Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (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 | |||||
| (A)
BAPTIST HEALTH CARE FOUNDATION INC |
590192265 | 7 | Yes | 0 | 0 | |
| (B)
BAPTIST HOSPITAL INC |
590657322 | 3 | Yes | 0 | 61,613,049 | |
| (C)
JAY HOSPITAL INC |
592425149 | 3 | Yes | 0 | 2,083,363 | |
| (D)
LAKEVIEW CENTER INC |
590737872 | 7 | Yes | 0 | 27,996 | |
|
Total 4
|
0 | 63,724,408 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(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.).. | ||||||
| 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 | ||||
| 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..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 6 | BAPTIST HEALTH CARE CORPORATION, SOLD ITS 100% MEMBERSHIP INTEREST IN ANDREWS RESEARCH AND EDUCATION INSTITUTE, LLC TO ANDREWS RESEARCH AND EDUCATION FOUNDATION, INC., A 501(C)(3) CORPORATION ON JANUARY 1, 2015. AS A CONDITION OF THE AGREEMENT BHC HAS AGREED TO THE FOLLOWING: 1. CERTAIN DEBT OBLIGATIONS OWED BY ANDREWS RESEARCH AND EDUCATION INSTITUTE, LLC TO BAPTIST HEALTH CARE CORPORATION TO BE CONVERTED INTO INVESTED CAPTIAL AND NO LONGER DUE FROM ANDREWS RESEARCH AND EDUCATION INSTITUTE, LLC TO BAPTIST HEALTH CARE CORPORATION. 2. PROVIDE CERTAIN FINANCIAL AND IN-KIND SUPPORT FOR A FIXED PERIOD OF TIME (5 YEARS) AS ANDREWS RESEARCH AND EDUCATION INSTITUTE, LLC / ANDREWS RESEARCH AND EDUCATION FOUNDATION, INC. DEVELOP AS AN INDEPENDENT ENTITY. |
| SCHEDULE A, PART IV, SECTION D, LINE 3 | THE OFFICERS OF BAPTIST HEALTH CARE CORPORATION ARE ALSO THE OFFICERS OF THE SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS HAS THE RIGHT TO ELECT THE GOVERNING BODY OF ITS SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B | BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, MUST APPROVE ADDITIONS AND CHANGES TO THE POLICIES, PROGRAMS AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART I, LINE 12G, COLUMN VI | BAPTIST HEALTH CARE CORPORATION PROVIDES STRATEGIC PLANNING, INFORMATION TECHNOLOGY, ACCOUNTING, LEGAL, AND OTHER MANAGEMENT/SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. THE AMOUNTS REPORTED IN SCHEDULE A, PART I, LINE 12G, COLUMN VI REPRESENT SUPPORT PROVIDED IN RELATION TO THESE SERVICES. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART V, LINE 1A | A MAJORITY OF THE 1099'S ARE ISSUED ON THE ORGANIZATION'S BEHALF BY BAPTIST HOSPITAL INC ( EIN: 59-0657322), A RELATED TAX EXEMPT ORGANIZATION. |
| FORM 990, PART VI, LINE 2 | MARK FAULKNER, MICHAEL GLEASON, M. ALLISON HILL AND BRYON (SCOTT) RAYNES, HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. RONALD JACKSON AND LUTHER TAYLOR HAVE A BUSINESS RELATIONSHIP WITH BRYON (SCOTT) RAYNES. RONALD JACKSON AND LUTHER TAYLOR ARE BOARD MEMBERS OF BAPTIST HOSPITAL, INC. AND BRYON (SCOTT) RAYNES IS AN OFFICER OF BAPTIST HOSPITAL, INC., CREATING AN EMPLOYER/EMPLOYEE RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY A FLORIDA LICENSED CPA WHO IS AN EMPOYEE OF THE CORPORATION AND IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | EACH YEAR THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE CORPORATION BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A, LINE 1A | THE FOLLOWING BOARD MEMBERS CHANGED THEIR POSITION WITHIN THE BOARD DURING THE TAX YEAR AS A RESULT OF THE TIMING OF BOARD MEMBER ELECTIONS: 10/01/19 - 03/31/20 04/01/20 - 09/30/20 EDWARD M. GRAY, III TREASURER (ENDED 03/31/20) DAVID E. CLEAVELAND BOARD MEMBER TREASURER |
| FORM 990, PART XI, LINE 9 | PENSION ADJUSTMENT $ (336,352) EQUITY TRANSFER $ 3,912,831 --------------- $ 3,576,479 |
| Software ID: | |
| Software Version: |
|
Affiliated Group Business Name:
BAPTIST HEALTH CARE CORPORAT
Address. Either US or Foreign Type:
PO BOX 17500
PENSACOLA, FL325227500 EIN:
59-2425151
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
101,678
Total Lobbying Expenditures:
101,678
Other Exempt Purpose Expenditures:
70,110,616
Total Exempt Purpose Expenditures:
70,212,294
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
BAPTIST HEALTH CARE FOUNDATI
Address. Either US or Foreign Type:
PO BOX 17500
PENSACOLA, FL325227500 EIN:
59-0192265
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,422,095
Total Exempt Purpose Expenditures:
2,422,095
Lobbying Nontaxable Amount:
271,105
Grassroots Nontaxable Amount:
67,776
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
BAPTIST HOSPITAL INC
Address. Either US or Foreign Type:
PO BOX 17500
PENSACOLA, FL325227500 EIN:
59-0657322
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
45,896
Total Lobbying Expenditures:
45,896
Other Exempt Purpose Expenditures:
641,073,445
Total Exempt Purpose Expenditures:
641,119,341
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
CMHC HERNANDEZ HOUSE INC
Address. Either US or Foreign Type:
1221 W LAKEVIEW AVENUE
PENSACOLA, FL325011836 EIN:
59-2041794
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
36,446
Total Exempt Purpose Expenditures:
36,446
Lobbying Nontaxable Amount:
7,289
Grassroots Nontaxable Amount:
1,822
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
JAY HOSPITAL INC
Address. Either US or Foreign Type:
PO BOX 17500
PENSACOLA, FL325227500 EIN:
59-2425149
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
3,301
Total Lobbying Expenditures:
3,301
Other Exempt Purpose Expenditures:
15,286,749
Total Exempt Purpose Expenditures:
15,290,050
Lobbying Nontaxable Amount:
914,503
Grassroots Nontaxable Amount:
228,626
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
LAKEVIEW PLACE INC
Address. Either US or Foreign Type:
1221 W LAKEVIEW AVENUE
PENSACOLA, FL325011836 EIN:
59-2804577
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
82,821
Total Exempt Purpose Expenditures:
82,821
Lobbying Nontaxable Amount:
16,564
Grassroots Nontaxable Amount:
4,141
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
LAKEVIEW VILLA INC
Address. Either US or Foreign Type:
1221 W LAKEVIEW AVENUE
PENSACOLA, FL325011836 EIN:
59-2842486
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
142,148
Total Exempt Purpose Expenditures:
142,148
Lobbying Nontaxable Amount:
28,430
Grassroots Nontaxable Amount:
7,108
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
LAKEVIEW CENTER INC
Address. Either US or Foreign Type:
1221 W LAKEVIEW AVENUE
PENSACOLA, FL325011836 EIN:
59-0737872
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
40,000
Total Lobbying Expenditures:
40,000
Other Exempt Purpose Expenditures:
145,623,197
Total Exempt Purpose Expenditures:
145,663,197
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
GLOBAL CONNECTIONS TO EMPLOY
Address. Either US or Foreign Type:
1221 WEST LAKEVIEW AVE
PENSACOLA, FL32501 EIN:
47-2592811
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
185,330,263
Total Exempt Purpose Expenditures:
185,330,263
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
CHAUTAUQUA OFFICES OF PSYCHO
Address. Either US or Foreign Type:
1221 WEST LAKEVIEW AVE
PENSACOLA, FL32563 EIN:
59-1469145
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
172,914
Total Exempt Purpose Expenditures:
172,914
Lobbying Nontaxable Amount:
34,583
Grassroots Nontaxable Amount:
8,646
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|