2012-11-13T08:39:10-06:00 2011-12-31 621517792 PERSHING YOAKLEY & ASSOCIATES PC 2963 GULF TO BAY BLVD STE 267 CLEARWATER FL 337594255 990 2011-01-01 592592846 Bayfront Health System Inc BAYF 7278936698 701 Sixth Street South St Petersburg FL 33701 Robert Thornton 7278936698 2012-11-13 1 Terry Haefner P01258953 7274427110 2011 2016-02-24 21:20:13Z Sue Brody 701 Sixth Street South St Petersburg FL 33701 16549340 0 X www.Bayfront.org X 1985 FL See Schedule O for Attached Supplemental Information.Bayfront Health System's Primary Exempt Purpose is to promote health care in the community by providing services to all of its affiliated health care providers. 13 10 28 0 1307 0 10170 0 15248780 16031186 -63909 -135767 651843 137441 15846884 16032860 0 0 0 0 3057858 3333817 0 0 0 12194221 12697367 15252079 16031184 594805 1676 120803933 117387333 103135903 102444045 17668030 14943288 X Bayfront Health System's mission is to provide quality healthcare for all we serve. 0 0 16031184 16656823 See Schedule O for Attached Supplemental Information.Primary Exempt Purpose:Bayfront Health System's Primary Exempt Purpose is to promote health care in the community by providing services through all of its affiliated health care providers.Statement of Program Service Accomplishments:Bayfront Health System, Inc. is the parent company to-1) Bayfront Medical Center, Inc.2) Bayfront Health Foundation, Inc.3) Bayfront Enterprises, Inc.4) Bayfront Same Day Surgery Center, LLC5) Bayfront Insurance Solutions, LTDAs the parent company, Bayfront Health System provides management and oversight to all of its affiliated companies. Its role is to develop, own, and operate a quality driven healthcare delivery system, multiple charitable, educational and scholastic programs, and activities for the benefit of the community it serves.In its continuing mission to provide services which benefit the community, Bayfront Health System owns and operates Bayfront Medical Center, a hospital that provided $22.8 million in unfunded care in 2011. Bayfront Health System, Inc. leases space to Bayfront Medical Center, Inc. as well as to physicians, providing them office space in close proximity to the hospital and, therefore, a location which is readily accessible to inpatient care.Bayfront Enterprises operates six Convenient Care Clinics in the community. Bayfront Health System also owns a partnership interest in Bayfront Same Day Surgery Center, LLC and has a wholly owned subsidiary, Bayfront Insurance Solutions, LTD (the captive), which is an independent single parent captive insurance company domiciled in the Cayman Islands. 16031184 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 33 0 1 28 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X Robert Thornton 7278936698 701 6th Street South St Petersburg FL 33701 Trina Espinola MD 1.00 X 0 43804 0 Sue G Brody 40.00 X X 821417 0 24228 Raul Montenegro MD 1.00 X 0 0 0 Bernie Young 1.00 X X 0 0 0 Roy Binger 1.00 X 0 0 0 Jeff Hearn 1.00 X 0 0 0 Katie Pemble 1.00 X X 0 0 0 Steven C Dupre ESQ 1.00 X X 0 0 0 Paul McRae MD 1.00 X 0 25000 0 Mark V Wimberly 1.00 X 0 0 0 James R Gillespie 1.00 X 0 0 0 Jay L Miller 1.00 X 0 0 0 Monte Trammer 1.00 X 0 0 0 Robert W Thornton 40.00 X 482222 0 37242 Eric Feder 40.00 X 527873 0 37038 Timothy Eixenberger 40.00 X 178187 0 37324 Emily B Conners 40.00 X 154735 0 39324 David Weiland MD 40.00 X 350484 0 83762 2514918 68804 258918 6 0 1 0 Foley & Lardner LLP 100 N Tampa St Suite 2700 St Petersburg FL 33602 Legal Services 608916 Insight Health Partners 695 Central Avenue St Petersburg FL 33701 Consulting Services 339429 Ernst & Young PO Box 933514 Atlanta GA 311933514 Consulting Services 152756 Radey Thomas Yon & Clark 301 S Bronough Street Suite 200 Tallahassee FL 32302 Legal Services 139290 4 Space Rental Revenue 531120 10208293 10208293 Management Fee Revenue 561000 5580267 5580267 Parking Revenue 812930 210690 210690 Miscellaneous 561000 31936 31936 16031186 40686 40686 340027 516480 -176453 -176453 17626 -194079 Income from Premier Pu 561000 658642 657335 1307 Gain on BSDS LLC Settl 900099 744 744 Income from BSDS LLC 621990 -49324 -49324 -472621 -472621 137441 16032860 16414197 1307 -382644 1303639 1303639 1129029 1129029 84149 84149 721336 721336 95664 95664 784104 784104 226875 226875 1123102 1123102 6050 6050 117536 117536 27759 27759 4442633 4442633 12090 12090 2793298 2793298 2106007 2106007 86832 86832 Dues and Licenses 381313 381313 Parking Expense 336942 336942 Relocation and Recruitm 103180 103180 Repairs and Maintenance 69971 69971 79675 79675 16031184 16031184 0 0 13658 214599 69780884 24377786 48425374 45403098 1984714 8531143 70393845 63224835 120803933 117387333 1731787 1074611 8818429 8927062 80470182 77802166 12115505 14640206 103135903 102444045 X 17668030 14943288 17668030 14943288 120803933 117387333 X 1676 -2726418 X 0 1 1 X 0 X 11218110 11218110 41567383 15979795 25587588 1876778 252966 1623812 12482406 7788039 4694367 2636207 356986 2279221 45403098 Investment in BSDS, LLC 880240 C Investment in Premier 485852 C Interest in Net Assets of Foundation 134797 C Investment in BISL 7030254 C 8531143 Due From Affiliates 61830709 Other Receivables 22842 Bond Issuance Costs 427424 Credit Valuation Adjustment 541360 Bond Sinking Fund 402500 63224835 MOB Lease Obligation 3240201 Interest Rate Swap Liability 7475465 Unclaimed Checks 4626 Heart Center Parking Obligation 1220821 Deferred Rent 2699093 14640206 Description of Uncertain Tax Positions Under FIN 48: Part X: Deferred income taxes 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 December 31, 2011 and 2010, the System had deferred tax assets of $1,869,000 and $3,963,000, respectively, relating principally to net operating loss carryovers. ASC Topic 740, Income Taxes, 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 $1,326,000 and $3,324,000 allowance at December 31, 2011 and 2010, 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 a decrease of $1,998,000. At December 31, 2011, the System has available net operating loss carryforwards of $4,966,000, which begin expiring in the year 2012. Cayman Islands 0 0 Program Services Insurance 7347098 0 0 0 0 0 0 7347098 0 7347098 1 0 1 0 0 0 X X X X X 0 1 0 0 0 0 0 0 0 Sue G Brody 570284 0 89984 0 161149 0 6095 0 18133 0 845645 0 0 0 Robert W Thornton 340886 0 60941 0 80395 0 16233 0 21009 0 519464 0 0 0 Eric Feder 331496 0 51202 0 145175 0 4363 0 32675 0 564911 0 0 0 Timothy Eixenberger 111586 0 17519 0 49082 0 26602 0 10722 0 215511 0 0 0 Emily B Conners 142948 0 11520 0 267 0 26733 0 12591 0 194059 0 0 0 David Weiland MD 304770 0 45000 0 714 0 67015 0 16747 0 434246 0 0 0 Part I, Line 4b Sue Brody - Participated in a supplemental nonqualified deferred compensation plan. She had $112,486 in benefits vest in 2011. This amount is included in Part II Column B(iii). She also had $3 of earnings vest in 2011. This amount is included in Part II Column C. Robert Thornton - Participated in a supplemental nonqualified deferred compensation plan. He had $60,941 in benefits vest in 2011. This amount is included in Part II Column B(iii). He also had $13,472 of earnings vest in 2011. This amount is included in Part II Column C. Eric Feder - Participated in a supplemental nonqualified deferred compensation plan. He had $111,621 in benefits vest in 2011. This amount is included in Part II Column B(iii). He also had $18,216 of earnings vest in 2011. This amount is included in Part II Column C. Timothy Eixenberger - Participated in a supplemental nonqualified deferred compensation plan. He had $29,444 in benefits vest in 2011. This amount is included in Part II Column B(iii). He also had $10,432 of earnings vest and $14,324 of benefits that accrued but did not vest in 2011. Both of these amounts are included in Part II Column C. David Weiland - Participated in a supplemental nonqualified deferred compensation plan. He had $54,880 in contributions that are not vested in 2011. This amount is included in Part II Column C. Pinellas County Health Facilities Authority 596000800 72316MEK1 2004-04-22 49700000 Proj. Fund & Refund of Series 1993 0 0 0 Pinellas County Health Facilities Authority 592384219 72316MES4 2006-09-28 32000000 Proj. Fund & Refund of Series 1989 0 0 0 49700000 22882029 654578 26163393 2007 1 0 1 1 32000000 3075173 551078 28373749 2008 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 1 1 SunTrust 12.000000000000 0 0 0 NA 0 0 0 0 1 1 SunTrust 12.000000000000 0 0 0 NA 0 0 0 Form 990, Part VI, Section B, line 11 A copy of Form 990 is mailed to the members of the Finance Committee, and then it is reviewed at a Finance Committee meeting prior to it being filed with the IRS. Form 990, Part VI, Section B, line 12c Conflict of interest statements are reviewed by the Corporate Compliance Office. If there is a potential conflict, there is a discussion with the employee or board member and appropriate action is taken if necessary. Form 990, Part VI, Section B, line 15 Compensation for the CEO and top management is determined by use of a compensation committee, independent compensation consultants, Forms 990 of other organizations, and compensation surveys. The compensation committee meets annually to discuss and approve the compensation plans. Form 990, Part VI, Section C, line 19 Bayfront Health System's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -1,757,435. Book/Tax Difference Bayfront Same Day Surgery Center -295,474. Other Changes Resulting from FASB 136 -12,077. Book/Tax Difference Premier Purchasing Partners -661,432. Total to Form 990, Part XI, Line 5: -2,726,418. Bayfront Health Foundation Inc 701 Sixth Street South St Petersburg FL 33701 311492316 Fundraising FL 501(c)(3) 11A - Type 1 0 Bayfront Medical Center Inc 701 Sixth Street South St Petersburg FL 33701 591218020 Hospital FL 501(c)(3) 3 0 Bayfront Same Day Surgery Center LLC 701 Sixth Street South St Petersburg FL 33701 731637544 Surgery Center FL Related -49324 5423491 0 1 0.50960 Bayfront Enterprises Inc 701 Sixth Street South St Petersburg FL 33701 592592872 Physician Services FL C 6831639 4408953 1.00000 Bayfront Insurance Solutions LTD PO Box 69 720 West Bay Rd Grand Cayman CJ KY1-1102 980680280 Insurance Services CJ C 6622026 33973364 1.00000 0 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 1 1 Bayfront Medical Center Inc R 8590935 Fair Value Bayfront Health Foundation Inc P 432420 Fair Value Bayfront Same Day Surgery Center LLC P 293925 Fair Value Bayfront Enterprises Inc P 470553 Fair Value Bayfront Insurance Solutions LTD B 7347098 Fair Value