STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MARINERS HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MARINERS HOSPITAL INC (EIN 59-1987355)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-07
IRS object ID
201302199349300975
Schema version
2011v1.5
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)
Timestamp2013-08-07T15:15:19-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 E KENNEDY BLVD SUITE 1200AddressLine1
CityTAMPACity
StateFLState
ZIP Code336024990ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591987355EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARINERS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% FINANCE DEPARTMENTInCareOfName
Name ControlMARINameControl
Phone7866627000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line191500 OVERSEAS HIGHWAYAddressLine1
CityTAVERNIERCity
StateFLState
ZIP Code33070ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY GREENLEAFName
TitleCVP FINANCETitle
Date Signed2013-08-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8132738355Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICK FREEBURGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line191500 OVERSEAS HIGHWAYAddressLine1
CityTAVERNIERCity
StateFLState
ZIP Code33070ZIPCode
FieldValueIRS element (for citing)
Gross Receipts67147430GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BAPTISTHEALTH.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSEE STATEMENT 1ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees242TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI276622TotalGrossUBI
Net Unrelated Business Txbl Income-141474NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year230341ContributionsGrantsPriorYear
Contributions Grants Current Year346600ContributionsGrantsCurrentYear
Program Service Revenue Prior Year70967467ProgramServiceRevenuePriorYear
Program Service Revenue CY65587826ProgramServiceRevenueCY
Investment Income Prior Year-47060InvestmentIncomePriorYear
Investment Income Current Year-27676InvestmentIncomeCurrentYear
Other Revenue Prior Year586522OtherRevenuePriorYear
Other Revenue Current Year940286OtherRevenueCurrentYear
Total Revenue Prior Year71737270TotalRevenuePriorYear
Total Revenue Current Year66847036TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16114964SalariesEtcPriorYear
Salaries Etc Current Year17628311SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year48394760OtherExpensePriorYear
Other Expenses Current Year47634688OtherExpensesCurrentYear
Total Expenses Prior Year64509724TotalExpensesPriorYear
Total Expenses Current Year65262999TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7227546RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1584037RevenuesLessExpensesCY
Total Assets BOY35743500TotalAssetsBOY
Total Assets EOY39293522TotalAssetsEOY
Total Liabilities BOY23706057TotalLiabilitiesBOY
Total Liabilities EOY25058751TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12037443NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14234771NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF BAPTIST HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, AND TO PROMOTE THE SANCTITY AND PRESERVATION OF LIFE, IN THE COMMUNITIES WE SERVE. BAPTIST HEALTH IS A FAITH-BASED ORGANIZATION GUIDED BY THE SPIRIT OF JESUS CHRIST AND THE JUDEO-CHRISTIAN ETHIC. WE ARE COMMITTED TO MAINTAINING THE HIGHEST STANDARDS OF CLINICAL AND SERVICE EXCELLENCE, ROOTED IN THE UTMOST INTEGRITY AND MORAL PRACTICE. CONSISTENT WITH ITS SPIRITUAL FOUNDATION, BAPTIST HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE, COMPASSIONATE HEALTHCARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE TO THOSE IN NEED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense58270367Expense
Revenue65590163Revenue
DescriptionConsistent with our spiritual foundation, Baptist Health South Florida and its affiliates (Baptist Health) are dedicated to providing high-quality, cost-effective, compassionate healthcare services to all, including, as permitted by our resources, charity care to those in need. During the fiscal year ended September 30, 2012, Baptist Health provided patient services to the South Florida area with 72,681 adult admissions, 343,334 patient days, and 292,795 emergency room visits. During that same time period, urgent care visits totaled 209,886, outpatient surgery cases 46,616, and other outpatient visits were 483,973 system-wide. As of September 30, 2012 the system had 1,728 licensed beds comprised of 1,274 routine general medical surgical, 140 obstetrics, 74 neonatal intensive care unit, 57 pediatrics, 112 intensive care, 23 rehabilitative, and 48 for an alcohol treatment program. In total Baptist Health provided more than $347,827,945 in community benefit during its 2012 fiscal year. We provided charity care valued at $95,229,000 as well as $194,366,000 in uncompensated services. The estimated cost of providing charity services and uncompensated services is based on recent historical cost-to-charge ratios for charity patients and Medicaid patients from BHSF's cost accounting system, applied to the current period gross uncompensated charges associated with providing care to charity and Medicaid patients. We also contributed $23,428,000 to the indigent care fund and expended $6,146,000 for educational programs, screenings, corporate sponsorships and donations. Free community health and wellness programs covered topics ranging from insomnia and food safety to diabetes and weight control. In addition, Baptist Health provided free screenings for cholesterol, blood pressure, body composition and osteoporosis. Baptist Health also helped those in need of primary care services by donating approximately $2,044,000 to neighborhood clinics such as the Open Door Health Center in Homestead, the South Miami Children's Center in South Miami and the Good Health Clinic in Tavernier. We spent $15,074,000 paying physicians who provide care to our community members in need. Additionally, we provided $2,091,000 in continuing medical education and $4,327,000 in chaplaincy during the year ended September 30, 2012. Fulfilling our mission to provide compassionate care to the entire community isn't only about assisting those in financial need. It is also about supporting services that lose money but are essential to our community. In 2007, Baptist Health invested approximately $136,000,000 in building a replacement hospital for Homestead Hospital, and in 2011, Baptist Health built a new hospital in the underserved West Kendall area at a cost of $193,000,000 . Both Homestead Hospital and West Kendall Baptist Hospital operate at a loss, but Baptist Health continues to operate these hospitals because they fill an important community need for quality healthcare. Additionally Baptist Health has invested substantial funds to harden its facilities to withstand a category 5 hurricane for the protection of our patients and neighbors. In addition to the health-related benefits listed above, Baptist Health also has a significant and positive financial impact on our community. We directly employ more than 15,000 individuals and indirectly create another 34,000 jobs. As South Florida's largest private employer, Baptist Health is taking a leadership role by committing to the environmentally responsible, energy-efficient design and function of our facilities. Our new West Kendall Baptist Hospital is certified as a green building through the Leadership in Energy and Environmental Design (LEED) program for the US Green Building Councils. This commitment applies to our day-to-day operations, as well, from the supplies we purchase to the vehicles we use. In accordance with our faith-based mission, Baptist Health South Florida and its affiliates are committed to making a significant, positive impact on the community it serves.Description
Total Program Service Expense58270367TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFINANCE DEPARTMENTNamePerson
Telephone Number7866627000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16855 RED ROAD SUITE 200AddressLine1
CityCORAL GABLESCity
StateFLState
ZIP Code33143ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOfficerOfficerOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JAY HERSHOFF
CHAIRMAN2.0X8521
WILLIAM B DICKINSON
TREASURER2.0X
CHARLEN REGAN
SECRETARY2.0X1229
GERALD HIRSCH
TRUSTEE2.0X243
I E SCHILLING
TRUSTEE2.0X81
STANLEY MARGULIES MD
TRUSTEE2.0X
BETTE BROWN
TRUSTEE2.0X800
ELISA BROWN-SOLTERO MD
FORMER PRESIDENT OF MED STAFF2.0X411467514
WILLIAM H GILBERT JR
TRUSTEE2.0X
JOY C MARTIN
TRUSTEE2.0X
ROBERT GINTEL
TRUSTEE2.0X1286
PATRICIA MULL
DIRECTOR2.0X
KENNETH AHONEN MD
PRESIDENT OF MED STAFF2.0X7196
RICK FREEBURG
CEO50.00335922X62755
CHERYL COTTRELL
VP & CNO45.0226764060094X
CANDY FINCKE
VP45.0191054038243X
STEPHEN KERRICK
RN45.0130975029503X
DAWN STAVOR
DIRECTOR-IMAGING45.0147151015334X
KEITH WARREN
RN45.0118191012268X
DONNALEE QUARBERG
RN45.0130659032568X
JEAN GUILLAUME
RADIOLOGY TECHNICIAN45.0170352022542X
NELSON LAZO
FORMER CEO0.0060216984349X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1138616TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1005605TotalReportableCompFrmRltdOrgs
Total Other Compensation357656TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CRITICARE INC
PO BOX 919333ORLANDOFL32891CONTRACT LABOR447192
ANESTHESIA ASSOCIATES OF GREATER MI
9655 SOUTH DIXIE HIGHWAY STE 111MIAMIFL33156CONTRACT LABOR535927
GE MEDICAL SYSTEM INFORMATION
P O BOX 402076ATLANTAGA30384SERVICE CONTRACT175007
MED-LAB SUPPLY COMPANY
923 NW 27 AVEMIAMIFL33125SERVICE CONTRACT295286
JIS CONSTRUCTION MANAGEMENT
12100 SW 132 CT SUITE 113MIAMIFL33186GENERAL CONTRACTORS291048
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Related Organizations346600RelatedOrganizations
Total Contributions346600TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621300BusinessCode
Total Revenue Column65587826TotalRevenueColumn
Related Or Exempt Function Income65587826RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue65587826TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10225TotalRevenueColumn
Exclusion$10,225ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real314392Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real241373Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real73019Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column73019TotalRevenueColumn
Exclusion$73,019ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other21120Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other59021Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-37901Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-37901TotalRevenueColumn
Exclusion-$37,901ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HEALTH CLUB713940446165276622$169,543
CAFETERIA722210226503$226,503
OTHER REVENUE900099194599$192,2622337
FieldValueIRS element (for citing)
Total Other Revenue867267TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column66847036TotalRevenueColumn
Related Or Exempt Function Income65590163RelatedOrExemptFunctionIncome
Unrelated Business Revenue276622UnrelatedBusinessRevenue
Exclusion$633,651ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total411816Total
Management And General411816ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14224069Total
Program Services12440502ProgramServices
Management And General1783567ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total614173Total
Program Services522047ProgramServices
Management And General92126ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1348802Total
Program Services1146482ProgramServices
Management And General202320ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1029451Total
Program Services875033ProgramServices
Management And General154418ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total64993Total
Management And General64993ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33988Total
Management And General33988ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7876274Total
Program Services6739998ProgramServices
Management And General1136276ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8243Total
Program Services3297ProgramServices
Management And General4946ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5657370Total
Program Services5215975ProgramServices
Management And General441395ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2337573Total
Program Services1870058ProgramServices
Management And General467515ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1489968Total
Program Services1191974ProgramServices
Management And General297994ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total23494Total
Program Services18795ProgramServices
Management And General4699ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total149287Total
Program Services119430ProgramServices
Management And General29857ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total580013Total
Program Services464010ProgramServices
Management And General116003ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1595972Total
Program Services1276778ProgramServices
Management And General319194ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total498727Total
Program Services340904ProgramServices
Management And General157823ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT84911578491157
CHARITY CARE1257737812577378
MANAGEMENT FEES TO AFFILIATE541065943285271082132
INDIGENT CARE TAX406539406539

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total433053Total
Program Services241483ProgramServices
Management And General191570ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65262999Total
Program Services58270367ProgramServices
Management And General6992632ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2250BOY
EOY2250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5350836BOY
EOY5153237EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY305426BOY
EOY707772EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY400960BOY
EOY247820EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45944521LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21108109LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23562429BOY
EOY24836412EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6121599BOY
EOY8346031EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35743500BOY
EOY39293522EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7850692BOY
EOY7832896EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12077724BOY
EOY12059040EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3777641BOY
EOY5166815EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23706057BOY
EOY25058751EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6363843BOY
EOY7698515EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4722263BOY
EOY5286015EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY951337BOY
EOY1250241EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12037443BOY
EOY14234771EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35743500BOY
EOY39293522EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1584037ReconcilationRevenueExpenses
Reconcilation Other Changes613291ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1334723OtherCostOrOtherBasis
Book Value1334723BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28292266OtherCostOrOtherBasis
Depreciation9098313Depreciation
Book Value19193953BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis201077OtherCostOrOtherBasis
Depreciation201077Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15189950OtherCostOrOtherBasis
Depreciation11655650Depreciation
Book Value3534300BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis926505OtherCostOrOtherBasis
Depreciation153069Depreciation
Book Value773436BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24836412TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS23540
FOUNDATION, INC.6536256
DEFERRED ISSUE COSTS-2007 BOND58069
PHYSICIAN GUARANTEE ASSETS1558326
OTHER RECEIVABLE169840
FieldValueIRS element (for citing)
Total Book Value Other Assets8346031TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SELF INSURANCE RESERVE$1,700,461
POST RETIREMENT RESERVE$831,052
CURRENT MATURITY OF TAX EXEMPT DEBT$0
DUE TO AFFILIATE$1,076,976
PHYSICIAN GUARANTEE LIABILITY$1,558,326
FieldValueIRS element (for citing)
Total Of Amounts5166815TotalOfAmounts
Total Revenue66847036TotalRevenue
Total Expenses65262999TotalExpenses
Excess Or Deficit For Year1584037ExcessOrDeficitForYear
Other-$93,941OtherAmount
Total Adjustments-93941TotalAdjustments
Excess Or Deficit Per FS1490096ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt54213617TotRevenueEtcAuditedFinclStmt
Other Revenues-12577378OtherRevenues
Revenue Not Rptd F990-12577378RevenueNotRptdF990
Revenue Subtotal66790995RevenueSubtotal
Other Revenues Not Included56041OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt56041RevenueNotRptdOnFinStmt
Total Revenue Per Form99066847036TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt52723521TotExpensesEtcAuditedFinclStmt
Other Expenses Included37900OtherExpensesIncluded
Expenses Not Rptd F99037900ExpensesNotRptdF990
Expenses Subtotal52685621ExpensesSubtotal
Other Expenses Not Included12577378OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12577378ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065262999TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE D PART XII, LINE 2DOTHER REVENUE INCLUDED IN BOOKS BUT NOT IN FORM 990DESCRIPTION AMOUNT CHARITY CARE -12,577,378 ____________ TOTAL -12,577,378
SCHEDULE D, PART XII, LINE 4BOTHER REVENUE IN FORM 990, NOT IN BOOKSDESCRIPTION AMOUNT LOSS ON DISPOSAL OF ASSETS -37,900 CONTRIBUTION FOR PP&E 93,941 _________ TOTAL 56,041
SCHEDULE D, PART XIII LINE 2DOTHER EXPENSES IN BOOKS, BUT NOT IN FORM 990DESCRIPTION AMOUNT LOSS ON DISPOSAL OF ASSETS 37,900 _________ TOTAL 37,900
SCHEDULE D, PART XIII LINE 4BOTHER EXPENSES IN FORM 990, BUT NOT IN BOOKSDESCRIPTION AMOUNT CHARITY CARE 12,577,378 __________ TOTAL 12,577,378
SCHEDULE D, PART XI LINE 8CHANGE IN NET ASSETS FROM FORM 990 TO AUDITED FINANCIAL STATEMENTSDESCRIPTION: CONTRIBUTIONS FROM BHSF FOUNDATION -93,941
SCHEDULE D, PART X, LINE 2FIN 48 (ASC 740) FOOTNOTEAs of September 30, 2012 and 2011, BHSF had no material unrecognized tax positions.

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4706744TotalCommunityBenefitExpense
Net Community Benefit Expense4706744NetCommunityBenefitExpense
Percent Of Total Expense0.08290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2198412TotalCommunityBenefitExpense
Direct Offsetting Revenue2358935DirectOffsettingRevenue
Net Community Benefit Expense-160523NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6905156TotalCommunityBenefitExpense
Direct Offsetting Revenue2358935DirectOffsettingRevenue
Net Community Benefit Expense4546221NetCommunityBenefitExpense
Percent Of Total Expense0.08010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense121119TotalCommunityBenefitExpense
Net Community Benefit Expense121119NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17448TotalCommunityBenefitExpense
Net Community Benefit Expense17448NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense138567TotalCommunityBenefitExpense
Net Community Benefit Expense138567NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7043723TotalCommunityBenefitExpense
Direct Offsetting Revenue2358935DirectOffsettingRevenue
Net Community Benefit Expense4684788NetCommunityBenefitExpense
Percent Of Total Expense0.08250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,903,125BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare15966045AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19754631CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3788586MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARINERS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line191500 OVERSEAS HIGHWAYAddressLine1
CityTAVERNIERCity
StateFLState
ZIP Code33070ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARINERS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent300.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 6ASCHEDULE HBaptist Health South Florida, Inc. ("BHSF") the hospital's parent organization, prepares an annual community benefit report which includes the charity care and community benefits provided by Mariners Hospital and the other not-for-profit affiliates of BHSF.
PART I, LINE 7, COLUMN (F)SCHEDULE HBad debt expense of $8,491,157 is included in Form 990 Part IX Line 25 Column (a) but excluded from the denominator for purposes of calculating the percentages on line 7, column f.
PART I, LINE 7SCHEDULE HAmounts calculated and reported in this table were derived from the most accurate, available sources. Charity care and Means-Tested Government Programs costs are determined using our cost accounting system which captures all inpatients and out patients 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 were compiled by our finance department using our cost accounting system or the actual amounts paid where appropriate.
PART III, LINE 4SCHEDULE HThe footnote that describes bad debt expense reported in the audited consolidated financial statements of Baptist Health South Florida, Inc. which includes Mariners Hospital is as follows: BHSF records a provision for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. BHSF estimates this allowance based on the aging of its accounts receivable and historical and expected net collections, business and economic conditions, trends in federal and state governmental and private employer health care coverage and other collection indicators. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. Bad Debt at cost was calculated for Schedule H purposes by applying the cost to charge percentage derived by our cost accounting system against bad debt expense reported on the audited financial statements.
PART III, LINE 8SCHEDULE HMedicare costs were derived using our cost accounting system which captures all inpatients and outpatients including emergency room patients. The costs have been offset by any payments received from Medicare.
PART III, LINE 9BSCHEDULE HIn order to promote the health and well-being of the community served, uninsured patients with limited financial resources who are unable to access entitlement programs shall be eligible for fee or discounted health care services based on established criteria. BHSF has a written debt collection policy. No collection efforts are put forth for patients who are known to qualify for charity care at the free-care level. For patients qualifying for a discount under the charity care policy, lenient/non-abusive collection practices are utilized to collect the balance that remains the patient's responsibility.
NEEDS ASSESSMENTSCHEDULE HCommunity health needs were identified through an analysis and review of demographic, household income, statistical, and behavioral public health data for the respective communities served by Mariners hospital. Mariners Hospital gathers information from various sources including but not limited to IMS Win stat, Health Care Advisory Board, Claritas, AHCA, and the Florida Hospital Association. The data gathered from the above sources has been used to guide Mariners hospital's community benefit program development and to inform strategic planning in order to adequately plan for a variety of initiatives to address the needs of the community.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE HFinancial assistance information is provided in multiple locations. Patient registration provides to all patients a one-page information handout about the availability of financial assistance, creating awareness of the charity care program. Patient registration also provides information regarding BHSF's charity care policy to all uninsured, non-emergent patients prior to service. All letters and statements to uninsured patients, including those sent by third-party collection agencies, include a reference to financial assistance programs. All public information and forms regarding the provision of charity care use language that is appropriate for the BHSF service area. Where possible, prior to the registration of a patient potentially eligible for financial assistance, a financial counselor will conduct a pre-registration interview with the patient. If a pre-registration interview is not possible, the interview should be conducted as soon as possible thereafter. In the case of an emergency admission, the evaluation of payment alternatives does not take place until the medical care needed to stabilize the patient has been provided. Those patients who may qualify for financial assistance from a governmental program are referred to the appropriate program such as Medicaid, prior to consideration for charity care. Additionally, information regarding our charity care program and qualifying for financial assistance appears on our website at www.baptisthealth.net.
COMMUNITY INFORMATIONSCHEDULE HThe only hospital serving the Upper Florida Keys, Mariners Hospital, located in Tavernier, Florida in Monroe County, began in 1959 as a nine bed, physician's clinic, growing to its present size of 25 licensed beds. Since joining the BHSF System in 1995, Mariners has been able to offer its patients access to all the tertiary care and specialized services associated with the BHSF Hospitals. More than 600 patients were admitted to Mariners Hospital in fiscal year 2012, while more than 10,850 received emergency treatment. A replacement Mariners Hospital, three miles north of its original location, opened in 1998. The replacement hospital is a two-story, 72,000 square-feet facility, and includes outpatient, emergency and intensive care areas. The bed complement includes four intensive care rooms, 21 medical/surgical room, and 17 rooms available for outpatient services. In addition, Mariners Hospital has three surgical rooms and eight outpatient surgery recovery positions. The emergency department includes seven private treatment rooms (including a two-bed trauma room), separate ambulance entrance, walk-in entrance and a large waiting room. A helipad, designed to accommodate medical transport helicopters, including Miami-Dade Air Rescue and Coast Guard, is adjacent to the emergency entrance. The original configuration of the new Mariners Hospital included a bed complement of 42 licensed beds. To right-size the Hospital for the future needs of the local community and to qualify for regulatory recognition as a Critical Access Hospital, Mariners Hospital de-licensed 17 beds and was recognized by both the State of Florida and the Centers for Medicare & Medicaid Services as a Critical Access Hospital, with 25 licensed beds (including 12 swing beds) effective March 31, 2010. This designation qualifies Mariners Hospital to receive additional Medicare reimbursement for services provided to Medicare beneficiaries. A two-story 36,000 square-foot Medical Arts Building on the Mariners Hospital campus houses a complement of physician offices, in addition to outpatient cardiac and pulmonary rehabilitation, a physical therapy clinic and a health and wellness center. The primary service area for Mariners Hospital encompasses 3 zip codes.
OTHER INFORMATIONSCHEDULE HMariners Hospital has its own governing board, the members of which consist of representatives of the professional, pastoral and business communities. Mariners Hospital provides medical and surgical services consistent with its status as a tertiary care provider. Additionally, Mariners Hospital offers other services and programs including: Hyperbaric Medicine. Mariners Hospital has the only hospital-based hyperbaric chamber in the Florida Keys. The hyperbaric chamber at Mariners Hospital has the capacity to seat six patients in recliners or stretchers, and 12 patients in an emergency. Hyperbaric medicine is used to treat decompression sickness (the bends), carbon monoxide poisoning, bone infections, radiation tissue damage and wounds that are difficult to heal. Outpatient Services. Many procedures in gynecology, urology, orthopedics, ophthalmology, gastroenterology, pain control, and cosmetic and general surgery that once required a hospital stay are now performed at Mariners Hospital on an outpatient basis. Physical Therapy Services. Mariners Hospital's comprehensive outpatient clinic provides state-of-the-art equipment for treating neurological, orthopedic, oncological, sports-injured, cardiac, pediatric, chronic pain, open wound and burn patients. Located on campus in the Medical Arts Building, these services are also provided to inpatients for postoperative and acute care needs. Diagnostic Services. Mariners Hospital offers sophisticated imaging diagnostic studies, including CT and MRI, as well as traditional X-ray on both an outpatient and inpatient basis. Mariners Hospital is accredited for mammography and ultrasound. Emergency Center. Mariners Hospital's 24-hour Emergency Center is staffed with physicians and nurses ready to handle most emergencies. Support is provided by specialists on staff at the other BHSF Hospitals, enhanced by the latest telemedicine capabilities.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE HTHE BHSF SYSTEM PROVIDES A COMPREHENSIVE CONTINUUM OF SERVICES, EITHER THROUGH ITS OWN PROGRAMS OR IN COOPERATION WITH OTHER AFFILIATED HOSPITALS AND HEALTH CARE PROVIDERS. THE BHSF SYSTEM'S HEALTH CARE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: BAPTIST CARDIAC & VASCULAR INSTITUTE. BAPTIST CARDIAC & VASCULAR INSTITUTE ("BCVI") IS A MULTIDISCIPLINARY CENTER OF EXCELLENCE LOCATED ON THE CAMPUS OF BAPTIST HOSPITAL. BCVI'S DISTINCTIVE PERSPECTIVE ON TREATING THE ARTERIES, VEINS AND HEART AS ONE INTEGRATED SYSTEM HAS HELPED ESTABLISH IT AS A PREMIER CARDIAC AND VASCULAR HEALTH CARE FACILITY, WITH APPROXIMATELY 64,455 OUTPATIENT VISITS IN FISCAL YEAR 2012. BCVI OFFERS A FULL RANGE OF ADVANCED SERVICES FOR THE DIAGNOSIS AND TREATMENT OF HEART AND CIRCULATORY DISEASES. IN ADDITION TO EMPLOYING TRADITIONAL APPROACHES, SUCH AS BALLOON ANGIOPLASTY AND OPEN HEART SURGERY, BCVI MEDICAL STAFF HAS PIONEERED THE DEVELOPMENT AND USE OF MINIMALLY INVASIVE TECHNIQUES TO REPAIR ABDOMINAL AORTIC AND THORACIC ANEURYSMS, CORRECT STRUCTURAL DEFECTS OF THE HEART, REPAIR AND REPLACE HEART VALVES, AND RESTORE BLOOD FLOW TO BLOCKED ARTERIES WITH STENTS THROUGHOUT THE BODY. BCVI'S ONGOING CLINICAL RESEARCH INCLUDES THE USE THROUGHOUT THE BODY OF STENTS AND STENT GRAFTS TO ENHANCE BLOOD FLOW THROUGH DAMAGED VESSELS. BCVI HAS A FULLY-DEDICATED CARDIAC AND VASCULAR MAGNETIC RESONANCE IMAGING SYSTEM ("MRI"), TO PROVIDE LEADING-EDGE, NONINVASIVE DIAGNOSTIC AND ANGIOGRAPHY CAPABILITIES, AND AN INTERVENTIONAL NEURORADIOLOGY BI PLANE ANGIOGRAPHY SUITE TO APPLY THE LATEST CATHETER-BASED INTERVENTIONAL TECHNIQUES TO BLOOD VESSELS WITHIN THE BRAIN. BCVI ALSO OFFERS PERSONALIZED EDUCATION AND REHABILITATION SERVICES TO HELP MANAGE EXISTING CONDITIONS AND TO PREVENT CARDIOVASCULAR DISEASE. BCVI ADHERES TO QUALITY STANDARDS ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY, SOCIETY OF INTERVENTIONAL RADIOLOGY, AMERICAN COLLEGE OF RADIOLOGY, SOCIETY FOR VASCULAR SURGERY AND SOCIETY OF THORACIC SURGERY. BCVI WAS ESTABLISHED IN 1987 UNDER THE LEADERSHIP OF BARRY T. KATZEN, M.D. DR.KATZEN IS THE RECIPIENT OF THE CARDIOVASCULAR AND RADIOLOGICAL SOCIETY OF EUROPE'S GOLD MEDAL AWARD FOR HIS GROUNDBREAKING WORK IN INTERVENTIONAL RADIOLOGY, INCLUDING THE USE OF STENTS FOR PROPPING OPEN MAJOR BLOOD VESSELS OUTSIDE THE HEART. DR. KATZEN HAS THE DISTINCTION OF BEING THE FIRST AMERICAN TO EARN THE CARDIOVASCULAR AND RADIOLOGICAL SOCIETY OF EUROPE'S TOP HONOR. BCVI HAS MORE THAN 100 PHYSICIANS WHO REPRESENT MORE THAN 20 SPECIALTIES AND HAVE MET STRINGENT REQUIREMENTS FOR ONGOING MEDICAL EDUCATION, TRAINING AND RESEARCH. BCVI ALSO EMPLOYS MORE THAN 350 NURSES, TECHNOLOGISTS, SOCIAL WORKERS, NUTRITIONISTS AND OTHER SUPPORT STAFF. EACH YEAR, BCVI HOSTS THE INTERNATIONAL SYMPOSIUM ON ENDOVASCULAR THERAPY, WITH MORE THAN 2,000 CARDIOVASCULAR SPECIALISTS IN ATTENDANCE. BCVI IS MANAGED BY BAPTIST CARDIAC & VASCULAR INSTITUTE MANAGEMENT CORPORATION, LLC, A FLORIDA LIMITED LIABILITY CORPORATION. BAPTIST HOSPITAL HAS A 50% INTEREST IN BAPTIST CARDIAC & VASCULAR INSTITUTE MANAGEMENT CORPORATION, LLC, WHICH WAS FORMED TO PROVIDE MANAGEMENT SERVICES TO BCVI IN ORDER TO IMPROVE CLINICAL PERFORMANCE AND ACHIEVE OPERATIONAL EFFICIENCY. BAPTIST HEALTH'S CANCER SERVICES: BAPTIST HEALTH'S CANCER SERVICES FEATURE A NETWORK OF FACILITIES AT WHICH MORE THAN 5,000 PEOPLE RECEIVE COMPREHENSIVE, COMPASSIONATE CANCER CARE EVERY YEAR. BAPTIST HEALTH HAS THE SOPHISTICATED TECHNOLOGIES NEEDED FOR ACCURATE, EARLY DIAGNOSIS, AND WE OFFER THE LATEST TREATMENT IN OUTPATIENT AND INPATIENT SETTINGS. OVER 21,966 RADIATION TREATMENTS AND 5,057 CHEMOTHERAPY TREATMENTS WERE PERFORMED AT BHSF HOSPITALS. THE REGIONAL CANCER PROGRAM PARTICIPATES IN FDA-APPROVED CLINICAL RESEARCH IN THE AREAS OF ADULT CHEMOTHERAPY, PEDIATRIC CHEMOTHERAPY AND RADIATION ONCOLOGY, AND OFFERS OVER 100 RESEARCH PROTOCOLS TO PATIENTS FOR SUCH CONDITIONS AS CANCER OF THE BREAST, LUNG, OVARY, BRAIN, PROSTATE, CERVIX, HEAD AND NECK, SKIN, BLOOD AND LYMPH SYSTEMS. THE REGIONAL CANCER PROGRAM'S PHYSICIANS WERE THE ONLY SOUTH FLORIDA DOCTORS TO PARTICIPATE IN RESEARCH LEADING TO FDA APPROVAL OF GLEEVEC, A MOLECULARLY-TARGETED "MAGIC BULLET" FOR A RARE FORM OF LEUKEMIA. SEVERAL RESEARCH PROTOCOLS NOW IN PROGRESS ARE FOCUSED ON THE EFFICACY OF OTHER NEW MOLECULARLY-TARGETED THERAPIES. PET/CT IMAGING SCANNING, WHICH DRAMATICALLY INCREASES THE ABILITY TO DIAGNOSE AND TREAT CANCER, IS AVAILABLE AT BAPTIST HOSPITAL, SOUTH MIAMI HOSPITAL AND AT BAPTIST MEDICAL PLAZA OUTPATIENT CENTERS. COMBINING THE CAPABILITY OF HIGH-QUALITY POSITRON EMISSION TOMOGRAPHY ("PET") AND COMPUTED TOMOGRAPHY ("CT"), THE PET/CT SCANNER ALLOWS PHYSICIANS TO MAKE A DIAGNOSIS BASED ON BOTH THE PHYSICAL LOCATION AND BIOCHEMISTRY OF A TUMOR. BAPTIST AND SOUTH MIAMI HOSPITALS OFFER THE MOST TECHNOLOGICALLY ADVANCED RADIATION THERAPY, USING IMAGE GUIDED RADIATION THERAPY ("IGRT") WHERE RADIOGRAPHIC IMAGES ARE TAKEN DURING EACH TREATMENT SESSION AND THE TREATMENT IS MODIFIED SIMULTANEOUSLY, ALLOWING FOR MORE PRECISE RADIATION DELIVERY. THIS PRECISION RESULTS IN DESTRUCTION OF MORE TUMORS, FEWER SIDE EFFECTS AND IMPROVED OUTCOMES. AT SOUTH MIAMI HOSPITAL, TOMOTHERAPY COMBINES AN ADVANCED FORM OF INTENSITY MODULATED RADIATION THERAPY ("IMRT") WITH THE ACCURACY OF CT SCANNING IN ONE UNIT. THIS ALLOWS FOR MORE CONVENIENT TREATMENT PLANNING FOR THE PATIENT, AS WELL AS MORE PRECISE RADIATION DELIVERY, WHICH REDUCES RADIATION EXPOSURE TO HEALTHY TISSUES. BOTH HOSPITALS ALSO OFFER CONFORMAL RADIATION THERAPY, ULTRASOUND-GUIDED CONFORMAL RADIATION THERAPY, IMRT, INTRA OPERATIVE RADIATION THERAPY AND BRACHYTHERAPY, IN WHICH CANCER-KILLING RADIOACTIVE MATERIAL IS PLACED IN OR NEAR THE TUMOR ITSELF. SOUTH MIAMI HOSPITAL REMAINS A LEADER IN THE TREATMENT OF PROSTATE CANCER, OFFERING A VARIETY OF RADIATION THERAPY MODALITIES, INCLUDING BOTH LOW DOSE AND HIGH DOSE BRACHYTHERAPY. AT BAPTIST HOSPITAL, A PROTOCOL IS IN PLACE TO DELIVER ACCELERATED, PARTIAL BREAST IRRADIATION ONLY TO THE TUMOR SITE USES IMRT FOR ONE WEEK INSTEAD OF THE USUAL SIX WEEKS. THE REGIONAL CANCER PROGRAM ALSO OFFERS VIRTUAL COLONOSCOPY, WHICH COMBINES 3-D CT TECHNOLOGY WITH COMPUTER SOFTWARE FOR A LESS INVASIVE DIAGNOSIS OF COLORECTAL CANCER. SUPPORT SERVICES AT THE REGIONAL CANCER PROGRAM INCLUDE SPECIALLY TRAINED ONCOLOGY SOCIAL WORKERS AND PASTORAL CARE STAFF. FREE SUPPORT GROUPS ARE OFFERED FOR THOSE WITH BREAST CANCER, PROSTATE CANCER, AND ORAL, HEAD OR NECK CANCER. OUTREACH EFFORTS INCLUDE SMOKING CESSATION PROGRAMS, FREE HEALTH FAIRS, SCREENINGS, EDUCATION AND PROGRAMS OBSERVING BREAST CANCER AWARENESS MONTH AND NATIONAL CANCER SURVIVORS DAY. THE REGIONAL CANCER PROGRAM'S STAFF OF CANCER SPECIALISTS AND OTHER HEALTH CARE PROFESSIONALS WORKS WITH PATIENTS IN A VARIETY OF SETTINGS, INCLUDING AN INTENSIVE CARE UNIT AND SPECIALIZED CANCER SETTINGS FOR INPATIENT AND OUTPATIENT TREATMENTS. BAPTIST HOSPITAL, BAPTIST CHILDREN'S HOSPITAL AND SOUTH MIAMI HOSPITAL RECEIVED THREE-YEAR APPROVAL WITH COMMENDATION FROM THE AMERICAN SURGEON'S COMMISSION ON CANCER. BAPITST HEALTH CANCER PROGRAM IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. CENTER FOR ORTHOPEDICS & SPORTS MEDICINE AT DOCTORS HOSPITAL: ITS BOARD-CERTIFIED FELLOWSHIP TRAINED ORTHOPEDIC SURGEONS, COMBINED WITH STATE-OF-THE-ART TECHNOLOGY AND REHABILITATION, MAKE UP ONE OF THE MOST ACTIVE SPORTS MEDICINE ORTHOPEDIC PROGRAMS IN THE UNITED STATES. OUR PHYSICIANS ARE THE OFFICIAL SPORTS MEDICINE PROVIDER FOR THE MIAMI HEAT, MIAMI DOLPHINS, FLORIDA PANTHERS, FLORIDA INTERNATIONAL UNIVERSITY PANTHERS, THE DISCOVER BOWL, THE SONY OPEN TENNIS TOURNAMENT, THE ING MIAMI MARATHON AND HALF MARATHON, AND WORLD GOLF CHAMPIONSHIPS - CADILLAC CHAMPIONSHIP. THEY ALSO HOLD FACULTY APPOINTMENTS AT FLORIDA INTERNATIONAL UNIVERSITY'S HERBERT WERTHEIM COLLEGE OF MEDICINE. THE CENTER FOR ORTHOPEDICS & SPORTS MEDICINE SURGEONS HAVE PUBLISHED NUMEROUS ARTICLES ABOUT NEW TECHNIQUES THEY HAVE DEVELOPED TO REPAIR KNEE, SHOULDER, ANKLE AND ELBOW INJURIES. WOMEN'S HEALTH SERVICES: A WIDE RANGE OF SERVICES FOR THE SPECIAL HEALTH NEEDS OF WOMEN ARE OFFERED THROUGHOUT THE BHSF SYSTEM.THESE RANGE FROM MATERNITY AND NEWBORN SERVICES TO DIAGNOSTIC TESTING, HEALTH EDUCATION AND WELLNESS. BHSF HOSPITALS PROVIDE FAMILY-CENTERED MATERNITY CARE FOR THE MORE THAN 10,671 BABIES BORN AT OUR FACILITIES EACH YEAR. ON AVERAGE, OVER THE PAST THREE YEARS, APPROXIMATELY 30% OF ALL BABIES BORN IN MIAMI-DADE COUNTY WERE DELIVERED IN A BHSF HOSPITAL. OVER 100 OBSTETRICS/GYNECOLOGY BOARD CERTIFIED SPECIALISTS USE THE BHSF HOSPITALS FOR THEIR OBSTETRIC AND GYNECOLOGICAL PATIENTS. THE BHSF SYSTEM OFFERS A FULL SPECTRUM OF MATERNITY CARE OPTIONS, INCLUDING LABOR-DELIVERY-RECOVERY AND LABOR-DELIVERY-RECOVERY-POSTPARTUM ROOMS, AND IS EQUIPPED TO HANDLE HIGH-RISK MOTHERS AND BIRTHS, INCLUDING BABIES WHO ARE PREMATURE OR ILL. BAPTIST HOSPITAL AND SOUTH MIAMI HOSPITAL EACH HAVE A LEVEL II NEONATAL INTENSIVE C
PART V, SECTION B, LINE 13SCHEDULE HTHE POLICY IS EXPLAINED ON THE WEBSITE AND THE SUMMARY IS AVAILABLE UPON REQUEST.
PART V, SECTION B, LINE 19SCHEDULE HPATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME AT OR BELOW 300% FPG RECEIVE FREE CARE. PATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME OF 301-500% FPG WERE BILLED AMOUNTS DEEPLY DISCOUNTED FROM GROSS CHARGES. SUCH DISCOUNTS WERE CONSISTENT WITH THE PREVALING COMMERCIAL INSURANCE RATES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NELSON LAZO
029914102239580790700591310252180686518065273
CHERYL COTTRELL
1252880923630911301958304051102868580307860
STEPHEN KERRICK
1195650346007950010200284830160478000
DAWN STAVOR
12224301537409534030010123330162485000
DONNALEE QUARBERG
127117026240918027140298540163227000
JEAN GUILLAUME
1527000107501657708680216740192894000
RICK FREEBURG
02106550106533018734024316038439039867700
CANDY FINCKE
1125700619440165400245090137340229297000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE J PART I, QUESTION 7Key executives who control significant assets or who have a major impact on operations may earn incentive pay. The purpose of incentive pay is to focus executive action on key "performance thresholds" and corporate goals that are approved by the Board's Compensation Committee. The achievement of these goals requires extraordinary effort, commitment and achievement. The incentive component of the executive's total compensation is variable and totally at risk, depending upon the achievement of the agreed-upon goals.
SCHEDULE J PART I, QUESTION 4BAs part of the Baptist Health South Florida executive benefit plan, executives are eligible to allocate a portion of their flexible spending allowance to a Supplemental Survivor Accumulation Benefit (SSAB) account. The SSAB is a life insurance product that provides a deferred retirement benefit for the executive or a death benefit for the executive's survivors. Contributions to the SSAB may be made annually to the participant's account. All contributions accumulate, along with investment earnings, for the period the executive participates. The executive does not have access to the contributions made or the related investment income, all of which is subject to substantial risk of forfeiture. Pursuant to the SSAB plan guidelines, this benefit is terminated upon an executive reaching age 65, however, payment can be deferred to a date at least two years after reaching age 65 but no later than 68. At that time the entire amount accumulated is paid out in a lump sum.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990 PART VI QUESTION 15PERFORMANCE-BASED EXECUTIVE COMPENSATIONThe South Florida market for highly competent healthcare executives reflects a very competitive environment for qualified executives. It is comprised of large, national, for profit chains and not-for-profit hospital systems and stand-alone hospitals. The Board of Trustees of Baptist Health South Florida seeks executives of vision and leadership to carry out the organization's faith-based mission of quality care and community service. The Board expects these executives to provide leadership that will place Baptist Health among the best healthcare systems in the nation for quality and excellence. The Board expects executives to demonstrate integrity and loyalty in the performance of their duties and to adhere to Baptist Health Conflict of Interest Policy, Executive Code of Conduct and all compliance/ethics policies. Executive compensation is considered the foundation to attract and retain executives with the talent, experience and character to meet these expectations. The Board's Compensation Committee is comprised exclusively of independent Board members who serve voluntarily without any remuneration, and who must adhere to a stringent conflict of interest policy that precludes them or their families from doing business with Baptist Health. The Committee is responsible for reviewing the performance and approving the compensation for executives. The term "compensation" includes salaries, benefits and incentives. The Compensation Committee annually engages a nationally-recognized, independent consultant to conduct compensation surveys and to advise the Board on compensation policies. The Compensation Committee decisions are based on the following: 1. Total Compensation Package Recruitment and retention of capable, productive executives is accomplished through design of a total compensation package that includes a base salary, at-risk incentive pay, and benefits. It is the objective of Baptist Health to ensure a consistent compensation philosophy across all employee and leadership levels that rewards outstanding performance using a cash plus employee benefits package targeting the 75th percentile. Base salaries of fully productive executives are indexed to the median (50th percentile) salary paid by similar healthcare organizations. Incentive pay for superior achievement provides the opportunity for total cash compensation at the 75th percentile of the executive's peer group if the executive exceeds his/her performance metrics. 2. Performance-based Salary Increases One of the key elements of Baptist Heath's executive compensation philosophy is "pay for performance." Salary increases are based upon the degree to which each executive achieves his/her individual performance objectives for the year, which are tied to corporate objectives. Generally these objectives relate to clinical quality; patient, physician and community satisfaction; charity care and mission goals; financial performance and expense management. Individual and group performance against these objectives is reviewed by the Compensation Committee and Board of Trustees annually after the close of the fiscal year. 3. Market-based Salary Increases The Board's Compensation Committee reviews the market value of executive positions annually to assure that Baptist Health's pay levels are competitive. The independent consultant, selected by the Compensation Committee, obtains executive salary information for functionally comparable positions at healthcare institutions of comparable size within Florida and the United States. Baptist Health's peer group is comprised of other complex not-for-profit hospital systems of similar size ($2.32 billion in revenues; 15,000 employees), scope (6 hospitals, more than a dozen outpatient centers and a large international service). The peer group does not include for-profit hospitals, whose compensation practices are far more generous (and include such things as stock options and equity/ownership interests). 4. No Guaranteed Salary Increases There is no guarantee of annual executive salary increases. Salary increases depend upon the organization's ability to pay, the executive's salary in relation to the market, the executive's performance level, and internal pay relationships to peers. 5. At-Risk Incentive Pay Key executives who control significant assets or who have a major impact on operations may earn incentive pay. The purpose of incentive pay is to focus executive action on key "performance thresholds" and corporate goals that are approved by the Board's Compensation Committee. The achievement of these goals requires extraordinary effort, commitment and achievement. The incentive component of the executive's total compensation is variable and totally at risk, depending upon the achievement of the agreed-upon goals. 6. Perquisites Baptist Health executives are provided with a common set of perquisites that are typical of other responsible not-for-profit organizations to enable them to more effectively conduct their business. These benefits are deemed by the Compensation Committee to be appropriate and conservative. Perquisites are generally limited to auto and cell phone allowances which are fully taxable to the executive. Other perquisites provided to executives, such as paid time off or reimbursement for relevant educational expenses, are offered to all employees in accordance with enterprise-wide policies and procedures. Business travel for executives on commercial airlines is limited to coach fares (an upgrade to the next available class of service, e.g., business class, may be permitted when the flight duration is in excess of five hours or an overnight accommodation can be avoided). Chartered plane travel, spousal travel, luxury residences for personal use, health, country or social club dues and personal services (such as maid, chauffeur, chef, landscaper) are not provided (or reimbursed) to Baptist Health executives.
FORM 990 PART VI QUESTION 12employee conflict of interestAN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST OCCURS IN THOSE CIRCUMSTANCES WHERE AN EMPLOYEE'S JUDGEMENT COULD BE AFFECTED BECAUSE THE EMPLOYEE HAS A PERSONAL INTEREST, OTHER THAN THE RECEIPT OF COMPENSATION FROM BAPTIST HEALTH SOUTH FLORIDA, INC. AND ITS AFFILIATES ("BHSF"), IN THE OUTCOME OF A DECISION OVER WHICH THE EMPLOYEE HAS CONTROL OR INFLUENCE. FOR THE PURPOSES OF THIS POLICY, IT IS PRESUMED THAT MANAGERS HAVE CONTROL OR INFLUENCE OVER ANY DECISION AFFECTING A MATTER FOR WHICH A MANAGER HAS RESPONSIBILITY. A PERSONAL INTEREST EXISTS WHEN AN EMPLOYEE OR A MEMBER OF HIS OR HER FAMILY STANDS TO DIRECTLY OR INDIRECTLY OBTAIN FINANCIAL GAIN AS A RESULT OF A DECISION. THIS POLICY IS INTENDED FOR ALL EMPLOYEES IN ORDER THAT THEY MAY UNDERSTAND, IDENTIFY, MANAGE AND APPROPRIATELY DISCLOSE THOSE TRANSACTIONS WHICH COULD RESULT IN AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. IN ACCORDANCE WITH OUR CODE OF ETHICS, HIGH ETHICAL STANDARDS MUST BE OBSERVED IN THE NEGOTIATION AND EXECUTION OF ALL BUSINESS ACTIVITIES CONDUCTED AT, BY OR WITH BHSF. ANY DECISIONS MADE BY BHSF EMPLOYEES MUST BE MADE IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, WITH THE BEST ORGANIZATIONAL INTERESTS OF BHSF AS THE HIGHEST PRIORITY AND WITHOUT REGARD TO THE PERSONAL GAIN OR INTEREST OF ANY OTHER PERSON OR ENTITY. LIKEWISE, THE APPEARANCE OF ANY SUCH IMPROPER INFLUENCE ON ANY DECISIONS SHOULD BE CONSCIOUSLY AVOIDED. EMPLOYEES SHOULD ALSO ADHERE TO POLICY 828 WHICH PROHIBITS VENDOR SPONSORED TRAVEL AND POLICY 829 LIMITING ACCEPTANCE OF PERSONAL HONORARIUMS AND POLICY 831 WHICH PROVIDES LIMITATIONS AND GUIDELINES ON PHILANTHROPIC SOLICITATION OF VENDORS. A POTENTIAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST IRRESPECTIVE OF THE INTENT OF THE EMPLOYEE.
FORM 990, PART VI, QUESTION 12BOARD CONFLICT POLICYBAPTIST HEALTH AND ITS AFFILIATES HAVE A STRONG AND ROBUST CONFLICT OF INTEREST POLICY. THE POLICY IS MEANT TO ENSURE THAT EACH VOTING MEMBER OF THE BOARD OF TRUSTEES GOVERNS THE AFFAIRS OF BAPTIST HEALTH WITH HONESTY AND INTEGRITY AND MAKES DECISIONS FOR THE BENEFIT OF BAPTIST HEALTH. VOTING BOARD MEMBERS MAY NOT BE EMPLOYED BY BAPTIST HEALTH NOR ENGAGED TO PROVIDE SERVICES TO BAPTIST HEALTH IN EXCHANGE FOR CASH COMPENSATION. CONFLICT FREE DECISION MAKING EXTENDS BEYOND THE BOARD MEMBERS AND PROHIBITS TRANSACTIONS THAT MIGHT BENEFIT (I) THE PRIVATE INTEREST OF A MEMBER OR HIS OR HER FAMILY (II) AN ORGANIZATION CONTROLLED BY A MEMBER OF HIS OR HER FAMILY (III) AN ORGANIZATION IN WHICH A MEMBER OR HIS OR HER FAMILY HAS A MATERIAL INTEREST, ARE PROHIBITED. SINCE THE APPEARANCE OF A CONFLICT OF INTEREST MAY BE AS DAMAGING TO BAPTIST HEALTH'S REPUTATION AS ACTUALLY PERMITTING A CONFLICT TO EXIST, EACH BOARD MEMBER HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICTS. THIS CONTINUING OBLIGATION IS SUPPLEMENTED BY AN ANNUAL CERTIFICATION THAT THE BOARD MEMBER IS FREE FROM ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE ANNUAL CERTIFICATION IS REVIEWED BY THE VICE PRESIDENT OF COMPLIANCE WHO REPORTS DIRECTLY TO THE BOARD. POTENTIAL CONFLICTS ARE FURTHER REVIEWED BY THE BOARD'S ETHICS COMMITTEE. IF A CONFLICT DOES EXIST, THE CONFLICTED BOARD MEMBER MAY BE REQUIRED TO (I) RESIGN FROM THE BOARD OR (II) ELIMINATE THE RELATIONSHIP WHICH GIVES RISE TO THE CONFLICT.
FORM 990, PART VI, QUESTION 12cENFORCEMENT AND MONITORING OF CONFLICT OF INTEREST POLICYONE OF BAPTIST HEALTH SOUTH FLORIDA'S GREATEST ASSETS IS THE INTEGRITY OF ITS VOLUNTEER BOARD MEMBERS. ONE WAY TO ASSURE INTEGRITY IS OUR COMMITMENT TO A STRINGENT CONFLICT OF INTEREST POLICY FOR OUR GOVERNING BOARDS AND MANAGEMENT. AS A PART OF A ROBUST CONFLICT OF INTEREST POLICY, BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION FORM. THE AUDIT AND COMPLIANCE DEPARTMENT MONITOR TO ENSURE ALL VOTING MEMBERS SUBMIT THE DECLARATION FORM AND PERFORM NECESSARY RESEARCH TO UNDERSTAND IF A POTENTIAL CONFLICT EXISTS. ALL DISCLOSURES AND THE RELATED RESEARCH ARE SUMMARIZED FOR THE ETHICS COMMITTEE OF THE BAPTIST HEALTH BOARD OF TRUSTEES. ANY DISCLOSURES THAT MAY RESULT IN THE APPEARANCE OF A CONFLICT ARE ADDRESSED BY THE COMMITTEE FOR ITS CONSIDERATION AND RESOLUTION.
DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C LINE 19DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. IN ADDITION, BOTH THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC VIEWING ON THIRD PARTY WEBSITES. OUR CONFLICT OF INTEREST POLICY IS AVAILABLE ON WWW.BAPTISTHEALTH.NET.
US INFORMATIONAL RETURNSForm 990, Part V, LINE 1aBAPTIST HEALTH SOUTH FLORIDA (BHSF) HAS A SYSTEM-WIDE TREASURY POLICY, WHICH RECOGNIZES ITS RESPONSIBILITY TO OVERSEE, MANAGE, AND COORDINATE ALL AFFILIATE OPERATIONS, INCLUDING THE TREASURY FUNCTIONS. BHSF SERVES AS THE CENTRALIZED CASH RECEIPT AND DISBURSING AGENT FOR ALL BHSF ENTITIES. AS SUCH ONLY BHSF ISSUES US INFORMATIONAL RETURNS.
EMPLOYEES REPORTED ON FORM W-3FORM 990, PART V, LINE 2aBAPTIST HEALTH SOUTH FLORIDA (BHSF)IS THE APPOINTED PAY AGENT FOR ALL OF ITS AFFILIATES. AS SUCH ONLY BHSF ISSUES FORM W-3.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11bTHE MANAGEMENT OF BAPTIST HEALTH SOUTH FLORIDA (BHSF) IS RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE TAX RETURNS OF BHSF AND ALL OF ITS NONPROFIT, CHARITABLE AFFILIATES. THIS FORM 990 HAS BEEN PREPARED IN CONFORMITY WITH THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS. INDEPENDENT TAX CONSULTANTS AND MEMBERS OF MANAGEMENT HAVE REVIEWED IN DETAIL THE COMPLETED FORM 990. PRIOR TO FILING, THE FORM 990 PREPARTION PROCESS AND THE DOCUMENTS ARE DISCUSSED AT A MEETING OF THE FINANCE & INSURANCE COMMITTEE OF THE BOARD OF TRUSTEES AND MADE AVAILABLE ELECTRONICALLY TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND COMMENTARY. ADDITIONALLY THE EXECUTIVE AND COMPENSATION COMMITTEES OF THE BHSF BOARD OF TRUSTEES, COMPOSED OF INDEPENDENT UNCOMPENSATED MEMBERS, REVIEW OTHER PERTINENT AREAS OF THE RETURN. THE PRESIDENT AND CEO AS WELL AS THE EXECUTIVE VICE PRESIDENT AND CFO HEREBY CERTIFY AS TO THE ACCURACY AND COMPLETENESS OF THIS FORM 990.
GOVERNING BODY AND MANAGEMENTFORM 990 PART VI LINE 7BTHIS ORGANIZATION IS PART OF BAPTIST HEALTH SOUTH FLORIDA, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA HAS THE RIGHT TO APPROVE OR RATIFY CERTAIN CORPORATE DECISIONS OF THE ORGANIZATION.
Schedule J Part II Column (B)(ii)EXECUTIVE COMPENSATIONAll executive compensation is reviewed and approved annually by the compensation committee which is comprised of independent uncompensated members of the Board of Trustees who have certified that they have no conflict of interest with the organization. Reportable compensation includes base salary as well as payments under a formal incentive plan which rewards successful achievement of quality, mission, charity care, and financial corporate objectives.
BOND LIABILITY AT PARENT LEVELForm 990 Part IV, Line 24aAll bond liabilities will be reported at the parent level, on Schedule K of Baptist Health South Florida, Inc. 2011 Form 990.
CHANGES IN NET ASSETS/FUND BALANCEFORM 990 PART XI LINE 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES: OTHER INCREASE IN FUND BALANCES: INCREASE IN BENEFICIAL INTEREST IN NET ASSETS OF BHSF 862,655 INCREASE IN POST RETIREMENT HEALTH OBLIGATION 122,829 OTHER DECREASES IN FUND BALANCES: TRANSFER TO PARENT, BAPTIST HEALTH SYSTEMS, INC -372,193 __________ NET INCREASE IN NET ASSETS OR FUND BALANCES: 613,291
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAY HERSHOFF TITLE:CHAIRMAN HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM B DICKINSON TITLE:TREASURER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GERALD HIRSCH TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ELISA BROWN-SOLTERO MD TITLE:FORMER PRESIDENT OF MED STAFF HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT GINTEL TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICIA MULL TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH AHONEN MD TITLE:PRESIDENT OF MED STAFF HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NELSON LAZO TITLE:FORMER CEO HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BAPTIST HEALTH SOUTH FLORIDA
6855 RED ROAD STE 600CORAL GABLESFL33143650267668HEALTHCAREFL501(C)(3)11C, TYPE 3NAfalse
BAPTIST HOSPITAL OF MIAMI
8900 N KENDALL DRIVEMIAMIFL33176590910342HOSPITALFL501(C)(3)3NAfalse
BHSF REAL ESTATE FOUNDATION
6855 RED ROADCORAL GABLESFL33143650611015SUPPORTFL501(C)(3)11A, TYPE 1NAfalse
HOMESTEAD HOSPITAL
975 BAPTIST WAYHOMESTEADFL33033650232993HOSPITALFL501(C)(3)3NAfalse
SOUTH MIAMI HOSPITAL
6200 73 STSOUTH MIAMIFL33143590872594HOSPITALFL501(C)(3)3NAfalse
WEST KENDALL BAPTIST HOSPITAL
9555 SW 162 AVEMIAMIFL33196522438452HOSPITALFL501(C)(3)3NAfalse
BAPTIST HEALTH SOUTH FLORIDA FOUNDATION
6855 RED ROAD STE 600CORAL GABLESFL33143591923401SUPPORTFL501(C)(3)7NAfalse
BAPTIST OUTPATIENT SERVICES
6855 RED ROAD STE 600CORAL GABLESFL33143562290370MED. DIAGFL501(C)(3)3NAfalse
DOCTORS HOSPITAL
5000 UNIVERSITY DRIVECORAL GABLESFL33146043775926HOSPITALFL501(C)(3)3NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
SAMARITAN RISK RETENTION GROUP
7301 RIVERS AVENUE STE 230NORTH CHARLESTONSC29406203433505INSURANCESCNAC000.00000
PINEAPPLE INSURANCE COMPANY
980465790INSURANCENAC000.00000230LIME TREE BAY AVE PO BOX 1051GRAND CAYMANCJKY1-1102CJ
BAPTIST HEALTH ENTERPRISES INC
6855 RED ROAD STE 600CORAL GABLESFL33143592572862REAL ESTATE MNGTFLNAC000.00000
BMAB EAST TOWER INC
6855 RED ROAD STE 600CORAL GABLESFL33143654047110LEASE OFFICEFLNAC000.00000
BAPTIST MEDICAL SERVICES CORP
6855 RED ROAD STE 600CORAL GABLESFL33143650506620HOLDING COMPANYFLNAC000.00000
KENDALL CREDIT & BUSINESS SERVICES INC
6855 RED ROAD STE 600CORAL GABLESFL33143650434778COLLECTION AGENCYFLNAC000.00000
WEST KENDALL PROFESSIONAL SERVICES INC
6855 RED ROAD STE 600CORAL GABLESFL33143650475570COLLECTION AGENCYFLNAC000.00000
SOUTH MIAMI HEALTH ENTERPRISES INC
6855 RED ROAD STE 600CORAL GABLESFL33143592623930MEDICAL CENTERFLNAC000.00000
BAPTIST MEDICAL TRANSPORT SERVICES INC
6855 RED ROAD STE 600CORAL GABLESFL33143650732544TRANSPORT PATIENTFLNAC000.00000
EAST KENDALL INVESTMENTS INC
6855 RED ROAD STE 600CORAL GABLESFL33143650593165REAL ESTATE RENTLFLNAC000.00000
BAPTIST AMBULATORY SERVICES INC
6855 RED ROAD STE 600CORAL GABLESFL33143421573814HOLDING COMPANYFLNAC000.00000
BHE REALTY INC
6855 RED ROAD STE 600CORAL GABLESFL33143980152617R.ESTATE BROKERFLNAC000.00000
BAPTIST ANCILLARY SERVICES INC
6855 RED ROAD STE 600CORAL GABLESFL33143550800138HOLDING COMPANYFLNAC000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg