Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Doing Business As
BAPTIST MEDICAL CENTERBAPTIST MEDICAL CENTER SOUTHBAPTIST EMERG CTR CLAY
 
Number and street (or P.O. box if mail is not delivered to street address)
3563 Philips Hwy Bldg F Ste 608
Att Mike Lee
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Jacksonville, FL322075663
D Employer identification number

59-0747311
E Telephone number

G Gross receipts $ 990,264,173
F Name and address of principal officer:
A HUGH GREENE
841 Prudential Dr Aetna Bld 1601
Jacksonville,FL32207
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BAPTISTJAX.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1965
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: CONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASSION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 7,526
6 Total number of volunteers (estimate if necessary) ............. 6 247
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 375,575
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,878,208 3,621,814
9 Program service revenue (Part VIII, line 2g) ......... 810,591,708 896,027,536
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 67,951,455 73,264,006
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 24,322,141 16,326,829
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 904,743,512 989,240,185
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,686,613 2,061,056
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 376,475,000 390,831,952
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 371,500,019 413,563,076
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 749,661,632 806,456,084
19 Revenue less expenses. Subtract line 18 from line 12....... 155,081,880 182,784,101
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,795,406,061 1,978,471,000
21 Total liabilities (Part X, line 26)............. 724,642,789 774,289,816
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,070,763,272 1,204,181,184
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: CONTINUE THE HEALING MINISTRY OF CHRIST BY PROVIDING ACCESSIBLE, QUALITY HEALTHCARE SERVICES AT A REASONABLE COST IN AN ATMOSPHERE THAT FOSTERS RESPECT AND COMPASSION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 731,433,824 including grants of $ 2,061,056 ) (Revenue $ 896,056,641 )
THE PROGRAM SERVICE ACCOMPLISHMENTS FOR THE ORGANIZATION ARE NUMEROUS AND EXPENSES OFTEN OVERLAP. SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (SBHF) IS A SUBSIDIARY OF BAPTIST HEALTH SYSTEM, INC. (BHS), A TAX-EXEMPT PARENT HOLDING COMPANY LOCATED IN JACKSONVILLE, FLORIDA. SBHF IS A TAX-EXEMPT ORGANIZATION THAT OPERATES TWO ACUTE CARE HOSPITALS, BAPTIST MEDICAL CENTER (BMC) AND BAPTIST MEDICAL CENTER SOUTH (BMCS), AND BAPTIST EMERGENCY CENTER CLAY. THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENTS BY EXPENSES ARE THE OPERATION OF THE HOSPITALS, AND THE FOLLOWING ARE SOME OF THE ACHIEVEMENTS FOR THE ORGANIZATION'S HOSPITALS DURING THE YEAR. THE TWO HOSPITALS HAVE 676 AND 225 LICENSED BEDS, RESPECTIVELY. BMC IS A FULL-SERVICE, MAGNET-DESIGNATED TERTIARY CARE HOSPITAL REPRESENTING NEARLY ALL MAJOR SPECIALTIES. THIS FLAGSHIP HOSPITAL IS ALSO HOME TO BAPTIST HEART HOSPITAL, OFFERING COMPREHENSIVE, HIGH-QUALITY CARDIOVASCULAR CARE, AND WOLFSON CHILDREN'S HOSPITAL (WCH), THE ONLY FULL-SERVICE TERTIARY HOSPITAL FOR CHILDREN IN THE REGION, SERVING NORTH FLORIDA, SOUTH GEORGIA AND BEYOND. WCH IS RECOGNIZED YEAR AFTER YEAR AS ONE OF AMERICA'S BEST CHILDREN'S HOSPITALS BY U.S. NEWS & WORLD REPORT. WCH SERVES AS THE MAIN TEACHING FACILITY FOR THE UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE'S PEDIATRIC RESIDENCY TRAINING PROGRAM. FOR FISCAL YEAR 2014, SBHF HAD 47,676 ADMISSIONS ACCOUNTING FOR 223,259 PATIENT DAYS, 207,778 EMERGENCY ROOM VISITS, AND 68,044 HOME HEALTH VISITS. SBHF'S PRIMARY FOCUS IS ADDRESSING UNMET HEALTH NEEDS, PARTICULARLY AMONG VULNERABLE POPULATIONS WHO HAVE LIMITED HEALTH RESOURCES AND ACCESS TO HEALTH CARE. SBHF'S COMMUNITY HEALTH EFFORTS ARE GUIDED BY THE COMMUNITY HEALTH COMMITTEE, WHICH IS COMPRISED OF SELECTED BHS BOARD MEMBERS FROM ACROSS OUR HEALTH SYSTEM. A CORNERSTONE OF SBHF'S COMMITMENT TO THE COMMUNITY IS CARING FOR THE HEALTH OF VULNERABLE, UNINSURED AND UNDERSERVED PEOPLE AMONG US. DURING FISCAL YEAR 2014, SBHF PROVIDED THE FOLLOWING UNCOMPENSATED CARE AND COMMUNITY BENEFIT: (1) CHARITY CARE - $22.5 MILLION, (2) UNREIMBURSED MEDICAID COSTS - $51.5 MILLION, (3) UNREIMBURSED MEDICARE COSTS - $46.4 MILLION, AND (4) SPECIFIC COMMUNITY PROGRAMS - $10.0 MILLION FOR A TOTAL OF $130.4 MILLION OF UNCOMPENSATED CARE AND COMMUNITY BENEFITS. THE FOLLOWING ARE SOME OF THE AWARDS AND HONORS RECEIVED BY BMC AND BMCS FROM US NEWS AND WORLD REPORT: 1) NATIONALLY RANKED AS HIGH PERFORMING FOR DIABETES AND ENDOCRINOLOGY AMONG METRO JACKSONVILLE HOSPITALS, 2) RANKED #1 AMONG METRO JACKSONVILLE HOSPITALS, AND 3) REGIONALLY RANKED AS HIGH PERFORMING FOR CANCER, GERIATRICS, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPAEDICS, PULMONARY, UROLOGY, AND GYNECOLOGY AMONG METRO JACKSONVILLE HOSPITALS. BMC WON THE CONSUMER CHOICE AWARD FROM NATIONAL RESEARCH CORPORATION BASED ON ITS HIGH SCORES FOR EVERY CATEGORY, INCLUDING BEST DOCTORS, BEST NURSES, BEST IMAGE/REPUTATION AND BEST OVERALL QUALITY. BHS IS THE FIRST AND ONLY HEALTH SYSTEM IN NORTH FLORIDA TO ACHIEVE MAGNET RECOGNITION AS A HEALTH SYSTEM BY THE AMERICAN NURSES CREDENTIALING CENTER. CURRENTLY, ONLY SEVEN PERCENT OF THE HOSPITALS IN THE UNITED STATES ENJOY MAGNET DESIGNATION, WHICH IS CONSIDERED THE GOLD STANDARD FOR RECOGNIZING QUALITY PATIENT CARE, NURSING EXCELLENCE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE, AN HONOR FIRST EARNED IN IN 2007. MANY OTHER AWARDS AND HONORS CAN BE VIEWED AT THE ORGANIZATION'S WEBSITE WWW.BAPTISTJAX.COM.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet731,433,824
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2...
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
564
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,526
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletScott Finnegan841 Prudential Dr Aetna Bld 1602JacksonvilleFL32207 (904) 202-3270
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) A HUGH GREENE........................................................................
President/CEO & Director
 40.00
.......................0.00 		X   X       1,072,886 0 514,891
(2) CHARLES E HUGHES JR........................................................................
Vice Chairman & Director
 1.00
.......................1.00 		X   X       0 0 0
(3) JOHN F WILBANKS........................................................................
Executive VP/COO
 40.00
.......................0.00 		X   X       634,992 0 241,332
(4) M C HARDEN III........................................................................
Chairman & Director
 1.00
.......................1.00 		X   X       0 0 0
(5) RICHARD L SISISKY........................................................................
Secretary/Treasurer & Director
 1.00
.......................1.00 		X   X       0 0 0
(6) BARBARA G JAFFE........................................................................
Director
 2.00
.......................0 		X           0 0 0
(7) CHARLES C BAGGS........................................................................
Director
 2.00
.......................0 		X           0 0 0
(8) CHRISTINE R MILTON........................................................................
Director
 2.00
.......................0 		X           0 0 0
(9) DAVID ROBERTSON........................................................................
Director
 2.00
.......................0 		X           0 0 0
(10) ERIC MANN........................................................................
Director
 2.00
.......................0 		X           0 0 0
(11) JACK R GROOVER MD........................................................................
Director
 2.00
.......................2.00 		X           0 0 0
(12) KYLE ETZKORN........................................................................
Director
 2.00
.......................0 		X           0 0 0
(13) KYLE T REESE........................................................................
Director
 2.00
.......................0 		X           0 0 0
(14) PAM CHALLY........................................................................
Director
 2.00
.......................0 		X           0 0 0
(15) RICHARD D GLOCK MD........................................................................
Director
 2.00
.......................38.00 		X           0 240,363 13,198
(16) ROBERT E HILL JR........................................................................
Director
 2.00
.......................2.00 		X           0 0 0
(17) HARVEY GRANGER........................................................................
SVP/General Counsel/Asst Secretary/Asst Treasurer
 40.00
.......................0.00 		    X       486,616 0 215,282
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) KEITH L STEIN MD........................................................................
SVP/Chief Medical Officer
 40.00
.......................0.00 		    X       562,698 0 114,386
(19) MICHAEL A MAYO........................................................................
SVP/Administrator of BMC
 40.00
.......................0 		    X       485,875 0 135,346
(20) MICHAEL AUBIN........................................................................
SVP/Administrator of WCH
 40.00
.......................0 		    X       457,899 0 124,099
(21) MICHAEL LUKASZEWSKI........................................................................
SVP/CFO
 40.00
.......................0.00 		    X       691,689 0 20,236
(22) RONALD G ROBINSON........................................................................
VP/Administrator of BMCS
 40.00
.......................0 		    X       334,927 0 85,792
(23) SCOTT WOOTEN........................................................................
SVP/CFO
 40.00
.......................0.00 		    X       50,000 0 0
(24) AUDREY MORAN........................................................................
SVP, Social Responsibility/Community Advocacy
 40.00
.......................0 		        X   354,426 0 47,874
(25) DIANE RAINES........................................................................
SVP & Chief Nursing Officer
 40.00
.......................0.00 		        X   348,446 0 87,564
(26) EDWARD H SIM........................................................................
President, Physician Integration
 39.00
.......................1.00 		        X   376,133 0 97,301
(27) ROLAND A GARCIA........................................................................
SVP/CIO
 40.00
.......................0 		        X   451,268 0 96,355
(28) SERGE VILVAR MD........................................................................
Physician - Psychiatrist
 40.00
.......................0 		        X   412,752 0 24,591
(29) WILLIAM C MASON........................................................................
Former CEO
 0.00
.......................2.00 		          X 232,937 0 0


1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,953,544 240,363 1,818,247
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet191
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INCPO BOX 44008JACKSONVILLEFL322314008 PHYSICIAN SPECIALTY SERVICES FOR CHILDREN'S HOSPITAL 7,422,022
BAPTIST PRIMARY CARE INC3563 PHILIPS HWY BLDG A STE 101JACKSONVILLEFL32207 HOSPITALIST SERVICES PROVIDED TO BMC & BMCS 6,998,400
NEMOURS CHILDREN'S CLINIC10140 CENTURION PKWY NJACKSONVILLEFL32256 PEDIATRIC MEDICAL SERVICES 4,536,377
SODEXO INC & AFFILIATESPO BOX 536922ATLANTAGA30353 MANAGE CAFETERIAS/ENVIRONMENTAL SERVICES FOR HOSPITALS 3,046,376
UNIVERSITY OF FLORIDA580 W 8TH ST 5TH FLOORJACKSONVILLEFL32209 PHYSICIAN RESIDENCY PROGRAM 2,418,648
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet36
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 370,763
b Membership dues....1b 0
c Fundraising events....1c 0
d Related organizations...1d 3,238,051
e Government grants (contributions)1e 0
f All other contributions, gifts, grants, and
similar amounts not included above1f 		13,000
g Noncash contributions included in lines
1a-1f:$ 		0
h Total. Add lines 1a-1f.......MediumBullet 3,621,814
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUES EXCLUDING CHARITY CARE DEDUCTIONS 622000 893,963,110 893,963,110 0 0
b EHR REVENUE MEDICARE & MEDICAID 621400 2,093,531 2,093,531 0 0
c PARTNERSHIP INCOME RELEATED TO GROUP PURCHASING PROGRAM SERVICES 541900 -29,105 0 -29,105 0
d     0      
e     0      
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 896,027,536
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 73,264,006 0 0 73,264,006
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 2,266,045 0
b Less: rental expenses 1,023,988 0
c Rental income or (loss) 1,242,057 0
d Net rental income or (loss).......MediumBullet 1,242,057 0 0 1,242,057
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss) 0 0
d Net gain or (loss)..........MediumBullet 0      
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a RESTAURANT REVENUE 722100 5,673,482 0 0 5,673,482
b GAINS ON INTEREST RATE SWAP AGREEMENTS 523000 1,784,974 0 0 1,784,974
c RECORD DUPLICATION REVENUE 561439 783,667 0 0 783,667
d All other revenue .... 6,842,649 0 404,680 6,437,969
e Total. Add lines 11a–11d ...... MediumBullet 15,084,772
12 Total revenue. See Instructions......MediumBullet 989,240,185 896,056,641 375,575 89,186,155
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 2,061,056 2,061,056
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 6,228,946 0 6,228,946 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 280,340,081 253,963,221 26,376,860 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 15,695,591 14,270,633 1,424,958 0
9 Other employee benefits ....... 67,744,255 64,565,244 3,179,011 0
10 Payroll taxes ........... 20,823,079 18,932,343 1,890,736 0
11 Fees for services (non-employees):        
a Management ...... 5,465,912 4,351,670 1,114,242 0
b Legal ......... 621,382 511,957 109,425 0
c Accounting ........... 284,414 234,329 50,085 0
d Lobbying ........... 101,500 0 101,500 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 45,400,142 37,421,541 7,978,601 0
12 Advertising and promotion .... 2,987,327 0 2,987,327 0
13 Office expenses ....... 172,975,366 171,011,205 1,964,161 0
14 Information technology ...... 9,767,262 8,655,748 1,111,514 0
15 Royalties .. 120,196 120,196 0 0
16 Occupancy ........... 43,974,101 38,969,848 5,004,253 0
17 Travel ............ 1,378,994 689,497 689,497 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 714,761 357,381 357,380 0
20 Interest ........... 8,269,778 7,328,677 941,101 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 63,079,080 55,900,681 7,178,399 0
23 Insurance .............. 21,309,005 18,884,040 2,424,965 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED SERVICES 16,774,341 14,929,214 1,845,127 0
b INDIGENT CARE/OTHER STATE ASSESSMENTS 10,262,146 9,094,314 1,167,832 0
c BOND SWAP MARKET CHANGES 3,955,128 3,505,034 450,094 0
d DUES & MEMBERSHIPS 892,492 446,246 446,246 0
e All other expenses 5,229,749 5,229,749 0 0
25 Total functional expenses. Add lines 1 through 24e 806,456,084 731,433,824 75,022,260 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 24,166 1 16,258
2 Savings and temporary cash investments ......... 7,319,090 2 7,518,305
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 131,177,250 4 169,263,275
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 12,940,270 8 14,825,582
9 Prepaid expenses and deferred charges .......... 13,860,249 9 11,972,970
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,391,317,310
b Less: accumulated depreciation ..... 10b 727,779,600 660,999,259 10c 663,537,710
11 Investments—publicly traded securities .......... 865,337,017 11 1,018,550,535
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 148,757 13 0
14 Intangible assets ............... 3,454,175 14 3,454,175
15 Other assets. See Part IV, line 11 ........... 100,145,828 15 89,332,190
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,795,406,061 16 1,978,471,000
Liabilities 17 Accounts payable and accrued expenses ......... 84,693,929 17 116,308,047
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 538,820,544 20 516,597,138
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23 0
24 Unsecured notes and loans payable to unrelated third parties ....   24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 101,128,316 25 141,384,631
26 Total liabilities. Add lines 17 through 25......... 724,642,789 26 774,289,816
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,033,703,181 27 1,151,127,820
28 Temporarily restricted net assets ........... 16,018,006 28 19,836,746
29 Permanently restricted net assets ........... 21,042,085 29 33,216,618
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30 0
31 Paid-in or capital surplus, or land, building or equipment fund .....   31 0
32 Retained earnings, endowment, accumulated income, or other funds   32 0
33 Total net assets or fund balances ........... 1,070,763,272 33 1,204,181,184
34 Total liabilities and net assets/fund balances ........ 1,795,406,061 34 1,978,471,000
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
989,240,185
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
806,456,084
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
182,784,101
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,070,763,272
5
Net unrealized gains (losses) on investments ...............
5
2,922,465
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-52,288,654
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,204,181,184
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
  		Employer identification number

59-0747311
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
  		Employer identification number

59-0747311
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
  		Employer identification number

59-0747311
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
101,500
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
101,500
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i DURING THE FISCAL YEAR, THE ORGANIZATION PAID $41,500 TO AN UNRELATED FIRM, BH & ASSOCIATES, INC., FOR STATE OF FLORIDA LEGISLATIVE AND EXECUTIVE BRANCH REPRESENTATION CONCERNING HOSPITAL-RELATED ISSUES. ALSO, THE ORGANIZATION PAID $60,000 TO AN UNRELATED FIRM, COALITION TO PROTECT AMERICA'S HEALTH CARE, FOR LOBBYING EXPENSES EARMARKED FOR PUBLIC AWARENESS AND EDUCATION OF HOSPITAL-RELATED ISSUES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 30,146,155 17,717,878 13,206,971 13,652,478 12,440,512
b Contributions ........ 12,175,877 10,068,037 2,593,958 229,666 133,141
c Net investment earnings, gains, and losses 2,921,937 2,899,963 2,482,752 31,982 1,230,016
d Grants or scholarships ..... 0 0 0 0 0
e Other expenditures for facilities
and programs ........ 		716,452 539,723 565,803 707,155 151,191
f Administrative expenses .... 0 0 0 0 0
g End of year balance ...... 44,527,517 30,146,155 17,717,878 13,206,971 13,652,478
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet6.930 %
b
Permanent endowment SchDMd Bullet74.600 %
c
Temporarily restricted endowment SchDMd Bullet18.470 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 0 24,510,521 24,510,521
b Buildings ................ 0 762,199,923 292,188,498 470,011,425
c Leasehold improvements ............ 0 2,962,813 580,422 2,382,391
d Equipment ................ 0 567,562,152 429,255,201 138,306,951
e Other ................. 0 34,081,901 5,755,479 28,326,422
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 663,537,710
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
ALL OTHER LIABILITIES 2,656,218
BOND SWAP MARKET VALUATION 12,951,587
WORKER'S COMP. SELF-INSURANCE TRUST 3,087,206
DEFERRED RENT 916,812
ESTIMATED THIRD-PARTY SETTLEMENTS 3,141,972
LEASE INCENTIVE OBLIGATION 632,875
PENSION & SERP LIABILITY 87,535,142
HOSPITAL SELF-INSURANCE TRUST 30,462,819

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 141,384,631
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 988,878,072
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 0
b Donated services and use of facilities ......... 2b 0
c Recoveries of prior year grants ........... 2c 0
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 988,878,072
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 0
b Other (Describe in Part XIII.) ........... 4b 362,113
c Add lines 4a and 4b....................... 4c 362,113
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 989,240,185
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 807,480,072
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 0
b Prior year adjustments .............. 2b 0
c Other losses ................ 2c 0
d Other (Describe in Part XIII.) ............ 2d 1,023,988
e Add lines 2a through 2d...................... 2e 1,023,988
3 Subtract line 2e from line 1..................... 3 806,456,084
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 0
b Other (Describe in Part XIII.) ............ 4b 0
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 806,456,084
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4, Intended uses of endowment funds SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (SBHF) ENDOWMENT FUNDS ARE HELD BY ITS RELATED AFFILIATE, BAPTIST HEALTH SYSTEM FOUNDATION, INC. (BHF). BHF'S ENDOWMENT POLICY ALLOWS ANNUALLY THAT 5% OF THE COMBINED ENDOWMENT CORPUS AND ACCUMULATED EARNINGS BECOME AVAILABLE FOR SPENDING ON CAPITAL PROJECTS OF SBHF.
Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (DOLLARS IN THOUSANDS) 9. INCOME TAXES DEFERRED INCOME TAXES, WHICH AS OF SEPTEMBER 30, 2014 AND 2013, 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, 2014 AND 2013, BHS HAD DEFERRED TAX ASSETS OF $24,358 AND $22,388, RESPECTIVELY, RELATING PRINCIPALLY TO NET OPERATING LOSS CARRYOVERS. ASC 740-10-50-3, INCOME TAXES: DISCLOSURE, REQUIRES A VALUATION ALLOWANCE TO REDUCE THE DEFERRED TAX ASSETS REPORTED IF, BASED ON THE WEIGHT OF THE EVIDENCE, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. AFTER CONSIDERATION OF ALL THE EVIDENCE, BOTH POSITIVE AND NEGATIVE, MANAGEMENT DETERMINED THAT A $24,358 AND $22,388 ALLOWANCE AT SEPTEMBER 30, 2014 AND 2013, RESPECTIVELY, WAS NECESSARY TO REDUCE THE DEFERRED TAX ASSETS TO THE AMOUNT THAT WOULD MORE LIKELY THAN NOT BE REALIZED. THE CHANGE IN THE VALUATION ALLOWANCE FOR THE CURRENT YEAR IS $1,970. AT SEPTEMBER 30, 2014, BHS HAS AVAILABLE NET OPERATING LOSS CARRYFORWARDS OF $64,729. THESE NET OPERATING LOSSES WILL EXPIRE BETWEEN 2018 AND 2034.
Schedule D, Part XI, Line 4b, Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PP&E - 1332101; UNRESTRICTED CONTRIBUTIONS FOR CAPITAL - 54000; LINE 6B RENTAL EXPENSES - -1023988;
Schedule D, Part XII, Line 2d, Other expenses in audited financial statements not in form 990 LINE 6B RENTAL EXPENSES - 1023988;
Schedule D (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    22,457,145 0 22,457,145 2.780 %
b Medicaid (from Worksheet 3,
column a) .... 		    156,621,791 105,160,999 51,460,792 6.380 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		        0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 179,078,936 105,160,999 73,917,937 9.160 %
Other Benefits
     2,048,474   2,048,474 0.250 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    3,898,105   3,898,105 0.480 %
g Subsidized health services
(from Worksheet 6) .. 		    18,425,253 16,869,301 1,555,952 0.190 %
h Research (from Worksheet 7)         0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    1,884,900   1,884,900 0.230 %
j Total. Other Benefits .. 0 0 26,256,732 16,869,301 9,387,431 1.150 %
k Total. Add lines 7d and 7j . 0 0 205,335,668 122,030,300 83,305,368 10.310 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 1       0 0 %
2 Economic development 1       0 0 %
3 Community support 2       0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members 1       0 0 %
6 Coalition building 7       0 0 %
7 Community health improvement advocacy 31       0 0 %
8 Workforce development         0 0 %
9 Other 1       0 0 %
10 Total 44 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
51,374,225
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
197,099,114
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
243,487,105
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-46,387,991
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BAPTIST MEDICAL CENTER
800 PRUDENTIAL DR
JACKSONVILLE,FL32207
WWW.BAPTISTJAX.COM
4448 		X X X X   X X   CHILDREN'S HOSPITAL IS WOLFSON CHILDREN'S HOSPITAL A
2 BAPTIST MEDICAL CENTER SOUTH
144550 OLD ST AUGUSTINE RD
JACKSONVILLE,FL32258
WWW.BAPTISTJAX.COM
4448 		X X         X     A
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) A - BAPTIST MEDICAL CENTER: NINE HOSPITALS: (BAPTIST MEDICAL CENTER, BAPTIST MEDICAL CENTER SOUTH, WOLFSON CHILDREN'S HOSPITAL, BAPTIST MEDICAL CENTER OF THE BEACHES, INC., BAPTIST MEDICAL CENTER OF NASSAU, INC., MAYO CLINIC, ST VINCENT'S MEDICAL CENTER RIVERSIDE, ST. VINCENT'S MEDICAL CENTER SOUTH AND UF HEALTH) AND FOUR DEPARTMENTS OF HEALTH: (FLORIDA DEPARTMENTS' OF HEALTH FOR CLAY COUNTY, DUVAL COUNTY, ST. JOHN'S COUNTY AND NASSAU COUNTY) CONVENED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA TO FACILITATE THE CHNA. EACH HOSPITAL AGREED ON ITS RESPECTIVE TARGETED COMMUNITIES. INTERNAL HOSPITAL CENSUS, EXISTING COMMUNITY BENEFIT PROGRAMS, AS WELL AS SECONDARY DATA COLLECTION WERE USED. A COMMUNITY HEALTH SURVEY WAS DEVELOPED AND ADMINISTERED TO A BROAD, VARIED RANGE OF RESIDENTS LIVING IN THE TARGETED FIVE-COUNTY COMMUNITY. THE SURVEY CONTAINED QUESTIONS REGARDING PERCEIVED QUALITY OF LIFE AND HEALTH OF THE COMMUNITY, BARRIERS TO HEALTH CARE, USE OF HEALTH CARE NEEDS AND DEMOGRAPHIC INFORMATION. THE SURVEY INCLUDED PARTICIPANTS FORM CLAY, DUVAL, NASSAU AND ST. JOHNS COUNTIES. THE INTERNET PANEL METHOD WAS USED IN ORDER TO REACH THE LARGEST POSSIBLE NUMBER OF QUALIFIED RESPONDENTS. FOCUS GROUPS AND ROUND TABLE DISCUSSIONS WERE ANOTHER METHOD USED TO TAKE INTO ACCOUNT INPUT FROM THE PERSONS WHO REPRESENT THE BROAD INTEREST OF COMMUNITY SERVED. THE ROUNDTABLE DISCUSSIONS ALLOWED FOR THE IDENTIFICATION OF THE NEEDS AND PRIORITIES OF PARTICIPANTS WHO HAVE THE KNOWLEDGE AND EXPERTISE TO INFORM THE RESEARCH. REPRESENTATIVES FROM CLAY, DUVAL, NASSAU, PUTNAM AND ST. JOHNS COUNTIES GAVE THEIR INPUT ON MULTIPLE DIMENSIONS OF THEIR COMMUNITIES, INCLUDING THE BUILT ENVIRONMENT, LOCAL ECONOMY, BARRIERS TO ACCESS AND MOTIVATION FOR HEALTHY LIVING. FOR THE SECONDARY RESEARCH, PUBLIC HEALTH RELATED DATA WAS GATHERED FROM FIVE COUNTIES. EACH COUNTY HEALTH DEPARTMENT PROVIDED AN ASSESSMENT THAT DETERMINED PUBLIC HEALTH PRIORITIES FOR THE NEXT THREE TO FIVE YEARS. THE PARTNERSHIP'S CHNA REFLECTS THE PRIORITIES IDENTIFIED IN THE HEALTH DEPARTMENT ASSESSMENTS AND ITS CORRESPONDING HEALTH IMPROVEMENT PLAN. ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) A - BAPTIST MEDICAL CENTER: THE HOSPITALS INVOLVED IN THE CHNA WERE BAPTIST MEDICAL CENTER - DUVAL COUNTY, BAPTIST MEDICAL CENTER BEACHES - DUVAL COUNTY, BAPTIST MEDICAL CENTER - NASSAU COUNTY, BAPTIST MEDICAL CENTER SOUTH - DUVAL COUNTY AND NORTHERN ST. JOHNS COUNTY, BROOKS REHABILITATION -DUVAL COUNTY AND ST. JOHNS COUNTY, MAYO CLINIC - DUVAL COUNTY, ST. VINCENT'S MEDICAL CENTER RIVERSIDE - DUVAL COUNTY, CLAY COUNTY AND PUTNAM COUNTY, ST VINCENT'S MEDICAL CENTER SOUTHSIDE - DUVAL COUNTY, SHANDS JACKSONVILLE MEDICAL CENTER - DUVAL COUNTY, AND WOLFSON CHILDREN'S HOSPITAL - DUVAL COUNTY.;
Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) A - BAPTIST MEDICAL CENTER: HTTP://WWW.BAPTISTJAX.THEHCN.NET/CONTENT/SITES/HPCNEF/2012_CHNA_REPORT_FINAL.PDF ;
Schedule H, Part V Sec B, Line 5b, Other Website (list URL) (1) A - BAPTIST MEDICAL CENTER: HTTP://UFHEALTHJAX.ORG/CONMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX ;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) A - BAPTIST MEDICAL CENTER: BAPTIST MEDICAL CENTER'S (BMC) SELECTED PRIORITIES ARE HEART DISEASE, STROKE, DIABETES, NUTRITION, MAMMOGRAPHY, BEHAVIORAL HEALTH, SMOKING CESSATION, ACCESS TO FOOD AND PHYSICAL ACTIVITY, HOUSING. BMC HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, BMC HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS, EXPERTISE AND RESOURCES. THE PRIORITIES NOT ADDRESSED WERE CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, HOUSING, COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS) INCLUDING HIV, INFLUENZA, PNEUMONIA AND HEPATITIS. BAPTIST MEDICAL CENTER SOUTH'S (BMCS) SELECTED PRIORITIES ARE INFANT MORTALITY, HEART DISEASE, STROKE, DIABETES, NUTRITION, MAMMOGRAPHY, SMOKING CESSATION, ACCESS TO FOOD AND PHYSICAL ACTIVITY. BMCS HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, BMCS HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THE PRIORITIES IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED WERE CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, HOUSING, AND COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS), INCLUDING HIV, INFLUENZA AND PNEUMONIA, AND HEPATITIS. WOLFSON CHILDREN'S HOSPITAL'S (WCH) SELECTED PRIORITIES ARE INFANT MORTALITY, CHILDHOOD OBESITY, CHILDHOOD ASTHMA, SPORTS RELATED CONCUSSION, SEXUALLY TRANSMITTED DISEASES, ACCESS TO KIDCARE, EYE EXAMS AND GLASSES, SMOKING AND SMOKELESS TOBACCO, TYPE II CHILDHOOD DIABETES, UNINTENTIONAL INJURIES, ACCESS TO FOOD, PHYSICAL ACTIVITY, AND YOUTH CRIME. WCH HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, WCH HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THE PRIORITIES IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED WERE PRESCRIPTION ASSISTANCE, CHRONIC DISEASE HEALTH SCREENING, DENTAL EXAMS, EDUCATION OUTCOMES AND TREATMENT. ;
Schedule H, Part V Sec B, Line 18e, Efforts made before initiating collection actions (1) A - BAPTIST MEDICAL CENTER: AT EVERY PATIENT ACCESS POINT, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. IF SEEN BY ONE OF THE ORGANIZATION'S PATIENTS FINANCIAL ADVOCATES, THE PATIENT IS ADVISED PRIOR TO DISCHARGE. ALL STATEMENTS TO PATIENTS PROVIDE A NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE, ALL APPLICATIONS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) A - BAPTIST MEDICAL CENTER: THE ORGANIZATION HAS AN AUTOMATIC 40% DISCOUNT FOR ALL UNINSURED PATIENTS.;
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address Type of Facility (describe)
1 BAPTIST EMERGENCY CENTER CLAY
1771 Baptist Clay Dr
FLEMING ISLAND,FL32003 		THE FACILITY FEATURES AN EMERGENCY CENTER WITH SEPARATE WAITING AREAS AND EXAM ROOMS FOR CHILDREN.
2 BAPTIST BEHAVIORAL HEALTH
4160 UNIVERSITY BLVD S
JACKSONVILLE,FL32216 		COMPREHENSIVE MENTAL HEALTH SERVICES
3 BAPTIST BEHAVIORAL HEALTH
87010 PROFESSIONAL WAY
YULEE,FL32097 		COMPREHENSIVE MENTAL HEALTH SERVICES IN NASSAU COUNTY.
4 BAPTIST BEHAVIORAL HEALTH
800 PRUDENTIAL DR STE 510/512
JACKSONVILLE,FL32207 		COMPREHENSIVE MENTAL HEALTH SERVICES AT BAPTIST MEDICAL CENTER JACKSONVILLE'S HOSPITAL CAMPUS.
5 BAPTIST BEHAVIORAL HEALTH
13241 BARTRAM PARK BLVD STE 1901
JACKSONVILLE,FL32258 		COMPREHENSIVE MENTAL HEALTH SERVICES IN THE MANDARIN COMMUNITY.
6 BAPTIST BEHAVIORAL HEALTH
900 BEACH BLVD STE 930
JACKSONVILLE BEACH,FL32250 		COMPREHENSIVE MENTAL HEALTH SERVICES IN THE BEACHES' COMMUNITIES.
7 BAPTIST BEHAVIORAL HEALTH
1325 SAN MARCO BLVD STE 500
JACKSONVILLE,FL32207 		COMPREHENSIVE MENTAL HEALTH SERVICES IN THE SAN MARCO COMMUNITY
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) A - BAPTIST MEDICAL CENTER: NINE HOSPITALS: (BAPTIST MEDICAL CENTER, BAPTIST MEDICAL CENTER SOUTH, WOLFSON CHILDREN'S HOSPITAL, BAPTIST MEDICAL CENTER OF THE BEACHES, INC., BAPTIST MEDICAL CENTER OF NASSAU, INC., MAYO CLINIC, ST VINCENT'S MEDICAL CENTER RIVERSIDE, ST. VINCENT'S MEDICAL CENTER SOUTH AND UF HEALTH) AND FOUR DEPARTMENTS OF HEALTH: (FLORIDA DEPARTMENTS' OF HEALTH FOR CLAY COUNTY, DUVAL COUNTY, ST. JOHN'S COUNTY AND NASSAU COUNTY) CONVENED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA TO FACILITATE THE CHNA. EACH HOSPITAL AGREED ON ITS RESPECTIVE TARGETED COMMUNITIES. INTERNAL HOSPITAL CENSUS, EXISTING COMMUNITY BENEFIT PROGRAMS, AS WELL AS SECONDARY DATA COLLECTION WERE USED. A COMMUNITY HEALTH SURVEY WAS DEVELOPED AND ADMINISTERED TO A BROAD, VARIED RANGE OF RESIDENTS LIVING IN THE TARGETED FIVE-COUNTY COMMUNITY. THE SURVEY CONTAINED QUESTIONS REGARDING PERCEIVED QUALITY OF LIFE AND HEALTH OF THE COMMUNITY, BARRIERS TO HEALTH CARE, USE OF HEALTH CARE NEEDS AND DEMOGRAPHIC INFORMATION. THE SURVEY INCLUDED PARTICIPANTS FORM CLAY, DUVAL, NASSAU AND ST. JOHNS COUNTIES. THE INTERNET PANEL METHOD WAS USED IN ORDER TO REACH THE LARGEST POSSIBLE NUMBER OF QUALIFIED RESPONDENTS. FOCUS GROUPS AND ROUND TABLE DISCUSSIONS WERE ANOTHER METHOD USED TO TAKE INTO ACCOUNT INPUT FROM THE PERSONS WHO REPRESENT THE BROAD INTEREST OF COMMUNITY SERVED. THE ROUNDTABLE DISCUSSIONS ALLOWED FOR THE IDENTIFICATION OF THE NEEDS AND PRIORITIES OF PARTICIPANTS WHO HAVE THE KNOWLEDGE AND EXPERTISE TO INFORM THE RESEARCH. REPRESENTATIVES FROM CLAY, DUVAL, NASSAU, PUTNAM AND ST. JOHNS COUNTIES GAVE THEIR INPUT ON MULTIPLE DIMENSIONS OF THEIR COMMUNITIES, INCLUDING THE BUILT ENVIRONMENT, LOCAL ECONOMY, BARRIERS TO ACCESS AND MOTIVATION FOR HEALTHY LIVING. FOR THE SECONDARY RESEARCH, PUBLIC HEALTH RELATED DATA WAS GATHERED FROM FIVE COUNTIES. EACH COUNTY HEALTH DEPARTMENT PROVIDED AN ASSESSMENT THAT DETERMINED PUBLIC HEALTH PRIORITIES FOR THE NEXT THREE TO FIVE YEARS. THE PARTNERSHIP'S CHNA REFLECTS THE PRIORITIES IDENTIFIED IN THE HEALTH DEPARTMENT ASSESSMENTS AND ITS CORRESPONDING HEALTH IMPROVEMENT PLAN. ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) A - BAPTIST MEDICAL CENTER: THE HOSPITALS INVOLVED IN THE CHNA WERE BAPTIST MEDICAL CENTER - DUVAL COUNTY, BAPTIST MEDICAL CENTER BEACHES - DUVAL COUNTY, BAPTIST MEDICAL CENTER - NASSAU COUNTY, BAPTIST MEDICAL CENTER SOUTH - DUVAL COUNTY AND NORTHERN ST. JOHNS COUNTY, BROOKS REHABILITATION -DUVAL COUNTY AND ST. JOHNS COUNTY, MAYO CLINIC - DUVAL COUNTY, ST. VINCENT'S MEDICAL CENTER RIVERSIDE - DUVAL COUNTY, CLAY COUNTY AND PUTNAM COUNTY, ST VINCENT'S MEDICAL CENTER SOUTHSIDE - DUVAL COUNTY, SHANDS JACKSONVILLE MEDICAL CENTER - DUVAL COUNTY, AND WOLFSON CHILDREN'S HOSPITAL - DUVAL COUNTY.;
Schedule H, Part V Sec B, Line 5a, Hospital Facility's Website (list URL) (1) A - BAPTIST MEDICAL CENTER: HTTP://WWW.BAPTISTJAX.THEHCN.NET/CONTENT/SITES/HPCNEF/2012_CHNA_REPORT_FINAL.PDF ;
Schedule H, Part V Sec B, Line 5b, Other Website (list URL) (1) A - BAPTIST MEDICAL CENTER: HTTP://UFHEALTHJAX.ORG/CONMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX ;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) A - BAPTIST MEDICAL CENTER: BAPTIST MEDICAL CENTER'S (BMC) SELECTED PRIORITIES ARE HEART DISEASE, STROKE, DIABETES, NUTRITION, MAMMOGRAPHY, BEHAVIORAL HEALTH, SMOKING CESSATION, ACCESS TO FOOD AND PHYSICAL ACTIVITY, HOUSING. BMC HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, BMC HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS, EXPERTISE AND RESOURCES. THE PRIORITIES NOT ADDRESSED WERE CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, HOUSING, COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS) INCLUDING HIV, INFLUENZA, PNEUMONIA AND HEPATITIS. BAPTIST MEDICAL CENTER SOUTH'S (BMCS) SELECTED PRIORITIES ARE INFANT MORTALITY, HEART DISEASE, STROKE, DIABETES, NUTRITION, MAMMOGRAPHY, SMOKING CESSATION, ACCESS TO FOOD AND PHYSICAL ACTIVITY. BMCS HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, BMCS HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THE PRIORITIES IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED WERE CLEAN AND HEALTHY ENVIRONMENT: AIR AND WATER QUALITY, ADULT ASTHMA, RESPIRATORY ILLNESS, HOUSING, AND COMMUNICABLE DISEASES: SEXUALLY TRANSMITTED DISEASES, (STDS), INCLUDING HIV, INFLUENZA AND PNEUMONIA, AND HEPATITIS. WOLFSON CHILDREN'S HOSPITAL'S (WCH) SELECTED PRIORITIES ARE INFANT MORTALITY, CHILDHOOD OBESITY, CHILDHOOD ASTHMA, SPORTS RELATED CONCUSSION, SEXUALLY TRANSMITTED DISEASES, ACCESS TO KIDCARE, EYE EXAMS AND GLASSES, SMOKING AND SMOKELESS TOBACCO, TYPE II CHILDHOOD DIABETES, UNINTENTIONAL INJURIES, ACCESS TO FOOD, PHYSICAL ACTIVITY, AND YOUTH CRIME. WCH HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION AND THAT SOME PRIORITIES ARE BEING ADDRESSED BY OTHER HOSPITALS OR ORGANIZATIONS, WCH HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THE PRIORITIES IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED WERE PRESCRIPTION ASSISTANCE, CHRONIC DISEASE HEALTH SCREENING, DENTAL EXAMS, EDUCATION OUTCOMES AND TREATMENT. ;
Schedule H, Part V Sec B, Line 18e, Efforts made before initiating collection actions (1) A - BAPTIST MEDICAL CENTER: AT EVERY PATIENT ACCESS POINT, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. IF SEEN BY ONE OF THE ORGANIZATION'S PATIENTS FINANCIAL ADVOCATES, THE PATIENT IS ADVISED PRIOR TO DISCHARGE. ALL STATEMENTS TO PATIENTS PROVIDE A NUMBER TO CALL IF THEY NEED FINANCIAL ASSISTANCE, ALL APPLICATIONS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES.;
Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) A - BAPTIST MEDICAL CENTER: THE ORGANIZATION HAS AN AUTOMATIC 40% DISCOUNT FOR ALL UNINSURED PATIENTS.;
Schedule H (Form 990) 2013
Additional Data


Software ID: 13000248
Software Version: 2013v3.1
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number
59-0747311
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN LUNG ASSOCIATION OF FLORIDA
68523 BELFORT OAKS PL
JACKSONVILLE,FL32216 		59-0662271 501(C)(3) 12,500       PROVIDE SUPPORT FOR HEALTH RESEARCH AND EDUCATION OF CARDIOPULMONARY DISEASES
(2) WOMEN'S CENTER OF JACKSONVILLE INC
5644 COLCORD AVE
JACKSONVILLE,FL32211 		26-7437216 501(C)(3) 35,000       IMPROVE WOMEN'S LIVES THROUGH ADVOCACY, SUPPORT AND EDUCATION
(3) THE RIVER GARDEN FOUNDATION INC
11401 OLD ST AUGUSTINE RD
JACKSONVILLE,FL32258 		59-3100673 501(C)(3) 15,000       SUPPORT FOR ELDERLY- HOUSING AND MEDICAL CARE
(4) PINE CASTLE INC
4911 SPRING PARK RD
JACKSONVILLE,FL32207 		59-0704733 501(C)(3) 35,000       PROVIDE CARE FOR DEVELOPMENTALLY DISABLED ADULTS IN THE COMMUNITY
(5) GATEWAY COMMUNITY SERVICES INC
555 STOCKTON ST
JACKSONVILLE,FL32204 		59-1881828 501(C)(3) 25,000       SUPPORT FOR YOUTH TO REMAIN DRUG FREE
(6) NASSAU COUNTY COUNCIL ON AGING INC
1367 S 18TH ST
FERNANDINA BEACH,FL32034 		23-7375273 501(C)(3) 65,000       SUPPORT TRANSPORTATION PROGRAM FOR ELDERLY
(7) MANAGED ACCESS TO CHILD HEALTH INC
910 N JEFFERSON ST
JACKSONVILLE,FL32209 		59-3192240 501(C)(3) 25,000       IMPROVE HEALTH & WELLBEING OF YOUTH IN NE FLORIDA
(8) JACKSONVILLE SPEECH & HEARING CENTER INC
1128 N LAURA ST
JACKSONVILLE,FL32206 		59-0970718 501(C)(3) 9,270       THERAPY FOR PEOPLE OF ALL AGES REGARDLESS OF ABILITY TO PAY
(9) PROFESSIONAL RESOURCE NETWORK INC
PO BOX 1020
FERNANDINA BEACH,FL32035 		47-1746274 501(C)(3) 7,500       IMPAIRED PRACTIONER NETWORK ASSISTANCE TO STATE OF FLORIDA
(10) CATHEDRAL ARTS PROJECT INC
207 N LAURA ST STE 300
JACKSONVILLE,FL32202 		59-3672453 501(C)(3) 25,000       ENRICH QUALITY OF LIFE IN NE FLORIDA
(11) JACKSONVILLE SPORTS MEDICINE PROGRAM INC
3563 PHILIPS HWY STE 502
JACKSONVILLE,FL32207 		59-2997510 501(C)(3) 12,500       SUPPORT FOR YOUTH SPORTS PROGRAMS IN NE FLORIDA
(12) UNF FOUNDATION INC
ONE UNF DR
JACKSONVILLE,FL32224 		23-7167701 501(C)(3) 17,000       SUPPORT FOR MEDICALLY-RELATED STUDENT PROGRAMS
(13) AMERICAN RED CROSS -NE FLORIDA
751 RIVERSIDE AVE
JACKSONVILLE,FL32203 		53-0196605 501(C)(3) 25,000       VOLUNTEER ORGANIZATION PROVIDING SUPPORT FOR FAMILIES
(14) THE ARC JACKSONVILLE INC
1050 N DAVIS ST
JACKSONVILLE,FL32209 		59-6209603 501(C)(3) 25,000       SUPPORT PROGRAMS FOR YOUTH WITH INTELLECTUAL/DEVELOPMENT DISABILITIES
(15) WE CARE JACKSONVILLE INC
900 UNIVERSITY BLVD N
JACKSONVILLE,FL32211 		59-3431724 501(C)(3) 68,500       PROVIDES INDIGENT HEALTHCARE SUPPORT
(16) YOUTH CRISIS CENTER INC
3015 PARENTAL HOME RD
JACKSONVILLE,FL32216 		59-2176287 501(C)(3) 15,594       SUPPORT PROGRAMS FOR RUNAWAY, DISPLACED & TROUBLED YOUTH
(17) MUSEUM OF CONTEMPORARY ART JACKSONVILLE INC
333 N LAURA ST
JACKSONVILLE,FL32202 		59-0689705 501(C)(3) 7,500       SUPPORT FOR ARTIST'S PROGRAMS IN DOWNTOWN JACKSONVILLE
(18) JEWISH FAMILY & COMMUNITY SERVICES INC
6261 DUPONT CT E
JACKSONVILLE,FL32217 		59-0637868 501(C)(3) 10,000       SUPPORT FOR INDIVIDUALS AND FAMILIES TO MEET BASIC NEEDS AND GET BACK ON THEIR FEET
(19) JACKSONVILLE COMMUNITY COUNCIL INC
2434 ATLANTIC BLVD
JACKSONVILLE,FL32207 		59-1163905 501(C)(3) 100,000       PROGRAMS TO ENGAGE PEOPLE TO IMPROVE THE AREA COMMUNITY
(20) THE SENIOR LIFE FOUNDATION INC
PO BOX 57443
JACKSONVILLE,FL32241 		59-3633341 501(C)(3) 15,000       PROGRAMS FOR LOW-INCOME SENIORS IN DUVAL COUNTY
(21) UNITED WAY OF NORTHEAST FLORIDA
1301 RIVERPLACE BLVD STE 400
JACKSONVILLE,FL32207 		59-0637825 501(C)(3) 110,000       SUPPORT FOR CHARITABLE PROGRAMS IN COMMUNITY
(22) IM SULZBACHER CENTER FOR THE HOMELESS INC
611 E ADAMS ST
JACKSONVILLE,FL32202 		59-3229898 501(C)(3) 25,000       SUPPORT FOR TWO LOCAL COMMUNITY CLINICS PROVIDING BASIC NEEDS UNDERSERVED.
(23) MEMORIES OF LOVE FOUNDATION INC
4932 SUNBEAM RD
JACKSONVILLE,FL32257 		13-4298184 501(C)(3) 6,000       CREATE JOYFUL MEMORIES FOR CHILDREN WHOSE PARENTS HAVE A LIFE-THREATENING ILLNESS
(24) DLC NURSE & LEARN
4101-1 COLLEGE ST
JACKSONVILLE,FL32205 		59-3618761 501(C)(3) 30,000       EDUCATIONAL PROGRAMS FOR SPECIAL NEEDS CHILDREN
(25) UNIVERSITY OF NORTH FLORIDA
ONE UNF DR
JACKSONVILLE,FL32224 		59-2976169 501(C)(3) 20,000       SUPPORT PLEDGE FOR COLLEGE OF HEALTH
(26) EDWARD WATERS COLLEGE
1658 KINGS RD
JACKSONVILLE,FL32209 		90-0750130 501(C)(3) 10,000       SUPPORT FOR LAB RENOVATION
(27) FLORIDA DEPT OF HEALTH
900 UNIVERSITY BLVD N
JACKSONVILLE,FL32211 		  60,000       SUPPORT FOR COMMUNITY HEALTH PROGRAMS
(28) LUTHERAN SOCIAL SERVS OF NE FLORIDA INC
4615 PHILIPS HWY
JACKSONVILLE,FL32207 		59-1965600 501(C)(3) 10,000       AIDS CARE/EDUCATION/REFUGEE SERVICES
(29) SECOND HARVEST FOOD BANK OF NE FLORIDA
4615 PHILIPS HWY
JACKSONVILLE,FL32207 		59-2142315 501(C)(3) 23,454       PROVIDE FOOD FOR INDIVIDUALS AND FAMILIES IN NEED.
(30) BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION INC
PO BOX 16003
FERNANDINA BEACH,FL32035 		59-3672345 501(C)(3) 10,000       SUPPORT FOR CHILDREN'S PROGRAMS IN NASSAU COUNTY.
(31) YMCA
12735 GRAN BAY PKWY W 250
JACKSONVILLE,FL32258 		59-0638514 501(C)(3) 25,000       SUPPORT PROGRAMS FOR YOUTH AND ADULTS
(32) THE WAY FREE MEDICAL CLINIC INC
479 HOUSTON ST
GREEN COVE SPRINGS,FL32043 		76-0828154 501(C)(3) 35,000       CLAY COUNTY MEDICAL CLINIC SERVING UNINSURED/INDIGENT POPULATION
(33) GENERATION W INC
482 JACKSONVILLE DR
JACKSONVILLE,FL32250 		27-4494245 501(C)(3) 10,000       FLORIDA NON-PROFIT SUPPORTING WOMEN'S EDUCATION, LIFE IMPROVEMENT AND INSPIRATION.
(34) CATHOLIC CHARITIES BUREAU INC
134 E CHURCH ST 2
JACKSONVILLE,FL32202 		59-0862770 501(C)(3) 20,000       COMMUNITY SUPPORT FOR UNDERPRIVILEGED.
(35) VOLUNTEERS IN MEDICINE
41 E DUVAL ST
JACKSONVILLE,FL32202 		75-3002172 501(C)(3) 100,000       CHARITABLE DOWNTOWN HEALTH CLINIC FOR INDIGENT FAMILIES
(36) FLEMING ISLAND ATHLETIC ASSOCIATION INC
4127 MAGNOLIA RD
ORANGE PARK,FL32065 		20-1398978 501(C)(3) 15,000       SUPPORT FOR ATHLETIC PROGRAMS IN CLAY COUNTY
(37) VISION IS PRICELESS COUNCIL INC
3 SHIRCLIFF WAY STE 546
JACKSONVILLE,FL32204 		59-3386495 501(C)(3) 14,086       IMPROVING THE VISION HEALTH IN THE COMMUNITY
(38) IM SULZBACHER CENTER FOR THE HOMELESS INC
611 E ADAMS ST
JACKSONVILLE,FL32202 		59-3229898 501(C)(3) 95,000       PROVIDES FOOD, SHELTER AND CLOTHING FOR TWO COMMUNITY CLINICS
(39) MISSION HOUSE INC
800 SHETTER AVE
JACKSONVILLE BEACH,FL32250 		59-3376704 501(C)(3) 35,000       PROVIDE FOOD, MEDICAL CARE AND CLOTHING TO INDIGENT PERSONS IN THE BEACHES' COMMUNITIES
(40) THE BRIDGE OF NE FLORIDA INC
1824 N PEARL ST 2ND FLR
JACKSONVILLE,FL32206 		59-1406016 501(C)(3) 25,000       SUPPORT YOUTH MENTAL HEALTH PROGRAMS
(41) HOPE HAVEN ASSOCIATION INC
4600 BEACH BLVD
JACKSONVILLE,FL32207 		59-0668485 501(C)(3) 6,000       SUPPORT CHILDREN'S CLINIC TO EXPAND MENTAL HEALTH SERVICES FOR STUDENTS
(42) SUSAN G KOMEN FOR THE CURE
2950 HALCYON LN 501
JACKSONVILLE,FL32223 		75-1835298 501(C)(3) 20,000       CANCER RESEARCH AND EDUCATION PROGRAMS
(43) ADAM W HERBERT UNIVERSITY CENTER
12000 ALUMNI DR
JACKSONVILLE,FL32224 		23-7167701 501(C)(3) 6,827       EDUCATION FACILITY FOR UNIV. OF NORTH FLORIDA
(44) WEST JAX OUTREACH INC
5126 TIMUQUANA RD
JACKSONVILLE,FL32210 		59-3038067 501(C)(3) 25,000       SUPPORT FOR MEDICAL CLINIC SERVING INDIGENT POPULATION
(45) INTELLECTUAL EXPLORERS INC
3885 ST JOHNS AVE
JACKSONVILLE,FL32205 		49-2323877 501(C)(3) 8,000       PROGRAMS FOR CULTURE, ARTS AND HUMANITIES IN COMMUNITY
(46) PACE CENTER FOR GIRLS INC
1 W ADAMS ST STE 301
JACKSONVILLE,FL32202 		59-2414492 501(C)(3) 30,000       PROMOTE CARE FOR GIRL'S NEEDING ASSISTANCE IN COMMUNITY
(47) STARTING POINT BEHAVIORAL HEALTHCARE
463142 SR200 W
YULEE,FL32097 		59-3029469 501(C)(3) 8,318       MENTAL HEALTH/SUBSTANCE ABUSE PROGRAMS IN NASSAU COUNTY
(48) FRESH MINISTRIES INC
1131 N LAURA ST
JACKSONVILLE,FL32206 		59-2967898 501(C)(3) 10,300       SUPPORT FOR YOUTH TO IMPROVE THEIR LIVES
(49) MUSLIM AMERICAN SOCIAL SERVICES INC
2333 ST JOHNS BLUFF RD S
JACKSONVILLE,FL32246 		46-5096772 501(C)(3) 30,000       PROVIDE MEDICAL ASSISTANCE TO UNINSURED INDIVIDUALS
(50) HEALTH PLANNING COUNCIL OF NE FLORIDA INC
100 N LAURA ST STE 801
JACKSONVILLE,FL32202 		59-2247189 501(C)(3) 10,000       SUPPORT FOR HEALTH PLANNING ACTIVITIES FOR AREA COUNTIES
(51) CLAY BEHAVIORAL HEALTH CENTER INC
3292 COUNTY RD 220
MIDDLEBURG,FL32068 		59-2219317 501(C)(3) 31,107       BEHAVIORAL HEALTH PROGRAMS IN CLAY COUNTY
(52) PLANNED PARENTHOOD OF N FLORIDA INC
5978 POWERS AVE
JACKSONVILLE,FL32217 		59-1061757 501(C)(3) 25,000       SUPPORT FOR FAMILY PROGRAMS IN COMMUNITY
(53) CAMP BOGGY CREEK
30500 BRANTLEY BRANCH RD
EUSTIS,FL32736 		31-1794455 501(C)(3) 54,000       ENRICH LIVES OF CHILDREN WITH SERIOUS ILLNESSES
(54) ART WITH A HEART IN HEALTHCARE INC
841 PRUDENTIAL DR STE 150
JACKSONVILLE,FL32207 		26-1313805 501(C)(3) 100,000       ART PROGRAMS FOR CHILDREN REQUIRING MEDICAL ASSISTANCE
(55) CURESEARCH FOR CHILDREN'S CANCER
4600 EAST WEST HWY STE 600
BETHESDA,MD20814 		95-4132414 501(C)(3) 7,500       SUPPORT CHILDREN'S CANCER EDUCATION & RESEARCH
(56) KATIE CAPLES FOUNDATION INC
914 ATLANTIC AVE STE 1A
AMELIA ISLAND,FL32034 		59-3580838 501(C)(3) 10,000       INCREASE THE NUMBER OF REGISTERED ORGAN DONORS
(57) THE TOM COUGHLIN JAY FUND FOUNDATION
PO BOX 50798
JACKSONVILLE BEACH,FL32240 		59-3426937 501(C)(3) 45,000       HELP FAMILIES TACKLE CHILDHOOD CANCER
(58) RONALD MCDONALD HOUSE
824 CHILDRENS WAY
JACKSONVILLE,FL32207 		59-2625008 501(C)(3) 50,000       PROVIDE HOUSING FOR FAMILIES AS THEIR SICK CHILDREN HEAL
(59) DAVIS LOVE FOUNDATION
PO 20344
ST SIMONS ISLAND,GA31522 		20-2920597 501(C)(3) 10,000       COMMUNITY-BASED PROGRAM FOR FAMILIES
(60) JACKSONVILLE CHAMBER OF COMMERCE FOUNDATION
3 INDEPENDENT DR
JACKSONVILLE,FL32202 		59-1867407 501(C)(3) 6,000       PROMOTES CIVIC GROWTH AMONG LOCAL BUSINESSES.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
60
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds OUR COMMUNITY HEALTH EFFORTS ARE GUIDED BY THE ORGANIZATION'S COMMUNITY HEALTH COMMITTEE, COMPRISED OF SELECTED BAPTIST HEALTH SYSTEM, INC. (BHS) BOARD MEMBERS (BHS IS THE PARENT AFFILIATE OF THE ORGANIZATION). THE COMMITTEE PROVIDES STRATEGIC DIRECTION RELATED TO OUR COMMUNITY HEALTH ACTIVITIES AND ENSURES WE FOCUS ON KEY PRIORITIES THAT ALIGN WITH OUR MISSION.
Schedule I, Part II, Column H, Purpose of grant or assistance MISSION HOUSE, INC., 59-3376704:PROVIDE FOOD, MEDICAL CARE AND CLOTHING TO INDIGENT PERSONS IN THE BEACHES' COMMUNITIES;JEWISH FAMILY & COMMUNITY SERVICES, INC., 59-0637868:SUPPORT FOR INDIVIDUALS AND FAMILIES TO MEET BASIC NEEDS AND GET BACK ON THEIR FEET;GENERATION W, INC., 27-4494245:FLORIDA NON-PROFIT SUPPORTING WOMEN'S EDUCATION, LIFE IMPROVEMENT AND INSPIRATION.;MEMORIES OF LOVE FOUNDATION, INC., 13-4298184:CREATE JOYFUL MEMORIES FOR CHILDREN WHOSE PARENTS HAVE A LIFE-THREATENING ILLNESS;
Schedule I (Form 990) 2013


Additional Data


Software ID: 13000248
Software Version: 2013v3.1


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)A HUGH GREENEPRESIDENT/CEO & DIRECTOR (i)
(ii)		 752,886
0 		290,000
0 		30,000
0 		499,028
0 		15,863
0 		1,587,777
0 		0
0
(2)JOHN F WILBANKSEXECUTIVE VP/COO (i)
(ii)		 462,492
0 		157,500
0 		15,000
0 		228,752
0 		12,580
0 		876,324
0 		0
0
(3)RICHARD D GLOCK MDDIRECTOR (i)
(ii)		 0
207,119 		0
0 		0
33,244 		0
0 		0
13,198 		0
253,561 		0
0
(4)WILLIAM C MASONFORMER CEO (i)
(ii)		 0
0 		0
0 		232,937
0 		0
0 		0
0 		232,937
0 		232,500
0
(5)HARVEY GRANGERSVP/GENERAL COUNSEL/ASST SECRETARY/ASST TREASURER (i)
(ii)		 366,616
0 		105,000
0 		15,000
0 		196,051
0 		19,231
0 		701,898
0 		0
0
(6)MICHAEL LUKASZEWSKISVP/CFO (i)
(ii)		 395,982
0 		280,707
0 		15,000
0 		4,462
0 		15,774
0 		711,925
0 		0
0
(7)KEITH L STEIN MDSVP/CHIEF MEDICAL OFFICER (i)
(ii)		 430,698
0 		120,000
0 		12,000
0 		94,897
0 		19,489
0 		677,084
0 		0
0
(8)MICHAEL A MAYOSVP/ADMINISTRATOR OF BMC (i)
(ii)		 373,875
0 		102,000
0 		10,000
0 		115,976
0 		19,370
0 		621,221
0 		0
0
(9)MICHAEL AUBINSVP/ADMINISTRATOR OF WCH (i)
(ii)		 348,649
0 		99,250
0 		10,000
0 		104,858
0 		19,241
0 		581,998
0 		0
0
(10)RONALD G ROBINSONVP/ADMINISTRATOR OF BMCS (i)
(ii)		 253,927
0 		51,000
0 		30,000
0 		67,530
0 		18,262
0 		420,719
0 		0
0
(11)ROLAND A GARCIASVP/CIO (i)
(ii)		 340,768
0 		100,500
0 		10,000
0 		84,368
0 		11,987
0 		547,623
0 		0
0
(12)EDWARD H SIMPRESIDENT, PHYSICIAN INTEGRATION (i)
(ii)		 293,633
0 		72,500
0 		10,000
0 		79,330
0 		17,971
0 		473,434
0 		0
0
(13)SERGE VILVAR MDPHYSICIAN - PSYCHIATRIST (i)
(ii)		 391,952
0 		0
0 		20,800
0 		12,113
0 		12,478
0 		437,343
0 		0
0
(14)DIANE RAINESSVP & CHIEF NURSING OFFICER (i)
(ii)		 266,446
0 		72,000
0 		10,000
0 		68,154
0 		19,410
0 		436,010
0 		0
0
(15)AUDREY MORANSVP, SOCIAL RESPONSIBILITY/COMMUNITY ADVOCACY (i)
(ii)		 273,176
0 		71,250
0 		10,000
0 		45,713
0 		2,161
0 		402,300
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan BAPTIST HEALTH SYSTEM, INC. (BHS), PARENT AFFILIATE OF SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (SBHF), 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 PANS 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 CALENDAR YEAR 2013: A.HUGH GREENE, $459,770, JOHN F. WILBANKS, $192,103, HARVEY GRANGER, $158,310, MICHAEL MAYO, $105,776, MICHAEL AUBIN, $99,120, EDWARD H. SIM, $67,218, KEITH STEIN, $59,311, ROLAND GARCIA, $46,904, DIANE RAINES, $37,886, AUDREY MORAN, $35,313, AND RONALD ROBINSON, $32,505. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH OF THE LISTED INDIVIDUALS.
Schedule J, Part I, Line 6a, Compensation contingent on net earnings of the organization THE ORGANIZATION'S COMPANY POLICY PROVIDES FOR ANNUAL REVIEWS OF ALL EMPLOYEES. AN EMPLOYEE'S PERFORMANCE INCLUDES AN EVALUATION BY THE EMPLOYEE AND SUPERVISOR IN MEETING INDIVIDUAL AND ORGANIZATIONAL GOALS. BASED ON AN EMPLOYEE'S PERFORMANCE IN MEETING THESE GOALS AND THE OPERATING MARGIN OF THE ORGANIZATION FOR THE FISCAL YEAR, A BONUS MAY BE PAID TO EMPLOYEES AT THE MANAGERIAL LEVEL AND ABOVE, INCLUDING THOSE LISTED IN SCHEDULE J, AND IS INCLUDED IN THE EMPLOYEE'S W-2 REPORTABLE COMPENSATION.
Schedule J (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number
59-0747311
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003A 		  12-01-2011 70,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003B 		469404UH8 12-01-2011 35,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY FIXED RATE HOSPITAL REVENUE EXTEND
ABLE NOTES SERIES 2003C 		469404TU1 12-01-2011 20,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2004 		  12-01-2011 50,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE BONDS SERIES 2007
A 		469404UA3 02-22-2007 66,726,413 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE EXT
ENDABLE NOTES SERIES 2007B 		469404UL9 12-01-2011 27,750,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE REFUNDIN
G EXTENDABLE NOTES SERIES 2007CDE 		  12-01-2011 92,984,049 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE NOTES SE
RIES 2009 		  09-15-2009 30,000,000 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010A 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALT FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDABL
E NOTES SERIES 2010B 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010C 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012A 		  03-28-2011 25,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012B 		  03-28-2011 20,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012C 		  03-28-2011 15,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012D 		  03-28-2011 40,000,000 HOSPITABLE CAPITAL EXPENDITURES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 70,000,000 35,000,000 20,000,000 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 288,960 144,480 82,560 251,698
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 69,711,040 34,855,520 19,917,440 49,748,302
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2003 2003 2003 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . WELLS FARGO
  		WELLS FARGO
  		UBS AND WELLS FARGO BANKS
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the hedge superintegrated? . . . .   X   X   X X  
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART I, COLUMN (C), SERIES 2007 CDE CUSIP #'S: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number
59-0747311
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003A 		  12-01-2011 70,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003B 		469404UH8 12-01-2011 35,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY FIXED RATE HOSPITAL REVENUE EXTEND
ABLE NOTES SERIES 2003C 		469404TU1 12-01-2011 20,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2004 		  12-01-2011 50,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE BONDS SERIES 2007
A 		469404UA3 02-22-2007 66,726,413 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE EXT
ENDABLE NOTES SERIES 2007B 		469404UL9 12-01-2011 27,750,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE REFUNDIN
G EXTENDABLE NOTES SERIES 2007CDE 		  12-01-2011 92,984,049 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE NOTES SE
RIES 2009 		  09-15-2009 30,000,000 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010A 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALT FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDABL
E NOTES SERIES 2010B 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010C 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012A 		  03-28-2011 25,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012B 		  03-28-2011 20,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012C 		  03-28-2011 15,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012D 		  03-28-2011 40,000,000 HOSPITABLE CAPITAL EXPENDITURES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 70,000,000 35,000,000 20,000,000 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 288,960 144,480 82,560 251,698
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 69,711,040 34,855,520 19,917,440 49,748,302
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2003 2003 2003 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . WELLS FARGO
  		WELLS FARGO
  		UBS AND WELLS FARGO BANKS
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the hedge superintegrated? . . . .   X   X   X X  
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART I, COLUMN (C), SERIES 2007 CDE CUSIP #'S: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number
59-0747311
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003A 		  12-01-2011 70,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003B 		469404UH8 12-01-2011 35,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY FIXED RATE HOSPITAL REVENUE EXTEND
ABLE NOTES SERIES 2003C 		469404TU1 12-01-2011 20,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2004 		  12-01-2011 50,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE BONDS SERIES 2007
A 		469404UA3 02-22-2007 66,726,413 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE EXT
ENDABLE NOTES SERIES 2007B 		469404UL9 12-01-2011 27,750,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE REFUNDIN
G EXTENDABLE NOTES SERIES 2007CDE 		  12-01-2011 92,984,049 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE NOTES SE
RIES 2009 		  09-15-2009 30,000,000 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010A 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALT FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDABL
E NOTES SERIES 2010B 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010C 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012A 		  03-28-2011 25,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012B 		  03-28-2011 20,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012C 		  03-28-2011 15,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012D 		  03-28-2011 40,000,000 HOSPITABLE CAPITAL EXPENDITURES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 70,000,000 35,000,000 20,000,000 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 288,960 144,480 82,560 251,698
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 69,711,040 34,855,520 19,917,440 49,748,302
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2003 2003 2003 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . WELLS FARGO
  		WELLS FARGO
  		UBS AND WELLS FARGO BANKS
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the hedge superintegrated? . . . .   X   X   X X  
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART I, COLUMN (C), SERIES 2007 CDE CUSIP #'S: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number
59-0747311
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003A 		  12-01-2011 70,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2003B 		469404UH8 12-01-2011 35,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY FIXED RATE HOSPITAL REVENUE EXTEND
ABLE NOTES SERIES 2003C 		469404TU1 12-01-2011 20,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2004 		  12-01-2011 50,000,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE BONDS SERIES 2007
A 		469404UA3 02-22-2007 66,726,413 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VARIABLE RATE HOSPITAL REVENUE EXT
ENDABLE NOTES SERIES 2007B 		469404UL9 12-01-2011 27,750,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE REFUNDIN
G EXTENDABLE NOTES SERIES 2007CDE 		  12-01-2011 92,984,049 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE NOTES SE
RIES 2009 		  09-15-2009 30,000,000 HOSPITAL CAPITAL IMPROVEMENTS   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010A 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALT FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDABL
E NOTES SERIES 2010B 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2010C 		  12-01-2011 24,400,000 PROCEEDS USED TO CURRENTLY REFUND PRIOR ISSUE   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012A 		  03-28-2011 25,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012B 		  03-28-2011 20,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012C 		  03-28-2011 15,000,000 HOSPITAL CAPITAL EXPENDITURES   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY VAR RATE HOSPITAL REVENUE EXTENDAB
LE NOTES SERIES 2012D 		  03-28-2011 40,000,000 HOSPITABLE CAPITAL EXPENDITURES   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 70,000,000 35,000,000 20,000,000 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 288,960 144,480 82,560 251,698
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 69,711,040 34,855,520 19,917,440 49,748,302
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2003 2003 2003 2004
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . . X   X   X   X  
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . WELLS FARGO
  		WELLS FARGO
  		UBS AND WELLS FARGO BANKS
  		 
 
c Term of hedge . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the hedge superintegrated? . . . .   X   X   X X  
e Was the hedge terminated? . . . . . .   X   X   X   X
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . . 0.0 0.0 0.0 0.0
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART I, COLUMN (C), SERIES 2007 CDE CUSIP #'S: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) HARDEN & ASSOCIATES INC
  		DIRECTOR 924,221 EMPLOYEE BENEFITS INSURANCE COMMISSIONS   No
(2) HARDEN & ASSOCIATES INC
  		DIRECTOR 241,117 INSURANCE CONSULTING FEES   No
(3) BORLAND-GROOVER CLINIC PA
  		DIRECTOR 179,463 LEASE PAYMENTS TO FILING ORGANIZATION   No
(4) EDENS LAURENCE J
  		FAMILY MEMBER OF A CURRENT OFFICER 20,823 EMPLOYED BY FILING ORGANIZATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Return Reference Explanation
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, BAPTIST HEALTH SYSTEM, INC., WHOSE BOARD OF DIRECTORS ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body 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.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS OF BAPTIST HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO REMOVE DIRECTORS OF THE ORGANIZATION AND MUST APPROVE ANY AMENDMENTS TO THE GOVERNING DOCUMENTS OF THE ORGANIZATION.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body WHILE THE ORGANIZATION'S GOVERNING BODY DID NOT REVIEW THE FORM 990, THE BOARD OF DIRECTORS OF BAPTIST HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, WAS PROVIDED THE ORGANIZATION'S ENTIRE FORM 990 PRIOR TO ITS FILING VIA A LINK TO A PASSWORD-PROTECTED WEBSITE.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, BAPTIST HEALTH SYSTEM, INC., HAS APPOINTED A CONFLICTS OF INTEREST COMMITTEE WHICH REGULARLY REVIEWS THE REQUIRED DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST BY THE DIRECTORS AND OFFICERS OF THE ORGANIZATION AND ITS AFFILIATES AND RECOMMENDS ANY ACTION TO BE TAKEN WITH REGARD TO SUCH DISCLOSURES. IN ACCORDANCE WITH THE CONFLICTS OF INTEREST POLICY, DURING MEETINGS OF THE ORGANIZATION'S GOVERNING BODY, A DIRECTOR WHO MAY HAVE A CONFLICT OF INTEREST IS EXCUSED FROM DISCUSSION BY THE GOVERNING BODY ABOUT ANY TRANSACTION OR MATTER THAT MAY HAVE GIVEN RISE TO THE DIRECTOR'S ACTUAL OR POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, BHS'S COMPENSATION COMMITTEE (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ENGAGES ANNUALLY A THIRD PARTY COMPENSATION CONSULTANT WHO PROVIDES A DATABASE COMPOSED OF CURRENT DATA REGARDING COMPENSATION PAID FOR EACH EXECUTIVE POSITION BY SIMILARLY SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE COUNTRY. THESE HEALTH SYSTEMS ARE GENERALLY THE SAME SIZE AS BHS, CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS. THE GROUP OF COMPARATOR COMPANIES THAT IS DERIVED BASED ON THE ABOVE STATED PARAMETERS COMPRISE THE "MARKET". WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT HEALTH SYSTEM EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON THE HEALTH SYSTEM'S AND THE INDIVIDUAL'S PERFORMANCE. THE OBJECTIVE IS TO HAVE A STRONG LINK BETWEEN HEALTH SYSTEM AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF THE HEALTH SYSTEM AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER THE HEALTH SYSTEM OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. THE MINUTES OF THE ANUNUAL COMPENSATION COMMITTEE ARE RECORDED BY THE COMMITTEE'S COMPENSATION CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF SUCH COMMITTEE.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE INCLUDED IN THE EXECUTIVE COMPENSATION POLICY DESCRIBED ON FORM 990, PART VI, LINE 15A. THIS PROCESS IS USED TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS FOR EACH CALENDAR YEAR.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public 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. THE ORGANIZATION ALSO MAKES ITS FORM 990 AVAILABLE AT THE WEBSITE GUIDESTAR.ORG.
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances UNREALIZED GAIN (LOSS) ON INTEREST RATE SWAP AGREEMENTS - -70413; CHANGES RELATED TO PENSION AND EXECUTIVE COMPENSATION OTHER THAN PERIOD COSTS - -45904184; TRANSFERS FROM (TO) AFFILIATED ORGANIZATIONS - -19228430; ALL OTHER UNRESTRICTED NET ASSET CHANGES, NET - -156436; TEMPORARILY RESTRICTED CONTRIBUTIONS - 3907277; TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS - -3012217; OTHER TEMPORARILY RESTRICTED NET ASSET CHANGES - 1215; PERMANENTLY RESTRICTED CONTRIBUTIONS - 7025972; PERMANENTLY RESTRICTED NET ASSET TRANSFERS FOR ENDOWMENT MATCHING PROGRAM - 5148562;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
 
Employer identification number

59-0747311
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) BAPTIST MEDICAL CENTER OF THE BEACHES INC

1350 13TH AVE S

JACKSONVILLE BEACH,FL32250
59-2980620 		HOSPITAL FL 501(C)(3) 3 BAPTIST HEALTH SYSTEM INC
 
 
No
(2) BAPTIST MEDICAL CENTER OF NASSAU INC

1250 S 18TH ST

FERNANDINA BEACH,FL32034
59-3234721 		HOSPITAL FL 501(C)(3) 3 BAPTIST HEALTH SYSTEM INC
 
 
No
(3) BAPTIST HEALTH SYSTEM INC

841 PRUDENTIAL DR STE 1602

JACKSONVILLE,GA32207
59-2487136 		MANAGEMENT ASSISTANCE FOR HOSPITALS AND SUPPORTING ORGANIZATIONS FL 501(C)(3) 11 - Type I NA
 
 
No
(4) BAPTIST HEALTH SYSTEM FOUNDATION INC

841 PRUDENTIAL DR 13TH FLR

JACKSONVILLE,FL32207
59-2487135 		FUNDRAISING FOR HEALTH SYSTEM FL 501(C)(3) 7 BAPTIST HEALTH SYSTEM INC
 
 
No
(5) BAPTIST HEALTH PROPERTIES INC

3563 PHILIPS HWY BLD F STE 608

JACKSONVILLE,FL32207
59-2487133 		MANAGE PROPERTY FOR HEALTH SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC
 
 
No
(6) BAPTIST HEALTH AMBULATORY SERVICES INC

3563 PHILIPS HWY BLD F STE 608

JACKSONVILLE,FL32207
59-3410739 		CANCER EDUCATION & RESEARCH FOR HEALTHCARE SYSTEM FL 501(C)(3) 11 - Type I BAPTIST HEALTH SYSTEM INC
 
 
No


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) PAVILION ASSOCIATES LTD

3563 PHILIPS HWY BLD F STE 608
JACKSONVILLE,FL32207
59-2505491 		NONRESIDENTIAL PROPERTY MANAGEMENT FL SOUTHERRN BAPTIST HOSPITAL OF FLORIDA INC
  		EXCLUDED 1,166,776 8,065,900   No     No 98.5 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) PAVILION HEALTH SERVICES

3563 PHILIPS HWY BLD F STE 608
JACKSONVILLE,FL32207
59-2059710 		PHYSICIAN PRACTICES/RETAIL PHARMACIES FL BAPTIST HEALTH SYSTEM INC
  		C CORPORATION 0 0 0 %    












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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Software Version: 2013v3.1