBER, HAVE THE DISCRETION (BASED UPON THE SEVERITY OF THE ACTUAL OR POTENTIAL CONFLICT) TO EXCUSE THE IMPACTED BOARD/COMMITTEE MEMBER FROM THE BOARD/COMMITTEE DISCUSSIONS ON THAT AGENDA ITEM. 2. REGARDLESS OF WHETHER THE IMPACTED BOARD/COMMITTEE MEMBER IS ASKED TO LEAVE THE ROOM DURING THE AGENDA ITEM DISCUSSION, THE BOARD/COMMITTEE CHAIRPERSON SHALL NOTIFY ALL BOARD/COMMITTEE MEMBERS OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO EVERYONE IS AWARE OF THE SAID CONFLICT BEFORE ANY DISCUSSIONS AND/OR VOTE ON THE MATTER. 3. THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE BAYCARE ENTITY CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM AN INDIVIDUAL OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY AVAILABLE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BAYCARE ENTITY'S BEST INTEREST, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO BAYCARE. AN INTERESTED BOARD/COMMITTEE SHALL NOT VOTE, PARTICIPATE IN, INFLUENCE, OR ATTEMPT TO INFLUENCE ANY DETERMINATION OR PROCEEDINGS. AS REQUESTED BY THE BOARD/COMMITTEE CHAIRPERSON, THE INTERESTED BOARD/COMMITTEE MEMBER MAY, HOWEVER, RESPOND TO QUESTIONS POSED BY THE BOARD/COMMITTEE REGARDING THE CONTRACT OR TRANSACTION. ANY SUCH CONTRACT OR TRANSACTION MUST BE AUTHORIZED BY A VOTE OF AT LEAST TWO-THIRDS (2/3) OF THE BOARD/ COMMITTEE MEMBERS ENTITLED TO VOTE AT A MEETING AT WHICH A QUORUM WAS PRESENT. ANY INTERESTED BOARD/COMMITTEE MEMBER MAY NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM. 5. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL REFLECT THE FOLLOWING: A. THE NAME(S) OF THE BOARD/COMMITTEE MEMBER(S) WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD/COMMITTEE CHAIRPERSON'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT, EXISTED. B. THE NAMES OF THE BOARD/COMMITTEE MEMBERS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN ON THE SUBJECT AT ISSUE. C. THE INTERESTED BOARD/COMMITTEE MEMBER'S REMOVAL FROM THE ROOM (IF REQUESTED BY THE CHAIRPERSON), EXCLUSION FROM VOTING AND PARTICIPATION IN DISCUSSIONS, AND THE EXISTENCE OF A PROPER QUORUM. FOR EMPLOYEES, THE REVIEW OF CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS GOES TO THE CONFLICT OF INTEREST DETERMINATION COMMITTEE. THIS COMMITTEE CONSISTS OF THE BAYCARE CHIEF COMPLIANCE OFFICER, THE CORPORATE RESPONSIBILITY OFFICERS, AND THE BAYCARE VICE PRESIDENT OF TEAM RESOURCES. THIS COMMITTEE SHALL DETERMINE IF AN ACTUAL CONFLICT EXISTS AND ANY ACTION REQUIRED TO ADDRESS THE CONFLICT OF INTEREST SITUATION.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS AFFILIATE, BAYCARE HEALTH SYSTEM, INC. THE CONSOLIDATED FINANCIAL STATEMENTS OF BAYCARE HEALTH SYSTEM, INC. ARE AVAILABLE THROUGH EMMA FOR BOND INVESTORS. THE ORGANIZATION'S ARTICLES OF INCORPORATION AND AMENDMENTS THERETO ARE MADE AVAILABLE TO THE PUBLIC BY THE FILING OF THOSE DOCUMENTS WITH THE FLORIDA DEPARTMENT OF STATE AND CAN BE LOCATED AT SUNBIZ.ORG. THE ORGANIZATION'S OTHER GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCONTRIBUTIONS RECORDED IN NET ASSETS - -372368; NET ASSET TRANSFERS PER JOA - 13875999; CHANGE IN NET ASSETS OF FOUNDATION - 1937546;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
JOHN KNOX VILLAGE OF TAMPA BAY INC
4100 FLETCHER AVETAMPAFL336134864581377711RETIRE CMMNTYFL501(c)(3)10SJHCCfalse
ST JOSEPH'S COMMUNITY CARE INC
3001 WTAMPAFL336076307593152608MEDICAL ASSTFL501(c)(3)10SJHCCfalseDR MARTIN LUTHER KING JR
ST ANTHONY'S PROFESSIONAL BUILDING & SE
3001 WTAMPAFL336076307592018848REAL ESTATEFL501(c)(3)10SJHCCfalseDR MARTIN LUTHER KING JR BLVD
ST JOSEPH'S HEALTH CARE CENTER INC
3001 WTAMPAFL336076307592593686SUPPORT SRVCSFL501(c)(3)Type IINAfalseDR MARTIN LUTHER KING JR BLVD
BAYCARE HEALTH SYSTEM INC
2985 DREW STCLEARWATERFL337593012592796965SUPPORT SRVCSFL501(c)(3)Type INAfalse
SOUTH FLORIDA BAPTIST HOSPITAL FOUND INC
301 N ALEXANDER STREETPLANT CITYFL335634303650598653FUNDRAISINGFL501(c)(3)Type INAYes (true)
ST JOSEPH'S ENTERPRISES INC
3001 WTAMPAFL336076307592822516HEALTH INVESTFL501(c)(3)Type IISJHCCfalseDR MARTIN LUTHER KING JR BLVD
FRANCISCAN PROPERTIES
3001 WTAMPAFL336076307592822519SUPPORTS SJHFL501(c)(3)Type IISJHCCfalseDR MARTIN LUTHER KING JR BLVD
ST JOSEPH'S HOSPITAL OF TAMPA FOUND INC
3001 WTAMPAFL336076307591100828FUNDRAISINGFL501(c)(3)Type III-FISJHCCfalseDR MARTIN LUTHER KING JR BLVD
ST JOSEPH'S HOSPITAL INC
3001 WTAMPAFL336076307590774199HEALTH SRVCSFL501(c)(3)3NAfalseDR MARTIN LUTHER KING JR BLVD

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CARILLON SURGERY CENTER
900 CARILLONST PETERSBURGFL337051121261116740HEALTH SRVCFLNAN/Afalsefalse
ST ANTHONY'S PHYSICIAN SURGERY CENTER
705 16TH ST NST PETERSBURGFL337051334010861245HEALTH SRVCFLNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTHPOINT MEDICAL GROUP INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14902 EISENHOWER BLVD SUITE 300AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP336346344ZIPCd
FieldValueIRS element (for citing)
EIN593244268EIN
Primary ActivitiesPHYSICIAN GROUPPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOUTH FLORIDA BAPTIST HOSPITAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$372,368InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt