2012-08-14T11:50:02-07:00 2011-09-30 990 2010-10-01 592487135 Baptist Health System Foundation Inc BAPT 9042021797 3563 Philips Hwy - Bld F - Ste 608 Attn - Mike Lee Jacksonville FL 32207 Mike Lukaszewski 9042022852 2012-08-14 2010 2016-02-24 21:20:13Z X Baptist Health Foundation A Hugh Greene 841 Prudential Dr Aetna Bldg Ste 1601 Jacksonville FL 32207 16622323 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. 23 19 0 970 0 0 9405541 13672749 0 0 3146088 16154 773445 2158559 13325074 15847462 3643763 12525349 0 0 0 0 0 0 2385030 4048483 3011762 7692246 15537111 5632828 310351 39305078 36972858 3384602 3834612 35920476 33138246 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 12656002 12525349 15847462 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 12656002 1 1 0 0 0 0 0 0 0 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 29 0 1 0 0 0 0 0 0 0 0 0 0 0 X 23 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 X 0 0 0 Dennis Blackburn 2 X X 0 0 0 Joseph F Thompson 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 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 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 Andrew Leber 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 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 A Hugh Greene 0 X X 0 935923 406991 Marlene Spalten 40 X 0 361592 23817 Michael Lukaszewski 0 X 0 504752 47190 Harvey Granger 0 X 0 441702 171606 0 2243969 649604 4 0 1 0 Three Atlanta LLC 359 East Paces Ferry Rd 300 Atlanta GA 30305 Marketing and advertising services 1406463 1 0 0 2263105 3001800 209000 8198844 0 13672749 0 16154 0 0 16154 0 0 0 0 0 0 0 0 0 0 0 0 2933420 2263105 774861 2158559 0 2158559 0 15847462 0 0 2174713 12009545 12009545 515804 515804 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 81872 0 21110 60762 5141 0 5141 0 15439 0 15439 0 0 0 0 0 0 0 0 0 0 0 1454986 0 0 1454986 109575 98630 10945 0 74118 0 0 74118 0 0 0 0 77246 0 7725 69521 14606 4711 9895 0 0 0 0 22126 22126 0 0 0 0 0 0 0 0 0 0 9897 9897 0 0 0 0 0 0 Salaries & wages 869094 0 361592 507502 Employee benefits 277662 0 69416 208246 15537111 12656002 496079 2385030 0 250 1781016 0 6927617 6368468 0 0 0 0 0 0 0 0 0 0 6272 17805 194991 115932 59256 79059 30530917 30507276 0 0 0 0 0 0 0 0 39305078 36972858 120279 147661 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3264323 3686951 3384602 3834612 X 5318 302480 25557999 22194143 10357159 10641623 35920476 33138246 39305078 36972858 X 310351 -3092581 X 0 1 1 X 0 X 6686740 10169843 6438400 9405541 13672749 46373273 0 0 0 0 0 0 0 0 0 0 0 0 6686740 10169843 6438400 9405541 13672749 46373273 5745595 40627678 4111167 84197 -355733 3146088 16154 7001873 0 0 0 0 0 0 0 0 0 773445 2158559 2932004 56307150 0 0.72154 0.70468 X Net income from fundraising events, Form 990, Part VIII, Line 8c. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18898310 552466 8844 0 437453 0 19022167 17054000 294000 1700000 0 279000 -129310 18898310 16939000 486000 -42000 0 329000 0 17054000 0.3479 0.5594 0.0927 0 0 0 0 0 0 0 0 0 0 22276 1392 20884 0 170640 114540 56100 0 2075 0 2075 79059 0 Due to affiliated organizations 3457520 Other liabilities 229431 3686951 15847462 15537111 310351 13189 0 0 0 -3105771 -3092582 -2782231 13607334 0 0 0 0 0 13607334 0 2240128 2240128 15847462 16311972 0 0 0 774861 774861 15537111 0 0 0 15537111 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 organization was included in the consolidated audited financial statements of Baptist Health System, Inc. and Subsidiaries. (in thousands) Deferred income taxes, which as of September 30, 2011 and 2010, 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, 2011 and 2010, Baptist Health System, Inc. (BHS), the parent affiliate of Baptist Health System Foundation, Inc. (BHF), had deferred tax assets of $15,901 and $16,536, 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 than 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 $15,901 and $16,536 allowance at September 30, 2011 and 2010, respectively, was necessary to reduce the deferred tax asset to the amount that would more likely than not be realized. The change in the valuation allowance for the current year is $635. At September 30, 2011, BHS has available net operating loss carryforwards of $42,255, of which $1,147 expires at the start of fiscal year 2012. SchD_P11_S00_L08 Schedule D, Part XI, Line 8 (1) Net transfers from affiliated organizations, ($3,138,576), (2) Other, $32,805. SchD_P12_S00_L04b Schedule D, Part XII, Line 4b (1) Transfers from affiliated organizations, ($3,001,800), (2) Fundraising expenses, $774,861, (3) Investment income on restricted net assets, ($13,189). SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Fund raising expenses included on Form 990, Part VIII, Line 8b. WCH Marathon 489634 489634 0 0 0 0 0 0 24586 Fla Forum 2011/12 550402 168187 382215 0 0 9128 0 157500 8871 11 1893384 1605284 288100 0 0 0 0 0 574776 2933420 2263105 670315 0 0 9128 0 157500 608233 774861 -104546 1 Southern Baptist Hospital of Florida Inc 800 Prudential Dr Jacksonville FL 32207 590747311 501(c)(3) 11167842 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 program operational expenditures. Baptist Medical Center of Nassau Inc 1250 S 18th St Fernandina Beach FL 32034 593234721 501(c)(3) 221339 0 book Baptist Health System Foundation, Inc. is a supporting fundraising organization for its affiliated 501(c)(3) hospitals indlucing Baptist Medical Center of Nassau, Inc. The cash distributions are used to assist the hospital with funding of capital projects and program operational expenditures. Baptist Health Ambulatory Services Inc 800 Prudential Dr Jacksonville FL 32207 593410739 501(c)(3) 141976 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 distributions are used to assist the organization with funding of program operational expenditures. Baptist Medical Center of the Beaches Inc 1350 13th Ave S Jacksonville FL 32250 592980620 501(c)(3) 72513 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 program operational expenditures. 4 0 The organization provided scholarships during the tax year for 155 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 awarded based on an interview process by a scholarship committee that assesses such criteria as the student's financial needs and grades. 155 201660 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 requirements of financial need established by the chaplains of the health system may receive financial assistance based on established policies. 187 186791 0 book The organization receives funding from the Scottish 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. 86 82974 0 book The organizations 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. 3 21415 0 book The organization has established endowments and project funds to provide assistance to patients with special needs. 23 22964 0 book SchI_P01_S00_L02 Schedule I, Part I, Line 2 Baptist Health System Foundation, Inc. hosts an annual golf tournament, a fund raising 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 635023 0 270900 0 30000 0 392827 0 14164 0 1342914 0 0 Harvey Granger 0 327477 0 99225 0 15000 0 153278 0 18328 0 613308 0 0 Michael Lukaszewski 0 345772 0 143980 0 15000 0 33730 0 13460 0 551942 0 0 Marlene Spalten 0 178947 0 38850 0 143795 0 11637 0 12180 0 385409 0 131795 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 2010: A. Hugh Greene, $362,706 and Harvey Granger, $124,136. These amounts were included in Schedule J, Part II, Column (c) for each individual. Marlene Spalten reached retirement age under the plan and her benefit vested. Included in Schedule J, Part II, column B(iii) Other reportable compensation is the vested distribution of $131,795 to Marlene Spalten. 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 Executive Committee of the Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, reviewed the organization's Form 990 prior to its filing. The Executive Committee of the Board of Baptist Health System, Inc. consists of seven (7) members of its Board of Directors and is authorized by its Bylaws to act on behalf of its Board of Directors. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The Board of the organization's sole corporate member, Baptist Health System, Inc., has 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 corporate member, BHS's Compensation Committee (made up of independent directors of BHS) engages annually a third party compensation consultant who provides a database comprised 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 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's 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 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 minutes 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. Copies of Baptist Health System, Inc. and Subsidiaries audited Consolidated Financial Statements are on file with Florida's Agency for Health Care Administration. F990_P11_S00_L05 Form 990, Part XI, Line 5 Temporarily restricted contributions $10,059,938, Net assets released form restrictions ($13,300,210), Net transfers to affiliates ($136,775), Permanently restricted contributions $284,466. 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 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 Baptist Health System Inc c 3001800 FMV - cash.