2013-08-14T10:46:41-07:00 2012-09-30 990 2011-10-01 592487135 Baptist Health System Foundation Inc BAPT 9042021797 3563 Philips Hwy - Bld F - Ste 608 Attn - Mike Lee Jacksonville FL 32207 Mike Lukaszewski 9042022852 2013-08-14 2011 2016-03-07 17:11:31Z Baptist Health Foundation A Hugh Greene 841 Prudential Dr Aetna Bld Ste 1601 Jacksonville FL 32207 20271274 0 X e-baptisthealth.com X 1983 FL Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. 24 19 0 408 0 0 13672749 12329809 0 0 16154 6104688 2158559 728700 15847462 19163197 12525349 8389806 0 0 0 0 0 0 1752587 3011762 2735691 15537111 11125497 310351 8037700 36972858 46353520 3834612 5642836 33138246 40710684 Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. 0 0 8968423 8389806 0 Baptist 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. 0 0 0 8968423 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 49 0 1 0 0 0 0 0 0 0 0 0 0 0 X 24 19 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X Scott Finnegan 9042023270 841 Prudential Dr Aetna Bldg Ste 1602 Jacksonville FL 32207 C Mac Holley 2 X 0 0 0 Dennis Blackburn 2 X X 0 0 0 Neil Von Stein 2 X X 0 0 0 Chris Ball 2 X 0 0 0 Kathy Barco-Jossim 2.00 X 0 0 0 Stacy Berg 2 X 0 0 0 Paul C Bosland 2 X 0 0 0 Robin Bradbury 2 X 0 0 0 Arthur Browning MD 2 X 0 0 0 Sylvia Coma 2 X 0 0 0 Michael Diaz 2 X X 0 0 0 Larry Fairman 2 X 0 0 0 Michael Grebe 2 X 0 0 0 William L Green 2 X 0 0 0 Gerald Kunkle 2 X 0 0 0 Tabitha Furyk 2 X 0 0 0 Arthur Lee 2 X 0 0 0 Shannon Miller 2 X 0 0 0 Kurt Mori MD 2 X 0 0 0 Shyam B Paryani MD 2 X 0 0 0 Susan Smathers 2 X 0 0 0 Unni Thomas MD 2 X 0 0 0 Cleve W Warren 2 X 0 0 0 John J Williams Jr 2 X 0 0 0 Michael Wolfson 2 X 0 0 0 Joseph F Thompson 2 X 0 0 0 A Hugh Greene 0 X 0 1013169 448925 Marlene Spalten 40.00 X 0 273257 22012 Michael Lukaszewski 0 X 0 632875 17412 Harvey Granger 0 X 0 441898 189620 0 2361199 677969 4 0 1 0 Three Atlanta LLC 359 East Paces Ferry Rd 300 Atlanta GA 30305 Marketing and advertising services 1383670 1 0 0 1531874 2735691 36818 8025426 0 12329809 0 6104688 0 0 6104688 0 0 0 0 0 0 0 0 0 0 0 0 1836777 1531874 1108077 728700 0 728700 0 19163197 0 0 6833388 8009110 8009110 380696 380696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69711 0 17971 51740 1342 0 1342 0 22571 11286 11285 0 0 0 0 0 0 0 0 0 0 0 0 0 1129039 0 0 1129039 63184 56866 6318 0 60002 0 0 60002 0 0 0 0 81605 36722 8161 36722 13340 0 1334 12006 114091 51341 11409 51341 0 0 0 0 0 0 0 0 10664 10664 0 0 0 0 0 0 Salaries and wages 917006 321875 273257 321874 Employee benefits 253136 89863 73410 89863 11125497 8968423 404487 1752587 250 0 0 0 6368468 9318443 0 0 0 0 0 0 0 0 0 0 17805 0 194992 126596 79059 68396 30507276 36637937 0 0 0 0 0 0 0 328744 36972858 46353520 147661 129294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3686951 5513542 3834612 5642836 X 302480 2867022 22194143 24522134 10641623 13321528 33138246 40710684 36972858 46353520 X 8037700 -465262 X 0 1 1 X 0 X 10169843 6438400 9405541 13672749 12329809 52016342 0 0 0 0 0 0 0 0 0 0 0 0 10169843 6438400 9405541 13672749 12329809 52016342 5714414 46301928 84197 -355733 3146088 16154 6104688 8995394 0 0 0 0 0 0 0 0 773445 2158559 728700 3660704 64672440 0 0.71595 0.72154 X Schedule A, Part II, Line 10: Net income from fundraising events. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 19022167 2782655 3640966 0 752526 0 24693262 18898310 552466 8844 0 437453 0 19022167 17054000 294000 1700000 0 279000 -129310 18898310 16939000 486000 -42000 0 329000 0 17054000 0.3169 0.5395 0.1436 0 0 0 2075 2075 0 0 0 0 0 22276 3249 19027 0 170641 123347 47294 0 0 0 0 68396 0 Due to affiliated organizations 5258138 Other liabilities 255404 5513542 19163197 11125497 8037700 0 0 0 0 -465262 -465262 7572438 12062425 0 0 0 9497883 9497883 2564542 0 16598655 16598655 19163197 12233574 0 0 0 1108077 1108077 11125497 0 0 0 11125497 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Endowment 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_L02 Schedule D, Part X, Line 2 The 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_L08 Schedule D, Part XI, Line 8 Transfer of temporarily restricted net assets to Southern Baptist Hospital of Florida, Inc., ($465,262). SchD_P12_S00_L02d Schedule D, Part XII, Line 2d Temporarily restricted net assets released from restrictions, $9,497,883. SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Temporary 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_L02d Schedule D, Part XIII, Line 2d Fundraising expenses, Form 990, Part VIII, line 8b, $1,108,077. Florida Forum 2012/2013 485250 1025 484225 0 0 12605 5000 215000 10771 Art & Antiques Show 2011 449052 15913 433139 0 0 54404 41344 1500 106292 14 2434349 1514936 919413 0 83405 30357 34686 133785 378928 3368651 1531874 1836777 0 83405 97366 81030 350285 495991 1108077 728700 1 Southern Baptist Hospital of Florida Inc 3563 Philips Hwy Bld F Ste 608 Jacksonville FL 32207 590747311 501(c)(3) 7448709 0 book Baptist 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 St Fernandina Beach FL 32034 593234721 501(c)(3) 357093 0 book Baptist 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 608 Jacksonville FL 32207 592980620 501(c)(3) 133960 0 book Baptist 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 608 Jacksonville FL 32207 593410739 501(c)(3) 69348 0 book Baptist 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. 4 0 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. 103 154313 0 book 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. 133 126735 0 book 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. 15 83164 0 book 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. 17 16484 0 book SchI_P01_S00_L02 Schedule I, Part I, Line 2 The 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. X X X X 0 1 0 0 0 0 0 0 0 A Hugh Greene 0 738913 0 244256 0 30000 0 434970 0 13955 0 1462094 0 0 Michael Lukaszewski 0 414541 0 101025 0 117309 0 4287 0 13125 0 650287 0 102309 Harvey Granger 0 337996 0 88902 0 15000 0 170655 0 18965 0 631518 0 0 Marlene Spalten 0 188356 0 34395 0 50506 0 10593 0 11419 0 295269 0 38506 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 See explanation in Schedule O for Form 990, Part VI, Section B, Line 15. SchJ_P01_S00_L04 Schedule J, Part I, Line 4 Baptist 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. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 The 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_L07a Form 990, Part VI, Section A, Line 7a The 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_L11b Form 990, Part VI, Section B, Line 11b While 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_L12c Form 990, Part VI, Section B, Line 12c The 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_L15 Form 990, Part VI, Section B, Line 15 In 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_L19 Form 990, Part VI, Section C, Line 19 Upon receiving a request from anyone, the organization will supply a copy of its governing documents, Conflicts of Interest Policy, financial statements and its most recently filed Form 990. F990_P11_S00_L05 Form 990, Part XI, Line 5 Temporarily restricted net assets transferred to affiliates, ($465,262). Southern Baptist Hospital of Florida Inc 800 Prudential Dr Jacksonville FL 32207 590747311 Hospital FL 501(c)(3) 3 Baptist Health System Inc 0 Baptist Medical Center of the Beaches Inc 1350 13th Ave S Jacksonville Beach FL 32250 592980620 Hospital FL 501(c)(3) 3 Baptist Health System Inc 0 Baptist Medical Center of Nassau Inc 1250 S 18th St Fernandina Beach FL 32034 593234721 Hospital FL 501(c)(3) 3 Baptist Health System Inc 0 Baptist Health System Inc 800 Prudential Dr Jacksonville FL 32207 592487136 Management assistance to hospital affiliates FL 501(c)(3) 11a N/A 0 Baptist Health Properties Inc 800 Prudential Dr Jacksonville FL 32207 592487133 Real estate & property management for healthcare system FL 501(c)(3) 11a Baptist Health System Inc 0 Baptist Health Ambulatory Services Inc 800 Prudential Dr Jacksonville FL 32207 593410739 Cancer research and education affiliate of healthcare system FL 501(c)(3) 11a Baptist Health System Inc 0 Pavilion Health Services Inc 3563 Philips Hwy Bld A Ste 106 Jacksonville FL 32207 592059710 Physician practices/retail pharmacies FL N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 Baptist Health System Inc c 2735691 Book value