2025-04-01T15:06:28-04:00 2024-05-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2023-06-01 593122517 DOCTORS' MEMORIAL HOSPITAL INC DOCT 8505840800 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 LAUREN FAISON-CLARK CEO 8505840800 2025-03-15 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2025-03-20 2023 2025-03-06 01:10:19Z LAUREN FAISON-CLARK 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 20928925 false X WWW.DOCTORSMEMORIAL.COM X 1992 FL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO CITIZENS OF TAYLOR AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE CHARGED AT REDUCED RATES. 9 9 277 0 1273978 326714 19013050 20210371 242951 113753 290111 276863 20820090 20927701 0 0 12104089 12423756 0 0 9595950 10301094 21700039 22724850 -879949 -1797149 11477338 10247841 1900450 3419086 9576888 6828755 X THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. false false 21497183 20487234 THE HOSPITAL PROVIDED INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC AND EMERGENCY SERVICES TO APPROXIMATELY 15,565 RESIDENTS OF TAYLOR COUNTY FL AND SURROUNDING COUNTIES. TAYLOR COUNTY PROVIDED A TOTAL OF 1,289,516 OF IN-KIND DONATIONS. 21497183 true true false false false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 41 0 277 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X JULIE YOUNG CONTROLLER 8505840800 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 CHRIS SCHMIDT CEO(TERM 6/2 40.00 X 0 0 0 PAT BARBAREE CHAIRMAN 2.00 X X 0 0 0 MARK O'BRYANT BOARD MEMBER 2.00 X 0 0 0 LAUREN FAISON-CLARK CEO 40.00 X 0 0 0 DEBRA MCGREW BOARD MEMBER 2.00 X 0 0 0 PRISCILLA TRIPP VICE CHAIRMA 2.00 X X 0 0 0 KEN ARNOLD TREASURER 2.00 X X 0 0 0 NELDA PARKER-PACE SECRETARY 2.00 X X 0 0 0 JENNIFER SHOPLACK SECRETARY(TE X X 0 0 0 MILES NELSON MD PHYSICIAN 40.00 X 384640 0 18423 TAE YU MD PHYSICIAN 40.00 X 374317 0 23811 RAMEL FAILMA MD CHIEF OF STA 40.00 X 264762 0 21820 SHERRI ELLIS BOARD MEMBER 2.00 X 0 0 0 SCOTT BARTON BOARD MEMBER 2.00 X 0 0 0 ANDREW STARR BOARD MEMBER 2.00 X 0 0 0 CARLTON Q YOUNG PHYSICIAN AS 50.00 X 137025 0 0 RAY D JOHNSON RADIOLOGY TE 60.00 X 128351 0 10316 SARA GRAMBLING COO 40.00 X 103927 0 17757 ASHLEY BIDDY CNO 40.00 X 103355 0 3330 1496377 95457 11 false true false CANON MEDICAL SYSTEMS USA INC PO BOX 7476 CAROL IL 60197 MAINTENANCE 774409 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CTR DRIVE CHICAGO IL 60693 ER PHYSICIANS 405366 ALLIANT MANAGEMENT SERVICES 12800 N MERIDIAN ST SUITE 400 CARMEL IN 46032 MANAGEMENT FEES 397729 CPSI DEPT 6448 BIRMINGHAM AL 35246 SOFTWARE SUPPOR 301724 HEALOGICS WOUND CARE& HYPERBARIC 28525 NETWORK PLACE CHICAGO IL 60673 MGT SERVICES 109378 6 27100 242018 57596 326714 NET PATIENT SERVICE REVENUE 621110 19571750 19571750 340B PHARMACY REVENUE 638621 638621 20210371 106077 106077 64117 64117 64117 64117 8900 1224 7676 7676 7676 CAFETERIA AND VENDING 164681 164681 CREDIT CARD FEES 28462 28462 MISCELLANEOUS 14943 14943 4660 4660 212746 20927701 20487234 113753 228368 228368 10192912 10171011 21901 1252274 1252274 750202 750202 397729 397729 91874 91874 533237 533237 396817 396817 621628 621628 39443 39443 73412 73412 1004294 1004294 493313 78930 414383 SUPPLIES 3004448 3004448 SERVICES 2574131 2574131 REPAIRS & MAINTENANCE 769723 769723 INDIGENT TAX 170472 170472 130573 130573 22724850 21497183 1227667 0 3391377 1181529 346688 3219728 3720309 587706 546557 364594 378619 13977554 10674211 3074570 3303343 233675 1117484 259000 11477338 10247841 1744684 1993829 250730 155766 1087785 86742 1900450 3419086 X 9576888 6828755 9576888 6828755 11477338 10247841 X -1797149 -950984 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 250000 250000 2795464 1796894 998570 10788095 8877317 1910778 143995 143995 3303343 THIRD PARTY SETTLEMENT 86742 86742 X 22216937 1289236 1289236 20927701 20927701 24014086 1289236 1289236 22724850 22724850 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THAT MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVAULATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF MAY 31, 2024 OR 2023 OR FOR THE YEARS THEN ENDED. AS REQUIRED BY INTERNAL REVENUE SERVICE REGULATIONS, THE HOSPITAL ANNUALLY FILES A FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES WITH THE INTERNAL REVENUE SERVICE. THESE RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. true true X true X false true true false true true 139504 139504 0.00610 1182552 1855762 1322056 1855762 139504 0.00610 1322056 1855762 139504 0.00610 false 2972704 1167451 2646581 -1479130 X true true 1 1 DOCTORS' MEMORIAL HOSPITAL INC 333 NORTH BYRON BUTLER PARKWAY PERRY FL 32347 WWW.DOCTORSMEMORIAL.COM 3857 X X X 3 RURAL HEALTH CLINICS DOCTORS' MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X X X 22 true false true true X WWW.DOCTORSMEMORIAL.COM X WWW.FLORIDAHEALTH.GOV/CHDTAYLOR/INDEX. X X true 22 true WWW.FLORIDAHEALTH.GOV false false true X 200.000000000000 true true X X X true X WWW.DOCTORSMEMORIAL.COM X WWW.DOCTORSMEMORIAL.COM X WWW.DOCTORSMEMORIAL.COM X X X X X X true X false X X X X true X false false FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA. IN CONSIDERATION OF THE QUANTITATIVE AS WELL AS QUALITATIVE FEEDBACK, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED: MENTAL HEALTH SERVICES SUBSTANCE ABUSE/REHABILITATION SERVICES MORE HEALTHCARE PROVIDERS/SPECIALTY PHYSICIANS FREE OR AFFORDABLE HEALTH SCREENINGS FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 5 IN MARCH 2022, DOCTORS' MEMORIAL HOSPITAL AND THE FLORIDA DEPARTMENT OF HEALTH TAYLOR PARTNERED TO INITIATE AN UPDATE OF THE PREVIOUS TAYLOR COUNTY COMMUNITY HEALTH ASSESSMENT. THE SERVICE AREA WAS DEFINED AS TAYLOR COUNTY WITH A SUPPLEMENTAL SNAPSHOT OF HEALTH METRICS IN LAFAYETTE COUNTY, FLORIDA, TO ACCOUNT FOR THE EXPANSION OF DMHS SERVICE AREA AND PRESENCE IN LAFAYETTE COUNTY. A COMBINED QUANTITATIVE AND QUALITATIVE APPROACH WAS USED THAT INCORPORATED HUNDREDS OF HEALTH INDICATORS FOR THE SERVICE AREA AS WELL AS THREE (3) COMMUNITY FOCUS GROUPS WITH THIRTY-ONE (31) PARTICIPANTS AND AN ONLINE COMMUNITY HEALTH SURVEY THAT GENERATED 159 RESPONDENTS. FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 6B TO LEVERAGE RESOURCES AND MOST EFFECTIVELY WORK TOGETHER, THE FLORIDA DEPARTMENT OF HEALTH, TAYLOR COUNTY, PARTNERED ITH DOCTORS' MEMORIAL HOSPITAL, INC. TO COMPLETE THE CHNA. FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 7D THE TAYLOR COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS MADE AVAILABLE TO THE GENERAL PUBLIC VIA THE FLORIDA DEPARTMENT OF HEALTH-TAYLOR COUNTY WEBSITE AS WELL AS DOCTORS' MEMORIAL HOSPITAL, INC. WEBSITE. A HARDCOPY MAY BE VIEWED AT THE OFFICE OF THE FDOH OR AT THE HOSPITAL. COPIES OF THE REPORT HAVE BEEN MADE AVAILABLE TO ALL OF THE COMMUNITY HEALTH PARTNERS. FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 11 OBESITY WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED IN THE SERVICE AREA BUT WILL NOT BE ADDRESSED IN THIS CHNA. DUE TO A CONSTRAINT OF RESOURCES AND THE EFFORT REQUIRED TO ADDRESS THE HEALTH NEEDS, OBESITY WILL NOT BE DIRECTLY ADDRESSED AT THIS TIME. 4 DOCTORS' MEMORIAL FAMILY PRACTICE 555 N BRYON BUTLER PARKWAY PERRY FL 32347 RURAL HEALTH CLINIC DOCTORS' MEMORIAL FAMILY MEDICINE PO BOX 228 MAYO FL 32066 RURAL HEALTH CLINIC STEINHATCHEE FAMILY MEDICAL CLINIC 29 FIRST AVE STEINHATCHEE FL 32359 RURAL HEALTH CLINIC DOCTORS' MEMORIAL SURGICAL SERVICES 1224 N PEACOCK ST PERRY FL 32347 HEALTH CLINIC SCHEDULE H, PART I, LINE 7 THE COSTS FOR PART I, LINE 7A AND 7C WERE DETERMINED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND MEDICAID SUPPLEMENTAL REVENUES. SCHEDULE H, PART III, LINE 4 PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER THE HOSPITAL'S POLICIES. SCHEDULE H, PART III, LINE 8 THE AMERICAN HOSPITAL ASSOCIATION HAS REPORTED THE MEDICARE AND MEDICAID PROGRAMS PAID HOSPITALS 86 & 89 CENTS RESPECTIVELY FOR EACH DOLLAR SPENT ON PATIENT CARE. OUR HOSPITAL HAS EXPERIENCED A REDUCTION IN THESE PAYMENTS WITH THE EXPANSION OF MANAGED CARE. THIS SHORTFALL IS A GROWING FINANCIAL BURDEN ON RURAL HOSPITALS AND IS A BENEFIT TO PATIENTS WHO ARE RECEIVING THIS UNCOMPENSATED CARE. SEE FOOTNOTE 3 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION OF UNSPONSORED COMMUNITY BENEFIT AND UNCOMPENSATED SERVICES BEGINNING ON PAGE 28. SCHEDULE H, PART III, LINE 9B THE HOSPITAL ATTEMPTS TO IDENTIFY PATIENTS WHO QUALIFY FOR FINANCIAL ASSSITANCE AT THE TIME OF ADMISSION. IF THE PATIENT IS IDENTIFIED PRIOR TO RECEIVING SERVICE, THE PATIENT DOES NOT RECEIVE A BILL. IF THE PATIENT IS NOT IDENTIFIED PRIOR TO SERVICE, THE PATIENT WILL RECEIVE A BILL. THE BILL INCLUDES A NOTICE ADVISING THE PATIENT OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGING THEM TO APPLY. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL INFORMS & EDUCATES PATIENTS REGARDING OPTIONS FOR RESOLUTION OF THEIR ACCOUNT BALANCE, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A VARIETY OF WAYS. SIGNAGE & BROCHURES ARE PLACED IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS AND VARIOUS POINTS OF ENTRY SUCH AS THE ER DEPARTMENT. ASSISTANCE FROM A FINANCIAL COUNSELOR IS AVAILABLE UPON REQUEST. ADMISSION SOFTWARE HAS THE CAPABILITY OF EVALUATING QUALIFICATION FOR ASSISTANCE BASED UPON INCOME LEVEL. THE PATIENT IS THEN PROVIDED AN APPLICATION AND REFERRED TO A FINANCIAL COUNSELOR. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO CITIZENS OF TAYLOR, LAFAYETTE, AND SURROUNDING COUNTIES IN FLORIDA. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH EDUCATION, COUNSELING & SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION IN A CLINICAL SETTING, SPECIALTY IN-SERVICE PROGRAMS, PARTICIPATION IN COMMUNITY HEALTH FESTIVALS, PARTICIPATION IN COMMUNITY BREAST CANCER AWARENESS ACTIVITIES, PROVISION OF ANNUAL SPORTS PHYSICALS IN LOCAL SCHOOLS, AND PARTICIPATION IN CAREER FAIRS AT LOCAL SCHOOLS. X X X X false false false false false false false false false MILES NELSON MD PHYSICIAN 384640 18423 403063 TAE YU MD PHYSICIAN 374317 23811 398128 RAMEL FAILMA MD CHIEF OF STAFF 264762 21820 286582 SCHEDULE J, PART III ALLIANT MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES TO DOCTORS' MEMORIAL HOSPITAL. ALLIANT WAS PAID 397,729 DURING THE 2024 CALENDAR YEAR. THIS PAYMENT INCLUDED THE WAGES PAID TO ALLIANT FOR THE SERVICES OF CHRIS SCHMIDT AND LAUREN FAISON-CLARK WHO BOTH SERVED AS THE CEO OF THE ORGANIZATION DURING THE YEAR. REIMBURSEMENTS TO ALLIANT FOR MR. SCHMIDT'S WAGES WERE 119,853, AND FOR MS. FAISON-CLARK, 82,975. FORM 990 - ORGANIZATION'S MISSION THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 AND SUPPORTING SCHEDULES ARE DISTRIBUTED TO THE BUDGET & AUDIT COMMITTEE MEMBERS FOR A DETAIL REVIEW. THE CFO RESPONDS TO QUESTIONS AND CONCERNS FROM THE MEMBERS. COPIES ARE ALSO DISTRIBUTED TO EACH MEMBER OF THE GOVERNING BOARD FOR REVIEW AND APPROVAL. FORM 990, PAGE 6, PART VI, LINE 12C THE GOVERNING BODY REGULARLY REVIEWS AND DISCUSSES CONFLICT OF INTEREST POLICIES AND TAKES ACTION IF NECESSARY. FORM 990, PAGE 6, PART VI, LINE 15A HIRING AND COMPENSATION OF TOP MANAGEMENT IS EVALUATED BY A MANAGEMENT CONSULTING FIRM. FORM 990, PAGE 6, PART VI, LINE 15B SEE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST, THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS. THESE DOCUMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES AND ARE AVAILABLE DURING BUSINESS HOURS. FORM 990, PART XI, LINE 9 IMPLEMENTATION OF GASB 96 33,963 ERROR CORRECTION PER AFS -984,947 TOTAL -950,984 THE HOSPITAL RECORDED A RECEIVABLE AND NONOPERATING REVENUE OF 914,947 IN FISCAL YEAR 2023 RELATED TO THE PERFORMANCE INCENTIVE PROGRAM UNDER THE TMH MANAGEMENT AGREEMENT. THE HOSPITAL ALSO RECORDED A RECEIVABLE AND CORRESPONDING REDUCTION OF MANAGEMENT FEE EXPENSE OF 35,000 IN BOTH 2023 AND 2020 AS A PERFORMANCE PENALTY UNDER THE ALLIANT MANAGEMENT AGREEMENT DISCUSSED IN NOTE 17. DURING 2021 AND 2022, THE HOSPITAL'S INTERPRETATION OF THE INCENTIVE PAYMENTS UNDER BOTH MANAGEMENT AGREEMENTS WAS THAT ALL COVID GRANT REVENUE BE EXCLUDED FROM NET INCOME USED TO COMPUTE THE INCENTIVE PAYMENTS OWED TO/FROM THE HOSPITAL. HOWEVER, DURING 2024, MANAGEMENT DETERMINED THAT ITS INTERPRETATION OF THE CONTRACT IN THOSE YEARS WAS INCORRECT, AND THE NET INCOME USED TO COMPUTE THE INCENTIVE PAYMENTS SHOULD INCLUDE COVID GRANT REVENUE. SEE FOOTNOTE 1 ON PAGE 25 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A COMPLETE DISCUSSION OF THE ERROR CORRECTION.