Form990
Department of the TreasuryInternal 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.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2017 , and ending 09-30-2018
BCheck if applicable:
CName of organization
Southern Baptist Hospital of Florida Inc
 
 
Doing business as
See Schedule O
 
Number and street (or P.O. box if mail is not delivered to street address)
1660 Prudential Dr 203
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Jacksonville, FL32207
D Employer identification number

59-0747311
E Telephone number

G Gross receipts $ 1,313,207,986
F Name and address of principal officer:
Brett S McClung
841 Prudential Dr Ste 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 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 8,082
6 Total number of volunteers (estimate if necessary) ............. 6 597
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 625,319
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 280,365
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,843,501 7,389,193
9 Program service revenue (Part VIII, line 2g) ......... 1,148,647,169 1,228,506,452
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 80,108,249 74,616,325
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,446,241 2,240,904
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,235,045,160 1,312,752,874
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,944,671 2,765,153
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) 521,814,867 518,101,127
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).... 552,160,448 577,751,791
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,075,919,986 1,098,618,071
19 Revenue less expenses. Subtract line 18 from line 12....... 159,125,174 214,134,803
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,716,265,797 2,869,599,575
21 Total liabilities (Part X, line 26)............. 1,005,229,010 949,072,185
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,711,036,787 1,920,527,390
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 (2019)
Form 990 (2019)
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 $ 1,076,369,020 including grants of $ 2,765,153 ) (Revenue $ 1,228,429,081 )
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/Baptist Jacksonville) and Baptist Medical Center South (BMCS), and three emergency departments: Baptist Emergency Center Clay, Baptist Emergency Town Center, and Baptist Emergency Center North. The primary program service accomplishments 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 691 and 269 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 the 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 2018, SBHF had 49,819 admissions accounting for 241,191 patient days, 270,269 emergency room visits, and 80,107 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 2018, SBHF provided the following uncompensated care and community benefit; (1) charity care - $35 million, (2) unreimbursed Medicaid costs - $83 million, (3) unreimbursed Medicare costs - $76 million, and (4) specific community programs - $13 million, for a total of $207 million of uncompensated care and community benefits. MD Anderson Cancer Center and Baptist Health have united to create Baptist MD Anderson Cancer Center. This partnership brings together MD Anderson's world-renowned cancer expertise and Baptist Health's comprehensive health system to create an unprecedented range of options for adult cancer patients in our region. The goal of the partnership is to provide the same high-level, multidisciplinary cancer care to patients in Northeast Florida that is available to MD Anderson patients in Houston. This includes all aspects along the continuum of cancer care -- patient care, research, education and prevention. The following are some of the awards and honors received by BMC and BMCS: (1) recipient from American Heart Association of gold plus quality achievement award for stroke program (Baptist Jacksonville), (2) named one of the 30 most nurse-friendly hospitals in the United States by toprntobsn.com (Baptist Jacksonville), (3) ranked in the top 50 by U.S. News & World Report in two specialties for 2018-19 America's best children's hospitals for pediatric neurology & neurosurgery and pediatric cancer (Wolfson Children's Hospital), and (4) 2017-21 magnet designation. 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 eight 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 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 expensesMediumBullet1,076,369,020
Form 990 (2019)
Form 990 (2019)
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 II.........
4
 
No
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 V......
10
 
 
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 IXClick to see attachment............
11d
Yes
 
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
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
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), 501(c)(4), and 501(c)(29) 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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
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............Click to see attachment
33
Yes
 
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
 
 
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
 
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
442
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
 
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
8,082
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
Yes
 
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
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring 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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
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
16
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
12
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-A 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletScott Finnegan841 Prudential Dr Ste 1602   Jacksonville,FL32207 (904) 202-3270
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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
0.5
.................
39.5
X   X       0 1,626,899 55,811
(2) Eric Mann
 
Vice Chairman
0.5
.................
0
X   X       0 0 0
(3) Michael Diaz
 
Secretary/Treasurer
0.5
.................
0
X   X       0 0 0
(4) Pam Chally RNPhD
 
Chairman
0.5
.................
0.2
X   X       0 0 0
(5) Asghar Syed
 
Director
0.1
.................
0
X           0 0 0
(6) Barbara G Jaffe
 
Director
0.1
.................
0
X           0 0 0
(7) Charles C Baggs
 
Director
0.1
.................
0
X           0 0 0
(8) Cynthia Bioteau PhD
 
Director
0.1
.................
0
X           0 0 0
(9) Ken Babby
 
Director
0.1
.................
0
X           0 0 0
(10) Rev Kyle T Reese
 
Director
0.1
.................
0
X           0 0 0
(11) Kyle Etzkorn MD
 
Director
0.1
.................
0
X           0 0 0
(12) M C Harden III
 
Director
0.1
.................
0.5
X           0 0 0
(13) Richard D Glock MD
 
Director
0.1
.................
39.9
X           0 274,246 10,641
(14) Robert E Hill Jr
 
Director
0.1
.................
0.1
X           0 0 0
(15) Rosa Beckett
 
Director
0.1
.................
0
X           0 0 0
(16) Terry West
 
Director
0.1
.................
0.1
X           0 0 0
(17) John F Wilbanks
 
Executive VP/COO
0.5
.................
39.5
    X       0 9,172,754 127,484
Form 990 (2019)
Form 990 (2019)
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) Scott Wooten
 
SVP/CFO
0.5
.......................39.5
    X       0 830,219 193,318
(19) Keith L Stein MD
 
SVP/Chief Medical Officer
0.5
.......................39.5
    X       0 652,678 143,181
(20) Harvey Granger
 
SVP/General Counsel/Asst Secretary/Asst Treasurer
0.5
.......................39.5
    X       0 602,897 64,807
(21) G Scott Baity
 
SVP/Gen Counsel/Asst Secretary/Asst Treasurer
0.5
.......................39.5
    X       0 281,252 45,450
(22) Michael A Mayo
 
Senior Vice President
40.0
.......................0
    X       781,586 0 31,610
(23) Michael A Aubin
 
Senior Vice President
40.0
.......................0
    X       1,618,553 0 31,610
(24) Nichole Thomas
 
Senior Vice President
40.0
.......................0
    X       432,126 0 59,140
(25) Jerry Bridgham
 
Chief Medical Officer
40.0
.......................0
        X   387,467 0 68,797
(26) Pierre Allaire PhD
 
VP & Chief Development Officer
39.5
.......................0.5
        X   376,870 0 23,591
(27) Serge Vilvar MD
 
Physician - Psychiatrist
40.0
.......................0
        X   410,065 0 26,654
(28) Shariq Refai
 
Physician-Psychiatrist
40.0
.......................0
        X   447,950 0 16,114
(29) Tammy Daniel DNPMARNNEA-BC
 
SVP & Chief Nursing Officer
40.0
.......................0
        X   314,151 0 69,866


1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,768,768 13,440,945 968,074
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet8
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
 
No
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
DPR Construction

315 E Robinson St
Suite 100
Orlando,FL32801
Construction 53,671,485
McKesson Corporation

4345 Southpoint Blvd
110
Jacksonville,FL32216
Medical Distributor 52,356,819
Owens & Minor Inc

8489 Westside Industrial Dr
Jacksonville,FL32219
Medical Distributor 42,763,739
Batson-Cook Company

8860 Philips Hwy
Jacksonville,FL32256
Construction 20,401,907
Haskell Company

111 Riverside Ave
Jacksonville,FL32202
Construction 13,984,843
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet538
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 6,972,804
e Government grants (contributions)1e 31,266
f All other contributions, gifts, grants, and similar amounts not included above1f 385,123
g Noncash contributions included in lines 1a - 1f:$ 1g 0
h Total. Add lines 1a-1f.......MediumBullet 7,389,193
 Program Service RevenueAmt Business Code
2a Patient Service Revenues, Net 621990 1,208,860,381 1,208,860,381 0 0
b Hospital Cafeteria 722514 6,880,596 6,880,596 0 0
c Hospital Program Revenue 621990 9,277,396 9,277,396 0 0
d Health & Fitness Center 713940 154,068 154,068 0 0
e Rental Revenue 531120 344,536 344,536 0 0
f All other program service revenue. 2,989,475 2,906,257 83,218 0
g Total. Add lines 2a–2f .....MediumBullet 1,228,506,452
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 74,403,777 0 0 74,403,777
4 Income from investment of tax-exempt bond proceedsMediumBullet 0 0 0 0
5 Royalties...........MediumBullet 0 0 0 0
(ii) Personal (i) Real
6a Gross rents 0 2,208,837 6a
b Less: rental expenses 0 455,112 6b
c Rental income or (loss) 0 1,753,725 6c
d Net rental income or (loss).......MediumBullet 1,753,725 0 60,769 1,692,956
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 212,548 0 7a
b Less: cost or other basis and sales expenses 0 0 7b
c Gain or (loss) 212,548 0 7c
d Net gain or (loss).........MediumBullet 212,548 0 0 212,548
8a Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0 0 0
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0 0 0 0
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0 0 0 0
Business Code Miscellaneous Revenue
11a Reference lab revenues 621500 481,332 0 481,332 0
b Miscellaneous Revenue 900099 5,847 5,847 0 0
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 487,179
12 Total revenue. See instructions.....MediumBullet 1,312,752,874 1,228,429,081 625,319 76,309,281
Form 990 (2019)
Form 990 (2019)
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 domestic organizations and domestic governments. See Part IV, line 21 .... 2,765,153 2,765,153
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ........... 2,261,815 1,809,452 452,363 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........ 378,722,071 373,911,203 4,810,868 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 19,894,701 19,649,944 244,757 0
9 Other employee benefits ....... 88,191,055 87,106,305 1,084,750 0
10 Payroll taxes ........... 29,031,485 28,766,761 264,724 0
11 Fees for services (non-employees):        
a Management ...... 6,776,511 5,869,979 906,532 0
b Legal ......... 740,805 626,425 114,380 0
c Accounting ........... 537,684 454,665 83,019 0
d Lobbying ........... 0 0 0 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) 76,747,935 64,898,054 11,849,881 0
12 Advertising and promotion .... 123,054 94,525 28,529 0
13 Office expenses ....... 52,389,129 51,897,210 491,919 0
14 Information technology ...... 3,665,135 3,630,316 34,819 0
15 Royalties .. 146,514 124,537 21,977 0
16 Occupancy ........... 23,382,886 23,095,277 287,609 0
17 Travel ............ 998,193 985,915 12,278 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 .... 661,246 653,113 8,133 0
20 Interest ........... 22,426,105 22,150,264 275,841 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 88,343,729 87,257,102 1,086,627 0
23 Insurance ... 13,793,693 13,624,030 169,663 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 Hospital/Medical Supplies 265,034,419 265,034,419 0 0
b Patient Transportation 2,722,464 2,722,464 0 0
c Patient Reference Lab 3,427,456 3,427,456 0 0
d AHCA & NICA ASsessments 14,322,174 14,322,174 0 0
e All other expenses 1,512,659 1,492,277 20,382 0
25 Total functional expenses. Add lines 1 through 24e 1,098,618,071 1,076,369,020 22,249,051 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).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 16,255 1 18,195
2 Savings and temporary cash investments ......... 2,106,871 2 0
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 206,480,832 4 186,024,812
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 89,684,752 7 0
8 Inventories for sale or use ............ 17,875,529 8 18,216,247
9 Prepaid expenses and deferred charges ...... 8,082,349 9 9,421,013
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,918,123,135
b Less: accumulated depreciation 10b 973,172,029 817,617,619 10c 944,951,106
11 Investments—publicly traded securities . 1,407,071,115 11 1,388,379,259
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 5,754,175 14 5,754,175
15 Other assets. See Part IV, line 11 ........... 161,576,300 15 316,834,768
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,716,265,797 16 2,869,599,575
Liabilities 17 Accounts payable and accrued expenses ..... 146,580,866 17 226,082,794
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 699,933,158 20 601,152,206
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 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 158,714,986 25 121,837,185
26 Total liabilities. Add lines 17 through 25.. 1,005,229,010 26 949,072,185
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 0 31 0
32 Total net assets or fund balances ........... 1,711,036,787 32 1,920,527,390
33 Total liabilities and net assets/fund balances ........ 2,716,265,797 33 2,869,599,575
Form 990 (2019)
Form 990 (2019)
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
1,312,752,874
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,098,618,071
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
214,134,803
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,711,036,787
5
Net unrealized gains (losses) on investments ...............
5
463,007
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
-5,107,207
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,920,527,390
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 (2019)
Form 990 (2019)
Additional Data


Software ID: 17005876
Software Version: 2017v2.2
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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 VI.)..            
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 section 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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (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 VI.) ..            
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number
59-0747311
Part I
Contributors
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
 
 
 
 

$  


(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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number

59-0747311
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2019)

Additional Data


Software ID: 17005876
Software Version: 2017v2.2
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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)
Revenue included on 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 FASB ASC 958 relating to these items:
a
Revenue included on 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) 2019

Schedule D (Form 990) 2019
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" on 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, for escrow or custodial account liability? ...
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 130,883,252 87,206,094 62,217,315 44,527,713 30,146,155
b Contributions ... 15,629,958 35,812,484 19,367,003 21,046,573 12,175,877
c Net investment earnings, gains, and losses 6,676,974 10,294,301 6,857,816 -1,141,894 2,922,133
d Grants or scholarships ... 0 0 0 0 0
e Other expenditures for facilities
and programs ...
4,523,944 2,429,627 1,236,040 2,215,077 716,452
f Administrative expenses .... 0 0 0 0 0
g End of year balance ...... 148,666,240 130,883,252 87,206,094 62,217,315 44,527,713
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet6.9 %
b
Permanent endowment SchDMd Bullet90.46 %
c
Term endowment SchDMd Bullet2.64 %
The percentages on 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" on 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" on 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 .....   34,671,058 34,671,058
b Buildings ....   1,119,481,450 401,826,327 717,655,123
c Leasehold improvements   8,234,247 3,216,555 5,017,692
d Equipment ....   704,369,492 562,664,261 141,705,231
e Other .....   51,366,888 5,464,886 45,902,002
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 944,951,106
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on 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........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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' on 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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Other assets 44,414,938
(2)Interest in net assets of Baptist Health System Foundation, Inc. 156,442,097
(3)Due From Affiliated Organizations 38,340,625
(4)Advances to Affiliated Organizations 77,637,108
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 316,834,768
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 121,837,185
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) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
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  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
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  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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 With few exceptions, Southern Baptist Hospital of Florida, Inc. is no longer subject to examinations by major tax jurisdictions for years ended September 30, 2015 and prior. Management does not believe there are any material uncertain positions.
Schedule D (Form 990) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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 criteria used 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) . . .
0 0 34,917,685 0 34,917,685 3.18 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 201,988,504 118,986,967 83,001,537 7.56 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 236,906,189 118,986,967 117,919,222 10.73 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 0 0 2,309,395 0 2,309,395 0.21 %
f Health professions education (from Worksheet 5) . . . 0 0 2,785,983 0 2,785,983 0.25 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 27,601,203 22,937,874 4,663,329 0.42 %
h Research (from Worksheet 7) . 0 0 0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 0 0 2,855,172 0 2,855,172 0.26 %
j Total. Other Benefits . . 0 0 35,551,753 22,937,874 12,613,879 1.15 %
k Total. Add lines 7d and 7j . 0 0 272,457,942 141,924,841 130,533,101 11.88 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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         0 0 %
2 Economic development 1       0 0 %
3 Community support 3       0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building 27       0 0 %
7 Community health improvement advocacy 36       0 0 %
8 Workforce development 3       0 0 %
9 Other 3       0 0 %
10 Total 73 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 Healthcare 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
61,406,019
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
288,818,607
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
364,788,048
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-75,969,441
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) 2019
Schedule H (Form 990) 2019
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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
2 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
1 BAPTIST MEDICAL CENTER SOUTH
144550 OLD ST AUGUSTINE RD
JACKSONVILLE,FL32258
www.baptistjax.com
4448
X X         X     A
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.baptistjax.com/patient-info/financial-assistance
b
https://www.baptistjax.com/patient-info/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 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
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. Community health needs were identified by collecting and analyzing data and information from multiple quantitative and qualitative sources. Considering information from a variety of sources is important when assessing community health needs, to ensure the assessment captures a wide range of facts and perspectives and to assist in identifying the highest-priority health needs. Statistics for numerous health status, health care access, and related indicators were analyzed, including from local, state, and federal public agencies, local community service organizations, and hospital members of The Partnership. Comparisons to benchmarks were made where possible. Details from the quantitative data are presented in the CHNA Data and Analysis section of this report, followed by a review of the principal findings of health assessments and reports conducted by other organizations in the community in recent years. Input from 195 persons representing the broad interests of the community was taken into account via 12 key informant interview sessions, nine focus groups, and four town hall meetings. Interviews included: individuals with special knowledge of or expertise in public health; the local public health department; agencies with current data or information about the health needs of the community; and leaders, representatives, and members of medically underserved, low income, and minority populations, and populations with chronic disease needs. Duval County Department of Health staff, working under subcontract with Verite, conducted and summarized results from the key informant interviews and community meetings.
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. 11 hospitals: (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Brooks Rehabilitation Hospital, Mayo Clinic Florida, St. Vincent's Medical Center Riverside, St. Vincent's Medical Center South, St. Vincent's Medical Center Clay and UF Health Jacksonville)
Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. Public release was held April 28, 2016 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment and the needs prioritized by each hospital. The public release was attended by approximately 75 people including media representatives. Newspaper articles and radio and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - http://jacksonville.com/news/metro/2016-04-28/story/what-are-jacksonvilles-biggest-health-needs-these-hospitals-have-some.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Southern Baptist Hospital of Florida, Inc. (dba BMC "Downtown"). Diabetes: To address this need, Baptist Medical Center Jacksonville will undertake the following program initiatives: Continue the 8 Weeks to Healthy Living program and look for ways to increase participation and completion of this program through faith-based and other community partnerships, Continue its partnership with the YMCA and JCA to provide prevention and maintenance education on diabetes. The number of people served through these facilities is expected to grow over the next three years as additional locations are added, Provide free BMI and blood glucose screenings at community health fairs and offer follow-up resources for those who are found to be high-risk for developing diabetes. Provide health literature on diabetes prevention and maintenance at all health screenings, Provide care coordination services for pre-diabetic and diabetic patients in Baptist Primary Care offices. Care coordinators work with patients to educate them on prevention and disease management as well as directing patients to appropriate community resources for additional support, Continue to refer patients to the outpatient diabetes educational program located on the Baptist Medical Center Jacksonville campus, Offer education and provide resources regarding diabetes prevention and disease management at local community events that Baptist sponsors or participates in, Work with community organizations to increase awareness in the community about preventing Type II diabetes and provide additional support and resources regarding lifestyle maintenance, Continue to financially support community organizations who are committed to reducing the incidence of diabetes in the community and/or providing support, education and coaching to those with Type II diabetes in order to prevent hospitalizations and improve mortality. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Jacksonville anticipates collaborating with the following organizations: Faith-based partners, YMCA, JCA, American Association of Diabetes Educators, American Diabetes Association, Duval County Department of Health: A New DEAL Diabetes Program, and Duval County Public Schools. Anticipated Impacts: Increased awareness about lifestyle risks that lead to the development of Type II Diabetes, Increased awareness about the maintenance of Type II Diabetes from the baseline of Duval County ranking 41st out of the 67 counties in Florida for diabetic screening Evaluation Plan: Baptist Medical Center Jacksonville will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Measure the number of pre-diabetic and diabetic patients who receive care coordination services within Baptist Primary Care, Measure the number of patients served through the outpatient diabetes educational program at Baptist Medical Center Jacksonville, Track the participants in the 8 Weeks to Healthy Living Program and record outcomes and improvements in health screening categories, Track the number of people educated at community events, Track the number of people served through our affiliations with the YMCA and JCA, Track the number of diabetic patients who receive care coordination services through Baptist Primary Care and measure outcomes and health status. Program Results: 8 Weeks to Healthy Living: Five programs were held in Jacksonville during FY18. 119 participants enrolled (82 in FY17), 67 completed the program (61 in FY17), total of 115.2 lbs lost to those who completed the program (197.6 lbs in FY17), Healthy Living Centers: Baptist North, Johnson Y, Riverside Y, and JCA served 1,749 individuals during FY18 (1,060 in FY17), providing 800 1-hour biometric screenings (571 in FY17) and 2,024 health coaching sessions (820 in FY17). These sites also held 60 programs where physicians and other health experts provided education and answered health questions from participants (65 in FY17). Four "Road to Wellness" 4-week classes were offered. Two free yoga classes and 10 bod pod sessions were offered at the Riverside Y. Health Screenings: BMC- J participated in over 19 health fairs and community events during FY18 at which health screenings were provided (29 in FY17). Diabetes prevention and maintenance health literature was provided at all screenings. 514 people received a health screening (blood pressure, BMI and/or blood glucose) (1,199 in FY17) and 373 people were identified with abnormal results (451 in FY17). Those with abnormal results received a follow-up call from a Social Responsibility staff member who connected them to a primary care clinic if they had not already done so themselves. Care Coordination for Diabetic Patients: BPP continued to provide care coordinators for medically complex patients during FY18. Community Classes: A Heart Health Workshop was held with Faith Partner Daysprings Baptist Church; 26 people attended. A second Heart Health Class was held with Faith Partner West Union Baptist Church; 29 people attended. A Stroke Education Session was offered in partnership with Clara White Mission; 14 people attended. A Diabetes Education Session was held for Community Partner Clara White Mission on April 2, 2018; 14 people attended. A Nutrition Class for Community Partner Clara White Mission was hosted on April 2, 2018; 14 people attended. Community Partnership: Diabetes Panel - Baptist Health Team Member participated in a diabetes panel discussion at MOSH November 2017, Edward Waters College - 53 students and faculty participated in a healthy cooking/eating demonstration offered in partnership with the YMCA in September 2018. Strategic Investments: Provided funding to Muslim American Social Services to provide primary care for people who live in Duval County and do not have health insurance. MASS provided health services to 1,397 patients (1,333 in FY17), 881 who were treated for diabetes (231 in FY17), Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 1,619 people were screened for diabetes (1,493 in FY17), 208 were treated (314 in FY17), More than 139,000 adults, children and young people attended the MOSH interactive health education exhibit, which includes information about healthy eating and exercise, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 607 patients were screened for diabetes (5,397 in FY17) with 443 receiving treatment (2,612 in FY17), Provided funding to Pine Castle to provide nursing care oversight for participants in the Adult Day Training program. The clinic nurse on site monitored the health and administered medicine for 289 people (280 in FY17) including 38 people with diabetes (6 in FY17), Provided funding to Community Health Outreach to provide primary care to residents of Duval County who are un- or under-insured. 350 patients were seen at CHO (571 in FY17) and 326 were diagnosed with diabetes with 289 patients seeing improvement. Provided funding to UNF for the Meals on Wings program to provide healthy meals to seniors on the waiting list for home-delivered meals. Twenty seniors received home delivered meals.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Southern Baptist Hospital of Florida, Inc. (dba BMC "Downtown"). Mental Health: To address this need, Baptist Health Medical Center Jacksonville will undertake the following program initiatives: Partner with Adult Mental Health First Aid trained facilitators to offer training for non-clinicians in the service area. Mental Health First Aid is an eight-hour course that teaches participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The training helps participants identify, understand, and respond to signs of mental illnesses and substance-use disorders. Potential partners include Starting Point and Mental Health American, among others, Partner with United Way of Northeast Florida to develop and implement a community-wide effort to reduce stigma associated with mental illness and increase access to care, Provide mindfulness training and coaching through Y Health Living Centers and JCA Health Connexions, Provide information on mental health resources at community events, Host free postpartum support groups for all new mothers in the community, regardless of whether they are a Baptist Health patient, Partner with faith-based organizations to offer Faith and Mental Health education, Evaluate the impact of a geriatric psychiatric unit on the Baptist Medical Center Jacksonville campus in order to increase access and improve the quality of care received, Collaborate with other community providers to develop an integrated care clinic or clinics that will provide additional pediatric mental health resources in the community, Continue to provide financial investments to community organizations that are committed to increasing access to mental health services and/or decreasing stigma. Planned Collaborations: In implementing the above initiatives, Baptist Health Medical Center Jacksonville anticipates collaborating with the following organizations: United Way of Northeast Florida, YMCA, JCA, Starting Point, Mental Health America, and Others. Anticipated Impacts: Increased access to mental health services since Northeast Florida is the second-lowest funded region in Florida, Decreased stigma in the community surrounding mental health, Goal is to train 10,000 people in the community Mental Health First Aid classes. Evaluation Plan: Baptist Health Medical Center Jacksonville will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. An evaluation of mental health awareness, attitudes and access will be included in the United Way effort, The number of participants in the Youth Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in the Adult Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor admissions in emergency department related to mental health, and Monitor rates of suicide in the community. Program Results: Stigma Reduction: In FY18, Baptist Health entered into a partnership with the Community Foundation of Northeast Florida, named "The Partnership for Mental Health." The partnership will continue Baptist Health's work to lift the stigma of seeking mental health care and will lead innovative mental health initiatives, Health Fairs and Community Events: BMC-Jacksonville participated in 20 health fairs and community events during FY18 (29 in FY17) in which mental health education literature was provided as well as literature highlighting local resources, workshops, and trainings. Any participant who received a health screening was asked about their current mental health; those identified at risk received counseling from an RN and were directed to follow-up resources, Mental Health First Aid: Baptist Health continues to fund, promote and offer free Adult and Youth Mental Health First Aid training as a member organization of the Jacksonville Nonprofit Hospital Partnership. During FY18, over 2,650 northeast Floridians were trained in Adult Mental Health First Aid (3,094 in FY17). Baptist Health also coordinated Youth Mental Health First Aid classes, Faith & Mental Health Conference: On April 26, 2018 Baptist Health hosted this free conference, which included a keynote presentation, lunch and three breakout sessions: Spirituality & Addiction; Faith and Stigma; and Senior Isolation and Dementia. More than 160 faith partners and community members participated (130 in FY17), Faith and Health Volunteer Program - 4 volunteers participated in this program at Baptist MD Anderson Cancer Center (9 in FY17), Y Healthy Living Centers and JCA: Baptist North, Johnson Y, Riverside Y and JCA each offered a Road to Wellness 4-week class. JCA and the Riverside Y hosted 51 Healing Touch sessions and 96 demonstrations. The Riverside Y offered 32 free meditation classes with 234 visits, 2 free yoga for cancer survivor classes (16 in FY17), 10 bod pod sessions, 5 bariatric support group sessions, 7 Moms Matter support group sessions, and 12 National Alliance for Mental Illness support group sessions, Spirit of Caregiving: Two 2-day mental health retreats for Jacksonville University nursing students were hosted with 70 total participants (November 2017 and April 2018) (41 participants in FY17), Community Collaborations: Opioid Crisis - in FY18 Baptist Health's leadership initiated and advanced a local collaboration to address the opioid crisis, Duval County Public Schools mental health quality, sustainability and expansion consultation: Baptist Health leadership participated in this consultation process. The goals of the consultation focused on identifying feasible and sustainable financing mechanisms to support school mental health programming and services, additional professional development to ensure quality service delivery, and refining the RFP process to expand United Way's Full Service School PLUS model. Strategic Investments: Provided funding to The Women's Center of Jacksonville to provide mental health counseling for women who cannot afford counseling. 140 women were provided therapy (165 in FY17), Provided funding to Pine Castle for a clinical site nurse who served 289 individuals in Pine Castle's Adult Day Training program (280 in FY17), 41 of whom participated in psycho-social rehabilitation (24 in FY17), Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 458 people were screened for behavioral health services (390 in FY17) and 60 received treatment (50 in FY17), More than 139,000 adults, children and young people attended the MOSH interactive health education exhibit, which includes information about the brain and mental illness, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 843 patients were screened for mental illness (5,483 in FY17) with 778 receiving treatment (654 in FY17), Provided funding to Project for Healing to provide mental health case management for 200 refugees who resettled in Duval County (78 in FY17), Provided funding to UNF to initiate a mental health nurse practitioner graduate program, Provided funding to Seniors on A Mission to provide volunteer opportunities, Provided funding to Mental Health America of Northeast Florida to increase awareness of and advocacy for additional mental health services in our community resulting in increased funding and legislation that expands the capacity of mental health services in northeast Florida, Provided funding to The Partnership: For Mental Health to reduce stigma and increase access to mental health care, Provided funding to implement Calm Classroom, a meditation curriculum, in 24 Duval County Elementary, Middle, and High Schools, and Provided funding to Starting Point Behavioral Health to train residents in Nassau and Duval County in Mental Health First Aid. 429 people received training and were certified as Mental Health First Aiders
Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - Southern Baptist Hospital of Florida, Inc. (dba BMC "Downtown"). Smoking: To address this need, Baptist Health Medical Center Jacksonville will undertake the following program initiatives: Utilize its partnership with MD Anderson Cancer Center to increase awareness about lifestyle factors, particularly the use of tobacco, that are linked to developing cancer and provide resources and information on prevention within the Baptist MD Anderson Cancer Center, Provide low-dose CT lung cancer screenings in the community, Increase the amount of inpatient and outpatient referrals to Northeast Florida AHEC for smoking cessation by educating Baptist Primary Care physicians about the referral process, Provide information at health fairs and other community events about the health risks associated with smoking and resources for smoking cessation, Train Baptist Health Social Responsibility PRN registered nurses in motivational interviewing to identify and refer people who are interested in quitting smoking to AHEC for classes, Provide support to the Students Working Against Tobacco (SWAT) Club at The Bridge of Northeast Florida, Partner with local organizations in order to better educate women on the risks of smoking while pregnant, and Facilitate classes on the dangers of tobacco products in middle and high schools. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Jacksonville anticipates collaborating with the following organizations: Baptist MD Anderson Cancer Center, Northeast Florida AHEC, The Bridge of Northeast Florida, Baptist Primary Care, Duval County Public Schools, Faith-based organizations, and We Care. Anticipated Impacts: Increased number of lung cancer screenings in the community, Increased participation in smoking cessation programs from the baseline of Duval County having twenty percent of adults that smoke regularly compared to the U.S. average of 18 percent, More middle and high school students educated on the dangers of smoking and smokeless tobacco. Evaluation Plan: Baptist Medical Center Jacksonville will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Utilize AHEC's state-wide database to track by referral source the number of referrals received, the number of people who attend classes, the number of people who complete classes and the number of people who quit smoking, Track the number of youth who participate in tobacco prevention classes via class surveys completed by participants, and analyze survey results from participants at health education sessions to measure knowledge gains and planned lifestyle changes. Program Results: Smoking Cessation Program: Smokers gave permission to be referred to a community smoking cessation program coordinated by American Health Education Centers. 205 smokers were referred for cessation intervention (249 in FY17), Tobacco Education Sessions: BMC-J facilitated a tobacco education session at Clara White Mission on 5/17/18; 14 people participated. Another education session was provided to 54 Baptist Health Tipping the Scale youth participants. Strategic Investments: Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 458 patients were referred to AHEC for smoking cessation classes, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 1,248 patients were screened for services to quit smoking (5,483 in FY17), all were educated about the harmful effects of smoking.
Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - Southern Baptist Hospital of Florida, Inc. (dba BMC "South"). Cancer: To address this need, Baptist South will undertake the following initiatives: Use its partnership with MD Anderson to increase awareness about lifestyle and other risk factors linked to cancer and provide resources and information on wellness and prevention within the Baptist MD Anderson Cancer Center, Provide education and screenings in low income, African American and Hispanic communities and follow-up on abnormal results with action items including connection to a medical home, Offer prostate specific antigen (PSA) screenings at community events. Follow up phone calls will be made to patients with abnormal results to encourage patients to visit their primary care physician or connect them to a free or low cost clinic, Educate young adults and parents on the importance of the HPV vaccine in preventing cervical cancer, Register eligible women at community events for mammograms from the Florida Breast and Cervical Cancer Early Detection Program offered through the Florida Department of Health, Offer community education sessions on various forms of cancer, Provide information at health fairs and other community events about the health risks associated with smoking and resources for smoking cessation, Partner with local organizations in order to better educate women on the risks of smoking while pregnant, Facilitate classes on the dangers of tobacco products in middle schools, high schools, colleges and universities. Planned Collaborations: In implementing the above initiatives, Baptist South anticipates collaborating with the following organizations: Baptist MD Anderson Cancer Center, Northeast Florida AHEC, Florida Department of Health - Duval, St. Johns, and Clay counties, Public School Districts - Duval, St. Johns, and Clay counties, Local colleges and universities, Faith-based and community organizations, and Others. Anticipated Impacts: Increased number of cancer screenings in the community. The rate of cancer in Cancer rate in Clay County is 474, Duval County is 514.8, St. Johns County is 458.7, and all of Florida is 447, Increased awareness regarding lifestyle and other risks associated with developing cancer, Increased participation in smoking cessation programs, More young adults educated on the HPV vaccine, More middle school, high school, and college students educated on the dangers of smoking and smokeless tobacco. Evaluation Plan: Baptist South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Track the number of men who have PSA screenings and the number of abnormal results requiring follow up, Utilize AHEC's state-wide database to track by referral source the number of referrals received, the number of people who attend classes, the number of people who complete classes and the number of people who quit smoking, Track the number of youth who participate in tobacco prevention classes, Track the number of women referred to the Florida Breast and Cervical Cancer Early Detection Program, Analyze survey results from participants at health education sessions to measure knowledge gains and planned lifestyle changes, Track the number of individuals who receive HPV education, Monitor HPV vaccination rates. Program Results: 15 free yoga classes held for cancer survivors at the Williams Y Healthy Living Center (19 in FY17), Four people participated in 25 exercise classes for people with cancer, Baptist South's Respiratory Therapy team identified inpatient individuals who were smokers and counseled them on smoking cessation. Therapists referred patients who had a desire to stop smoking to AHEC's Tools to Quit classes, A COPD Work Group was started at BMCS to provide support for individuals with COPD and encourage any smokers to quit, BMCS participated in the Pink Ribbon Symposium on October 12,2017 at the Thrasher Horne Center in Orange Park. Attendees were taught how to properly self-examine their breasts and more than 200 Buddy Check cards were distributed (300 in FY17), Baptist South's Community Relations Coordinator presented on smoking cessation at Mandarin High School on September 5, 2018. There were 82 students in the interactive presentation (67 in FY17), BMCS hosted AHEC's Tools to Quit class on December 2, 2017 attended by 2 individuals from the community. Strategic Investments: Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 636 patients received breast exams (279 in FY17) and 100 received a mammogram (237 in FY17). 458 patients were referred to AHEC for smoking cessation classes, Provided funding to Pine Castle for a clinical site nurse who served 289 individuals in Pine Castle's Adult Day Training program (280 in FY17), one of whom participated in smoking cessation classes (10 in FY17) and three of whom participated in Buddy Check 12 breast cancer screening, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 1,248 patients were screened for services to quit smoking (5,483 in FY17), all were educated about the harmful effects of smoking, Provided funding to The Way Free Clinic serving patients in Clay County. 168 patients were provided a total of 538 visits including screening for cancer and referrals to smoking cessation.
Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - Southern Baptist Hospital of Florida, Inc. (dba BMC "South"). Communicable Diseases: To address this need, Baptist South will undertake the following initiatives: Offer community education sessions on STIs, Partner with local colleges and universities to enhance STI education programs, Offer STI prevention and safe sex education at community events and health fairs, Partner with Duval County, St. John's County, and Clay County Public Schools to enhance STI education and awareness, Partner with local agencies to increase awareness of existing HIV and STI testing and treatment sites and help grow additional HIV and STI testing sites in the community. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center South anticipates collaborating with the following organizations: The Way Clinic, Local colleges and universities, Public School Districts - Duval, St. Johns, and Clay counties, Florida Department of Health - Duval, St. Johns, and Clay counties, and Others. Anticipated Impacts: Increased educational programs offered on STI prevention, Increased awareness of screenings and treatment options in the community which will lead to a reduction in STI rates from the baseline of Duval County ranking 62nd out of the 67 Florida counties. Evaluation Plan: Baptist Medical Center South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Measure knowledge gained of the participants from educational sessions through a survey, Monitor STI rates as provided by the Florida Department of Health, Track the number of individuals who receive STI education, Track the number of individuals screened through planned collaborations. Program Results: Each summer, BMCS hosts high school students as summer volunteers. This summer we hosted 75 students throughout the summer (85 in FY17); during their orientation sessions on June 8, June 29, and July 16, the students were educated on the importance of good mental, physical, and sexual health. The students were also urged to receive the HPV vaccine if they had not already, On October 18, 2017 BrdsNBz text messaging service was shared with the Mandarin High School Medical Academy Students including 65 youth. On November 9,2017, BMCS participated in the annual Clay County Student Health Fair. This year's fair was held at Orange Park High School. At our booth, we educated over 1000 students on the importance of safe sex practices and the importance of receiving the HPV vaccine (800 in FY17), Baptist Health team members supported 12 Duval County Public School teachers as they taught about sexually transmitted diseases and the proper way to use a condom to 1,372 students (1,200 students trained in FY17). Strategic Investments: Provided funding to JASMYN Sexual Health Clinic to offer testing and treatment for sexually transmitted diseases. 335 young people (457 in FY17) visited the clinic 708 times in 2018, 203 youth and young adults received sexual health information through BrdznBz (577 in FY17), Provided funding to Delta Sigma Theta for 35 children affected by HIV/AIDS to attend summer camp where they learned about HIV/Aids and other communicable diseases and received mental health counseling (28 children in FY17), Funded PACE Center for Girls to provide a Straight Talk Clinic. 130 girls were served with basic health services. 98% did not become pregnant and 98% remained STI free during the year, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,602 patients received primary care including screening and treatment for communicable diseases as needed (4,798 in FY17), Provided funding for Planned Parenthood for sexually transmitted disease testing and treatment. 847 people were screened and 109 tested positive and received treatment. One HIV positive patient was referred to another provider, Provided funding to Muslim American Social Services to provide primary care for people who live in Duval County and do not have health insurance. MASS provided health services to 1,397 patients for a total of 3,561 visits including screening and treatment for communicable diseases as needed, Provided funding to The Way Free Clinic serving patients in Clay County. 168 patients were provided a total of 538 visits prenatal care and screening and treatment for communicable diseases as needed.
Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - Southern Baptist Hospital of Florida, Inc. (dba BMC "South"). Diabetes: To address this need, Baptist Medical Center South will undertake the following initiatives: Offer community education sessions on diabetes, obesity, nutrition, and lifestyle education, Provide glucose and BMI screenings at community events and health fairs and provide follow-up resources to people found to be high-risk for developing diabetes, Offer "8 Weeks to Healthy Living" program to local faith-based and community organizations. Activity: Provide care coordination services for pre-diabetic and diabetic patients in primary care offices, Partner with Duval, St. John's, and Clay counties Public School Districts to enhance diabetes, obesity, nutrition, and lifestyle education, Provide education to adults and children on healthy eating habits, obesity, nutrition, and lifestyle, Increase awareness of the resources provided by YMCA Healthy Living Centers and JCA Health Connexions. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center South anticipates collaborating with the following organizations: YMCA, JCA, THE PLAYERS Center for Child Health at Wolfson Children's Hospital, American Diabetes Association, Public School Districts - Duval, St. Johns, and Clay counties, Faith-based and community organizations, and Others. Anticipated Impacts: Increased educational programs offered pertaining to diabetes, obesity, nutrition, and lifestyle choices because in Duval County diabetes has a mortality rate of 27.7 compared to Florida's rate of 19.6, Increased number of BMI and glucose screenings in the community. Evaluation Plan: Baptist South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Track number of people participating in health education sessions, Measure knowledge gains and planned lifestyle changes from participants at health education sessions via survey, Track the number of free glucose and BMI screenings provided to community members. Program Results: Baptist South participated in the Episcopal Children's Services Health Fair in Orange Park, FL on November 11, 2017. We provided literature on diabetes prevention and answered questions on health disparities, BMCS participated in the Mandarin Health Fair on April 11, 2018. We provided literature on diabetes prevention, healthy eating, and answered questions on health disparities, Baptist South participated in Wellness Wednesday events in the community on May 16, June 13, and September 19 where we screened individual's blood pressure and BMI. We offered counseling and provided literature on diabetes prevention and healthy eating, On July 28, 2018, Baptist Clay participated in the Salvation Army Back to School Bash Health Fair in Middleburg, FL. We offered free blood pressure and BMI screenings to attendees. We had over 200 individuals stop by for screenings. We also provided free education on diet and exercise to prevent diabetes and other health disparities, On August 11, 2018, Baptist Clay participated in the Clay County Safety & Health Fair in Lake Asbury, FL. We offered free blood pressure and BMI screenings to attendees. We had over 100 individuals stop by for screenings. We also provided free education on diet and exercise to prevent diabetes and other health disparities, On September 25, 2018, Baptist Medical Center Clay held a Talk with a Doc event on Healthy Habits. Dr. Quinn presented on diabetes prevention and the importance of physical activity and a healthy diet. There were 20 individuals present for the talk (8 in FY17), On September 26, 2018, Baptist South held a Talk with a Doc on Heart Health. Dr. Gummadi talked about the effects diabetes can have on the heart and the importance of a balanced diet and exercise, On September 29, 2018, Baptist Clay participated in the Clay Outreach Health Fair hosted by the Springs Church. We offered free blood pressure and BMI screenings to attendees. We provided over 300 screenings at this event and provided health information on diabetes prevention, healthy eating, and exercise to attendees. This was the most impactful event of the year as many individuals were uninsured, recently released from incarceration, or even homeless. It was great to truly make a positive impact in our community, 305 people received free health screenings through the Williams Y Healthy Living Center and JCA Health Connexions, 996 people received free health coaching through the Williams Y Healthy Living Center and JCA Health Connexions. Strategic Investments: Provided funding to Muslim American Social Services to provide primary care for people who live in Duval County and do not have health insurance. MASS provided health services to 1,397 patients (1,333 in FY17), 881 who were treated for diabetes (231 in FY17), Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 1,619 people were screened for diabetes (1,493 in FY17), 208 were treated (314 in FY17), More than 139,000 adults, children and young people attended the MOSH interactive health education exhibit, which includes information about healthy eating and exercise, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 607 patients were screened for diabetes (5,397 in FY17) with 443 receiving treatment (2,612 in FY17), Provided funding to Pine Castle to provide nursing care oversight for participants in the Adult Day Training program. The clinic nurse on site monitored the health and administered medicine for 289 people (280 in FY17) including 38 people with diabetes (6 in FY17), Provided funding to The Way Free Clinic serving patients in Clay County. 168 patients were provided a total of 538 visits including care for people with diabetes, Provided funding to UNF for the Meals on Wings program to provide healthy meals to seniors on the waiting list for home-delivered meals. Twenty seniors received home delivered meals.
Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - Southern Baptist Hospital of Florida, Inc. (dba BMC "South"). Mental Health: To address this need, Baptist Medical Center South will undertake the following initiatives: Partner with United Way of Northeast Florida to develop and implement a community-wide effort to reduce stigma associated with mental illness and increase access to care, Offer Mental Health education sessions and information to the community, Provide mindfulness training and coaching through Y Healthy Living Centers and JCA Health Connexions, Offer Youth Mental Health First Aid training for community members on the warning signs of mental illness and what to do to help young people, Offer Adult Mental Health First Aid training for community members on the warning signs of mental illness and what to do to help adults, Partner with faith-based organizations to offer Faith and Mental Health education, Train adults in the community on recognizing the warning signs of mental illness and suicide among youth, Collaborate with other community providers to develop integrated pediatric care clinic that will provide additional mental health resources in the community. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center South anticipates collaborating with the following organizations: United Way of Northeast Florida, Mental Health America, Starting Point, YMCA, JCA, and Others. Anticipated Impacts: Increased access to mental health services since Northeast Florida is the second-lowest funded region in Florida, Reduction in stigma associated with mental illness by training 10,000 people in the community Mental Health First Aid. Evaluation Plan: Baptist Medical Center South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: An evaluation of mental health awareness, attitudes and access will be included in the United Way effort, The number of participants in the Youth Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in the Adult Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor admissions in emergency department related to mental health, Monitor rates of suicide in the community. Program Results: An Adult Mental Health First Aid training was held at the JCA Wellness Connexion, For South's area, 15 free yoga classes for cancer survivors were held at the Williams Y Healthy Living Center, Three support groups for stroke survivors were held at the Williams Y Healthy Living Center, Hosted meditation sessions at the hospital open to the public. Cumulatively, nineteen individuals participated in sessions on October 27, 2017, November 17, 2017, and December 29, 2017, BMCS participated in the Clay Teacher Expo in Orange Park, FL on August 6, 2018. We informed teachers on the benefits of meditation and mindfulness in the classroom to improve student's behavior and improve overall learning, Community Health members Meghan Wilson and Rachelle Jivoin presented as the keynote speakers on March 14, 2018 at the Clay "Bridge to Bridge" meeting. We shared our community health needs assessment and the impacts in Clay County specifically surrounding or work in mental health. We urged the importance of taking Mental Health First Aid and the importance of bringing Calm Classroom to our schools, On December 13, 2017, BMCS held a Talk with a Doc event on Reducing Stress around the Holidays with a specific focus on mental health. There were 24 individuals in the talk and 92% of them stated they learned something new and plan to make a lifestyle change based on the information presented to them. Strategic Investments: Provided funding to The Women's Center of Jacksonville to provide mental health counseling for women who cannot afford counseling. 140 women were provided therapy (165 in FY17), Provided funding to Pine Castle for a clinical site nurse who served 289 individuals in Pine Castle's Adult Day Training program (280 in FY17), 41 of whom participated in psycho-social rehabilitation with 1 successfully completing the program (24 in FY17), Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 458 people were screened for behavioral health services (390 in FY17) and 60 received treatment (50 in FY17), Provided funding to YMCA for staffing to provide specialized activities for 32 adults with disabilities (30 in FY17) enhancing their quality of life and providing respite services for their caregivers, More than 139,000 adults, children, and young people attended the MOSH interactive health educational exhibit which includes information about the brain and mental illness, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 843 patients were screened for mental illness (5,483 in FY17) with 778 receiving treatment (654 in FY17), Provided funding to Project for Healing to provide mental health case management for 200 refugees who resettled in Duval County (78 in FY17), Provided funding to UNF to initiate a mental health nurse practitioner graduate program, Provided funding to Seniors on A Mission to provide volunteer opportunities to seniors, Provided funding to Mental Health America of Northeast Florida to increase awareness of and advocacy for additional mental health services in our community resulting in increased funding and legislation that expands the capacity of mental health services in northeast Florida, Provided funding to the Health Planning Council to coordinate Mental Health First Aid trainings in Northeast Florida. 2,476 people were trained in 2018, Provided funding to The Way Free Clinic serving patients in Clay County. 168 patients were provided a total of 538 visits including behavioral health services, Provided funding to The Partnership: For Mental Health to reduce stigma and increase access to mental health care, Provided funding to implement Calm Classroom, a meditation curriculum, in 24 Duval County Elementary, Middle, and High Schools.
Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - Southern Baptist Hospital of Florida, Inc. (dba BMC "South"). No entity can address all of the health needs present in its community. Baptist South is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This implementation strategy does not include specific plans to address the following health needs that were identified in the 2015 Community Health Needs Assessment: Access: Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to increase access to health care and does not anticipate implementing additional initiatives. Due to the availability of other resources in the community the hospital will focus on other significant community health needs. Dental Care: Baptist South is supporting the Florida Dental Health Association to provide dental services for people who currently do not have access and does not anticipate implementing additional initiatives. The hospital does not have sufficient resources to effectuate a significant change in this area, and will focus on other significant community health needs. Health Disparities: Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to address health disparities and does not anticipate implementing additional initiatives. Due to the availability of other resources in the community the hospital will focus on other significant community health needs. Maternal and Child Health: Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to provide maternal and child health services and does not anticipate implementing additional initiatives. In addition, Baptist Health is comprised of THE PLAYERS Center for Child Health which addresses maternal and child health across the five-county region. Baptist South will continue offering many free classes for expecting mothers that are open to community members. Due to resource constraints and the availability of other resources in the community the hospital will focus on other significant community health needs. Nutrition, Physical Activity, and Obesity: Baptist South's efforts to address the priority need of diabetes will incorporate nutrition, physical activity, and obesity as a whole. The hospital's efforts to address healthy living will focus on diabetes prevention. Poverty: Baptist South does not anticipate implementing additional initiatives to address poverty. This need is being addressed by other entities in Clay, Duval, and St. Johns counties including United Way of Northeast Florida. Baptist Health is an advocate and supporter of United Way which addresses poverty in northeast Florida. The hospital does not have sufficient resources to effectuate a significant change in this area, and will focus on other significant community health needs. Smoking: Baptist South's efforts in cancer programming will incorporate smoking cessation to decrease the prevalence of lung and other cancers associated with smoking. In addition, this need is being addressed by other entities in Clay, Duval, and St. Johns counties. Transportation: Baptist South does not anticipate implementing additional initiatives to address transportation. This need is being addressed by other entities in Clay, Duval, and St. Johns counties. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital will focus on other significant community health needs.
Schedule H, Part V, Section B, Line 11 Facility A, 9 Facility A, 9 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (DBA WOLFSON CHILDREN'S HOSPITAL). Access: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Assure that financial assistance programs comply fully with state and federal requirements. Working with Patient Financial Services, patients without insurance are offered assistance with applicable insurance options or charity care, Increase enrollment in Florida KidCare, the Children's Health Insurance program for Florida, through both community and hospital outreach. Community outreach initiatives include participation in school events, health fairs and other health-related events. Additionally, Wolfson Children's Hospital will continue its hospital outreach to its self-pay patients by contacting and assisting them in enrolling in Florida KidCare. In FY 2016, 2017, and 2018 THE PLAYERS Center for Child Health team provided application assistance to 1,761 individuals, Work in conjunction with local school boards or other community partners in order to establish new avenues that will increase access to primary care services for children, Wolfson School Health Center at Ribault High School opened in January 2018. 493 visits were completed in 2018, Reduce the number of preventable hospitalizations for asthma by continuing to build on the services offered by the Community Asthma Partnership at Wolfson (CAPW). CAPW provides education, events, workshops and other programs in order to teach children and their caregivers how to better manage their disease. CAPW also provides care coordination services to patients who present frequently to the Emergency Department in order to reduce the number of admissions for asthma, Train the Trainer: Takeisha Sessoms, RRT- 4/21/16 Trained Health Advocates on 30 min educational presentation to perform in communities. 2016-2018 results: Workshop attendance - The Community Asthma Partnership offered 61 community based workshops, and 156 children and 208 adults attended, School based classes - Educators taught 132 programs and reached 1,843 students in VPK, school based, and after school programs for children with asthma, Care Coordination - Provided Care Coordination for 118 newly identified high risk asthma patients in FY 2016 116 in FY 2017, and 84 in FY18, Continue to support access to specialty care and reduce preventable hospitalizations through its investment in the Bower Lyman Center for Medically Complex Children. The Center offers medically complex children a coordinated, family-focused and team-based approach to achieve their highest possible quality of life and health outcomes, and to promote family well-being. Wolfson Children's Hospital continues to fund the operation expenses for the Bower Lyman Center for Medically Complex Children. This funding includes salaries for a parent liaison and two social workers, Offer free health-related programming in the community through partnerships between Baptist Health System, YMCA and Jewish Community Alliance. Wolfson Children's Hospital will evaluate how to best improve access for children through these centers, which may include offering school physicals. THE PLAYERS Center for Child Health educators offered unintentional injury prevention education to 85 children and 58 adults at the YMCA Healthy Kids Day on April 31, 2016. On July 22, 2017 team members provided education at 5 YMCA locations for their baby shower events. Educators participated in the YMCA Thingamajig event on August 3, 2016, and provided health and safety education to 144 individuals. 333 children received asthma education during the 2017 Thingamajig event, and 286 students received nutrition education during the 2018 event, Continue to participate in local community health fairs, which provide health screenings, education, information on insurance coverage and other health-related services for children and their families. THE PLAYERS Center team participated in 216 health fairs and provided education to 30,649 individuals in FY 2016. In FY 2017, team members participated in 295 health events, and provided education to 21,755 individuals. In FY 2018, team members participated in 315 health events and provided education to 34,713 individuals, Provide free "back to school" and sports physicals in varying locations across the community. In collaboration with the Jacksonville Sports Medicine Program, Wolfson Children's Hospital provided free back to school physicals on July 30, 2016 to 705 student athletes in Duval County. On July 29, 2017 665 athletes in Duval county participated in sports physicals. 520 athletes participated in the 2018 physicals, Support and advocate for legislation that is specifically focused on improving access to care for children. Wolfson Children's Hospital patient Jacob Lopez and his family participated in the Children's Hospital Association Speak Now for Kids Family Advocacy Days in Washington DC June 20-22, 2016. Jacob met with 5 legislators from Florida and Georgia. In July of 2017 Wolfson Children's Hospital patient Norah Sproles and her family traveled to Washington to meet with 4 legislators. In June of 2018, Abby Jones and her family met with 6 legislators, Continue to support the UF Health Pediatric Weight Management Center - Wolfson Children's Hospital. This center provides obese and overweight pediatric patients with a comprehensive, family-centered and team-based approach to achieve weight loss, weight loss maintenance and reverse the co-morbidities of obesity. The treatment team works together to provide the best support and guidance for the patient and family, not only for weight loss, but also for weight loss maintenance. Wolfson Children's Hospital continues to provide the unmet reimbursed costs to run a pediatric weight management center, Continue to provide financial support to community organizations that are committed to increasing access for child health services. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Local health departments in the five-county area, Local school districts in the five-county area, Nemours Children's Specialty Care, Jacksonville, University College of Medicine - Jacksonville, YMCA, After -school programs and summer camps, Community PedsCare, Children's Hospital Association, Florida Association of Children's Hospitals, St. Vincent's HealthCare, and Jacksonville Sports Medicine Program. Anticipated Impacts: More children will have health insurance coverage, More children will have access to primary care from the baseline that in Baker, Clay, and Nassau counties the supply of primary care physicians, dentists, and mental health providers is below the U.S. average, More families will be better informed on the health resources that exist in the community for children and will be better educated about child health and wellness. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track the number of families assisted and enrolled in KidCare -FY16: 539; FY17: 523; FY18 620, Track the number of families educated at community events - FY16: 30,649; FY17: 21,755; FY18 34,713, Track the number of children and adults educated on care coordination services for asthma through CAPW - 118 new high risk patients in 2016; 116 patients in 2017; 84 in 2018, Track the number of families educated at YMCA - 906 participants in events. Strategic Investments: Provided funding to support a pediatric clinic operated by Sulzbacher in a health desert on the north side of Jacksonville, Provided funding to Planned Parenthood for STD testing and treatment. 927 units of services were provided including 130 patients who received referrals for treatment or received treatment, Provided funding to Jacksonville Speech and Hearing Center for speech and language screenings, evaluations and therapy. 1,216 screenings were conducted and therapy was provided to 31 children, Provided funding to The Partnership for Child Health to develop a system of healthcare for LGBT+ youth, Provided funding to DLC Nurse and Learn for nursing care for children in the inclusion program. Nursing care was provided to 78 children, Provided funding to Vision is Priceless for vision screenings. 42,886 children received screenings, 71 children received comprehensive eye exams and 55 children received glasses, Funding was provided to Full Service Schools Jacksonville for vision exams and glasses for children referred from schools as needing this service. 161 students received exams and glasses if needed, 165 students received mental health therapy through funding to Children's Home Society.
Schedule H, Part V, Section B, Line 11 Facility A, 10 Facility A, 10 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (DBA WOLFSON CHILDREN'S HOSPITAL). Health Disparities: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Reduce disparities pertaining to access to affordable care by providing assistance in enrolling uninsured children in KidCare In FY 2016, THE PLAYERS Center for Child Health team provided application assistance to 539 individuals, 602 in 2017, and 620 in 2018, Improve the level of linguistically and culturally appropriate care by hiring bilingual staff who can better communicate with the Hispanic population and understand the cultural barriers to care. THE PLAYERS Center for Child Health hired MariVi Wright to adapt educational offerings to the Spanish Speaking families. Over 750 Spanish speaking individuals received important educational information on prevention, access, and wellness in 2016, 487 in 2017, and 1,600 in 2018, Provide education and health screenings in low-income, Black (African American) and Hispanic (Latino) communities. THE PLAYERS Center for Child Health participated in a Spanish speaking Health Fair on April 23, 2016 and educated 225 individuals. THE PLAYERS Center for Child Health participated in a Spanish Speaking Health fair on September 16th and educated 180 individuals, Continue to build on the efforts of CAPW and use its resources to target specifically populations in need of education and support, as asthma has been found to be a "highly problematic" health issue for low-income, Black and Hispanic residents. CAP-W educators participated in a health fair on August 5th at Potter's House and educated 80 individuals, Work in conjunction with local school boards and/or other community partners in order to establish new avenues that will increase access to primary care services for children. Wolfson School Health Center at Ribault High School opened in January 2018. 493 visits were completed in 2018, Participate in local community health fairs to provide screenings, education, information on insurance coverage and other health-related services to children and their families. THE PLAYERS Center team participated in 216 health fairs and provided education to 30,649 individuals in FY16, 247 health fairs and 21,775 individuals in FY17, and 315 health Fairs and 34,713 individuals in FY18, Offer school- and community-based educational programming aimed at improving child health. Current programming includes nutrition, hygiene, body systems, safe driving, and over-the-counter medication safety. THE PLAYERS Center for Child Health educators provided education to 4,674 students in 213 classes in FY16, 5,162 students in 171 classes in FY17, and 2,869 students in 142 in FY18, Provide education to school nurses on diabetes prevention and maintenance. On February 17, 2016, diabetes educators provided a 2 hour training to 24 Duval County school nurses. Educators provided training to 88 teachers in Duval and Nassau counties in 2017, and 97 nurses in 2018, Educate the community and patients on the health risks associated with smoking and exposure to second-hand smoke and provide referrals to smoking cessation resources in the community, such as AHEC. Asthma educators refer appropriate patient families to AHEC, Implement Youth Mental Health First Aid training, an eight-hour course that teaches participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The training helps participants identify, understand, and respond to signs of mental illness and substance use disorders. Wolfson Children's Hospital offered 13 Youth Mental Health First Aid classes and were able to educate 152 individuals to identify and respond to mental illness and substance use disorders in 2016. In FY17, there were 190 participants in 16 classes, and in FY18 there were 108 students in 8 classes, Educate the community regarding breastfeeding and safe sleep practices through social media and traditional news media campaigns, community events and classes. Educators provided safe sleep and breastfeeding to 7,348 individuals at 44 events in 2017, and 641 individuals at 27 events in 2018. Baptist Nassau has partnered with Nassau County Healthy Start to offer healthy start services to all new mothers that deliver at Baptist Nassau. Clients that enroll receive parenting education, childbirth classes, breastfeeding support, smoking cessation, interconceptional services, developmental screenings, and case management, Work with community partners to increase access to pediatric care for all children, including children enrolled in KidCare or who do not have insurance. St. Vincent's Mobile Health outreach, Duval County Public schools and Full Service schools refer families without coverage to THE PLAYERS Center for Child Health team members, Continue to provide financial support to local organizations that are dedicating to reducing health disparities in the community. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: KidCare referring partners, Healthy Start Coalition of Northeast Florida, AHEC, YMCA, Center for Language and Culture, Local school districts in the five-county area, Summer camps, Early education and after-school programs. Anticipated Impacts: Increased access to health insurance through KidCare enrollment, Increased access to primary care because between 2015 and 2020 the pediatric population is expected to grow 2.5 percent, Increased awareness and decreased stigma surrounding mental health, Reduced preventable hospitalizations for conditions such as asthma from the baseline of 60 percent being preventable, Increased awareness about diabetes maintenance, increased awareness and education on factors that impact overall child health and wellness. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track the number of children and families assisted and enrolled in KidCare. FY16 539; FY17 523; FY18 620, Measure the number of participants educated at community events. FY16: 30,649; FY17: 21,775; FY18: 34,713, Track the number of referrals to AHEC, the number of people who enroll and complete a smoking cessation class, and the number of people who quit smoking, Track the number of nurses educated on diabetes. 24 in FY16, 88 in FY17, and 97 in FY18, Measure the number of children educated through community programs. FY16: 4,674; FY17: 5,162; FY18 2,869, Track the number of families educated at health fairs. FY16: 30,649; FY17: 21,775; FY18 34,713, Track the number of people trained in Youth Mental Health First Aid. FY16: 152; FY17: 190; FY18: 108 Strategic Investments: Provided funding to support a pediatric clinic operated by Sulzbacher in a health desert on the north side of Jacksonville, Provided funding to Planned Parenthood for STD testing and treatment. 927 units of services were provided including 130 patients who received referrals for treatment or received treatment, Provided funding to Jacksonville Speech and Hearing Center for speech and language screenings, evaluations and therapy. 1,216 screenings were conducted and therapy was provided to 31 children, Provided funding to The Partnership for Child Health to develop a system of healthcare for LGBT+ youth. Funded a conference on increasing access to care for LGBTQ youth with 175 people attending, Provided funding to United Way for vision screenings and glasses for children identified as needing those services through the Full Service School. 158 children received vision screening and glasses if needed, Funded DLC Nurse and Learn for nursing carefor children in the inclusion program. Nursing care was provided for 78 children, Provided funding to Sulzbacher Center to open a pediatric practice in a low-income health dessert in Jacksonville for children without insurance or on Medicaid. The practice is scheduled to open in spring 2018, Provided funding to Vision in Priceless for vision screenings. 42,886 children received screenings, 71 children received comprehensive eye exams and 55 children received glasses, Funding was provided to Full Service Schools Jacksonville for vision exams and glasses for children referred from schools as needing this service. 161 students received exams and glasses if needed, 165 students received mental health therapy through funding to Children's Home Society.
Schedule H, Part V, Section B, Line 11 Facility A, 11 Facility A, 11 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (DBA WOLFSON CHILDREN'S HOSPITAL). Maternal and Child Health: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Continue to offer school- and community-based educational programming aimed at improving child health. Current programming includes nutrition, hygiene, body systems and safe driving, and over-the-counter medication safety. Wolfson Children's Hospital will continue to evaluate other educational needs in the community and implement new programming as needs arise and resources become available. THE PLAYERS Center for Child Health educators provided education to 4,674 students in 213 classes in FY16, 5,162 students in 171 classes in FY17, and 2,869 students in 142 class in FY18, Increase educational activities aimed at reducing the number of overweight youth in the community, not only through existing educational initiatives, but through partnerships in the community, such as Play 60 with the Jacksonville Jaguars and the Healthy Jacksonville Childhood Obesity Prevention Coalition. Over 7,000 sixth graders from 29 different schools participated in Play 60 during the 2015/2016 school year, over 8,000 from 52 schools in 2016/2017, and 6,900 students from 52 schools in the 2017/2018 school year, Increase awareness of safe sleep practices to reduce the risk of sleep-related deaths during infancy. Provide safe sleep, breastfeeding, infant and child CPR, and choking education to at-risk expectant families referred by community partners. Distribute safe sleep equipment and supplies to families in need, and work with Wolfson Children's Hospital to develop a strategy for wider distribution of selected safe sleep apparatus to at-risk families in need. Utilize paid, unpaid, social and in-house media to promote awareness of safe sleep practices during infancy to the community at large. In 2016, THE PLAYERS Center for Child Health educators provided safe sleep education to 6,978 people at 42 community events. Safe Sleep messaging had a program reach of 3,319,792 media impressions. 165 pack and plays were distributed. In 2017, 7,348 people at 44 events received safe sleep education, and 125 pack and plays were distributed, In 2018, 641 people at 28 events received safe sleep education and 115 pack and plays were distributed, Provide education and resources through free classes and community events, including health fairs and safe sleep classes. In 2016, THE PLAYERS Center for Child Health educators provided safe sleep education to 6,978 people at 42 community events. In 2017, 7,348 people at 44 events received safe sleep education. In FY 2017, 1,125 people participated in parenting classes offered in Healthy Living Centers in YMCAs throughout Duval County, In 2018,2,478 people participated in parenting classes in Healthy Living and Baptist facilities, Work with partners and affiliates to develop and implement a child abuse prevention strategy, In April of 2018, Wolfson Children's Hospital launched a Hit Free Zone campaign in collaboration with 4 community agencies, Provide education on the risks associated with smoking and second-hand smoke and provide smoking cessation referrals for pregnant moms. Educators provide education on risks associated with smoking and second-hand smoke at ready, set, sleep classes, Train community members in CPR at community events, Create and provide an obesity toolkit for local pediatricians and the community that is accessible online. In collaboration with the Healthy Jacksonville Childhood Obesity Prevention Coalition and Nemours Children's Specialty Clinic, Wolfson Children's Hospital hosted a continuing education session on the role of a primary care pediatrician in addressing childhood obesity. Office toolkits were distributed, Work with community partners to increase access to pediatric care for all children, including children enrolled in KidCare or who do not have insurance. Baptist Health has an MOU and is currently seeing patients at Ribault Middle and High School, Continue to provide financial support to community organizations that are committed to improving child health. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Healthy Jacksonville Childhood Obesity Prevention Coalition, Jacksonville Jaguars, Healthy Start Coalition of Northeast Florida, Local health departments in the five-county area, Local school districts in the five-county area, YMCA, AHEC, and Florida Department of Children and Families. Anticipated Impacts: Increased awareness and education on health and wellness, including health impacts caused by obesity from the baseline of having 11.1 percent middle school students and 14.3 percent high school students overweight in Florida, Increased awareness and education on infant mortality from sleep-related deaths, Increased awareness about child abuse prevention programs from the baseline of having a rate of 12.1 children abused in Florida. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track number of children and families who participate in classes and community events FY16: 4,674 students in 213 classes; FY17: 5,162 students in 171 classes; FY18 2,869 students in 142 classes, Track number of families educated on infant mortality FY16: 6,978; FY17: 7,348; FY18 641, Track number of lives touched through Play 60 FY16: 7,000; FY17: 8,000; FY18 6,900. Strategic Investments: Provided funding to the Jaguars Foundation to implement Play 60 physical activity programs in middle schools in 52 schools in 5 counties in Northeast Florida, Provided funding to the Museum of Science and History to develop and maintain an exhibit on healthy lifestyles. 139,434 students and adults toured the exhibit and/or participated in health education programming.
Schedule H, Part V, Section B, Line 11 Facility A, 12 Facility A, 12 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (DBA WOLFSON CHILDREN'S HOSPITAL). Mental Health: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Implement Youth Mental Health First Aid training for community members in low-income areas on the warning signs of mental illness in adults and children and how to intervene when necessary. Wolfson Children's Hospital offered 13 Youth Mental Health First Aid Classes, and had 152 people participate in the training in FY16. In FY17, 16 classes were offered and 190 people participated, and in FY18, 9 classes were offered and 108 people participated, Provide mindfulness training and coaching through affiliations with the YMCA and the Jewish Community Alliance. Wolfson Children's Hospital provided mindfulness training to 60 students at the DuPont YMCA. The students participated in three sessions with different mindfulness activities each week, Work with community providers to develop an integrated care clinic to provide additional access to mental health services. In partnership with the University of Florida College of Medicine - Jacksonville, Wolfson Children's Center for Behavioral Health, the Partnership for Child Health and additional community resources, we are able to provide a compassionate and comprehensive system of care to support children and youth with medical, mental and behavioral health needs. This integrated approach to the care of children and youth reflects our commitment to fulfill the rights of all children to achieve and maintain mind-body wellness, Partner with the United Way of Northeast Florida to develop and implement a community-wide effort to reduce the stigma associated with mental illness and increase access to care, Increase community awareness by hosting the annual Faith and Mental Health Conference, Support the National Alliance on Mental Illness (NAMI) in implementing youth education and awareness programs. THE PLAYERS Center for Child Health team assisted NAMI in completing a SHAC application, providing access to present in Duval County Public Schools, Continue to provide financial investments to community organizations that are committed to increasing access to mental health services and/or decreasing the stigma associated with mental health issues. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Local school districts in the five-county area, United Way of Northeast Florida, NAMI, YMCA, JCA, Nemours Children's Specialty Care, Jacksonville, and UF Health Jacksonville. Anticipated Impacts: Increased access to mental health services from the baseline that the suicide rate has increased 13.2 percent, Decreased stigma in the community surrounding mental health. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. An evaluation of mental health awareness, attitudes and access will be included in the United Way effort, The number of participants in the Youth Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys - 152 people trained in 2016; 190 in 2017; and 109 in 2018, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor suicide rates in the community, and Monitor mental health admissions through the Emergency Department. Strategic Investments: Funded an Autism Symposium for providers, clinicians and parents. 365 people attended (375 in FY17), Provided funding to Delta Sigma Theta for 35 children affected by HIV/AIDS to attend summer camp where they learned about HIV/AIDS and other communicable diseases and received mental health counseling (28 in FY17), 165 students received mental health therapy through funding to Children's Home Society, Provided funding to implement Calm Classroom, a meditation curriculum, in 24 Duval County Elementary, Middle, and High Schools. Unintentional Injury: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Continue its partnership with Safe Kids Worldwide in order to reduce the amount of unintentional childhood injuries. Through this partnership, Wolfson Children's Hospital educates the community on child water safety, home safety, child passenger safety, bicycle safety, pedestrian safety, infant mortality and safe sleep practices, heat illness, exertional heat stroke, lightning and sports-related concussions and head injuries, THE PLAYERS Center for Child Health is the coalition lead for Safe Kids Northeast Florida, whose mission is to bring together local organizations to promote pediatric injury prevention, Continue its affiliation with the Jacksonville Sports Medicine Program, a not-for-profit, volunteer-based organization that is dedicated to youth sports injury advocacy and prevention, Utilize paid, unpaid, social, in-house media and special events to promote awareness of injury prevention for children 19 and under and to the community at-large. In 2016 THE PLAYERS Center for Child Health secured over 7,000,000 media impressions through traditional print, radio, television and social media, that number reached over 11,365,327 in 2017. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Safe Kids Worldwide, Jacksonville Sports Medicine Program, Florida Department of Children and Families, The City of Jacksonville, Healthy Start Coalition of Northeast Florida, Department of Transportation, Century Ambulance, Health departments in the five-county area, Florida Swimming Pool Association, and the Jacksonville Sheriff's Office. Anticipated Impacts: Increased awareness about the causes of unintentional injuries and actions that can be taken to decrease the risk of injury. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track the number of child passenger seats distributed 385 and inspected 1,233 in FY16; distributed 377 and inspected 997 in FY17; distributed 251 and inspected 897 in FY18, Track the number of safe sleep spaces distributed 165 in FY16; 125 in FY17; 115 in FY18, Track the number of bike helmets distributed and the number of fittings performed 432 in FY16; 151 in FY17; 247 in FY18, Track the number of people educated at health fairs and through educational programs 30,765 in 2016; 17,908 in 2017; 34,713 in 2018, Track the number of people reached through media relations and social media campaigns Over 7,000,000 media impressions in 2016, and 11,365,327 in 2017. Strategic Investments: Provided free office space to Jacksonville Sports Medicine Program to provide training on preventing and treating sports injuries and providing trainers in Duval County Public Schools High Schools.
Schedule H, Part V, Section B, Line 11 Facility A, 13 Facility A, 13 - SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (DBA WOLFSON CHILDREN'S HOSPITAL). Unprotected Sex/Teen Pregnancy: To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Partner with local school districts and community organizations to enhance STI education and awareness, 6/17/16: Baptist Health, Tipping the Scale Year Round Mentoring Program: Summer Employment: "Wellness Fridays" STI by Planned Parenthood. 46 Total Attendance 41 Total Surveys. 90% Learned something new from presentation: 62% Plan to make a lifestyle or other health related changes, Wolfson Children's Hospital team members assisted with condom demonstrations for 7 schools and 1020 students in 2017 and 10 schools and 1412 students in 2018, Provide Teen Talk programming to community partners, Partner with local agencies to increase awareness of existing HIV and STI testing and treatment sites, and also help grow additional HIV and STI testing sites in the community. THE PLAYERS Center for Child Health educators provide educational information to middle and high school students and include information, Offer STI prevention and safe sex education at community events and health fairs, 6/3/16 BrdsNBz text messaging service shared with Leadership Jacksonville Collegiate class of 2017 - 36 youth attended, Continue to provide financial support to community organizations that are committed to reducing the rates of unprotected sex and teen pregnancy in the community. Provided BrdsNBz funding to Healthy Start. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Healthy Start Coalition of Northeast Florida, School districts in the five-county area, Health departments in the five-county area, Local colleges and universities, as well as military bases, Nassau Alcohol Crime and Drug Abatement Coalition. Anticipated Impacts: Increased educational programs on STI prevention from the baseline of having 19.6 percent never taught in school about AIDS or HIV infection in Duval County, compared to Florida's percentage of 16.9, Increased awareness of screening and treatment options locally which will lead to a reduction in number of STI rates. Evaluation Plan: Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track the number of people educated at events, Knowledge gained of the participants from educational sessions will be measured through a survey, Track the number of individuals screened through planned collaborations. Strategic Investments: Provided funding to JASMYN Sexual Health Clinic to offer testing and treatment for sexually transmitted diseases. 335 young people participated in the clinic in 2018 (457 in FY17), Provided funding to the BrdznBz program providing 203 youth and young adults sexual health information (500 in FY17), Provided funding to Delta Sigma Theta for 35 children affected by HIV/AIDS to attend summer camp where they learned about HIV/AIDS and other communicable diseases and received mental health counseling, Provided funding to The Bridge of Northeast Florida to provide sexual health education to 96 students (156 in FY17).
Schedule H, Part V, Section B, Line 11 Facility A, 14 Facility A, 14 - Southern Baptist Hospital of Florida, Inc. (DBA BMC "Downtown"). No entity can address all of the health needs present in its community. Baptist Medical Center Jacksonville is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This implementation strategy does not include specific plans to address the following health priorities that were identified in the 2015 Community Health Needs Assessment: Access: Baptist Medical Center Jacksonville provides support to Sulzbacher, Volunteers in Medicine, Muslim American Social Services, Community Health Outreach, We Care Jacksonville community clinic and health care access programs. While access is extremely important, due to resource constraints and the availability of other resources in the community, the hospital will focus at this time on other significant community health needs. Communicable Diseases: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified communicable disease needs. The majority of STIs are found in youth, and this issue is being addressed by Wolfson Children's Hospital. The hospital will focus on other significant community health needs. Health Disparities: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified health disparities. The hospital already provides education and faith-based programs throughout the community. Due to resource constraints and the availability of other resources in the community, the hospital will focus on other significant community health needs. Maternal and Child Health: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified maternal and child health needs. Many of the indicators pertain to the health of children and are being addressed by Wolfson Children's Hospital. There are a number of other resources in the community that are addressing maternal indicators, including Healthy Start, Planned Parenthood and March of Dimes. Nutrition, Physical Activity, and Obesity: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified needs surrounding nutrition, physical activity, and obesity. The hospital already provides health education through faith and community partners including nutrition and exercise. Due to resource constraints and the availability of other resources in the community, the hospital will focus on other significant community health needs. Poverty: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified poverty. This need is being addressed by other entities in Duval County, including United Way of Northeast Florida. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Transportation: Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified transportation. This need is being addressed by other entities in Duval County. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital believes resources devoted to its implementation strategy should focus on other significant community health needs.
Schedule H, Part V, Section B, Line 11 Facility A, 15 Facility A, 15 - Southern Baptist Hospital of Florida, Inc. (DBA Wolfson Children's Hospital). No entity can address all of the health needs present in its community. Wolfson Children's Hospital is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This implementation strategy does not include specific plans to address the following health priorities that were identified in the 2015 Community Health Needs Assessment: Dental Care: Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified dental care needs. Other organizations in the community such as the Children's Economy Dentistry and the Florida Dental Association are addressing this need. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Nutrition, Physical Activity, and Obesity: Wolfson Children's Hospital partners with the Jacksonville Jaguars Foundation to provide Play 60 activities through northeast Florida middle schools. Due to resource constraints and the availability of other resources in the community, the hospital believes its implementation strategy should focus on other significant community health needs. Poverty: Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified poverty. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties, including the United Way of Northeast Florida, which Baptist Health supports. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Smoking: Wolfson Children's Hospital does not anticipate implementing additional initiatives to address the identified need to reduce smoking. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties. Specifically, Baptist Medical Center Jacksonville, which shares a campus with Wolfson Children's Hospital, will be using its affiliation with MD Anderson Cancer Center to implement new initiatives and address this need in the community. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Transportation: Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified transportation needs. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital believes resources devoted to its implementation strategy should focus on other significant community health needs.
Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - Facility A. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, "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. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance.
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?9
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
800 PRUDENTIAL DR STE 510/512
JACKSONVILLE,FL32207
COMPREHENSIVE MENTAL HEALTH SERVICES AT BAPTIST MEDICAL CENTER JACKSONVILLE'S HOSPITAL CAMPUS.
3 BAPTIST BEHAVIORAL HEALTH
900 BEACH BLVD STE 930
JACKSONVILLE BEACH,FL32250
COMPREHENSIVE MENTAL HEALTH SERVICES IN THE BEACHES' COMMUNITIES.
4 BAPTIST BEHAVIORAL HEALTH
87010 PROFESSIONAL WAY
YULEE,FL32097
COMPREHENSIVE MENTAL HEALTH SERVICES IN NASSAU COUNTY.
5 BAPTIST BEHAVIORAL HEALTH
13241 BARTRAM PARK BLVD STE 1901
JACKSONVILLE,FL32258
COMPREHENSIVE MENTAL HEALTH SERVICES IN THE MANDARIN COMMUNITY.
6 BAPTIST BEHAVIORAL HEALTH
1325 SAN MARCO BLVD STE 500
JACKSONVILLE,FL32207
COMPREHENSIVE MENTAL HEALTH SERVICES IN THE SAN MARCO COMMUNITY
7 BAPTIST BEHAVIORAL HEALTH
4160 UNIVERSITY BLVD S
JACKSONVILLE,FL32216
COMPREHENSIVE MENTAL HEALTH SERVICES in the southside community.
8 Baptist Emergency Center North
11250 Baptist Health Drive
Jacksonville,FL32218
Emergency and primary care, specialist physician offices, imaging, and labs for adults and children.
9 Baptist Emergency Town Center
841 Prudential Drive Ste 1802
Jacksonville,FL32207
The facility features two emergency centers under one roof. One for children and one for adults.
10
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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 II, Line 2 Economic Development Line 2: Economic Development-New employment opportunities were provided to 51 (50 in FY17) teenagers 16 - 18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. The teens come from low-income neighborhoods and attend school with very low graduation rates. The summer employment opportunity provides teens exposure to real-life careers which motivates them to prepare appropriately for life after high school.
Schedule H, Part II, Line 3 Community Support Line 3: Community Support- 34 Baptist Health employees (31 in FY17) volunteered their time to provide one-to-one mentoring for high school students each week. The students who participate in the program are from our most vulnerable communities, low income families and attend local schools with low graduation rates. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. Summer Youth Volunteer Program - Baptist Health offers opportunities for young people ages 16-17 to volunteer during the summer to assist in the selection of a career and as an opportunity to serve others. Baptist employees supervise the volunteers giving them direction and support during their service. 118 BMCS and WCH teens (130 in FY17) participated in the summer volunteer program in FY 2018 on the Baptist Medical Center Jacksonville, Baptist Medical Center South and Wolfson Children's Hospital campuses. High School Medical Academy Rotation - Baptist Health partners with Mandarin High School to provide medical academy students hands-on learning of clinical and administrative aspects of health care. During the last semester of their senior year, students are required to complete four rotations (16 hours total) at a hospital where they receive hands-on experience before they are allowed to sit for their CMAA (Certified Medical Administrative Assistant) exam. 65 students (72 in FY17) completed their hospital rotation at Baptist Medical Center South during fiscal year 2018.
Schedule H, Part II, Line 6 Coalition Building Line 6: Jacksonville Nonprofit Hospital Partnership came together to develop a multi-hospital system collaborative community health needs assessment. The Partnership is a network of five health systems that are a shared voice to improve population health by eliminating the gaps that prevent quality, integrated health care and to improve access to resources that support a healthier lifestyle. During FY 2018, the Partnership continued its collaboration to reduce stigma and crises related to mental illness through a community implementation of Mental Health First Aid, a program recognized by the Substance Abuse and Mental Health Services Administration. The New Town Success Zone is a group of community stakeholders who work to provide a place-based continuum of services from prenatal to college, the military or some form of secondary training for the children and their families living in the neighborhood. Leaders from Baptist Health, UF Health Jacksonville, Mayo, St. Vincent's and Florida Blue serve as a coalition to provide programs and resources in the New Town Children's Success Zone in a coordinated effort to address some of the health care disparities such as asthma, diabetes, nutrition in addition to Florida KidCare enrollment. Baptist partnered with the neighborhood elementary and middle school to provide asthma training for children with asthma, faculty and parents. Baptist along with the rest of the coalition worked with families to get children enrolled in Florida KidCare insurance programs. The Partnership for Child Health develops and implements programs and services to improve the health and wellbeing of all children and youth in Northeast Florida by collaborating with community partners in major child-serving organizations. Wolfson Children's Hospital is an active member of The Partnership which is focused on providing a medical home for children with complex medical conditions, mental, behavioral and addiction health disorders, developmental disabilities, access to dental care, family violence and dysfunction, poverty, child trafficking, and other marginalized children and families. Child Abuse Prevention and Permanence Local Planning Team is led by Family Support Services of Northeast Florida with the goal of preventing children from experiencing abuse or neglect, ensure the safety of children through improved investigative processes, and ensure the safety of children while preserving the family structure. Wolfson Children's Hospital is an active member of the planning team. Child Sexual Abuse Prevention Coalition's mission is to prevent child sexual abuse through the delivery of the Darkness to Light, Stewards of Children training program to adults in Northeast Florida and empowering an unprecedented preventative action movement with the awareness and knowledge to protect children. Wolfson Children's Hospital is an active member of the coalition. Duval County Traffic Safety Team consists of advocates who are committed to solving traffic safety problems through a comprehensive, multi-jurisdictional, multidisciplinary approach. Members include city, county, state, private industry, citizens and Wolfson Children's Hospital. The goal is to reduce the number and severity of traffic crashes within their community. Duval County School Health Advisory Council's purpose is to offer recommendations and advice to the Duval County School Board and Duval County Public Schools Administration on issues that relate to the health of children and their families. in accordance with the Centers for Disease Control Coordinated School Health Model, including, but not limited to matters pertaining to Health Education, Physical Education, Health Services, Nutrition Services, Counseling and Psychological Services, Healthy School Environment, Health Promotion for Staff, Family/Community Involvement, the Safe and Drug Free Schools Program and the Wellness Policy. Wolfson Children's Hospital is an active member of the Council. Fetal Infant Mortality Review Committee aims to reduce infant mortality by gathering and reviewing detailed information to gain a better understanding of fetal and infant deaths in Northeast Florida. The project examines cases with the worst outcomes to identify gaps in maternal and infant services and to promote future improvements. Wolfson Children's Hospital and Baptist Health representatives are active members of the Committee. Full Service Schools Oversight Committee directs and guides the operation of Full Service Schools of Jacksonville led by United Way of Northeast Florida. Through Full Service Schools nearly 3,500 students and families are connected to a critical range of therapeutic, health and social services and address non-academic barriers to success in school. Each Full Service Schools site strives to meet the specific needs of the neighborhood in which it is based by providing a number of free services. Wolfson Children's Hospital is an active member of the Full Service Schools Oversight Committee. Florida Asthma Coalition's goal is to reduce the overall burden of asthma, with a focus on minimizing the disproportionate impact of asthma in racial/ethnic and low-income populations, by promoting asthma awareness and disease prevention at the community level and expanding and improving the quality of asthma education, management, and services through system and policy changes. Wolfson Children's Hospital is an active member of the Asthma Coalition. Healing Hands Community Advisory Council provides support to Healing Hands efforts to provide access to crisis intervention, case coordination, and medical services for at-risk children in Jacksonville and surrounding areas. The organization brings together physicians, psychologists, nurses and other medical professionals who diagnose cases of childhood physical and sexual abuse. Wolfson Children's Hospital is an active member of the Healing Hands Advisory Council. Infant Mortality Task Force - Duval County - Baptist Health and Wolfson Children's Hospital are an active members of the Duval County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to Duval county. Infant Mortality Task Force and Substance Exposed Newborns Group - Clay County - Wolfson Children's Hospital is an active member of the Clay County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to Clay county. Infant Mortality Task Force - St. John's County - Wolfson Children's Hospital is an active member of the St. Johns County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to St. Johns county. Jacksonville Pediatric Injury Coalition offers children and their parents important safety topics in effort to reduce the number and severity of injuries in children. Wolfson Children's Hospital is an active member of the Pediatric Injury Coalition. Jacksonville System of Care Initiative is a collaboration of governmental agencies and community-based organizations to develop a system of mental health care for Jacksonville's children. Baptist Health is an active member of the Initiative. Mayor's Hispanic American Advisory Board promotes Jacksonville City services among the growing Hispanic community and advises the Mayor and his staff on specific needs within the community. The eleven members of the board are appointed by the mayor to effectively recognize the concerns and desires of the Hispanic community in Jacksonville. The purpose of the board is to provide a means by which the city may obtain information, guidance and on-going comprehensive studies relating to its citizens of Hispanic descent. Wolfson Children's Hospital is an active member of the Advisory Board. Northeast Florida Healthy Start Coalition leads a cooperative community effort to reduce infant mortality and improve the health of children, childbearing women and their families in Northeast Florida. Wolfson Children's Hospital is an active member of the Healthy Start Coalition. Safe Kids Northeast Florida, a local coalition of Safe Kids Worldwide and led by THE PLAYERS Center for Child Health at Wolfson Children's Hospital, was founded in 2003. Funding is provided by Wolfson Children's Hospital, along with grants from Safe Kids Worldwide, and public and private contributors. Safe Kids brings together local organizations to promote pediatric injury prevention, and offer programs to prevent accidental injuries to children ages 19 and under. School Health Advisory Council Clay County Schools provides community guidance and input to Clay county school health services and education programs. Wolfson Children's Hospital is an active member.
Schedule H, Part II, Line 6 Coalition Building Uninsured Working Group is a consortium of organizations working together to improve access to care through enrollment in health insurance programs or increased provider availability. Wolfson Children's Hospital and Baptist Health are active members of the Uninsured Working Group. Clay County Community Partnership School - The Community Partnership School model is a community school in which four core community partners - a school district, a university/college, a nonprofit and a health care provider - commit to a long-term partnership (25 years) to establish, develop and sustain the Community Partnership School. In this model, the school becomes a hub for the community where services are brought directly to the campus. Baptist Health has agreed to be the health care partner for the Community Partnership School at Wilkinson Junior High School in Clay County. The other partners are Clay County District Schools, Children's Home Society and St. Johns River State College. After a needs assessment is conducted and a strategic action plan is developed, Baptist will play the lead role in coordinating resources and other health care organizations to provide needed services onto the campus for students and the community. Northeast Florida Healthy Start Community Action Group - The Community Action Group works to implement the Fetal and Infant Mortality Review (FIMR) recommendations to reduce infant mortality in Northeast Florida. Wolfson Children's Hospital is an active member. Florida Occupant Protection Coalition - The Florida Occupant Protection Coalition (FOPC) was formed to identify and prioritize Florida's most pressing occupant protection issues. The Coalition reviews proven strategies and discusses promising new practices. The FOPC is developing a strategic plan that will serve as the blueprint for legislation, program, and funding strategies to maximize Florida's ability to reduce unrestrained motor vehicle occupant crashes. The FOPC is responsible for overseeing the implementation of the Occupant Protection Strategic Plan. Child Protection Team - Child Death Review Committee - Reviews infant deaths to delevop a community plan to reduce infant deaths. Wolfson Children's Hospital is an active member of the committee. Duval County Department of Health Community Health Improvement Plan - Wolfson Children's Hospital and Baptist Health staff participate in the County Department of Health-led effort to improve the health of community members. First Coast Health Equity Committee - Led by the American Heart Association, the goal of the health equity committee is to address social determinants of health to transform community health and wellbeing in diverseand under-resourced communities. Baptist Health is an active member of the committee.
Schedule H, Part II, Line 7 Community Health Improvement Advocacy Line 7: To provide access to primary health care for the uninsured and the underinsured, Baptist Health partners with Sulzbacher Center, Muslim American Social Services, The Way Free Medical Clinic, We Care Jacksonville, Helping Hands Community Outreach, and Volunteers in Medicine. Baptist Health partners with the Partnership for Child Health, Jacksonville Speech and Hearing, Vision Is Priceless, United Way Full Service Schools, DLC Nurse and Learn, Pine Castle, YMCA and JASMYN to ensure targeted health care needs are met for the vulnerable clients within their organizations. Baptist Health provides access to safety net services to help frail elderly stay in their homes in partnership with the AgeWell Institute and Heart Felt Ministries. Baptist Health partners with Community Hospice and Palliative Care to educate community members about advance directives. CHNA Priority Communicable Diseases and Unprotected Sex/Teen Pregnancy - Baptist Health partners with JASMYN, Planned Parenthood and Duval County Public Schools and North Florida AIDS Network to reduce STD's and unprotected sex. CHNA Priority Mental Health - Baptist Health partners with The Women's Center of Jacksonville and Project for Healing to provide access to mental health services. In addition, Baptist Health has partnered with UNF Brooks College of Health to initiate a mental health nurse practitioner degree program to increase access to mental health services, and Mental Health America Northeast Florida to advocate for access to mental health services in Northeast Florida. Baptist Health partners with the Northeast Florida Health Planning Council to train citizens in Mental Health First Aid. Baptist Health partners with Seniors On A Mission and Delta Research Foundation to provide support services to keep seniors and youth mentally healthy. Baptist Health partners with The Community Foundation for Northeast Florida to address access to care, reduce stigma and increase advocacy. CHNA Priority Access to Care - Baptist Health provides access to vision services for children and adults through United Way Full Service Schools and Vision Is Priceless. Wolfson Children's Hospital, through THE PLAYERS Center for Child Health, is working with community partners to identify and help families complete Florida KidCare applications. In addition, outreach educators train and educate the community on the importance of coverage. In addition, Baptist Health worked with the Duval County School System, Sulzabcher Center, UF Health Jacksonville and the Department of Health-Duval to open school health centers for children in underserved areas. CHNA Priority Diabetes and Maternal and Child Health - In addition to supporting access to care for adults without insurance, Baptist Health partnered with the MOSH to educate families about health. Baptist Health also partners with the Jacksonville Jaguars Foundation to implement PLAY 60, a nutrition and physical activity program targeted to 6th grade students and partners with faith organziations to implement 8 Weeks to Healthy Living, an exercise and healthy eating education program. CHNA Priorities Cancer/Smoking - In addition to supporting access to care for adults without insurance, Baptist Health partners with AHEC to offer smoking cessation classes in hospitals and other community locations. CHNA Priority Unintentional Injury - Baptist Health partners with Jacksonville Sports Medicne Program to provide trainers for high school athletics programs and health assessments for student athletes. Baptist Health partners with Jacksonville University to increase patient safety. In addition, Wolfson Children's Hospital is a member of the Duval Safety Coalition. CHNA Priority Health Disparities - In addition to supporting acces to care for adults without insurance, Baptist Health partners with The Bridge of Northeast Florida, Year Up and United Way to address economic and educational conditions that foster health disparities. To increase health education and information, Baptist Health partners with the Health Planning Council of Northeast Florida and the Museum of Science and History.
Schedule H, Part II, Line 8 Workforce Development Line 8: Workforce Development opportunities were provided to 51 teenagers (50 in FY17) 16 - 18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. The teens come from low-income neighborhoods and attend school with very low graduation rates. The summer employment opportunity provides teens exposure to real-life careers which motivates them to prepare appropriately for life after high school. Southern Baptist Hospitals also provided Clinical Education and Trianing to undergraduate and graduate student interns procuring degrees in nursing, IT, pharmacy, physical therapy and other health care professional provided by Baptist Health clinicians. In FY 18, Southern Baptist Hospitals provided 2,888 students with 84,134 hours of clinical education supervision. Baptist Health sponsored two interns in our IT department through a partnership with Year Up.
Schedule H, Part II, Line 9 Other Line 9: Mental Health First Aid - Baptist Health provided 8-hour certification training in Mental Health First Aid, Youth and Adult, to 191 community members. The AgeWell Institute provided education on various topics to 1,110 people during fiscal year 2018 (505 in FY17). Northeast Florida Medical Society - Baptist Health provided funding for college scholarships distributed by the Northeast Florida Medical Society to Duval County high school students.
Schedule H, Part VI, Line 7 State filing of the Community Benefit Report Baptist Health System, Inc. (BHS), parent company of the filing organization, is located within the northeast Florida quadrant. There are no requirements for state filing in Florida of the annual community benefit report. However, BHS does publish the report and it is available upon request or at the www.baptist.jax.com website or at https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization Baptist Health System, Inc.
Schedule H, Part I, Line 7g Subsidized Health Services There were no physician clinic costs included in the subsidized health services cost.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance We obtained our cost using our CCA cost accounting system to develop payor-level RCC's which were applied to payor charges to calculate cost.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount PATIENT SERVICE REVENUES ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED. BHS RECOGNIZES PATIENT SERVICE REVENUES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, REVENUE IS RECOGNIZED ON THE BASIS OF DISCOUNTED RATES IN ACCORDANCE WITH BHS' POLICY. PATIENT SERVICE REVENUES ARE REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BHS' SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, BHS RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BHS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH BHS' POLICIES.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ENTIRE PROVISION FOR BAD DEBTS IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUES. NONE OF THE PROVISION IS INCLUDED IN THE EXPENSES OF THE FORM 990 INCLUDING SCHEDULE H AND THE CALCULATION OF COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAPTIST HEALTH SYSTEM, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 2. SIGNIFICANT ACCOUNTING POLICIES NET PATIENT SERVICE REVENUES, ACCOUNTS RECEIVABLE, AND PROVISION FOR BAD DEBTS PATIENT SERVICE REVENUES ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED. THE ORGANIZATION RECOGNIZES PATIENT SERVICE REVENUES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, REVENUE IS RECOGNIZED ON THE BASIS OF DISCOUNTED RATES IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. PATIENT SERVICE REVENUES ARE REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYSES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare allowable costs of care based on the organization's cost accounting system which is used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. THE POLICY DOES NOT SPECIFICALLY ADDRESS THOSE PATIENTS WHO ARE KNOWN TO QUALIFY OR HAVE APPLIED FOR CHARITY CARE AS THE ORGANIZATION DOES NOT BILL THESE PATIENTS. THE ORGANIZATION'S COST ACCOUNTING SYSTEM IDENTIFIES ALL PATIENTS WHO HAVE A PENDING OR APPROVED CHARITY APPLICATION. THE ORGANIZATION WOULD ONLY BILL THE PATIENT IF, AFTER MULTIPLE ATTEMPTS TO OBTAIN ANY NEEDED DOCUMENTATION FROM THE PATIENT TO COMPLETE THE CHARITY APPROVAL PROCESS, THE PATIENT WAS NONCOMPLIANT.
Schedule H, Part V, Section B, Line 16a FAP website A - Baptist Medical Center: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website A - Baptist Medical Center: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Baptist Medical Center: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment Baptist Health System, Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. BHS has partnered with 43 faith-based organizations located in vulnerable low-income neighborhoods where a health needs survey is conducted annually. The survey of the members of our faith-based partners is anonymous. In addition, data is gathered from the Northeast Florida Counts website which serves as a source of population data and information about the health status of the community. It gathers information for Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AT PATIENT Access POINTs, "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 ONE OF OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. Signs are also posted in the emergency room and patient admission areas informing everyone that charity care is available with contact information. All bills sent to patients conspicuously show the web address and contact information of our patient financial services office to assist with financial assistance. A copy of the plain language summary is also mailed out to patients with a copy of their bill. Baptist Health also has the Financial Assistance policy, Plain language summary, application, contact information, and translations into different languages available on its website and free of charge at all hospital locations. Baptist Health makes a reasonable effort to ensure that a copy of the plain language summary is provided to patients and that patients know there is assistance if they need it. In the event that a patient has not submitted all information needed to apply for financial assistance, Baptist Health will contact the patient to request the remaining information to help complete the application process.
Schedule H, Part VI, Line 4 Community information The four counties served by Baptist Health System, Inc. (BHS), parent company of the filing organization, has close to 1.4 million people. The age range averages 18 to 44 year old. Females make up more of the population than males, but not more than 3%. Nassau and St. Johns Counties are nearly 90% Caucasian. Duval County has the region's largest African American population at 30 percent. Duval County also has the largest Asian population of 4.2 percent. Hispanic/ Latino residents make up 3.2 percent of Nassau County and 5.2 of St Johns County, while Duval is close to 9.0 percent. The population of the constituents in the urban core served is largely made up of African Americans with a very small percentage of Caucasians, Hispanic, and Asian culture. The average income in the area of focus is $21,000.
Schedule H, Part VI, Line 5 Promotion of community health Baptist Health System, Inc. (BHS), parent company of the filing organization, continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee consisting of Northeast Florida residents who also serve on Baptist hospital boards of directors provides direction to the community health work based on the community need within the four county area served by Baptist Health. Baptist Health continues to donate more than 1.2 million dollars to support nonprofit organizations that provide health services to the underserved and low income community. Some of the nonprofit organizations provide primary care for the uninsured and the underinsured. Some provide behavioral health services to families who would not otherwise have access while others provide health services and transportation for the frail elderly.
Schedule H, Part VI, Line 6 Affiliated health care system Baptist Health System, Inc. (BHS) is the parent affiliate of Southern Baptist Hospital of Florida, Inc. (SBHF). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for SBHF and works with our employees in facilitating volunteer opportunities across our community. Members of the SBHF board of directors serve on the Social Responsibility and Community Health Committee. SBHF works closely with a number of nonprofit partners to meet the health needs in our community.
Schedule H (Form 990) 2019
Additional Data


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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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
noncash assistance
(h) Purpose of grant
or assistance
(1) Art With A Heart in Healthcare
841 Prudential Dr
Ste 150
Jacksonville,FL32207
26-1313805 501(c)(3) 125,000       TO PROVIDE PERSONALIZED FINE ART EXPERIENCES THAT ENHANCE THE HEALING PROCESS FOR PATIENTS AND THEIR FAMILIES.
(2) JAY FUND FOUNDATION
PO Box 50798
Jacksonville,FL32240
59-3426937 501(c)(3) 50,000       To help families tackle childhood cancer by providing comprehensive financial, emotional and practical support. From diagnosis to recovery and beyond, we are part of the team, allowing parents to solely focus on their child's well being. Our goal is to BE THERE for parents facing the unthinkable so they can be there for their families.
(3) RONALD MCDONALD HOUSE
824 Childrens Way
Jacksonville,FL32207
59-2625008 501(c)(3) 100,000       Supports the health and well-being of children by providing lodging, meals, transportation and a community of care to critically ill children and their families who need to be near a hospital for treatment.
(4) YEAR UP
45 Milk St
9th Floor
Boston,MA02109
04-3534407 501(c)(3) 17,643       To close the Opportunity Divide by providing young adults with the skills, experience, and support that will empower them to reach their potential through professional careers and higher education.
(5) Jacksonville University
2800 University Blvd N
Jacksonville,FL32211
59-0624412 501(c)(3) 1,000,000       To prepare students for life-long success in learning, achieving, leading, and serving. We accomplish this mission in a small, comprehensive, independent University community located within a vibrant metropolitan setting.
(6) Jasmyn Inc
929 Peninsular Pl
Jacksonville,FL32204
59-3284175 501(c)(3) 33,000       Supports and empowers LGBTQ+ young people by creating safe space, providing health and wholeness services, and offering youth development opportunities, while bringing people and resources together to promote equality and human rights. Our vision: LGBTQ young people are affirmed in their identities, confident in their futures, and are a valued asset in the Northeast Florida community
(7) Boys & Girls Club of NE FL
555 West 25th St
Jacksonville,FL32206
59-6167630 501(c)(3) 52,029       To "inspire and enable all young people, especially those who need us most, to realize their full potential as productive, responsible citizens." We have 24 Clubs located in areas where children may by at risk for failure in Duval and St. Johns counties.
(8) DLC Nurse & Learn
4101-1 College St
Jacksonville,FL32205
59-3618761 501(c)(3) 38,000       TO PROVIDE YEAR ROUND, HIGH-QUALITY EDUCATION, NURSING CARE AND THERAPIES IN AN ENVIRONMENT FOR CHILDREN OF ALL ABILITIES, WITH DIGNITY, WHILE GIVING FAMILIES THE ABILITY TO BECOME FINANCIALLY INDEPENDENT AND CHILDREN THE OPPORTUNITY TO REACH THEIR MAXIMUM POTENTIAL.
(9) Jacksonville Jaguars Foundation Inc
One TIAA Bank Field Dr
Jacksonville,FL32202
59-3249687 501(c)(3) 75,000       To support programs benefiting economically and socially disadvantaged youth, families and other NFL and team charitable initiatives.
(10) Vision is Priceless Council
3 Shircliff Way
Ste 546
Jacksonville,FL32204
59-3386495 501(c)(3) 20,000       Vision Screening Referrals and Follow up
(11) Wolfson Childrens Hospital Inc
1660 Prudential Dr
Ste 203
Jacksonville,FL32207
59-1452787 501(c)(3) 10,000       The organization is a supporting organization for Southern Baptist Hospital of Florida, Inc., d/b/a Wolfson Children's Hospital, a 501(c)(3) charitable hospital. The organization had approximately 132 unpaid volunteers during the tax year. The volunteers assist various departments in the Children's Hospital such as Admitting, Child Life, Surgical Services, Library and Patient Support. Volunteers also assist with student tours, pet therapy, clowns, food sales and with various fundraising events.
(12) IM Sultzbacher Center
611 E Adams St
Jacksonville,FL32202
59-3229898 501(c)(3) 497,500       To provide the homeless with shelter, meals, medical and dental care while providing counseling.
(13) Mission House Inc
800 Shetter Ave
Jacksonville,FL32250
59-3376704 501(c)(3) 33,000       To empower individuals affected by homelessness in the beaches area by providing food, clothing, medical care, and support services with an avenue to self-sufficiency.
(14) Pine Castle Inc
4911 Spring Park Rd
Jacksonville,FL32207
59-0704733 501(c)(3) 25,000       to empower adults with intellectual and developmental differences through opportunities to Learn, Work and Connect.
(15) Community Foundation of NE Florida
245 Riverside Ave
310
Jacksonville,FL32202
59-6150746 501(c)(3) 202,500       Stimulating Philanthropy to Build a Better Community
(16) UNF - Brooks College of Health
One UNF Dr
Hicks Hall 2900
Jacksonville,FL32224
23-7167701 501(c)(3) 25,000       TO PROVIDE FINANCIAL SUPPORT TO THE STUDENTS AND PROGRAMS OF THE UNF.
(17) YMCA of Florida's First Coast
40 East Adams Street
Suite 210
Jacksonville,FL32202
59-0638514 501(c)(3) 25,000       To put Christian principles into practice through programs that build healthy spirit, mind and body for all.
(18) Jacksonville Speech & Hearing Center
1010 N Davis St
Ste 101
Jacksonville,FL32209
59-0970718 501(c)(3) 25,000       Committed to providing the highest quality professional and compassionate care to all individuals with hearing, speech, and/or language disorders in our community.
(19) MUSLIM AMERICAN SOCIAL SERVICES INC
2251 St Johns Bluff Rd South
Jacksonville,FL32246
46-5096772 501(c)(3) 55,000       To put into practice the Prophetic mission described in the Holy Quran as "rahmatul-lil-alamin" - a mercy to all of God's creations (21:107).
(20) PROJECT FOR HEALING INC
6015 E Morrow St
Jacksonville,FL32217
56-1690895 501(c)(3) 25,000       THERAPY TO REFUGEES AND SURVIVORS
(21) Womens Center of Jacksonville
5644 Colcord Ave
Jacksonville,FL32211
23-7437216 501(c)(3) 36,000       IMPROVING THE LIVES OF WOMEN THROUGH ADVOCACY, SUPPORT AND EDUCATION AND PROVIDING RAPE RECOVERY SERVICES FOR INDIVIDUALS OF ALL GENDERS IN DUVAL, NASSAU AND BAKER COUNTIES.
(22) Community Hospice & Palliative Care
4266 Sunbeam Rd
Jacksonville,FL32257
59-1940256 501(c)(3) 25,000       TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY.
(23) Planned Parenthood of South East and North Florida
2300 N Florida Mango Rd
West Palm Beach,FL33409
59-1391115 501(c)(3) 15,000       to provide comprehensive sexual health care through the provision of clinical services, education and advocacy. We do so by understanding and responding to the needs of those seeking our services, and by protecting and respecting the essential privacy rights, dignity and culture of each individual.
(24) UNITED WAY OF NE FLORIDA
40 E Adams St
200
Jacksonville,FL32202
59-0637825 501(c)(3) 112,609       Solve our community's toughest challenges by connecting people, resources and ideas.
(25) VOLUNTEERS IN MEDICINE
41 E Duval St
Jacksonville,FL32202
75-3002172 501(c)(3) 75,000       To improve the health of the Northeast Florida community by providing free primary and specialty medical care to low-income workers and their families who cannot afford healthcare or health insurance.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
25
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) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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 (Form 990) 2019



Additional Data


Software ID: 17005876
Software Version: 2017v2.2


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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 on 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 on 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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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" on 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) 2019

Schedule J (Form 990) 2019
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 on 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 in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1A Hugh Greene
 
President & CEO
(i)

(ii)
0
-------------
1,061,599
0
-------------
535,300
0
-------------
30,000
0
-------------
44,450
0
-------------
11,361
0
-------------
1,682,710
0
-------------
0
2Richard D Glock MD
 
Director
(i)

(ii)
0
-------------
156,421
0
-------------
0
0
-------------
117,825
0
-------------
1,855
0
-------------
8,786
0
-------------
284,887
0
-------------
0
3John F Wilbanks
 
Executive VP/COO
(i)

(ii)
0
-------------
591,945
0
-------------
196,000
0
-------------
8,384,809
0
-------------
116,607
0
-------------
10,877
0
-------------
9,300,238
0
-------------
8,369,809
4Scott Wooten
 
SVP/CFO
(i)

(ii)
0
-------------
602,049
0
-------------
213,170
0
-------------
15,000
0
-------------
183,770
0
-------------
9,548
0
-------------
1,023,537
0
-------------
0
5Keith L Stein MD
 
SVP/Chief Medical Officer
(i)

(ii)
0
-------------
496,038
0
-------------
144,640
0
-------------
12,000
0
-------------
124,686
0
-------------
18,495
0
-------------
795,859
0
-------------
0
6Harvey Granger
 
SVP/General Counsel/Asst Secretary/Asst Treasurer
(i)

(ii)
0
-------------
453,057
0
-------------
134,840
0
-------------
15,000
0
-------------
46,325
0
-------------
18,482
0
-------------
667,704
0
-------------
0
7G Scott Baity
 
SVP/Gen Counsel/Asst Secretary/Asst Treasurer
(i)

(ii)
0
-------------
256,072
0
-------------
25,180
0
-------------
0
0
-------------
34,454
0
-------------
10,996
0
-------------
326,702
0
-------------
0
8Michael A Mayo
 
Senior Vice President
(i)

(ii)
471,650
-------------
0
299,936
-------------
0
10,000
-------------
0
12,825
-------------
0
18,785
-------------
0
813,196
-------------
0
0
-------------
0
9Michael A Aubin
 
Senior Vice President
(i)

(ii)
1,470,628
-------------
0
137,925
-------------
0
10,000
-------------
0
12,825
-------------
0
18,785
-------------
0
1,650,163
-------------
0
0
-------------
0
10Nichole Thomas
 
Senior Vice President
(i)

(ii)
351,126
-------------
0
71,000
-------------
0
10,000
-------------
0
48,051
-------------
0
11,089
-------------
0
491,266
-------------
0
0
-------------
0
11Jerry Bridgham
 
Chief Medical Officer
(i)

(ii)
327,877
-------------
0
49,590
-------------
0
10,000
-------------
0
58,968
-------------
0
9,829
-------------
0
456,264
-------------
0
0
-------------
0
12Pierre Allaire PhD
 
VP & Chief Development Officer
(i)

(ii)
302,490
-------------
0
74,380
-------------
0
0
-------------
0
12,825
-------------
0
10,766
-------------
0
400,461
-------------
0
0
-------------
0
13Serge Vilvar MD
 
Physician - Psychiatrist
(i)

(ii)
358,931
-------------
0
0
-------------
0
51,134
-------------
0
15,525
-------------
0
11,129
-------------
0
436,719
-------------
0
0
-------------
0
14Shariq Refai
 
Physician-Psychiatrist
(i)

(ii)
366,291
-------------
0
0
-------------
0
81,659
-------------
0
10,800
-------------
0
5,314
-------------
0
464,064
-------------
0
0
-------------
0
15Tammy Daniel DNPMARNNEA-BC
 
SVP & Chief Nursing Officer
(i)

(ii)
264,151
-------------
0
50,000
-------------
0
0
-------------
0
51,160
-------------
0
18,706
-------------
0
384,017
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 3 Arrangement used to establish the top management official's compensation In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Baptist Health System, Inc. (BHS) parent affiliate of Southern Baptist Hospital of Florida, Inc., has two active supplemental nonqualified retirement plans (SERPS). One is for certain executives (supplemental executive retirement plan) and the other is for certain vice presidents (vice-president supplemental executive retirement plan). These SERPs are plans described in IRS Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age. After over 32 years of service, John F. Wilbanks reached retirement age under the executive SERP during 2017, causing his SERP benefit to vest. Accordingly, the total amount of Mr. Wilbanks' SERP taxable benefit included in his W-2, Box 5 was $8,369,809 in addition to his current year income. Like other participants in the executive SERP, Mr. Wilbanks' SERP compensation is payable over his lifetime with a 15-year period certain. In addition, Michael Aubin also reached retirement age under the executive SERP plan during 2017, causing his SERP benefit to vest. In addition to Mr. Aubin's yearly compensation of $733,988 ($702,378 taxable compensation and deferred compensation with non-taxable benefits of $31,610), the total amount of the taxable SERP was included in his W-2, Box 5 in the amount of $916,175, per IRS guidelines. This SERP Amount is Reported on Schedule J, Part II, Column (B)(III) "Other Reportable Compensation" in addition to other reportable compensation, Column (F) "Compensation in Column (B) Reported as Deferred in Prior Form 990", and Form 990, Part VII. The following individuals accrued unvested benefits under these plans during calendar year 2017: John F. Wilbanks $71,598, Scott Wooten $172,970, Keith Stein $79,796, Nicole Thomas $35,226, Tammy Daniel $35,635, and Jerry Bridgeham $43,443. These accrued benefits are unvested and subject to forfeiture unless the named employee remains employed with Southern Baptist Hospital of Florida, Inc. until the covered employee reaches retirement age. This amount is included on Schedule J, part II, column (c).
Schedule J (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number
59-0747311
Part
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 SERIES 2003A
 
59-2263061 000000000 12-01-2011 70,000,000 Hospital Revenue Bonds to refund prior issue 06/18/2003.   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003B
 
59-2263061 469404UH8 12-01-2011 35,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003C
 
59-2263061 469404TU1 12-01-2011 20,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2004
 
59-2263061 000000000 12-01-2011 50,000,000 Hospital Revenue bonds to refund prior issue 11/04/2004.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007B
 
59-2263061 469404UL9 12-01-2011 27,750,000 Hospital Revenue Bond to refund prior issue 02/22/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007CDE
 
59-2263061   12-01-2011 92,969,370 Revenue refunding bonds to refund prior issue 05/17/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010A
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010B
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010C
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012A
 
59-2263061 000000000 03-28-2011 25,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012B
 
59-2263061 000000000 03-28-2011 20,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012C
 
59-2263061 000000000 03-28-2011 15,000,000 HOSPITAL Equipment   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012D
 
59-2263061 000000000 03-28-2011 40,000,000 Hospital Capital Improvements   X   X   X
Jacksonville Health Facilities Authority Series 2001
 
59-2263061 469404tr8 12-01-2011 19,689,872 Hospital Revenue Bonds to refund a prior issue 09/06/2001.   X   X   X
City of Jacksonville Florida Series 2017
 
59-2980620 469400CM5 08-15-2017 65,000,752 Revenue Refunding bonds to refund prior issue 02/22/2007.   X   X   X
Part
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 ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
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 of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 0.01 % 0.01 % 0.01 % 0.01 %
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 ............. 0.01 % 0.01 % 0.01 % 0.01 %
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? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to line 2c, provide in Part 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
 
UBS AND WELLS FARGO BANKS
 
SUN TRUST
 
 
 
c Term of hedge ......... 1090 % 1610 % 700 %  
d Was the hedge superintegrated? ......   X   X X      
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .........        
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
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
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: 469404UPO 2007E: 469404UM7
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number
59-0747311
Part
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 SERIES 2003A
 
59-2263061 000000000 12-01-2011 70,000,000 Hospital Revenue Bonds to refund prior issue 06/18/2003.   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003B
 
59-2263061 469404UH8 12-01-2011 35,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003C
 
59-2263061 469404TU1 12-01-2011 20,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2004
 
59-2263061 000000000 12-01-2011 50,000,000 Hospital Revenue bonds to refund prior issue 11/04/2004.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007B
 
59-2263061 469404UL9 12-01-2011 27,750,000 Hospital Revenue Bond to refund prior issue 02/22/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007CDE
 
59-2263061   12-01-2011 92,969,370 Revenue refunding bonds to refund prior issue 05/17/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010A
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010B
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010C
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012A
 
59-2263061 000000000 03-28-2011 25,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012B
 
59-2263061 000000000 03-28-2011 20,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012C
 
59-2263061 000000000 03-28-2011 15,000,000 HOSPITAL Equipment   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012D
 
59-2263061 000000000 03-28-2011 40,000,000 Hospital Capital Improvements   X   X   X
Jacksonville Health Facilities Authority Series 2001
 
59-2263061 469404tr8 12-01-2011 19,689,872 Hospital Revenue Bonds to refund a prior issue 09/06/2001.   X   X   X
City of Jacksonville Florida Series 2017
 
59-2980620 469400CM5 08-15-2017 65,000,752 Revenue Refunding bonds to refund prior issue 02/22/2007.   X   X   X
Part
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 ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
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 of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 0.01 % 0.01 % 0.01 % 0.01 %
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 ............. 0.01 % 0.01 % 0.01 % 0.01 %
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? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to line 2c, provide in Part 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
 
UBS AND WELLS FARGO BANKS
 
SUN TRUST
 
 
 
c Term of hedge ......... 1090 % 1610 % 700 %  
d Was the hedge superintegrated? ......   X   X X      
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .........        
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
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
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: 469404UPO 2007E: 469404UM7
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number
59-0747311
Part
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 SERIES 2003A
 
59-2263061 000000000 12-01-2011 70,000,000 Hospital Revenue Bonds to refund prior issue 06/18/2003.   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003B
 
59-2263061 469404UH8 12-01-2011 35,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003C
 
59-2263061 469404TU1 12-01-2011 20,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2004
 
59-2263061 000000000 12-01-2011 50,000,000 Hospital Revenue bonds to refund prior issue 11/04/2004.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007B
 
59-2263061 469404UL9 12-01-2011 27,750,000 Hospital Revenue Bond to refund prior issue 02/22/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007CDE
 
59-2263061   12-01-2011 92,969,370 Revenue refunding bonds to refund prior issue 05/17/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010A
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010B
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010C
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012A
 
59-2263061 000000000 03-28-2011 25,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012B
 
59-2263061 000000000 03-28-2011 20,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012C
 
59-2263061 000000000 03-28-2011 15,000,000 HOSPITAL Equipment   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012D
 
59-2263061 000000000 03-28-2011 40,000,000 Hospital Capital Improvements   X   X   X
Jacksonville Health Facilities Authority Series 2001
 
59-2263061 469404tr8 12-01-2011 19,689,872 Hospital Revenue Bonds to refund a prior issue 09/06/2001.   X   X   X
City of Jacksonville Florida Series 2017
 
59-2980620 469400CM5 08-15-2017 65,000,752 Revenue Refunding bonds to refund prior issue 02/22/2007.   X   X   X
Part
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 ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
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 of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 0.01 % 0.01 % 0.01 % 0.01 %
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 ............. 0.01 % 0.01 % 0.01 % 0.01 %
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? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to line 2c, provide in Part 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
 
UBS AND WELLS FARGO BANKS
 
SUN TRUST
 
 
 
c Term of hedge ......... 1090 % 1610 % 700 %  
d Was the hedge superintegrated? ......   X   X X      
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .........        
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
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
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: 469404UPO 2007E: 469404UM7
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Southern Baptist Hospital of Florida Inc
 
Employer identification number
59-0747311
Part
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 SERIES 2003A
 
59-2263061 000000000 12-01-2011 70,000,000 Hospital Revenue Bonds to refund prior issue 06/18/2003.   X   X   X
B JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003B
 
59-2263061 469404UH8 12-01-2011 35,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
C JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2003C
 
59-2263061 469404TU1 12-01-2011 20,000,000 Hospital revenue bonds to refund prior issue 06/18/2003.   X   X   X
D JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2004
 
59-2263061 000000000 12-01-2011 50,000,000 Hospital Revenue bonds to refund prior issue 11/04/2004.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007B
 
59-2263061 469404UL9 12-01-2011 27,750,000 Hospital Revenue Bond to refund prior issue 02/22/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007CDE
 
59-2263061   12-01-2011 92,969,370 Revenue refunding bonds to refund prior issue 05/17/2007.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010A
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010B
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010C
 
59-2263061 000000000 12-01-2011 24,400,000 Hospital Revenue bonds to refund prior issue 06/24/2010.   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012A
 
59-2263061 000000000 03-28-2011 25,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012B
 
59-2263061 000000000 03-28-2011 20,000,000 HOSPITAL CAPITAL Improvements   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012C
 
59-2263061 000000000 03-28-2011 15,000,000 HOSPITAL Equipment   X   X   X
JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012D
 
59-2263061 000000000 03-28-2011 40,000,000 Hospital Capital Improvements   X   X   X
Jacksonville Health Facilities Authority Series 2001
 
59-2263061 469404tr8 12-01-2011 19,689,872 Hospital Revenue Bonds to refund a prior issue 09/06/2001.   X   X   X
City of Jacksonville Florida Series 2017
 
59-2980620 469400CM5 08-15-2017 65,000,752 Revenue Refunding bonds to refund prior issue 02/22/2007.   X   X   X
Part
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 ............... 0 0 0 0
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
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 of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
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
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) 2019

Schedule K (Form 990) 2019
Page 2
Part
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? X   X   X   X  
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 0.01 % 0.01 % 0.01 % 0.01 %
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 ............. 0.01 % 0.01 % 0.01 % 0.01 %
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? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to line 2c, provide in Part 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
 
UBS AND WELLS FARGO BANKS
 
SUN TRUST
 
 
 
c Term of hedge ......... 1090 % 1610 % 700 %  
d Was the hedge superintegrated? ......   X   X X      
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
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 .........        
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
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
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: 469404UPO 2007E: 469404UM7
Schedule K (Form 990) 2019

Additional Data


Software ID: 17005876
Software Version: 2017v2.2

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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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), section 501(c)(4), and section 501(c)(29) 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 the 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 Benefiting 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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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 of filing organization 1,099,840 EMPLOYEE BENEFITS INSURANCE COMMISSIONS   No
(2) HARDEN & ASSOCIATES INC
 
DIRECTOR of filing organization 299,916 INSURANCE CONSULTING FEES   No
(3) Laurence Edens
 
Family member of a current officer of the filing organization 17,303 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) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2




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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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, Line 6 Classes of members or stockholders The organization has a sole corporate member, Baptist Health System, Inc.
Form 990, Part VI, 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, 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, Line 11b Review of form 990 by governing body Form 990 and accompanying schedules are prepared internally and then provided to Baptist Health System, Inc. who is the sole corporate member of Southern Baptist Hospital of Florida, Inc. The board of directors of Baptist Health System, Inc. are provided a copy of the form 990 and all accompanying schedules prior to filing with the internal revenue service center.
Form 990, Part VI, 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, 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, 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, Line 19 Required documents available to the public The organization makes its governing documents, conflict of interest policy, financial statements, and three most recent forms 990 available to the public upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue Premier Healthcare Alliance, P.A. Partnership Income - Total Revenue: 2951151, Related or Exempt Function Revenue: 2867933, Unrelated Business Revenue: 83218, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Seminar Revenue - Total Revenue: 38324, Related or Exempt Function Revenue: 38324, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers FROM affiliated organizations - -5107207;
Page 1, Line C Doing Business as Name Baptist Medical Center South, Baptist Medical Center Downtown, Baptist Medical Center Clay, Baptist Medical Center Jacksonville, Baptist MD Anderson Cancer Center, Baptist Emergency at Town Center, Baptist Emergency Center North, Wolfson Children's Hospital
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID: 17005876
Software Version: 2017v2.2
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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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

(1) Baptist Behavioral Health LLC
841 Prudential Dr
Ste 1601
Jacksonville,FL32207
46-4629700
Provide medical and healthcare services FL -2,013,336 1,328,297 Southern Baptist Hospital of Florida Inc
 










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
Financial/management assistance for health system FL 501(c)(3) Type II Coastal Community Health Inc
 
 
No
(4)BAPTIST HEALTH SYSTEM FOUNDATION INC
841 PRUDENTIAL DR 13TH FLR

JACKSONVILLE,FL32207
59-2487135
FUNDRAISING FOR tax-exempt entities controlled by BHS FL 501(c)(3) 7 BAPTIST HEALTH SYSTEM INC
 
 
No
(5)BAPTIST HEALTH PROPERTIES INC
1660 Prudential Dr Ste 101

JACKSONVILLE,FL32207
59-2487133
Owns/manages real estate properties for health system FL 501(c)(3) Type I BAPTIST HEALTH SYSTEM INC
 
 
No
(6)BAPTIST HEALTH AMBULATORY SERVICES INC
1660 Prudential Dr Ste 203

JACKSONVILLE,FL32207
59-3410739
Medical Research and Education FL 501(c)(3) Type I BAPTIST HEALTH SYSTEM INC
 
 
No
(7)Coastal Community Health Inc
841 Prudential Dr
Ste 1450
Jacksonville,FL32207
47-1322041
Regional affiliation of BHS with 2 other 501(c)(3) healthcare systems FL 501(c)(3) Type I na
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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 1,204,934 3,243,697   No 0 Yes   98.5 %
(2) Corporate Health LLC

841 Prudential Dr Ste 1802
Jacksonville,FL32207
Operation of a medically-based wellness program FL Baptist Health Ambulatory Services Inc
 
Related 0 0   No     No 0 %










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 %   No
(2) IT4CIN Inc

841 Prudential Dr
Ste 1802
Jacksonville,FL32207
47-3954500
Purchase health information technology products and services for its members. FL na
 
C Corporation 0 0 0 %   No










Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


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