MARINERS HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MARINERS HOSPITAL INC (EIN 59-1987355)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201102289349301705
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T12:39:58-04:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 E KENNEDY BLVD STE 1200 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 336024990 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591987355 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARINERS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARI | NameControl |
| Phone | 7866627000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91500 OVERSEAS HIGHWAY | AddressLine1 |
| City | TAVERNIER | City |
| State | FL | State |
| ZIP Code | 33070 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WENDY W GREENLEAF CORP VP FINANCE | Name |
| Title | CORPORATE VP OF FINANCE | Title |
| Phone | 7866627361 | Phone |
| Date Signed | 2011-08-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8132738300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICK FREEBURG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91500 OVERSEAS HIGHWAY | AddressLine1 |
| City | TAVERNIER | City |
| State | FL | State |
| ZIP Code | 33070 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65525363 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.BAPTISTHEALTH.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | SEE STATEMENT 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 225 | TotalNbrEmployees |
| Total Nbr Volunteers | 203 | TotalNbrVolunteers |
| Total Gross UBI | 289728 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -115153 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 442627 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 74990 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 58570854 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 63605162 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -7163 | InvestmentIncomePriorYear |
| Investment Income Current Year | -368835 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 610303 | OtherRevenuePriorYear |
| Other Revenue Current Year | 605922 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59616621 | TotalRevenuePriorYear |
| Total Revenue Current Year | 63917239 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15970812 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15704240 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 44392505 | OtherExpensePriorYear |
| Other Expenses Current Year | 43520123 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 60363317 | TotalExpensesPriorYear |
| Total Expenses Current Year | 59224363 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -746696 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4692876 | RevenuesLessExpensesCY |
| Total Assets BOY | 35131563 | TotalAssetsBOY |
| Total Assets EOY | 40182801 | TotalAssetsEOY |
| Total Liabilities BOY | 32842695 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 32455433 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2288868 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7727368 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF BAPTIST HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, AND TO PROMOTE THE SANCTITY AND PRESERVATION OF LIFE, IN THE COMMUNITIES WE SERVE. BAPTIST HEALTH IS A FAITH-BASED ORGANIZATION GUIDED BY THE SPIRIT OF JESUS CHRIST AND THE JUDEO-CHRISTIAN ETHIC. WE ARE COMMITTED TO MAINTAINING THE HIGHEST STANDARDS OF CLINICAL AND SERVICE EXCELLENCE, ROOTED IN THE UTMOST INTEGRITY AND MORAL PRACTICE. CONSISTENT WITH ITS SPIRITUAL FOUNDATION, BAPTIST HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE, COMPASSIONATE HEALTHCARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE TO THOSE IN NEED. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 52581560 | Expense |
| Revenue | 63605162 | Revenue |
| Description | Consistent with our spiritual foundation, Baptist Health South Florida and its affiliates (Baptist Health) are dedicated to providing high-quality, cost-effective, compassionate healthcare services to all, including, as permitted by our resources, charity care to those in need. During the fiscal year ended September 30, 2010, Baptist Health provided patient services to the South Florida area with 71,239 adult admissions, 349,818 adult patient days, and 235,176 emergency room visits. During that same time period, urgent care visits totaled 144,256, outpatient surgery cases 40,750, and other outpatient visits were 468,003 system-wide. As of September 30, 2010 the system had 1,595 licensed beds comprised of 1,166 routine general medical surgical, 127 obstetrics, 74 neonatal intensive care unit, 57 pediatrics, 100 intensive care, 23 rehabilitative, and 48 for an alcohol treatment program. In total Baptist Health provided more than $955,010,000 in community benefit during its 2009 fiscal year. We provided charity care valued at $314,550,000 as well as $596,000,000 in uncompensated services. We also contributed $21,120,000 to the indigent care fund and expended $4,380,000 for educational programs, screenings, corporate sponsorships and donations. Free community health and wellness programs covered topics ranging from insomnia and food safety to diabetes and weight control. In addition, Baptist Health provided free screenings for cholesterol, blood pressure, body composition and osteoporosis. Baptist Health also helped those in need of primary care services by donating $1,720,000 to neighborhood clinics such as the Open Door Health Center in Homestead, the South Miami Children's Center in South Miami and the Good Health Clinic in Tavernier. We spent $11,650,000 paying physicians who provide free care to our community members in need. Additionally, we provided $1,450,000 in continuing medical education and $4,140,000 in chaplaincy during the year ended September 30, 2010. Fulfilling our mission to provide compassionate care to the entire community isn't only about assisting those in financial need. It is also about supporting services that lose money but are essential to our community. Baptist Health recently invested $135,000,000 in building a replacement hospital for Homestead Hospital which has operated consistently at a loss. In fact, two of the Baptist Health facilities consistently operate at a loss. Baptist Health continues to operate these hospitals because they fill an important community need for quality healthcare. Baptist Health is building a new hospital in the underserved West Kendall area at a cost of $214,000,000. Additionally Baptist Health has invested substantial funds to harden its facilities to withstand a category 5 hurricane for the protection of our patients and neighbors. In addition to the health-related benefits listed above, Baptist Health also has a significant and positive financial impact on our community. We directly employ more than 13,000 individuals and indirectly create another 11,000 jobs. As South Florida's largest private employer, Baptist Health is taking a leadership role by committing to the environmentally responsible, energy-efficient design and function of our facilities. Our new hospital will apply for Leadership in Energy and Environmental Design certification for the US Green Building Council. This commitment applies to our day-to-day operations, as well, from the supplies we purchase to the vehicles we use. In accordance with our faith-based mission, Baptist Health South Florida and its affiliates is committed to making a significant, positive impact on the community it serves. | Description |
| Total Program Service Expense | 52581560 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FINANCE DEPARTMENT | NamePerson |
| Telephone Number | 7866627645 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91500 OVERSEAS HIGHWAY | AddressLine1 |
| City | TAVERNIER | City |
| State | FL | State |
| ZIP Code | 33070 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAY HERSHOFF | ||||||||
| CHAIRMAN | 2.0 | X | 3995 | 0 | 0 | |||
| DAVID JOHNSON | ||||||||
| VICE CHAIRMAN | 2.0 | X | 154 | 0 | 0 | |||
| WILLIAM B DICKINSON | ||||||||
| TREASURER | 2.0 | X | 0 | 0 | 0 | |||
| CHARLEN REGAN | ||||||||
| SECRETARY | 2.0 | X | 1100 | 0 | 0 | |||
| GERALD HIRSCH | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| I E SCHILLING | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| STANLEY MARGULIES MD | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| BETTE BROWN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ELISA BROWN-SOLTERO MD | ||||||||
| PRESIDENT OF MEDICAL STAFF | 2.0 | X | 0 | 0 | 0 | |||
| WILLIAM H GILBERT JR | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| JOY C MARTIN | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| ROBERT GINTEL | ||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | |||
| PATRICIA MULL | ||||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |||
| NELSON LAZO | ||||||||
| FORMER CEO | 50.0 | 0 | 370153 | 67060 | X | |||
| RICK FREEBURG | ||||||||
| CEO | 50.0 | 0 | 264305 | 44734 | X | |||
| CHERYL COTTRELL | ||||||||
| VP & CNO | 50.0 | 188352 | 0 | 52641 | X | |||
| CANDY FINCKE | ||||||||
| VP | 50.0 | 175833 | 0 | 19099 | X | |||
| STEPHEN KERRICK | ||||||||
| RN | 45.0 | 132869 | 0 | 26479 | X | |||
| DAWN STAVOR | ||||||||
| DIRECTOR-IMAGING | 45.0 | 146754 | 0 | 14230 | X | |||
| KEITH WARREN | ||||||||
| RN | 45.0 | 131148 | 0 | 11138 | X | |||
| DONNALEE QUARBERG | ||||||||
| RN | 45.0 | 123375 | 0 | 33691 | X | |||
| JEAN GUILLAUME | ||||||||
| RADIOLOGY TECHNICIAN | 45.0 | 151394 | 0 | 20325 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1054974 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 634458 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 289397 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ARAMARK SERVICE MASTER FACILITY | |||||
| 24863 Network Place | CHICAGO | IL | 606731248 | CONTRACT LABOR | 324450 |
| WEB TPA EMPLOYER SERVICES LLC | |||||
| 8500 Freeport Parkway Suite 400 | IRVING | TX | 75063 | TPA SERVICES | 2028027 |
| CARDENAL HEALTH PHARMACY MANAGEMENT | |||||
| 21377 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACY MANAGEMENT | 1933995 |
| HURRICANE PROTECTION | |||||
| 11850 MIRAMAR PARKWAY | MIRAMAR | FL | 33025 | ARCHITECTS | 750697 |
| JIS CONSTRUCTION MANAGEMENT | |||||
| 12100 SW 132 CT SUITE 113 | MIAMI | FL | 33186 | GENERAL CONTRACTORS | 626048 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 74990 | RelatedOrganizations |
| Total Contributions | 74990 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 63605162 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63605162 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 63605162 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7172 | TotalRevenueColumn |
| Exclusion | $7,172 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 292810 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 326286 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -33476 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -33476 | TotalRevenueColumn |
| Exclusion | -$33,476 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 905831 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1281838 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -376007 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -376007 | TotalRevenueColumn |
| Exclusion | -$376,007 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| HEALTH CLUB | 713940 | 445735 | 289728 | $156,007 |
| CAFETERIA | 722210 | 172358 | $172,358 | |
| OTHER REVENUE | 900099 | 21305 | $21,305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 639398 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63917239 | TotalRevenueColumn |
| Related Or Exempt Function Income | 63605162 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 289728 | UnrelatedBusinessRevenue |
| Exclusion | -$52,641 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362023 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 362023 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12964631 | Total |
| Program Services | 11019936 | ProgramServices |
| Management And General | 1944695 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 606414 | Total |
| Program Services | 515452 | ProgramServices |
| Management And General | 90962 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 835794 | Total |
| Program Services | 710425 | ProgramServices |
| Management And General | 125369 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 935378 | Total |
| Program Services | 795071 | ProgramServices |
| Management And General | 140307 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60080 | Total |
| Management And General | 60080 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40909 | Total |
| Management And General | 40909 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5435771 | Total |
| Program Services | 4572928 | ProgramServices |
| Management And General | 862843 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15397 | Total |
| Program Services | 6159 | ProgramServices |
| Management And General | 9238 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5156031 | Total |
| Program Services | 4771255 | ProgramServices |
| Management And General | 384776 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2057818 | Total |
| Program Services | 1646254 | ProgramServices |
| Management And General | 411564 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1202786 | Total |
| Program Services | 962229 | ProgramServices |
| Management And General | 240557 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22381 | Total |
| Program Services | 17905 | ProgramServices |
| Management And General | 4476 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71502 | Total |
| Program Services | 57202 | ProgramServices |
| Management And General | 14300 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 592527 | Total |
| Program Services | 474022 | ProgramServices |
| Management And General | 118505 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1886048 | Total |
| Program Services | 1508838 | ProgramServices |
| Management And General | 377210 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 334255 | Total |
| Program Services | 67996 | ProgramServices |
| Management And General | 266259 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 10156314 | 10156314 | |
| CHARITY CARE | 10731027 | 10731027 | |
| MANAGEMENT FEES TO AFFILIATE | 4877282 | 3901826 | 975456 |
| INDIGENT CARE TAX | 496725 | 496725 | |
| COLLECTION EXPENSE | 170775 | 170775 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212495 | Total |
| Program Services | 169996 | ProgramServices |
| Management And General | 42499 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59224363 | Total |
| Program Services | 52581560 | ProgramServices |
| Management And General | 6642803 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000 | BOY |
| EOY | 2000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3796742 | BOY |
| EOY | 10301779 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 327354 | BOY |
| EOY | 371323 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 379338 | BOY |
| EOY | 392568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43320217 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 18976258 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26644262 | BOY |
| EOY | 24343959 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3981867 | BOY |
| EOY | 4771172 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35131563 | BOY |
| EOY | 40182801 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8558947 | BOY |
| EOY | 7487269 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12450989 | BOY |
| EOY | 12267962 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11832759 | BOY |
| EOY | 12700202 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32842695 | BOY |
| EOY | 32455433 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1601188 | BOY |
| EOY | 3045473 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2987413 | BOY |
| EOY | 3733561 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 902643 | BOY |
| EOY | 948334 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2288868 | BOY |
| EOY | 7727368 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35131563 | BOY |
| EOY | 40182801 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1334722 | OtherCostOrOtherBasis |
| Book Value | 1334722 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27051352 | OtherCostOrOtherBasis |
| Depreciation | 7105402 | Depreciation |
| Book Value | 19945950 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 201077 | OtherCostOrOtherBasis |
| Depreciation | 201077 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14276918 | OtherCostOrOtherBasis |
| Depreciation | 11551123 | Depreciation |
| Book Value | 2725795 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 456147 | OtherCostOrOtherBasis |
| Depreciation | 118655 | Depreciation |
| Book Value | 337492 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24343959 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEPOSITS | 25040 |
| FOUNDATION, INC. | 4681895 |
| DEFERRED ISSUE COSTS-2007 BOND | 64237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4771172 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE RESERVE | $2,340,580 |
| POST RETIREMENT RESERVE | $934,388 |
| CURRENT MATURITY OF TAX EXEMPT | $162,447 |
| DUE TO AFFILIATE | $9,262,787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12700202 | TotalOfAmounts |
| Total Revenue | 63917239 | TotalRevenue |
| Total Expenses | 59224363 | TotalExpenses |
| Excess Or Deficit For Year | 4692876 | ExcessOrDeficitForYear |
| Other | -$13,477 | OtherAmount |
| Total Adjustments | -13477 | TotalAdjustments |
| Excess Or Deficit Per FS | 4679399 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 53670205 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -10731027 | OtherRevenues |
| Revenue Not Rptd F990 | -10731027 | RevenueNotRptdF990 |
| Revenue Subtotal | 64401232 | RevenueSubtotal |
| Other Revenues Not Included | -483993 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -483993 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 63917239 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 48990806 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 497470 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 497470 | ExpensesNotRptdF990 |
| Expenses Subtotal | 48493336 | ExpensesSubtotal |
| Other Expenses Not Included | 10731027 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 10731027 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 59224363 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D PART XII, LINE 2D | OTHER REVENUE INCLUDED IN BOOKS BUT NOT IN FORM 990 | DESCRIPTION AMOUNT CHARITY CARE -10,731,027 __________ TOTAL -10,731,027 |
| SCHEDULE D, PART XII, LINE 4B | OTHER REVENUE IN FORM 990, NOT IN BOOKS | DESCRIPTION AMOUNT LOSS ON DISPOSAL OF ASSETS -376,007 RENTAL EXPENSES -121,463 CONTRIBUTIONS FROM BHSF FOUNDATION 13,477 __________ TOTAL -483,993 |
| SCHEDULE D, PART XIII LINE 2D | OTHER EXPENSES IN BOOKS, BUT NOT IN FORM 990 | DESCRIPTION AMOUNT RENTAL EXPENSES 121,463 LOSS ON DISPOSAL OF ASSETS 376,007 __________ TOTAL 497,470 |
| SCHEDULE D, PART XIII LINE 4B | OTHER EXPENSES IN FORM 990, BUT NOT IN BOOKS | DESCRIPTION AMOUNT CHARITY CARE 10,731,027 __________ TOTAL -10,731,027 |
| SCHEDULE D, PART XI LINE 8 | CHANGE IN NET ASSETS FROM FORM 990 TO AUDITED FINANCIAL STATEMENTS | DESCRIPTION: CONTRIBUTIONS FROM BHSF FOUNDATION -13,477 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3780420 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3780420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07700 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2035028 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1738097 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 296931 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5815448 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1738097 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4077351 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08310 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 73906 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 73906 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 73906 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 73906 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5889354 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1738097 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4151257 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08460 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $3,107,834 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 3100184 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18917705 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -15817521 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARINERS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 91500 OVERSEAS HIGHWAY | AddressLine1 |
| City | TAVERNIER | City |
| State | FL | State |
| ZIP Code | 33070 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Baptist Health South Florida, Inc. ("BHSF") the hospital's parent organization, prepares an annual community benefit report which includes the charity care and community benefits provided by Mariners Hospital and the other not-for-profit affiliates of BHSF. | AnnualCommunityBenefitExpln |
| Costing Method Used | Amounts calculated and reported in this table were derived from the most accurate, available sources. Charity care and Means-Tested Government Programs costs are determined using our cost accounting system which captures all inpatients and out patients including emergency room patients. The system also captures all patient pay types - private insurance, Medicare, Medicaid, uninsured and self pay. The costs have been offset by any payments received from Medicaid or any other uncompensated care program. Other Benefits at cost were compiled by our finance department using our cost accounting system or the actual amounts paid where appropriate. | CostingMethodUsed |
| Percent Of Total Expense Expln | Bad debt expense of $10,156,314 is included in Form 990 Part IX Line 25 Column (a) but excluded from the denominator for purposes of calculating the percentages on line 7, column f. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The footnote that describes bad debt expense reported in the audited consolidated financial statements of Baptist Health South Florida, Inc. which includes South Miami Hospital is as follows: BHSF records a provision for accounts receivable that could become uncollectible in the future by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. BHSF estimates this allowance based on the aging of its accounts receivable and historical and expected net collections, business and economic conditions, trends in federal and state governmental and private employer health care coverage and other collection indicators. Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. Bad Debt at cost was calculated for Schedule H purposes by applying the cost to charge percentage derived by our cost accounting system against bad debt expense reported on the audited financial statements. | BadDebtFootnote |
| Shortfall As Community Benefit | Medicare costs were derived using our cost accounting system which captures all inpatients and outpatients including emergency room patients. The costs have been offset by any payments received from Medicare. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | In order to promote the health and well-being of the community served, uninsured patients with limited financial resources who are unable to access entitlement programs shall be eligible for fee or discounted health care services based on established criteria. BHSF has a written debt collection policy. No collection efforts are put forth for patients who are known to qualify for charity care at the free-care level. For patients qualifying for a discount under the charity care policy, lenient/non-abusive collection practices are utilized to collect the balance that remains the patient's responsibility. | DebtCollectionPolicy |
| Needs Assessment | Community health needs were identified through an analysis and review of demographic, household income, statistical, and behavioral public health data for the respective communities served by Mariners hospital. Mariners Hospital gathers information from various sources including but not limited to IMS Win stat, Health Care Advisory Board, Claritas, AHCA, and the Florida Hospital Association. The data gathered from the above sources has been used to guide Mariners hospital's community benefit program development and to inform strategic planning in order to adequately plan for a variety of initiatives to address the needs of the community. | NeedsAssessment |
| Patient Education Assistance | Financial assistance information is provided in multiple locations. Patient registration provides to all patients a one-page information handout about the availability of financial assistance, creating awareness of the charity care program. Patient registration also provides information regarding BHSF's charity care policy to all uninsured, non-emergent patients prior to service. All letters and statements to uninsured patients, including those sent by third-party collection agencies, include a reference to financial assistance programs. All public information and forms regarding the provision of charity care use language that is appropriate for the BHSF service area. Where possible, prior to the registration of a patient potentially eligible for financial assistance, a financial counselor will conduct a pre-registration interview with the patient. If a pre-registration interview is not possible, the interview should be conducted as soon as possible thereafter. In the case of an emergency admission, the evaluation of payment alternatives does not take place until the medical care needed to stabilize the patient has been provided. Those patients who may qualify for financial assistance from a governmental program are referred to the appropriate program such as Medicaid, prior to consideration for charity care. Additionally, information regarding our charity care program and qualifying for financial assistance appears on our website at www.baptisthealth.net. | PatientEducationAssistance |
| Community Information | The only hospital serving the Upper Florida Keys, Mariners Hospital, located in Tavernier, Florida in Monroe County, began in 1959 as a nine bed, physician's clinic, growing to its present size of 25 licensed beds. Since joining the BHSF System in 1995, Mariners has been able to offer its patients access to all the tertiary care and specialized services associated with the BHSF Hospitals. More than 730 patients were admitted to Mariners Hospital in fiscal year 2010, while more than 9,800 received emergency treatment. A replacement Mariners Hospital, three miles north of its original location, opened in 1998. The replacement hospital is a two-story, 72,000 square-feet facility, and includes outpatient, emergency and intensive care areas. The bed complement includes four intensive care rooms, 21 medical/surgical room, and 17 rooms available for outpatient services. In addition, Mariners Hospital has three surgical rooms and eight outpatient surgery recovery positions. The emergency department includes seven private treatment rooms (including a two-bed trauma room), separate ambulance entrance, walk-in entrance and a large waiting room. A helipad, designed to accommodate medical transport helicopters, including Miami-Dade Air Rescue and Coast Guard, is adjacent to the emergency entrance. The original configuration of the new Mariners Hospital included a bed complement of 42 licensed beds. To right-size the Hospital for the future needs of the local community and to qualify for regulatory recognition as a Critical Access Hospital, Mariners Hospital de-licensed 17 beds and was recognized by both the State of Florida and the Centers for Medicare & Medicaid Services as a Critical Access Hospital, with 25 licensed beds (including 12 swing beds) effective March 31, 2010. This designation qualifies Mariners Hospital to receive additional Medicare reimbursement for services provided to Medicare beneficiaries. A two-story 36,000 square-foot Medical Arts Building on the Mariners Hospital campus houses a complement of physician offices, in addition to outpatient cardiac and pulmonary rehabilitation, a physical therapy clinic and a health and wellness center. The primary service area for Mariners Hospital encompasses 4 zip codes. | CommunityInformation |
| Community Building Activities | Mariners Hospital and its other not for profit hospital affiliates partner with other not-for-profit organizations in its primary service area to provide services to the community including Habitat for Humanity, United Way, Florida International University, and Alonzo Mourning Charities. | CommunityBuildingActivities |
| Other Information | Mariners Hospital has its own governing board, the members of which consist of representatives of the professional, pastoral and business communities. Mariners Hospital provides medical and surgical services consistent with its status as a tertiary care provider. Additionally, Mariners Hospital offers other services and programs including: Hyperbaric Medicine. Mariners Hospital has the only hospital-based hyperbaric chamber in the Florida Keys. The hyperbaric chamber at Mariners Hospital has the capacity to seat six patients in recliners or stretchers, and 12 patients in an emergency. Hyperbaric medicine is used to treat decompression sickness (the bends), carbon monoxide poisoning, bone infections, radiation tissue damage and wounds that are difficult to heal. Outpatient Services. Many procedures in gynecology, urology, orthopedics, ophthalmology, gastroenterology, pain control, and cosmetic and general surgery that once required a hospital stay are now performed at Mariners Hospital on an outpatient basis. Physical Therapy Services. Mariners Hospital's comprehensive outpatient clinic provides state-of-the-art equipment for treating neurological, orthopedic, oncological, sports-injured, cardiac, pediatric, chronic pain, open wound and burn patients. Located on campus in the Medical Arts Building, these services are also provided to inpatients for postoperative and acute care needs. Diagnostic Services. Mariners Hospital offers sophisticated imaging diagnostic studies, including CT and MRI, as well as traditional X-ray on both an outpatient and inpatient basis. Mariners Hospital is accredited for mammography and ultrasound. Emergency Center. Mariners Hospital's 24-hour Emergency Center is staffed with physicians and nurses ready to handle most emergencies. Support is provided by specialists on staff at the other BHSF Hospitals, enhanced by the latest telemedicine capabilities. | OtherInformation |
| Affiliated Health Care System | The BHSF System provides a comprehensive continuum of services, either through its own programs, or in cooperation with other affiliated hospitals and health care providers. The BHSF System's health care programs and services include the following: Baptist Cardiac & Vascular Institute. Baptist Cardiac & Vascular Institute ("BCVI") is a multidisciplinary center of excellence located on the campus of Baptist Hospital. BCVI's distinctive perspective on treating the arteries, veins and heart as one integrated system has helped establish it as a premier cardiac and vascular health care facility, with approximately 63,000 outpatient visits in fiscal year 2010. BCVI offers a full range of advanced services for the diagnosis and treatment of heart and circulatory diseases. In addition to employing traditional approaches, such as balloon angioplasty and open heart surgery, BCVI medical staff has pioneered the development and use of minimally invasive techniques to repair abdominal aortic and thoracic aneurysms, correct structural defects of the heart, repair and replace heart valves, and restore blood flow to blocked arteries with stents throughout the body. BCVI's ongoing clinical research includes the use throughout the body of stents and stent grafts to enhance blood flow through damaged vessels. BCVI has a fully-dedicated cardiac and vascular magnetic resonance imaging system ("MRI"), to provide leading-edge, noninvasive diagnostic and angiography capabilities, and an interventional neuroradiology bi plane angiography suite to apply the latest catheter-based interventional techniques to blood vessels within the brain. BCVI also offers personalized education and rehabilitation services to help manage existing conditions and to prevent cardiovascular disease. BCVI adheres to quality standards established by the American College of Cardiology, Society of Interventional Radiology, American College of Radiology, Society for Vascular Surgery and Society of Thoracic Surgery. BCVI was established in 1987 under the leadership of Barry T. Katzen, M.D. Dr. Katzen is the recipient of the Cardiovascular and Radiological Society of Europe's Gold Medal award for his groundbreaking work in interventional radiology, including the use of stents for propping open major blood vessels outside the heart. Dr. Katzen has the distinction of being the first American to earn the Cardiovascular and Radiological Society of Europe's top honor. BCVI has more than 100 physicians who represent more than 20 specialties and have met stringent requirements for ongoing medical education, training and research. BCVI also employs more than 350 nurses, technologists, social workers, nutritionists and other support staff. Each year, BCVI hosts the International Symposium on Endovascular Therapy, with more than 2,000 cardiovascular specialists in attendance. BCVI is managed by Baptist Cardiac & Vascular Institute Management Corporation, LLC, a Florida limited liability corporation. Baptist Hospital has a 50% interest in Baptist Cardiac & Vascular Institute Management Corporation, LLC, which was formed to provide management services to BCVI in order to improve clinical performance and achieve operational efficiency. Baptist-South Miami Regional Cancer Program. The Baptist-South Miami Regional Cancer Program is a comprehensive network of facilities and services located at Baptist, Baptist Children's and South Miami hospitals, offering a full range of oncology services, including all four of the medically approved modes of cancer care: radiation therapy, chemotherapy, surgery and biotherapy. Over 4,000 patients receive cancer treatment at BHSF Hospitals each year. The Regional Cancer Program participates in FDA-approved clinical research in the areas of adult chemotherapy, pediatric chemotherapy and radiation oncology, and offers over 100 research protocols to patients for such conditions as cancer of the breast, lung, ovary, brain, prostate, cervix, head and neck, skin, blood and lymph systems. The Regional Cancer Program's physicians were the only South Florida doctors to participate in research leading to FDA approval of Gleevec, a molecularly-targeted "magic bullet" for a rare form of leukemia. Several research protocols now in progress are focused on the efficacy of other new molecularly-targeted therapies. PET/CT imaging scanning, which dramatically increases the ability to diagnose and treat cancer, is available at Baptist Hospital, South Miami Hospital and at Baptist Medical Plaza outpatient centers. Combining the capability of high-quality positron emission tomography ("PET") and computed tomography ("CT"), the PET/CT scanner allows physicians to make a diagnosis based on both the physical location and biochemistry of a tumor. Baptist and South Miami hospitals offer the most technologically advanced radiation therapy, using image guided radiation therapy ("IGRT") where radiographic images are taken during each treatment session and the treatment is modified simultaneously, allowing for more precise radiation delivery. This precision results in destruction of more tumors, fewer side effects and improved outcomes. At South Miami Hospital, TomoTherapy combines an advanced form of intensity modulated radiation therapy ("IMRT") with the accuracy of CT scanning in one unit. This allows for more convenient treatment planning for the patient, as well as more precise radiation delivery, which reduces radiation exposure to healthy tissues. Both hospitals also offer conformal radiation therapy, ultrasound-guided conformal radiation therapy, IMRT, intra operative radiation therapy and brachytherapy, in which cancer-killing radioactive material is placed in or near the tumor itself. South Miami Hospital remains a leader in the treatment of prostate cancer, offering a variety of radiation therapy modalities, including both low dose and high dose brachytherapy. At Baptist Hospital, a protocol is in place to deliver accelerated, partial breast irradiation only to the tumor site uses IMRT for one week instead of the usual six weeks. The Regional Cancer Program also offers virtual colonoscopy, which combines 3-D CT technology with computer software for a less invasive diagnosis of colorectal cancer. Support services at the Regional Cancer Program include specially trained oncology social workers and pastoral care staff. Free support groups are offered for those with breast cancer, prostate cancer, and oral, head or neck cancer. Outreach efforts include smoking cessation programs, free health fairs, screenings, education and programs observing Breast Cancer Awareness Month and National Cancer Survivors Day. The Regional Cancer Program's staff of cancer specialists and other health care professionals works with patients in a variety of settings, including an intensive care unit and specialized cancer settings for inpatient and outpatient treatments. A nationally recognized program, the Baptist-South Miami Regional Cancer Program is accredited by the Commission on Cancer of the American College of Surgeons. Center for Orthopedics & Sports Medicine at Doctors Hospital. Its board-certified fellowship trained orthopedic surgeons, combined with state-of-the-art technology and rehabilitation, make up one of the most active sports medicine orthopedic programs in the United States. Doctors Hospital is the official sports medicine provider for the Miami Heat, Florida Panthers, Florida International University and the FedEx Orange Bowl. Doctors Hospital's orthopedic physicians are also the team physicians for the Miami Heat, Florida Panthers, Tampa Bay Buccaneers, Florida International University, the Miami City Ballet, the Sony Ericsson Tennis Tournament, the Doral Golf Open and the Miami-Dade Public High School Sports Medicine Programs, and have faculty appointments at the University of Miami School of Medicine and Florida International University College of Medicine. The Center for Orthopedics & Sports Medicine surgeons have published numerous articles about new techniques they have developed to repair knee, shoulder, ankle and elbow injuries. Women's Health Services. A wide range of services for the special health needs of women are offered throughout the BHSF System. These range from maternity and newborn services to diagnostic testing, health education and wellness. BHSF Hospitals provide family-centered maternity care for the more than 10,100 babies born at Baptist Hospital, South Miami Hospital and Homestead Hospital each year. On average over the past three years, approximately 30% of all babies born in Miami-Dade County were delivered in a BHSF Hospital. Over 100 Obstetrics/Gynecology Board Certified specialists use the BHSF Hospitals for their obstetric and gynecological patients. The BHSF System offers a full spectrum of maternity care options, including labor-delivery-recovery and labor-delivery-recovery-postpartum rooms, and is equipped to handle high-risk mothers and births, includin | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NELSON LAZO | |||||||||||||
| 0 | 226404 | 0 | 120488 | 0 | 23261 | 0 | 39423 | 0 | 27637 | 0 | 437213 | 0 | 0 |
| CHERYL COTTRELL | |||||||||||||
| 120949 | 0 | 58373 | 0 | 9030 | 0 | 17430 | 0 | 35211 | 0 | 240993 | 0 | 0 | |
| STEPHEN KERRICK | |||||||||||||
| 117740 | 0 | 8485 | 0 | 6644 | 0 | 2744 | 0 | 23735 | 0 | 159348 | 0 | 0 | 0 |
| DAWN STAVOR | |||||||||||||
| 116568 | 0 | 22681 | 0 | 7505 | 0 | 2989 | 0 | 11241 | 0 | 160984 | 0 | 0 | 0 |
| DONNALEE QUARBERG | |||||||||||||
| 116693 | 0 | 5975 | 0 | 707 | 0 | 2025 | 0 | 31666 | 0 | 157066 | 0 | 0 | 0 |
| JEAN GUILLAUME | |||||||||||||
| 146225 | 0 | 675 | 0 | 4494 | 0 | 1758 | 0 | 18567 | 0 | 171719 | 0 | 0 | 0 |
| RICK FREEBURG | |||||||||||||
| 0 | 176369 | 0 | 72500 | 0 | 15436 | 0 | 17420 | 0 | 27314 | 0 | 309039 | 0 | 0 |
| CANDY FINCKE | |||||||||||||
| 107387 | 0 | 54993 | 0 | 13453 | 0 | 8156 | 0 | 10943 | 0 | 194932 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| NELSON LAZO | |||
| OFFICER | 506000 | PURCHASE OF RESIDENCE | false |
| RICK FREEBURG | |||
| OFFICER | 920000 | SALE OF RESIDENCE | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FORM 990 PART VI QUESTION 15 | PERFORMANCE-BASED EXECUTIVE COMPENSATION | The South Florida market for highly competent healthcare executives reflects a very competitive environment for qualified executives. It is comprised of large, national, for profit chains and not-for-profit hospital systems and stand-alone hospitals. The Board of Trustees of Baptist Health South Florida seeks executives of vision and leadership to carry out the organization's faith-based mission of quality care and community service. The Board expects these executives to provide leadership that will place Baptist Health among the best healthcare systems in the nation for quality and excellence. The Board expects executives to demonstrate integrity and loyalty in the performance of their duties and to adhere to Baptist Health Conflict of Interest Policy, Executive Code of Conduct and all compliance/ethics policies. Executive compensation is considered the foundation to attract and retain executives with the talent, experience and character to meet these expectations. The Board's Compensation Committee is comprised exclusively of independent Board members who serve voluntarily without any remuneration, and who must adhere to a stringent conflict of interest policy that precludes them or their families from doing business with Baptist Health. The Committee is responsible for reviewing the performance and approving the compensation for executives. The term "compensation" includes salaries, benefits and incentives. The Compensation Committee annually engages a nationally-recognized, independent consultant to conduct compensation surveys and to advise the Board on compensation policies. The Compensation Committee decisions are based on the following: 1. Total Compensation Package Recruitment and retention of capable, productive executives is accomplished through design of a total compensation package that includes a base salary, at-risk incentive pay, and benefits. It is the objective of Baptist Health to ensure a consistent compensation philosophy across all employee and leadership levels that rewards outstanding performance using a cash plus employee benefits package targeting the 75th percentile. Base salaries of fully productive executives are indexed to the median (50th percentile) salary paid by similar healthcare organizations. Incentive pay for superior achievement provides the opportunity for total cash compensation at the 75th percentile of the executive's peer group if the executive exceeds his/her performance metrics. 2. Performance-based Salary Increases One of the key elements of Baptist Heath's executive compensation philosophy is "pay for performance." Salary increases are based upon the degree to which each executive achieves his/her individual performance objectives for the year, which are tied to corporate objectives. Generally these objectives relate to clinical quality; patient, physician and community satisfaction; charity care and mission goals; financial performance and expense management. Individual and group performance against these objectives is reviewed by the Compensation Committee and Board of Trustees annually after the close of the fiscal year. 3. Market-based Salary Increases The Board's Compensation Committee reviews the market value of executive positions annually to assure that Baptist Health's pay levels are competitive. The independent consultant, selected by the Compensation Committee, obtains executive salary information for functionally comparable positions at healthcare institutions of comparable size within Florida and the United States. Baptist Health's peer group is comprised of other complex not-for-profit hospital systems of similar size ($2.2 billion in revenues; 14,000 employees), scope (6 hospitals, more than a dozen outpatient centers and a large international service). The peer group does not include for-profit hospitals, whose compensation practices are far more generous (and include such things as stock options and equity/ownership interests). 4. No Guaranteed Salary Increases There is no guarantee of annual executive salary increases. Salary increases depend upon the organization's ability to pay, the executive's salary in relation to the market, the executive's performance level, and internal pay relationships to peers. 5. At-Risk Incentive Pay Key executives who control significant assets or who have a major impact on operations may earn incentive pay. The purpose of incentive pay is to focus executive action on key "performance thresholds" and corporate goals that are approved by the Board's Compensation Committee. The achievement of these goals requires extraordinary effort, commitment and achievement. The incentive component of the executive's total compensation is variable and totally at risk, depending upon the achievement of the agreed-upon goals. 6. Perquisites Baptist Health executives are provided with a common set of perquisites that are typical of other responsible not-for-profit organizations to enable them to more effectively conduct their business. These benefits are deemed by the Compensation Committee to be appropriate and conservative. Perquisites are generally limited to auto and cell phone allowances which are fully taxable to the executive. Other perquisites provided to executives, such as paid time off or reimbursement for relevant educational expenses, are offered to all employees in accordance with enterprise-wide policies and procedures. Business travel for executives on commercial airlines is limited to coach fares (an upgrade to the next available class of service, e.g., business class, may be permitted when the flight duration is in excess of five hours or an overnight accommodation can be avoided). Chartered plane travel, spousal travel, luxury residences for personal use, health, country or social club dues and personal services (such as maid, chauffeur, chef, landscaper) are not provided (or reimbursed) to Baptist Health executives. executives. |
| FORM 990 PART VI QUESTION 12 | employee conflict of interest | AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST OCCURS IN THOSE CIRCUMSTANCES WHERE AN EMPLOYEE'S JUDGEMENT COULD BE AFFECTED BECAUSE THE EMPLOYEE HAS A PERSONAL INTEREST, OTHER THAN THE RECEIPT OF COMPENSATION FROM BAPTIST HEALTH SOUTH FLORIDA, INC. AND ITS AFFILIATES ("BHSF"), IN THE OUTCOME OF A DECISION OVER WHICH THE EMPLOYEE HAS CONTROL OR INFLUENCE. FOR THE PURPOSES OF THIS POLICY, IT IS PRESUMED THAT MANAGERS HAVE CONTROL OR INFLUENCE OVER ANY DECISION AFFECTING A MATTER FOR WHICH A MANAGER HAS RESPONSIBILITY. A PERSONAL INTEREST EXISTS WHEN AN EMPLOYEE OR A MEMBER OF HIS OR HER FAMILY STANDS TO DIRECTLY OR INDIRECTLY OBTAIN FINANCIAL GAIN AS A RESULT OF A DECISION. THIS POLICY IS INTENDED FOR ALL EMPLOYEES IN ORDER THAT THEY MAY UNDERSTAND, IDENTIFY, MANAGE AND APPROPRIATELY DISCLOSE THOSE TRANSACTIONS WHICH COULD RESULT IN AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. IN ACCORDANCE WITH OUR CODE OF ETHICS, HIGH ETHICAL STANDARDS MUST BE OBSERVED IN THE NEGOTIATION AND EXECUTION OF ALL BUSINESS ACTIVITIES CONDUCTED AT, BY OR WITH BHSF. ANY DECISIONS MADE BY BHSF EMPLOYEES MUST BE MADE IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, WITH THE BEST ORGANIZATIONAL INTERESTS OF BHSF AS THE HIGHEST PRIORITY AND WITHOUT REGARD TO THE PERSONAL GAIN OR INTEREST OF ANY OTHER PERSON OR ENTITY. LIKEWISE, THE APPEARANCE OF ANY SUCH IMPROPER INFLUENCE ON ANY DECISIONS SHOULD BE CONSCIOUSLY AVOIDED. EMPLOYEES SHOULD ALSO ADHERE TO POLICY 828 WHICH PROHIBITS VENDOR SPONSORED TRAVEL AND POLICY 829 PROHIBITING ACCEPTANCE OF PERSONAL HONORARIUMS AND POLICY 831 WHICH PROVIDES LIMITATIONS AND GUIDELINES ON PHILANTHROPIC SOLICITATION OF VENDORS. A POTENTIAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST IRRESPECTIVE OF THE INTENT OF THE EMPLOYEE. |
| FORM 990, PART VI, QUESTION 12 | BOARD CONFLICT POLICY | BAPTIST HEALTH AND ITS AFFILIATES HAVE A STRONG AND ROBUST CONFLICT OF INTEREST POLICY. THE POLICY IS MEANT TO ENSURE THAT EACH VOTING MEMBER OF THE BOARD OF TRUSTEES GOVERNS THE AFFAIRS OF BAPTIST HEALTH WITH HONESTY AND INTEGRITY AND MAKES DECISIONS FOR THE BENEFIT OF BAPTIST HEALTH. VOTING BOARD MEMBERS MAY NOT BE EMPLOYED BY BAPTIST HEALTH NOR ENGAGED TO PROVIDE SERVICES TO BAPTIST HEALTH IN EXCHANGE FOR CASH COMPENSATION. CONFLICT FREE DECISION MAKING EXTENDS BEYOND THE BOARD MEMBERS AND PROHIBITS TRANSACTIONS THAT MIGHT BENEFIT (I) THE PRIVATE INTEREST OF A MEMBER OR HIS OR HER FAMILY (II) AN ORGANIZATION CONTROLLED BY A MEMBER OR HIS OR HER FAMILY (III) AN ORGANIZATION IN WHICH A MEMBER OR HIS OR HER FAMILY HAS A MATERIAL INTEREST, ARE PROHIBITED. SINCE THE APPEARANCE OF A CONFLICT OF INTEREST MAY BE AS DAMAGING TO BAPTIST HEALTH'S REPUTATION AS ACTUALLY PERMITTING A CONFLICT TO EXIST, EACH BOARD MEMBER HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICTS. THIS CONTINUING OBLIGATION IS SUPPLEMENTED BY AN ANNUAL CERTIFICATION THAT THE BOARD MEMBER IS FREE FROM ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE ANNUAL CERTIFICATION IS REVIEWED BY THE VICE PRESIDENT OF COMPLIANCE WHO REPORTS DIRECTLY TO THE BOARD. POTENTIAL CONFLICTS ARE FURTHER REVIEWED BY THE BOARD'S ETHICS COMMITTEE. IF A CONFLICT DOES EXIST, THE CONFLICTED BOARD MEMBER MAY BE REQUIRED TO (I) RESIGN FROM THE BOARD OR (II) ELIMINATE THE RELATIONSHIP WHICH GIVES RISE TO THE CONFLICT. |
| FORM 990, PART VI, QUESTION 12c | ENFORCEMENT AND MONITORING OF CONFLICT OF INTEREST POLICY | ONE OF BAPTIST HEALTH SOUTH FLORIDA'S GREATEST ASSETS IS THE INTEGRITY OF ITS VOLUNTEER BOARD MEMBERS. ONE WAY TO ASSURE INTEGRITY IS OUR COMMITMENT TO A STRINGENT CONFLICT OF INTEREST POLICY FOR OUR GOVERNING BOARDS AND MANAGEMENT. AS A PART OF A ROBUST CONFLICT OF INTEREST POLICY, BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION FORM. THE AUDIT AND COMPLIANCE DEPARTMENT MONITOR TO ENSURE ALL VOTING MEMBERS SUBMIT THE DECLARATION FORM AND PERFORM NECESSARY RESEARCH TO UNDERSTAND IF A POTENTIAL CONFLICT EXISTS. ALL DISCLOSURES AND THE RELATED RESEARCH ARE SUMMARIZED FOR THE ETHICS COMMITTEE OF THE BAPTIST HEALTH BOARD OF TRUSTEES. ANY DISCLOSURES THAT MAY RESULT IN THE APPEARANCE OF A CONFLICT ARE ADDRESSED BY THE COMMITTEE FOR ITS CONSIDERATION AND RESOLUTION. |
| DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C LINE 19 | DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST |
| US INFORMATIONAL RETURNS | Form 990, Part V, LINE 1a | BAPTIST HEALTH SOUTH FLORIDA (BHSF) has a system-wide treasury policy, which recognizes its responsibility to oversee, manage, and coordinate all affiliate operations, including the treasury functions. BHSF serves as the centralized cash receipt and disbursing agent for all BHSF entities. AS SUCH ONLY BHSF ISSUES US INFORMATIONAL RETURNS. |
| EMPLOYEES REPORTED ON FORM W-3 | FORM 990, PART V, LINE 2a | BAPTIST HEALTH SOUTH FLORIDA (BHSF)IS THE APPOINTED PAY AGENT FOR ALL OF ITS AFFILIATES. AS SUCH ONLY BHSF ISSUES FORM W-3. |
| PROCESS FOR REVIEWING FORM 990 | FORM 990, PART VI, SECTION B, LINE 11a | THE MANAGEMENT OF BAPTIST HEALTH SOUTH FLORIDA (BHSF) IS RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE TAX RETURNS OF BHSF AND ALL OF ITS NONPROFIT, CHARITABLE AFFILIATES. THIS FORM 990 HAS BEEN PREPARED IN CONFORMITY WITH THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS. INDEPENDENT TAX CONSULTANTS AND MEMBERS OF MANAGEMENT HAVE REVIEWED IN DETAIL THE COMPLETED FORM 990. PRIOR TO FILING, THE FORM 990 PREPARTION PROCESS AND THE DOCUMENTS ARE DISCUSSED AT A MEETING OF THE FINANCE COMMITTEE AND MADE AVAILABLE ELECTRONICALLY TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND COMMENTARY. ADDITIONALLY THE EXECUTIVE AND COMPENSATION COMMITTEES OF THE BHSF BOARD OF TRUSTEES, COMPOSED OF INDEPENDENT UNCOMPENSATED MEMBERS, REVIEW OTHER PERTINENT AREAS OF THE RETURN. THE PRESIDENT AND CEO AS WELL AS THE EXECUTIVE VICE PRESIDENT AND CFO HEREBY CERTIFY AS TO THE ACCURACY AND COMPLETENESS OF THIS FORM 990. |
| GOVERNING BODY AND MANAGEMENT | FORM 990 PART VI LINE 7B | THIS ORGANIZATION IS PART OF BAPTIST HEALTH SOUTH FLORIDA, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA HAS THE RIGHT TO APPROVE OR RATIFY CERTAIN CORPORATE DECISIONS OF THE ORGANIZATION. |
| Schedule J Part II Column (B)(ii) | EXECUTIVE COMPENSATION | All executive compensation is reviewed and approved annually by the compensation committee which is comprised of independent uncompensated members of the Board of Trustees who have certified that they have no conflict of interest with the organization. Reportable compensation includes base salary as well as payments under a formal incentive plan which rewards successful achievement of quality, mission, charity care, and financial corporate objectives. |
| BOND LIABILITY AT PARENT LEVEL | Form 990 Part IV, Line 24a | All bond liabilities will be reported at the parent level, on Schedule K of Baptist Health South Florida, Inc. 2009 Form 990. |
| CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990 PART VI SECTION A LINE 4 | ARTICLES OF INCORPORATION WERE AMENDED ON AUGUST 11,2010 TO INCREASE THE NUMBER OF BOARD MEMBERS FROM 13 TO 15. |
| Form 990 Sch L Part IV | Schedule L Part IV | Nelson Lazo was Chief Executive Officer of Mariners Hospital (an affiliate of Baptist Health South Florida) during Fiscal Year 2010. He was hired by Mariners Hospital in 2006 to become CEO of Mariners, when he lived in Miami. In order to adequately perform his duties as CEO he was required to move to Tavernier in order to be in proximity to the hospital. To facilitate that move, Mariners Hospital agreed to help with the cost of housing through an equity sharing arrangement with Mr. Lazo with Mariners Hospital owning 45% of the property and Mr. Lazo owning 55%. During fiscal year 2010, Baptist Health asked Mr. Lazo to move back to Miami to be the next CEO of Doctors Hospital, another subsidiary. Mariners Hospital obtained an appraisal from a third party to obtain the fair market value of the home at the time Mr. Lazo was asked to relocate. In a transaction approved by the independent members of the Board of Directors, Mariners Hospital purchased Mr. Lazo's 55% interest in the home at the current fair market value at the time of the transaction. Rick Freeburg was asked to replace Mr. Lazo as CEO of Mariners Hospital during fiscal year 2010. Mr. Freeburg was required to relocate to the Keys in order to adequately perform his duties as CEO. After considering several housing options, Mr. Freeburg purchase a home, at fair market value, owned by Mariners Hospital in Tavernier, close to the hospital facility. An appraisal was secured to arrive at the fair market value of the home and the transaction was approved by independent members of the Board of Directors. |
| FIN 48 | ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES | As of October 1, 2009 and 2008, and September 30, 2010 and 2009, the hospital had no material unrecognized tax benefits and no adjustments to its financial statements were required. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BAPTIST HEALTH SOUTH FLORIDA | |||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650267668 | HEALTHCARE | FL | 501(c)(3) | 11C, TYPE 3 | NA |
| BAPTIST HOSPITAL OF MIAMI | |||||||||
| 8900 N KENDALL DRIVE | MIAMI | FL | 33176 | 590910342 | HOSPITAL | FL | 501(c)(3) | 3 | NA |
| BHSF REAL ESTATE FOUNDATION | |||||||||
| 6855 RED ROAD | CORAL GABLES | FL | 33143 | 650611015 | SUPPORT | FL | 501(c)(3) | 11A, TYPE 1 | NA |
| HOMESTEAD HOSPITAL | |||||||||
| 975 BAPTIST WAY | HOMESTEAD | FL | 33033 | 650232993 | HOSPITAL | FL | 501(c)(3) | 3 | NA |
| SOUTH MIAMI HOSPITAL | |||||||||
| 6200 73 ST | SOUTH MIAMI | FL | 33143 | 590872594 | HOSPITAL | FL | 501(c)(3) | 3 | NA |
| WEST KENDALL BAPTIST HOSPITAL | |||||||||
| 6855 RED ROAD | CORAL GABLES | FL | 33143 | 522438452 | SUPPORTED ORG | FL | 501(c)(3) | 7 | NA |
| BAPTIST HEALTH SOUTH FLORIDA FOUNDATION | |||||||||
| 8900 N KENDALL DRIVE | MIAMI | FL | 33176 | 591923401 | SUPPORT | FL | 501(c)(3) | 7 | NA |
| BAPTIST OUTPATIENT SERVICES | |||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 562290370 | MED. DIAG | FL | 501(c)(3) | 3 | NA |
| DOCTORS HOSPITAL | |||||||||
| 5000 UNIVERSITY DRIVE | CORAL GABLES | FL | 33146 | 043775926 | HOSPITAL | FL | 501(c)(3) | 3 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Province Or StateAddressForeign/ProvinceOrState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAMARITAN RISK RETENTION GROUP | |||||||||||||||||
| 7301 RIVERS AVENUE STE 230 | NORTH CHARLESTON | SC | 29406 | 203433505 | INSURANCE | SC | NA | C | 0 | 0 | 0.00000 | ||||||
| PINEAPPLE INSURANCE COMPANY | |||||||||||||||||
| 980465790 | INSURANCE | NA | C | 0 | 0 | 0.00000 | 230LIME TREE BAY AVE PO BOX 1051 | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| AESCULAPIUS INSURANCE COMPANY | |||||||||||||||||
| 980465789 | INSURANCE | NA | C | 0 | 0 | 0.00000 | GOVERNORS SQUARE BLDG 4 2ND FLOOR | 23 LIME TREE BAY AVE, PO BOX 1051 | CJ | KY1-1102 | CJ | GRAND CAYMAN | |||||
| BAPTIST HEALTH ENTERPRISES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 592572862 | REAL ESTATE MNGMT | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BMAB EAST TOWER INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 654047110 | LEASE OFFICE SPAC | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BAPTIST MEDICAL SERVICES CORP | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650506620 | HOLDING COMPANY | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| KENDALL CREDIT & BUSINESS SERVICES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650434778 | COLLECTION AGENCY | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| WEST KENDALL PROFESSIONAL SERVICES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650475570 | COLLECTION AGENCY | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| SOUTH MIAMI HEALTH ENTERPRISES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 592623930 | MEDICAL CENTER | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BAPTIST MEDICAL TRANSPORT SERVICES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650732544 | TRANSPORT PATIENT | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| EAST KENDALL INVESTMENTS INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 650593165 | REAL ESTATE RENT | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BAPTIST AMBULATORY SERVICES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 421573814 | HOLDING COMPANY | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BHE REALTY INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 980152617 | REAL ESTATE BRKRS | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| BAPTIST ANCILLARY SERVICES INC | |||||||||||||||||
| 6855 RED ROAD STE 600 | CORAL GABLES | FL | 33143 | 550800138 | HOLDING COMPANY | FL | NA | C | 0 | 0 | 0.00000 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |