STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BAPTIST HEALTH SYSTEM FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BAPTIST HEALTH SYSTEM FOUNDATION INC (EIN 59-2487135)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201342269349302819
Schema version
2011v1.2
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)
Timestamp2013-08-14T10:46:41-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592487135EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baptist Health System Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAPTNameControl
Phone9042021797Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13563 Philips Hwy - Bld F - Ste 608AddressLine1
Address Line2Attn - Mike LeeAddressLine2
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMike LukaszewskiName
TitleCFOTitle
Phone9042022852Phone
Date Signed2013-08-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Baptist Health FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonA Hugh GreeneNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1841 Prudential DrAddressLine1
Address Line2Aetna Bld Ste 1601AddressLine2
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20271274GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitee-baptisthealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionContinue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers408TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13672749ContributionsGrantsPriorYear
Contributions Grants Current Year12329809ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year16154InvestmentIncomePriorYear
Investment Income Current Year6104688InvestmentIncomeCurrentYear
Other Revenue Prior Year2158559OtherRevenuePriorYear
Other Revenue Current Year728700OtherRevenueCurrentYear
Total Revenue Prior Year15847462TotalRevenuePriorYear
Total Revenue Current Year19163197TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12525349GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8389806GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1752587TotalFundrsngExpCurrentYear
Other Expense Prior Year3011762OtherExpensePriorYear
Other Expenses Current Year2735691OtherExpensesCurrentYear
Total Expenses Prior Year15537111TotalExpensesPriorYear
Total Expenses Current Year11125497TotalExpensesCurrentYear
Revenues Less Expenses Prior Year310351RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8037700RevenuesLessExpensesCY
Total Assets BOY36972858TotalAssetsBOY
Total Assets EOY46353520TotalAssetsEOY
Total Liabilities BOY3834612TotalLiabilitiesBOY
Total Liabilities EOY5642836TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33138246NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40710684NetAssetsOrFundBalancesEOY
Mission DescriptionContinue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8968423Expense
Grants8389806Grants
Revenue0Revenue
DescriptionBaptist Health System Foundation, Inc. plans, develops and coordinates the fundraising activities for Baptist Health System, Inc. and its four licensed hospitals in the northeast Florida region. The proceeds are used to support the exempt charitable activities of these hospitals.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense8968423TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonScott FinneganNamePerson
Telephone Number9042023270TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1841 Prudential DrAddressLine1
Address Line2Aetna Bldg Ste 1602AddressLine2
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
C Mac Holley
Trustee2X000
Dennis Blackburn
Chairman & Trustee2X000X
Neil Von Stein
Treasurer & Trustee2X000X
Chris Ball
Trustee2X000
Kathy Barco-Jossim
Trustee2.00X000
Stacy Berg
Trustee2X000
Paul C Bosland
Trustee2X000
Robin Bradbury
Trustee2X000
Arthur Browning MD
Trustee2X000
Sylvia Coma
Trustee2X000
Michael Diaz
Vice Chairman & Trustee2X000X
Larry Fairman
Trustee2X000
Michael Grebe
Trustee2X000
William L Green
Trustee2X000
Gerald Kunkle
Trustee2X000
Tabitha Furyk
Trustee2X000
Arthur Lee
Trustee2X000
Shannon Miller
Trustee2X000
Kurt Mori MD
Trustee2X000
Shyam B Paryani MD
Trustee2X000
Susan Smathers
Trustee2X000
Unni Thomas MD
Trustee2X000
Cleve W Warren
Trustee2X000
John J Williams Jr
Trustee2X000
Michael Wolfson
Trustee2X000
Joseph F Thompson
Secretary2000X
A Hugh Greene
President001013169448925X
Marlene Spalten
Vice President40.00027325722012X
Michael Lukaszewski
Asst. Treasurer0063287517412X
Harvey Granger
Asst. Secretary00441898189620X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2361199TotalReportableCompFrmRltdOrgs
Total Other Compensation677969TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Three Atlanta LLCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1359 East Paces Ferry Rd 300AddressLine1
CityAtlantaCity
StateGAState
ZIP Code30305ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMarketing and advertising servicesDescriptionOfServices
Compensation1383670Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events1531874FundraisingEvents
Related Organizations2735691RelatedOrganizations
Government Grants36818GovernmentGrants
All Other Contributions8025426AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions12329809TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6104688TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,104,688ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Gross Income Fundraising Events1836777GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1531874CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1108077FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column728700TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$728,700ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19163197TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,833,388ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8009110Total
Program Services8009110ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total380696Total
Program Services380696ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total69711Total
Program Services0ProgramServices
Management And General17971ManagementAndGeneral
Fundraising51740Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1342Total
Program Services0ProgramServices
Management And General1342ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22571Total
Program Services11286ProgramServices
Management And General11285ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1129039Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising1129039Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total63184Total
Program Services56866ProgramServices
Management And General6318ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total60002Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising60002Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total81605Total
Program Services36722ProgramServices
Management And General8161ManagementAndGeneral
Fundraising36722Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total13340Total
Program Services0ProgramServices
Management And General1334ManagementAndGeneral
Fundraising12006Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total114091Total
Program Services51341ProgramServices
Management And General11409ManagementAndGeneral
Fundraising51341Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10664Total
Program Services10664ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Salaries and wages917006321875273257321874
Employee benefits253136898637341089863

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11125497Total
Program Services8968423ProgramServices
Management And General404487ManagementAndGeneral
Fundraising1752587Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6368468BOY
EOY9318443EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17805BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis194992LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec126596LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY79059BOY
EOY68396EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30507276BOY
EOY36637937EOY

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)
BOY0BOY
EOY328744EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36972858BOY
EOY46353520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY147661BOY
EOY129294EOY

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)
BOY0BOY
EOY0EOY

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)
BOY3686951BOY
EOY5513542EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3834612BOY
EOY5642836EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY302480BOY
EOY2867022EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22194143BOY
EOY24522134EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10641623BOY
EOY13321528EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33138246BOY
EOY40710684EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36972858BOY
EOY46353520EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8037700ReconcilationRevenueExpenses
Reconcilation Other Changes-465262ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10169843CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6438400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9405541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13672749CurrentTaxYearMinus1Year
Current Tax Year12329809CurrentTaxYear
Total52016342Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10169843CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6438400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9405541CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13672749CurrentTaxYearMinus1Year
Current Tax Year12329809CurrentTaxYear
Total52016342Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total5714414AmountsSubstContributorsTotal
Public Support Total17046301928PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84197CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-355733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3146088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16154CurrentTaxYearMinus1Year
Current Tax Year6104688CurrentTaxYear
Total8995394Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years773445CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2158559CurrentTaxYearMinus1Year
Current Tax Year728700CurrentTaxYear
Total3660704Total
FieldValueIRS element (for citing)
Total Support64672440TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.71595PublicSupportPertcentage170
Public Support Pertcent Prior Year0.72154PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSchedule A, Part II, Line 10: Net income from fundraising events.GeneralExplanation

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)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance19022167BeginningOfYearBalance
Contributions2782655Contributions
Investment Earnings Or Losses3640966InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures752526OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance24693262EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18898310BeginningOfYearBalance
Contributions552466Contributions
Investment Earnings Or Losses8844InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures437453OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance19022167EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17054000BeginningOfYearBalance
Contributions294000Contributions
Investment Earnings Or Losses1700000InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures279000OtherExpenditures
Administrative Expenses-129310AdministrativeExpenses
End Of Year Balance18898310EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16939000BeginningOfYearBalance
Contributions486000Contributions
Investment Earnings Or Losses-42000InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures329000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance17054000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.3169BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.5395PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.1436TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2075OtherCostOrOtherBasis
Book Value2075BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis22276OtherCostOrOtherBasis
Depreciation3249Depreciation
Book Value19027BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis170641OtherCostOrOtherBasis
Depreciation123347Depreciation
Book Value47294BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68396TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliated organizations$5,258,138
Other liabilities$255,404
FieldValueIRS element (for citing)
Total Of Amounts5513542TotalOfAmounts
Total Revenue19163197TotalRevenue
Total Expenses11125497TotalExpenses
Excess Or Deficit For Year8037700ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$465,262OtherAmount
Total Adjustments-465262TotalAdjustments
Excess Or Deficit Per FS7572438ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12062425TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues9497883OtherRevenues
Revenue Not Rptd F9909497883RevenueNotRptdF990
Revenue Subtotal2564542RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included16598655OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt16598655RevenueNotRptdOnFinStmt
Total Revenue Per Form99019163197TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12233574TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included1108077OtherExpensesIncluded
Expenses Not Rptd F9901108077ExpensesNotRptdF990
Expenses Subtotal11125497ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011125497TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Endowment funds are used by the organization to fund capital projects for its affiliated 501(c)(3) hospitals and reimbursement for approved operational expenses by these hospitals that are in accordance with written endowment agreements. The endowment policy of the organization limits annual spending to 5% of the accumulated contributions by the donor and accumulated investment earnings of the endowment.
SchD_P10_S00_L02Schedule D, Part X, Line 2The following is Note 10, Income Taxes, included in the consolidated financial statements of the organization (all numbers in thousands): Deferred income taxes, which as of September 30, 2012 and 2011, have no net carrying value, reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of September 30, 2012 and 2011, BHS had deferred tax assets of $21,411and $15,901, respectively, relating principally to net operating loss carryovers. ASC 740-10-50-3, Income Taxes: Disclosure, requires a valuation allowance to reduce the deferred tax assets reported if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. After consideration of all the evidence, both positive and negative, management determined that a $21,411 and $15,901 allowance at September 30, 2012 and 2011, respectively, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. The change in the valuation allowance for the current year is $5,510. At September 30, 3012, BHS has available net operating loss carryforwards of $56,900, of which $466 expires at the start of fiscal year 2013.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Transfer of temporarily restricted net assets to Southern Baptist Hospital of Florida, Inc., ($465,262).
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dTemporarily restricted net assets released from restrictions, $9,497,883.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bTemporary restricted contributions, $8,647,854, Temporary restricted investment income, $1,323,748, Permanently restricted contributions, $2,679,905, Permanently restricted investment income, $2,319,534, Unrestricted net assets transferred from affiliates, $2,735,691, and Fundraising expenses included on Form 990, Part VIII, line 8b, ($1,108,077).
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dFundraising expenses, Form 990, Part VIII, line 8b, $1,108,077.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Florida Forum 2012/2013NameOfEvent1
Gross Receipts Event1485250GrossReceiptsEvent1
Charitable Contributions Event11025CharitableContributionsEvent1
Gross Revenue Event1484225GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event112605RentFacilityCostsEvent1
Food And Beverage Event15000FoodAndBeverageEvent1
Entertainment Event1215000EntertainmentEvent1
Other Direct Expenses Event110771OtherDirectExpensesEvent1
Name Of Event2Art & Antiques Show 2011NameOfEvent2
Gross Receipts Event2449052GrossReceiptsEvent2
Charitable Contributions Event215913CharitableContributionsEvent2
Gross Revenue Event2433139GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event254404RentFacilityCostsEvent2
Food And Beverage Event241344FoodAndBeverageEvent2
Entertainment Event21500EntertainmentEvent2
Other Direct Expenses Event2106292OtherDirectExpensesEvent2
Total Number Of Other Events14TotalNumberOfOtherEvents
Gross Receipts Other Events2434349GrossReceiptsOtherEvents
Charitable Contrib Other Events1514936CharitableContribOtherEvents
Gross Revenue Other Events919413GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events83405NonCashPrizesOtherEvents
Rent Facility Costs Other Events30357RentFacilityCostsOtherEvents
Food And Beverage Other Events34686FoodAndBeverageOtherEvents
Entertainment Other Events133785EntertainmentOtherEvents
Other Direct Expenses Other Events378928OtherDirectExpensesOtherEvents
Gross Receipts Total3368651GrossReceiptsTotal
Charitable Contributions Total1531874CharitableContributionsTotal
Gross Revenue Total Events1836777GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events83405NonCashPrizesTotalEvents
Rent Facility Costs Total Events97366RentFacilityCostsTotalEvents
Food And Beverage Total Events81030FoodAndBeverageTotalEvents
Entertainment Total Events350285EntertainmentTotalEvents
Other Direct Expenses Total Events495991OtherDirectExpensesTotalEvents
Direct Expense Summary Events1108077DirectExpenseSummaryEvents
Net Income Summary728700NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
Southern Baptist Hospital of Florida Inc
3563 Philips Hwy Bld F Ste 608JacksonvilleFL32207590747311501(c)(3)74487090bookBaptist Health System Foundation, Inc. is a supporting fundraising organization for its affiliated 501(c)(3) hospitals including Southern Baptist Hospital of Florida, Inc. The cash distributions are used to assist the hospital with the funding of capital projects and reimbursement of program operational expenditures.
Baptist Medical Center of Nassau Inc
1250 S 18th StFernandina BeachFL32034593234721501(c)(3)3570930bookBaptist Health System Foundation, Inc. is a supporting fundraising organization for its affiliated 501(c)(3) hospitals, including Baptist Medical Center of Nassau, Inc. The cash distributions are used to assist the hospital with funding of capital projects and reimbursement of program operational expenditures.
Baptist Medical Center of the Beaches Inc
3563 Philips Hwy Bld F Ste 608JacksonvilleFL32207592980620501(c)(3)1339600bookBaptist Health System Foundation, Inc. is a supporting fundraising organization for its affiliated 501(c)(3) hospitals including Baptist Medical Center of the Beaches, Inc. The cash distributions are used to assist the hospital with funding of capital projects and reimbursement of program operational expenditures.
Baptist Health Ambulatory Services Inc
3563 Philips Hwy Bld F Ste 608JacksonvilleFL32207593410739501(c)(3)693480bookBaptist Health System Foundation, Inc. is a supporting fundraising organization for its affiliated 501(c)(3) organizations including Baptist Health Ambulatory Services, Inc., whose mission is cancer education and research. The cash distribution was used to assist the organization with reimbursement of program operational expenditures.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuation
The organization provided scholarships during the tax year for 103 recipients who are qualified nursing/medical students, student applicants, or current nurses in the northeast Florida region wishing to further their education. The scholarships are awaarded based on an interview process by a scholarship committee that assesses such criteria as the student's financial needs and grades.1031543130book
The organization receives funds through voluntary employee payroll deductions from its related organizations for the purpose of providing financial support to employees with emergency financial needs. Employees meeting the requirements of financial need established by the chaplains of the health system may receive financial assistance based on established policies.1331267350book
The organization receives funding from the Patrons of the Heart endowment to provide patient assistance to children, and their families, from underdeveloped countries. Medical assistance is provided by the organization's affiliated hospital, Southern Baptist Hospital of Florida, Inc.15831640book
The organization receives funding from the Sottish Rites to provide financial support to children afflicted with speech and language disorders. Therapy is provided by the organization's affiliated hospital, Southern Baptist Hospital of Florida, Inc.17164840book

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationThe organization hosts an annual golf tournament, a fundraising event in the Northeast Florida community. Net proceeds from this event are used to provide scholarships to qualified nursing/medical students, student applicants, or current nurses wishing to further their education. The scholarships are awarded based on an interview process by a scholarship committee that assesses the student's financial needs, grades, and other criteria.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 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
A Hugh Greene
0738913024425603000004349700139550146209400
Michael Lukaszewski
0414541010102501173090428701312506502870102309
Harvey Granger
03379960889020150000170655018965063151800
Marlene Spalten
01883560343950505060105930114190295269038506

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L03Schedule J, Part I, Line 3See explanation in Schedule O for Form 990, Part VI, Section B, Line 15.
SchJ_P01_S00_L04Schedule J, Part I, Line 4Baptist Health System, Inc. (BHS), parent affiliate of Baptist Health System Foundation Inc.(BHF), has two active Supplemental Nonqualified Retirement Plans (SERPS). One is for certain executives (Supplemental Executive Retirement Plan) and the other is for certain vice presidents (Vice-President Supplemental Executive Retirement Plan). These SERPS are plans described in IRS Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age. The following individuals accrued unvested benefits under these plans during fiscal year 2012: A. Hugh Greene, $401,716, John F. Wilbanks, $158,534, and Harvey Granger, $139,082. These amounts are included in Schedule J, Part II, Column (c) for each of the listed individuals.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6The organization has a sole corporate member, Baptist Health System, Inc., whose Board of Directors elects the members of the organization's governing body.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aThe Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, elects the members of the governing body of the organization.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bWhile the organization's governing body did not review the Form 990, the Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, was provided the organization's entire Form 990 prior to its filing via a link to a password-protected website.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe Board of Directors of the organization's sole member, Baptist Health System, Inc., has appointed a Conflicts of Interest Committee which regularly reviews the required disclosures of potential conflicts of interest by the Directors and Officers of the organization and its affiliates and recommends any action to be taken with regard to such disclosures. In accordance with the Conflicts of Interest Policy, during meetings of the organization's governing body, a Director who may have a conflict of interest is excused from discussion by the governing body about any transaction or matter that may have given rise to the Director's actual or potential conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Upon receiving a request from anyone, the organization will supply a copy of its governing documents, Conflicts of Interest Policy, financial statements and its most recently filed Form 990.
F990_P11_S00_L05Form 990, Part XI, Line 5Temporarily restricted net assets transferred to affiliates, ($465,262).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Southern Baptist Hospital of Florida Inc
800 Prudential DrJacksonvilleFL32207590747311HospitalFL501(c)(3)3Baptist Health System Inc0
Baptist Medical Center of the Beaches Inc
1350 13th Ave SJacksonville BeachFL32250592980620HospitalFL501(c)(3)3Baptist Health System Inc0
Baptist Medical Center of Nassau Inc
1250 S 18th StFernandina BeachFL32034593234721HospitalFL501(c)(3)3Baptist Health System Inc0
Baptist Health System Inc
800 Prudential DrJacksonvilleFL32207592487136Management assistance to hospital affiliatesFL501(c)(3)11a0N/A
Baptist Health Properties Inc
800 Prudential DrJacksonvilleFL32207592487133Real estate & property management for healthcare systemFL501(c)(3)11aBaptist Health System Inc0
Baptist Health Ambulatory Services Inc
800 Prudential DrJacksonvilleFL32207593410739Cancer research and education affiliate of healthcare systemFL501(c)(3)11aBaptist Health System Inc0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Pavilion Health Services IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13563 Philips HwyAddressLine1
Address Line2Bld A Ste 106AddressLine2
CityJacksonvilleCity
StateFLState
ZIP Code32207ZIPCode
FieldValueIRS element (for citing)
EIN592059710EIN
Primary ActivityPhysician practices/retail pharmaciesPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Baptist Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypecTransactionType
Amount Involved2735691AmountInvolved
Method Of Amt DeterminationBook valueMethodOfAmtDetermination